| Geisinger Medical Clinic Lock Haven | |
|
68 Spring Street Lock Haven PA 17445-1911 | |
| (800) 230-4565 | |
| (570) 893-6325 |
| Full Name | Geisinger Medical Clinic Lock Haven |
|---|---|
| Speciality | Family Medicine |
| Location | 68 Spring Street, Lock Haven, Pennsylvania |
| Authorized Official Name and Position | Cindy L Mull (SYSTEM DIRECTOR) |
| Authorized Official Contact | 5702716603 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Geisinger Medical Clinic Lock Haven 100 N Academy Ave Danville PA 17822-4903 Ph: (570) 271-6144 | Geisinger Medical Clinic Lock Haven 68 Spring Street Lock Haven PA 17445-1911 Ph: (800) 230-4565 |
| NPI Number | 1144876137 |
|---|---|
| Provider Enumeration Date | 08/15/2019 |
| Last Update Date | 03/22/2021 |
| Medicare PECOS PAC ID | 1355676370 |
|---|---|
| Medicare Enrollment ID | O20190826000803 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144876137 | NPI | - | NPPES |
| Provider Name | Joel C Klena |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1518926898 PECOS PAC ID: 5193637718 Enrollment ID: I20031103000398 |
| Provider Name | Debra J Minzola |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164485660 PECOS PAC ID: 2163336751 Enrollment ID: I20031118000377 |
| Provider Name | Sheldon D Henry |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1295704609 PECOS PAC ID: 7517871114 Enrollment ID: I20031118000416 |
| Provider Name | Amy Jo Wescott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538119136 PECOS PAC ID: 8527972983 Enrollment ID: I20031119000016 |
| Provider Name | Leslie Carpenter Scott |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033107321 PECOS PAC ID: 8123922184 Enrollment ID: I20031121000518 |
| Provider Name | John Francis Pagnotto |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245295062 PECOS PAC ID: 2961308457 Enrollment ID: I20031208000198 |
| Provider Name | Anand S Jagannath |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578559472 PECOS PAC ID: 6305742826 Enrollment ID: I20031208000379 |
| Provider Name | Stephen Alexander Lewis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548203284 PECOS PAC ID: 3971402017 Enrollment ID: I20040107000674 |
| Provider Name | Hamid B Mukhtar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194788307 PECOS PAC ID: 9133028152 Enrollment ID: I20040108000063 |
| Provider Name | Michael R Ashton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396719373 PECOS PAC ID: 4486553476 Enrollment ID: I20040108000394 |
| Provider Name | Ronald S Strony |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801897913 PECOS PAC ID: 9032019922 Enrollment ID: I20040108000961 |
| Provider Name | Randall W Culp |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1194760736 PECOS PAC ID: 2062314164 Enrollment ID: I20040121000054 |
| Provider Name | Patrick J Erwin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1326017112 PECOS PAC ID: 3678475498 Enrollment ID: I20040122000888 |
| Provider Name | David J Emerson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649287178 PECOS PAC ID: 3577466887 Enrollment ID: I20040202000459 |
| Provider Name | Daniel L Stairs |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154301877 PECOS PAC ID: 7113820424 Enrollment ID: I20040202000466 |
| Provider Name | Charles B Austin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225024391 PECOS PAC ID: 8224921259 Enrollment ID: I20040212000277 |
| Provider Name | Samuel Putnam |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1023066404 PECOS PAC ID: 5991699522 Enrollment ID: I20040212000699 |
| Provider Name | Faruq Mahmud |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063473783 PECOS PAC ID: 8325933013 Enrollment ID: I20040220000510 |
| Provider Name | David A Baucom |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1922072735 PECOS PAC ID: 7810884822 Enrollment ID: I20040303001061 |
| Provider Name | Christopher D Still |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1710935739 PECOS PAC ID: 9436047008 Enrollment ID: I20040305000584 |
| Provider Name | Stanley Roberts Skonieczki Iii |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376518001 PECOS PAC ID: 8527957265 Enrollment ID: I20040311001171 |
| Provider Name | Danquing Chow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952377590 PECