| Gastro Health Llc | |
|
9408 Sw 87th Ave Ste 200 Miami FL 33176-2416 | |
| (305) 913-0666 | |
| (305) 913-0663 |
| Full Name | Gastro Health Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 9408 Sw 87th Ave Ste 200, Miami, Florida |
| Authorized Official Name and Position | Joseph Garcia (CEO) |
| Authorized Official Contact | 7865303820 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gastro Health Llc 9408 Sw 87th Ave Ste 200 Miami FL 33176-2416 Ph: (305) 913-0666 | Gastro Health Llc 9408 Sw 87th Ave Ste 200 Miami FL 33176-2416 Ph: (305) 913-0666 |
| NPI Number | 1487767133 |
|---|---|
| Provider Enumeration Date | 08/16/2006 |
| Last Update Date | 01/20/2023 |
| Medicare PECOS PAC ID | 2365440567 |
|---|---|
| Medicare Enrollment ID | O20061127000011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487767133 | NPI | - | NPPES |
| Provider Name | Antonio J Decarli |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1376644328 PECOS PAC ID: 3678477569 Enrollment ID: I20031121000717 |
| Provider Name | Steven A Christie |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699715912 PECOS PAC ID: 4587565320 Enrollment ID: I20040115000722 |
| Provider Name | Alfredo J Hernandez |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1295856193 PECOS PAC ID: 1456332535 Enrollment ID: I20040525001381 |
| Provider Name | Evelyn R Kessel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1861485062 PECOS PAC ID: 2163405960 Enrollment ID: I20040611001106 |
| Provider Name | Dean Palmer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1881655157 PECOS PAC ID: 4284612433 Enrollment ID: I20040713000704 |
| Provider Name | Jason Andrew Slate |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275648586 PECOS PAC ID: 4587636956 Enrollment ID: I20040807000048 |
| Provider Name | Marc S Carp |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1942313291 PECOS PAC ID: 3779557939 Enrollment ID: I20040825001007 |
| Provider Name | Matthew Q Bromer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437165172 PECOS PAC ID: 2264407964 Enrollment ID: I20040826001178 |
| Provider Name | Andrew I Sable |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1548293376 PECOS PAC ID: 3476520347 Enrollment ID: I20040911000187 |
| Provider Name | Jose A Lavergne |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1003899212 PECOS PAC ID: 8527037878 Enrollment ID: I20041002000003 |
| Provider Name | Stefania Lucia Vernace |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1962487843 PECOS PAC ID: 3274596218 Enrollment ID: I20041110000393 |
| Provider Name | Matthew Soff |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1720053044 PECOS PAC ID: 4789641929 Enrollment ID: I20041220000317 |
| Provider Name | Glen E Vanderzalm |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1528033578 PECOS PAC ID: 4385693233 Enrollment ID: I20050118000536 |
| Provider Name | Barry S Ross |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1508809039 PECOS PAC ID: 1456301910 Enrollment ID: I20050124000458 |
| Provider Name | Pamela L Garjian |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1619952645 PECOS PAC ID: 7517913908 Enrollment ID: I20050330000034 |
| Provider Name | Sudhir K Bhaskar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1104890979 PECOS PAC ID: 8527002773 Enrollment ID: I20050617000599 |
| Provider Name | Steven L Brint |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1518932953 PECOS PAC ID: 4082514922 Enrollment ID: I20050618000107 |
| Provider Name | Adam Green |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649226804 PECOS PAC ID: 5890730899 Enrollment ID: I20050621000492 |
| Provider Name | Nirmala Shanmugam |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1083678502 PECOS PAC ID: 8022054469 Enrollment ID: I20050707000309 |
| Provider Name | Ajay Pancholy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144289539 PECOS PAC ID: 2062472384 Enrollment ID: I20050709000002 |
| Provider Name | Caren J Bennett |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1992794127 PECOS PAC ID: 4688603244 Enrollment ID: I20050804000668 |
| Provider Name | Anthony Strippoli |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1104859420 PECOS PAC ID: 9335178797 Enrollment ID: I20050806000040 |
| Provider Name | Pedro Morales |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1417020777 PECOS PAC ID: 6901828201 Enrollment ID: I20051230000181 |
| Provider Name | Nelson Garcia |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1598734055 PECOS PAC ID: 6800818139 Enrollment ID: I20051230000201 |
| Provider Name | Javier L Parra |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1194764399 PECOS PAC ID: 3577573518 Enrollment ID: I20060505000149 |
| Provider Name | Jose P Ferrer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1013975911 PECOS PAC ID: 6800890989 Enrollment ID: I20060901000062 |
| Provider Name | Daniel Gelrud |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1780636241 PECOS PAC ID: 7416925912 Enrollment ID: I20060929000111 |
| Provider Name | Craig A Peller |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1548255953 PECOS PAC ID: 3274539929 Enrollment ID: I20061020000005 |
| Provider Name | Alfredo Rabassa |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1932184991 PECOS PAC ID: 2264430305 Enrollment ID: I20061128000004 |
| Provider Name | James S Leavitt |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1598740557 PECOS PAC ID: 6901874742 Enrollment ID: I20061128000020 |
| Provider Name | Moises E Hernandez |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1134223670 PECOS PAC ID: 1355245069 Enrollment ID: I20061128000033 |
| Provider Name | Eugenio J Hernandez |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1790887313 PECOS PAC ID: 4688672728 Enrollment ID: I20061128000036 |
| Provider Name | Jose P Ferrer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1730281387 PECOS PAC ID: 8527962240 Enrollment ID: I20061128000050 |
| Provider Name | Simon Behar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1982706958 PECOS PAC ID: 8820007784 Enrollment ID: I20061128000059 |
| Provider Name | Robert C Lanoff |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1013945658 PECOS PAC ID: 7012915168 Enrollment ID: I20061128000074 |
| Provider Name | Gustavo A Calleja |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1003891029 PECOS PAC ID: 8527066679 Enrollment ID: I20061128000106 |
| Provider Name | Eduardo A Ruan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1326023292 PECOS PAC ID: 4789682832 Enrollment ID: I20061128000119 |
| Provider Name | Stephen Lawrence Rothman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1760467633 PECOS PAC ID: 3971501032 Enrollment ID: I20061128000212 |
| Provider Name | Seth D Rosen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457389983 PECOS PAC ID: 9739187824 Enrollment ID: I20061128000456 |
| Provider Name | Edward Horvath |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1124131164 PECOS PAC ID: 2163421827 Enrollment ID: I20061207000316 |
| Provider Name | Francisco J Baigorri |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1235114257 PECOS PAC ID: 3971502667 Enrollment ID: I20061213000350 |
| Provider Name | Arie Slomianski |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1376515973 PECOS PAC ID: 7618909680 Enrollment ID: I20061213000359 |
| Provider Name | Darlene M Boytell-perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548237480 PECOS PAC ID: 8820097256 Enrollment ID: I20061213000374 |
| Provider Name | Leonardo J Henriquez |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1699781914 PECOS PAC ID: 3779583208 Enrollment ID: I20070108000339 |
| Provider Name | James Chong |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538130828 PECOS PAC ID: 2668472010 Enrollment ID: I20070109000042 |
| Provider Name | Gary Luckman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1225001472 PECOS PAC ID: 3173592995 Enrollment ID: I20070118000014 |
| Provider Name | Joel S Feiss |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1659344893 PECOS PAC ID: 1052380896 Enrollment ID: I20070118000039 |
| Provider Name | Jeffrey H Schneider |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1821074618 PECOS PAC ID: 0042211989 Enrollment ID: I20070217000090 |
| Provider Name | Andrew H Zwick |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1003814922 PECOS PAC ID: 3678574514 Enrollment ID: I20070217000098 |
| Provider Name | Jay B Adler |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1619930641 PECOS PAC ID: 8527069459 Enrollment ID: I20070219000207 |
| Provider Name | Ronen Arai |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1982641866 PECOS PAC ID: 9436150364 Enrollment ID: I20070219000210 |
| Provider Name | Alan Bank |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538163464 PECOS PAC ID: 7214958776 Enrollment ID: I20070219000214 |
| Provider Name | Elias E Dabul |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1669440129 PECOS PAC ID: 1153219084 Enrollment ID: I20070219000286 |
| Provider Name | Edward S Deutsch |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457337883 PECOS PAC ID: 3971504804 Enrollment ID: I20070219000305 |
| Provider Name | Lawrence Fiedler |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1932135803 PECOS PAC ID: 5799786620 Enrollment ID: I20070219000498 |
| Provider Name | Steven Hahn |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1417925801 PECOS PAC ID: 8426059353 Enrollment ID: I20070219000585 |
| Provider Name | Gerardo Lanes |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1033182605 PECOS PAC ID: 6608764535 Enrollment ID: I20070219000667 |
| Provider Name | Stephen M Lipkin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1962475707 PECOS PAC ID: 1052312998 Enrollment ID: I20070219000678 |
| Provider Name | Michael Mekjian |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1376517375 PECOS PAC ID: 3779584610 Enrollment ID: I20070219000693 |
| Provider Name | Rony Porudominsky |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1639119506 PECOS PAC ID: 4688675523 Enrollment ID: I20070219000700 |
| Provider Name | Dean J Railey |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1801869987 PECOS PAC ID: 5597766436 Enrollment ID: I20070219000731 |
| Provider Name | Kenneth R Rosenthal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1922002781 PECOS PAC ID: 6406857341 Enrollment ID: I20070219000735 |
| Provider Name | Steven R Sacks |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1326067935 PECOS PAC ID: 8224039169 Enrollment ID: I20070219000749 |
| Provider Name | Luis Y Salazar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1366445736 PECOS PAC ID: 9133120074 Enrollment ID: I20070219000758 |
| Provider Name | Matthew J Smith |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1952320897 PECOS PAC ID: 1951205392 Enrollment ID: I20070219000786 |
| Provider Name | Howard Sonderling |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1942239660 PECOS PAC ID: 9638179260 Enrollment ID: I20070219000792 |
| Provider Name | Michael B Sternthal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1992781876 PECOS PAC ID: 9638138696 Enrollment ID: I20070219000797 |
| Provider Name | Eduardo Krajewski |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1073618120 PECOS PAC ID: 7911009378 Enrollment ID: I20070305000008 |
| Provider Name | Flavia Mendes |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1487628582 PECOS PAC ID: 1153354766 Enrollment ID: I20070329000179 |
| Provider Name | Mohammad R Mastali |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1689762924 PECOS PAC ID: 3375648959 Enrollment ID: I20070411000138 |
| Provider Name | Katherine A Kosche |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1003823972 PECOS PAC ID: 0749386738 Enrollment ID: I20070508000607 |
| Provider Name | Salvatore Senzatimore |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1962504969 PECOS PAC ID: 6507963196 Enrollment ID: I20070516000012 |
| Provider Name | Scott R Anderson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225098205 PECOS PAC ID: 5294730495 Enrollment ID: I20070607000696 |
| Provider Name | Marcos Szomstein |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1497799761 PECOS PAC ID: 6901904986 Enrollment ID: I20070614000668 |
| Provider Name | Brian L Sayer |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1639149305 PECOS PAC ID: 5294827424 Enrollment ID: I20070817000376 |
| Provider Name | Eli D Sonkin |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1700856473 PECOS PAC ID: 2860467834 Enrollment ID: I20070817000400 |
| Provider Name | Leslie Perla |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467444067 PECOS PAC ID: 5294779856 Enrollment ID: I20070828000191 |
| Provider Name | Marcelo Fabian Larsen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1154402717 PECOS PAC ID: 4385737709 Enrollment ID: I20070830000470 |
| Provider Name | Joshua H Rubin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1184654634 PECOS PAC ID: 3577651462 Enrollment ID: I20071129000602 |
| Provider Name | Rajendra P Kedar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336108729 PECOS PAC ID: 7810992013 Enrollment ID: I20071214000285 |
| Provider Name | Sidney Neimark |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1740278522 PECOS PAC ID: 1153405279 Enrollment ID: I20080228000282 |
| Provider Name | Ronald Mark Levy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1558350975 PECOS PAC ID: 6305861261 Enrollment ID: I20080724000765 |
| Provider Name | Eduardo A Kofman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1487609855 PECOS PAC ID: 2860476280 Enrollment ID: I20080812000109 |
| Provider Name | Leon S Maratchi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1063685964 PECOS PAC ID: 0446325997 Enrollment ID: I20080818000357 |
| Provider Name | Carlos M Ricart |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1760558134 PECOS PAC ID: 9537235445 Enrollment ID: I20080828000619 |
| Provider Name | Bradley A. Towbin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1962441329 PECOS PAC ID: 3870669146 Enrollment ID: I20080910000513 |
| Provider Name | Marney Goldstein |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1598895260 PECOS PAC ID: 0042310088 Enrollment ID: I20080920000113 |
| Provider Name | Richard E Hernandez |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1235104167 PECOS PAC ID: 3072545045 Enrollment ID: I20081014000737 |
| Provider Name | Juan Carrere |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1669474318 PECOS PAC ID: 4587722111 Enrollment ID: I20081024000670 |
| Provider Name | Bret Neiderman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396958872 PECOS PAC ID: 5799875670 Enrollment ID: I20081029000573 |
| Provider Name | Cathia M Rene |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1306928924 PECOS PAC ID: 3173594454 Enrollment ID: I20081113000301 |
| Provider Name | Jason Roy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558321133 PECOS PAC ID: 0244394815 Enrollment ID: I20090126000616 |
| Provider Name | Jeffrey S Wenger |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1801898655 PECOS PAC ID: 8123176518 Enrollment ID: I20090619000564 |
| Provider Name | Daniel Seckinger |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962463356 PECOS PAC ID: 0749332286 Enrollment ID: I20090715000182 |
| Provider Name | Joshua Stern |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1326100686 PECOS PAC ID: 4385796689 Enrollment ID: I20090717000166 |
| Provider Name | Elliot Ellis |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1396914800 PECOS PAC ID: 3678629904 Enrollment ID: I20090928000712 |
| Provider Name | Devendra S Kahlon |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1285668897 PECOS PAC ID: 6608916234 Enrollment ID: I20091212000006 |
| Provider Name | Avanish M Aggarwal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1376517128 PECOS PAC ID: 1254231194 Enrollment ID: I20100201000249 |
| Provider Name | Jerry Martel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1477755668 PECOS PAC ID: 3678618824 Enrollment ID: I20100226000716 |
| Provider Name | Aaron M Hattaway |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689842643 PECOS PAC ID: 3274605696 Enrollment ID: I20100304000758 |
| Provider Name | Jeffrey B Kaner |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1366443947 PECOS PAC ID: 7012946189 Enrollment ID: I20100505000660 |
| Provider Name | Alix Lanoue |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1598766099 PECOS PAC ID: 8022179654 Enrollment ID: I20100521000707 |
| Provider Name | Chester J Maxson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1306928908 PECOS PAC ID: 7315919784 Enrollment ID: I20100601000246 |
| Provider Name | Bernard Stein |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1215019849 PECOS PAC ID: 4688646052 Enrollment ID: I20100611000169 |
| Provider Name | Kristine M Trout |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902908122 PECOS PAC ID: 0446258966 Enrollment ID: I20100615000023 |
| Provider Name | Richard A Dumois |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1417921115 PECOS PAC ID: 0446150387 Enrollment ID: I20100615000603 |
| Provider Name | Morris S Naus |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1598751679 PECOS PAC ID: 1153328935 Enrollment ID: I20100622000097 |
| Provider Name | Barry Lawrence Migicovsky |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1316948797 PECOS PAC ID: 8921037094 Enrollment ID: I20100624000952 |
| Provider Name | David Scott Weiss |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1861493116 PECOS PAC ID: 4284663352 Enrollment ID: I20100629000532 |
| Provider Name | Nisha Rao |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063607216 PECOS PAC ID: 0042380107 Enrollment ID: I20100709000784 |
| Provider Name | Kenneth Russell Feuer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1902872781 PECOS PAC ID: 9638079577 Enrollment ID: I20100712000639 |
| Provider Name | Anthony Coppola |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1801895917 PECOS PAC ID: 1153491071 Enrollment ID: I20100723000867 |
| Provider Name | Anthony Lin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1316946254 PECOS PAC ID: 6507936424 Enrollment ID: I20100723000901 |
| Provider Name | Baaz Mishiev |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1245472869 PECOS PAC ID: 8325172190 Enrollment ID: I20100816000397 |
| Provider Name | John C Feldman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801985072 PECOS PAC ID: 6305960675 Enrollment ID: I20100824000844 |
| Provider Name | Jonathan D Kaplan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1255327284 PECOS PAC ID: 3870590656 Enrollment ID: I20100827000857 |
| Provider Name | Marisa S Kesselman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1881629269 PECOS PAC ID: 4587798103 Enrollment ID: I20100909000416 |
| Provider Name | Daniel E Mcguire |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1205869526 PECOS PAC ID: 2860526480 Enrollment ID: I20100909000911 |
| Provider Name | Michael S Urban |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1831105485 PECOS PAC ID: 0143354761 Enrollment ID: I20100909001014 |
| Provider Name | Paulette C Chiravalle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932287802 PECOS PAC ID: 8224153044 Enrollment ID: I20100917000036 |
| Provider Name | Guillermo P Gubbins |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1336148972 PECOS PAC ID: 5193840817 Enrollment ID: I20100917000228 |
| Provider Name | Keith R Moore |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1760471304 PECOS PAC ID: 4385713338 Enrollment ID: I20101007001108 |
| Provider Name | Paul G Fishbein |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1952305963 PECOS PAC ID: 1254474794 Enrollment ID: I20101230000234 |
| Provider Name | Brett R Neustater |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1245212000 PECOS PAC ID: 1153390406 Enrollment ID: I20110124001012 |
| Provider Name | Lewis R Felder |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1245213453 PECOS PAC ID: 5294898722 Enrollment ID: I20110124001063 |
| Provider Name | Vicente Lago |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1619068095 PECOS PAC ID: 4587794185 Enrollment ID: I20110307000436 |
| Provider Name | Muhammad Asif Mohiuddin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1265411185 PECOS PAC ID: 0547252850 Enrollment ID: I20110513000039 |
| Provider Name | Raja Moti Gidwani |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1235165051 PECOS PAC ID: 6608047014 Enrollment ID: I20110915000268 |
| Provider Name | Louis Rosainz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1073790903 PECOS PAC ID: 8820133044 Enrollment ID: I20111013000389 |
| Provider Name | Syed Lateef |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1194769836 PECOS PAC ID: 1759398845 Enrollment ID: I20120309000155 |
| Provider Name | Jaime M Rivera |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1508894296 PECOS PAC ID: 2062595937 Enrollment ID: I20120312000137 |
| Provider Name | Debra K Kerr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932492725 PECOS PAC ID: 0345415410 Enrollment ID: I20120314000487 |
| Provider Name | Andres Roig |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1174700371 PECOS PAC ID: 4082768338 Enrollment ID: I20120523000514 |
| Provider Name | George A Sanchez |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1053512707 PECOS PAC ID: 8527223528 Enrollment ID: I20120625000509 |
| Provider Name | Somal S Shah |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1295946168 PECOS PAC ID: 9234207804 Enrollment ID: I20120716000257 |
| Provider Name | Mariam Alsharif |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1366559627 PECOS PAC ID: 3072510296 Enrollment ID: I20121130000035 |
| Provider Name | Enrique G Molina |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1659513166 PECOS PAC ID: 9638318413 Enrollment ID: I20130627000330 |
| Provider Name | Joel Z Stengel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1124040654 PECOS PAC ID: 2668613845 Enrollment ID: I20130731000183 |
| Provider Name | Lianne K Cavell |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1215194758 PECOS PAC ID: 7810130333 Enrollment ID: I20130903000583 |
| Provider Name | Maria D Hernandez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144471608 PECOS PAC ID: 1658323340 Enrollment ID: I20130917000175 |
| Provider Name | Ivonne Frady |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811322944 PECOS PAC ID: 5092949354 Enrollment ID: I20130930000287 |
| Provider Name | Margaret Ann Mathews-d'avanzo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013160399 PECOS PAC ID: 6901032325 Enrollment ID: I20131113001028 |
| Provider Name | Michelle Lynne Ith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689002529 PECOS PAC ID: 1254568116 Enrollment ID: I20131220001449 |
| Provider Name | Roberto Rene Gonzalez |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1326205774 PECOS PAC ID: 8426282633 Enrollment ID: I20140730002072 |
| Provider Name | Enrique Hernandez-sanchez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285631846 PECOS PAC ID: 8123021540 Enrollment ID: I20140731000162 |
| Provider Name | Tammy L Chaundy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932518941 PECOS PAC ID: 1355569294 Enrollment ID: I20140905001693 |
| Provider Name | Keyla K B Kleyser-sugrue |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1720242688 PECOS PAC ID: 6406077858 Enrollment ID: I20141028001655 |
| Provider Name | Angelica Aguirre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447666334 PECOS PAC ID: 9638480833 Enrollment ID: I20150615001047 |
| Provider Name | Alba Severino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992192629 PECOS PAC ID: 7810201399 Enrollment ID: I20150728004518 |
| Provider Name | William Rengifo-cam |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1154551653 PECOS PAC ID: 5294043378 Enrollment ID: I20151009001793 |
| Provider Name | Leydi Carballo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962871954 PECOS PAC ID: 3779884960 Enrollment ID: I20151211001891 |
| Provider Name | Viviane Andersen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679904486 PECOS PAC ID: 5799086922 Enrollment ID: I20151214000789 |
| Provider Name | Nicole Danay Monroig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205208063 PECOS PAC ID: 1456654524 Enrollment ID: I20160122001819 |
| Provider Name | Teresita P Brunner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770944456 PECOS PAC ID: 4183915499 Enrollment ID: I20160616001385 |
| Provider Name | Adam C Lessne |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1740504778 PECOS PAC ID: 7113224767 Enrollment ID: I20160815000303 |
| Provider Name | Raanan Sela |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1598905689 PECOS PAC ID: 2163561168 Enrollment ID: I20161104000495 |
| Provider Name | Adriana Acosta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871693986 PECOS PAC ID: 1153600572 Enrollment ID: I20161108000163 |
| Provider Name | Kristen L Schwencke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174077630 PECOS PAC ID: 1850670878 Enrollment ID: I20161115002633 |
| Provider Name | Isel Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437519014 PECOS PAC ID: 8921388950 Enrollment ID: I20161209000919 |
| Provider Name | Ted Harb |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609806025 PECOS PAC ID: 2365461829 Enrollment ID: I20170502001736 |
| Provider Name | Travis Cron Foster |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205128568 PECOS PAC ID: 3870743503 Enrollment ID: I20170623002079 |
| Provider Name | Deepinder Goyal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538323399 PECOS PAC ID: 1153579032 Enrollment ID: I20170624000231 |
| Provider Name | Lauren Nicole Carroll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780115733 PECOS PAC ID: 6901175876 Enrollment ID: I20170708000055 |
| Provider Name | Alicia M Alvarez |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1588983159 PECOS PAC ID: 9739458639 Enrollment ID: I20170710000958 |
| Provider Name | Robert Kaplan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1407810476 PECOS PAC ID: 3577616317 Enrollment ID: I20170718001436 |
| Provider Name | Seth D Kirschner |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1548554546 PECOS PAC ID: 3577834142 Enrollment ID: I20170801002341 |
| Provider Name | Andres Gelrud |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1689630592 PECOS PAC ID: 3072504406 Enrollment ID: I20170801002992 |
| Provider Name | Luis Oscar Hernandez |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1205078649 PECOS PAC ID: 0547561870 Enrollment ID: I20170811001316 |
| Provider Name | Joanna Lopez |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1871889345 PECOS PAC ID: 1254592397 Enrollment ID: I20170815003092 |
| Provider Name | Daylem Antunez |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1982959169 PECOS PAC ID: 0446523237 Enrollment ID: I20170829004259 |
| Provider Name | Emmanuel Reyes Ramos |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1326332743 PECOS PAC ID: 4183997950 Enrollment ID: I20170830003190 |
| Provider Name | Caitlyn Deming |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245770130 PECOS PAC ID: 4183999238 Enrollment ID: I20170929000955 |
| Provider Name | Basya Rachel Nachlas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386160430 PECOS PAC ID: 4880969401 Enrollment ID: I20171009000754 |
| Provider Name | Sohail N Shaikh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1033373493 PECOS PAC ID: 1658419379 Enrollment ID: I20171011000826 |
| Provider Name | Pardis Vafaii |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1518254150 PECOS PAC ID: 0143513952 Enrollment ID: I20171219001655 |
| Provider Name | Yashika T Rowe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801307566 PECOS PAC ID: 1153681838 Enrollment ID: I20180129002677 |
| Provider Name | Hadi Bazzi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457615221 PECOS PAC ID: 1951621549 Enrollment ID: I20180219000542 |
| Provider Name | Brett Ashley Mastromatteo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619487857 PECOS PAC ID: 9234490152 Enrollment ID: I20180309000683 |
| Provider Name | Christopher George Sofianos |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1326160789 PECOS PAC ID: 9931209145 Enrollment ID: I20180615001420 |
| Provider Name | Vanessa Mendez |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1497021331 PECOS PAC ID: 3678828175 Enrollment ID: I20180625003312 |
| Provider Name | Lubin Fernando Arevalo Santana |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1942533997 PECOS PAC ID: 4789811829 Enrollment ID: I20180706002364 |
| Provider Name | Zachary Brooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770087322 PECOS PAC ID: 5496002412 Enrollment ID: I20180723002209 |
| Provider Name | Hector Luis Gutierrez Garces |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861909467 PECOS PAC ID: 5092068007 Enrollment ID: I20181022000517 |
| Provider Name | Jessie Consuelo Matus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093202889 PECOS PAC ID: 6002169596 Enrollment ID: I20181031000367 |
| Provider Name | Rolando Martinez Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932687316 PECOS PAC ID: 3274887815 Enrollment ID: I20181116001200 |
| Provider Name | Idequiz Paez |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1689167959 PECOS PAC ID: 5294071593 Enrollment ID: I20190108000726 |
| Provider Name | Su Bin Kim |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1679826416 PECOS PAC ID: 6709123003 Enrollment ID: I20190124001680 |
| Provider Name | Anniuska Gigato Diaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306329297 PECOS PAC ID: 0345587440 Enrollment ID: I20190128002893 |
| Provider Name | Mariana Sylvia Joanne Middelhof |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710293337 PECOS PAC ID: 3274823075 Enrollment ID: I20190130001912 |
| Provider Name | Lisa D'agostino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649756545 PECOS PAC ID: 1153668991 Enrollment ID: I20190131002779 |
| Provider Name | Rhonda D Coney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184112765 PECOS PAC ID: 3375881519 Enrollment ID: I20190213000753 |
| Provider Name | Jorge A Rosario-mulinelli |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1861495350 PECOS PAC ID: 3971841131 Enrollment ID: I20190213001280 |
| Provider Name | Jessica Susan Ruiseco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609234525 PECOS PAC ID: 5799024600 Enrollment ID: I20190311001335 |
| Provider Name | Krista R Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205390630 PECOS PAC ID: 3577803642 Enrollment ID: I20190327002862 |
| Provider Name | Alyssa Noelle Grubb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588148738 PECOS PAC ID: 0345581583 Enrollment ID: I20190416001648 |
| Provider Name | Rebecca J. Ensley |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1992852198 PECOS PAC ID: 8628267192 Enrollment ID: I20190603001447 |
| Provider Name | Amanda J Dolif |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033773890 PECOS PAC ID: 8729311543 Enrollment ID: I20190611001796 |
| Provider Name | Chad Engel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386986958 PECOS PAC ID: 0446585947 Enrollment ID: I20190703002329 |
| Provider Name | Jessy Madhukar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578033916 PECOS PAC ID: 6901132521 Enrollment ID: I20190719000882 |
| Provider Name | Jose M Simo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952968026 PECOS PAC ID: 3173850534 Enrollment ID: I20190807002023 |
| Provider Name | Ana Belen Valdes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043799471 PECOS PAC ID: 1951639889 Enrollment ID: I20190829003434 |
| Provider Name | Josie Arias Mirabal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093378143 PECOS PAC ID: 4284963828 Enrollment ID: I20190909000341 |
| Provider Name | Samir Rameshchandra Shah |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1881893741 PECOS PAC ID: 6507080736 Enrollment ID: I20190925002827 |
| Provider Name | Mitch C Tuttle |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710395314 PECOS PAC ID: 3870714868 Enrollment ID: I20191008003867 |
| Provider Name | Mailen Broche |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982181491 PECOS PAC ID: 0840521415 Enrollment ID: I20191011002237 |
| Provider Name | Kellie Kilpatrick Battillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740586288 PECOS PAC ID: 4183056021 Enrollment ID: I20191115000545 |
| Provider Name | Mark S Amorosino |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1316068554 PECOS PAC ID: 4981676095 Enrollment ID: I20191209000267 |
| Provider Name | Erika Sirois- Moreno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578114658 PECOS PAC ID: 7113350968 Enrollment ID: I20191209001633 |
| Provider Name | Yanet Laurencio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780226175 PECOS PAC ID: 7810320629 Enrollment ID: I20191210000935 |
| Provider Name | Billy Blackmon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215058110 PECOS PAC ID: 4284758061 Enrollment ID: I20200131001171 |
| Provider Name | Kelly Christine Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851932404 PECOS PAC ID: 6002245677 Enrollment ID: I20200402000109 |
| Provider Name | Lilly Gonzalez |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1558604058 PECOS PAC ID: 9133462658 Enrollment ID: I20200428000728 |
| Provider Name | Jose Raul Estrada |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1205271947 PECOS PAC ID: 1254656143 Enrollment ID: I20200520000975 |
| Provider Name | Vanessa Alexis Paz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831715424 PECOS PAC ID: 9931522406 Enrollment ID: I20200701001151 |
| Provider Name | Rochelle Ann Wolfe |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1417164005 PECOS PAC ID: 9931207289 Enrollment ID: I20200708000482 |
| Provider Name | Jonathan Kass |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316357601 PECOS PAC ID: 4486870284 Enrollment ID: I20200708003390 |
| Provider Name | Daniel Waintraub |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1750624037 PECOS PAC ID: 2163700931 Enrollment ID: I20200709000576 |
| Provider Name | Nathaniel Justin Ernstoff |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1306189147 PECOS PAC ID: 4183047038 Enrollment ID: I20200710000043 |
| Provider Name | Juan Carlos Chanfrau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053890491 PECOS PAC ID: 1153747670 Enrollment ID: I20200814001020 |
| Provider Name | Dru E Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538791306 PECOS PAC ID: 3678999679 Enrollment ID: I20200821000422 |
| Provider Name | Harpreet Grewal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326491689 PECOS PAC ID: 0345667754 Enrollment ID: I20200831003168 |
| Provider Name | Sana Naeem |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245526797 PECOS PAC ID: 8123322591 Enrollment ID: I20200909002032 |
| Provider Name | Lina Martinez Acosta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669080438 PECOS PAC ID: 7618397613 Enrollment ID: I20201013001638 |
| Provider Name | Alex Aziz Aziz Al Khoury |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1578100996 PECOS PAC ID: 3779993589 Enrollment ID: I20201106000555 |
| Provider Name | Veridiana De Araujo Pinheiro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104478015 PECOS PAC ID: 4082037445 Enrollment ID: I20201118000042 |
| Provider Name | Jessica A Crowell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962003251 PECOS PAC ID: 9931510179 Enrollment ID: I20201119002179 |
| Provider Name | Jessica Ann Vasquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982204541 PECOS PAC ID: 3476965179 Enrollment ID: I20201223000040 |
| Provider Name | Jennifer A Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679179485 PECOS PAC ID: 4284048265 Enrollment ID: I20210203000479 |
| Provider Name | Rachel M Gregoroff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194274712 PECOS PAC ID: 0446530984 Enrollment ID: I20210510001101 |
| Provider Name | Ryan Michael Dauer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1376938449 PECOS PAC ID: 8820407349 Enrollment ID: I20210512002116 |
| Provider Name | Divya Madhuri Persaud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700477684 PECOS PAC ID: 2365841327 Enrollment ID: I20210524001716 |
| Provider Name | Heather Marie Korkowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922626647 PECOS PAC ID: 4385032549 Enrollment ID: I20211021001076 |
| Provider Name | Consuelo Sanclemente |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972185163 PECOS PAC ID: 9537569942 Enrollment ID: I20211108000226 |
| Provider Name | Caroline Poryles Soyka |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1699065375 PECOS PAC ID: 0547563249 Enrollment ID: I20211203000864 |
| Provider Name | Angelo Junard Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669142527 PECOS PAC ID: 8729486295 Enrollment ID: I20211228000298 |
| Provider Name | Francisco Martin Tagle |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1588323356 PECOS PAC ID: 2860883683 Enrollment ID: I20220104002975 |
| Provider Name | Suany Pichardo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457028953 PECOS PAC ID: 5496147985 Enrollment ID: I20220112002599 |
| Provider Name | Yanet Pino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679100820 PECOS PAC ID: 2668865700 Enrollment ID: I20220212000143 |
| Provider Name | Moriah Aharon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811593957 PECOS PAC ID: 0446643449 Enrollment ID: I20220216001224 |
| Provider Name | Mariam Melina Tosado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013582659 PECOS PAC ID: 7911391446 Enrollment ID: I20220228001338 |
| Provider Name | Ada Quintana |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1043453855 PECOS PAC ID: 3870800741 Enrollment ID: I20220330002248 |
| Provider Name | Kayli Eslinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306599485 PECOS PAC ID: 4880081496 Enrollment ID: I20220429001005 |
| Provider Name | Aaron Weiss |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1700233731 PECOS PAC ID: 8123415486 Enrollment ID: I20220505000520 |
| Provider Name | Jamil A Shaikh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831456813 PECOS PAC ID: 7719259100 Enrollment ID: I20220511002821 |
| Provider Name | Richard Sibley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194796391 PECOS PAC ID: 1850341967 Enrollment ID: I20220531001192 |
| Provider Name | Yasir Al-azzawi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1942597018 PECOS PAC ID: 1254560485 Enrollment ID: I20220622003188 |
| Provider Name | Richard L Bonney |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275063992 PECOS PAC ID: 1557612595 Enrollment ID: I20220706000384 |
| Provider Name | Corey Saraceni |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144682865 PECOS PAC ID: 1658661541 Enrollment ID: I20220712002862 |
| Provider Name | Faure Lorenzo Delgado Leon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255075149 PECOS PAC ID: 3678954435 Enrollment ID: I20220726000215 |
| Provider Name | Jordan Elman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1326492893 PECOS PAC ID: 5294071445 Enrollment ID: I20220727000046 |
| Provider Name | John A Antoine |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1548372972 PECOS PAC ID: 7012982713 Enrollment ID: I20220727001119 |
| Provider Name | Benjamin David Kessler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477086718 PECOS PAC ID: 2961775333 Enrollment ID: I20220805000289 |
| Provider Name | Andrea Madiedo |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1811359508 PECOS PAC ID: 2365737731 Enrollment ID: I20220806000116 |
| Provider Name | Ashley Mole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548851173 PECOS PAC ID: 7214310101 Enrollment ID: I20220809004057 |
| Provider Name | Nissa Cruz-vickers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003407008 PECOS PAC ID: 0648653386 Enrollment ID: I20220813000215 |
| Provider Name | Annia Toledano Guerra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770218216 PECOS PAC ID: 8224412945 Enrollment ID: I20220830002107 |
| Provider Name | Bryan Zouheir Hamade |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194254037 PECOS PAC ID: 5597033712 Enrollment ID: I20220831001424 |
| Provider Name | Hector Hugo Gonzalez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629500129 PECOS PAC ID: 7214204536 Enrollment ID: I20220927001138 |
| Provider Name | Jessica Ruiz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093397895 PECOS PAC ID: 5991181992 Enrollment ID: I20220928002194 |
| Provider Name | Ana M Cotes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336879113 PECOS PAC ID: 5991171126 Enrollment ID: I20221013000681 |
| Provider Name | Farzana Rashid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528654696 PECOS PAC ID: 3870907827 Enrollment ID: I20230104003140 |
| Provider Name | Sheyla Cleopatra Franco Santana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760194203 PECOS PAC ID: 6305211525 Enrollment ID: I20230331000615 |
| Provider Name | Jose Ruiz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1861842601 PECOS PAC ID: 5294020525 Enrollment ID: I20230404002968 |
| Provider Name | Yailin Rodriguez Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679071252 PECOS PAC ID: 1355706300 Enrollment ID: I20230427000969 |
| Provider Name | Irma B Velazquez Salcedo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245992098 PECOS PAC ID: 1254797418 Enrollment ID: I20230515001928 |
| Provider Name | Gina Wideroff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659803633 PECOS PAC ID: 6204292220 Enrollment ID: I20230517003005 |
| Provider Name | Abdul Bhutta |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1417268566 PECOS PAC ID: 9638319957 Enrollment ID: I20230606000647 |
| Provider Name | Sherry Danielle Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124733936 PECOS PAC ID: 2264899905 Enrollment ID: I20230612000684 |
| Provider Name | Lukasz Kwapisz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1366937351 PECOS PAC ID: 9234487018 Enrollment ID: I20230623000494 |
| Provider Name | Miosotis Aymee Ridley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760146724 PECOS PAC ID: 6507257151 Enrollment ID: I20230726004165 |
| Provider Name | Liege Diaz Urrutia |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1023456043 PECOS PAC ID: 8022436864 Enrollment ID: I20230803000399 |
| Provider Name | Michel Ange Prophyl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508577495 PECOS PAC ID: 3779954300 Enrollment ID: I20230828004139 |
| Provider Name | Oldine L Demelien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497106868 PECOS PAC ID: 4880041177 Enrollment ID: I20231108000635 |
| Provider Name | Alan Sag |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1326202268 PECOS PAC ID: 3072885326 Enrollment ID: I20231110001599 |
| Provider Name | Dagnex Jimenez Najarro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578344008 PECOS PAC ID: 0749630531 Enrollment ID: I20231219004146 |
| Provider Name | Laura Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407319122 PECOS PAC ID: 2062862261 Enrollment ID: I20240101000142 |
| Provider Name | Kaela Salber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174234611 PECOS PAC ID: 5597130161 Enrollment ID: I20240118002359 |
| Provider Name | Catherine E. Nieves Osorio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265216071 PECOS PAC ID: 1557714516 Enrollment ID: I20240126001008 |
Miami Family Care Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15806 Sw 98th St, Miami, FL 33196 Phone: 305-586-9812 | |
Medserve Of Dade County Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15328 Nw 7th Ave, Miami, FL 33169 Phone: 786-235-0103 Fax: 305-681-5620 | |
Ontime Medical Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7392 Nw 35th Ter, 306, Miami, FL 33122 Phone: 786-331-7886 | |
Dagmar Lemus Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1321 Nw 14th St, Suite 303, Miami, FL 33125 Phone: 305-548-4005 Fax: 305-548-4055 | |
Midway Medical Center, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8360 W Flagler St, Suite 100, Miami, FL 33144 Phone: 305-554-7200 Fax: 305-554-8173 | |
Mario L Nunez M D P A Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9075 Sw 87th Ave, Suite#414, Miami, FL 33176 Phone: 305-596-9800 Fax: 305-596-9808 | |
Alberto Iglesias Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7801 Coral Way, Suite 125, Miami, FL 33155 Phone: 305-266-1183 |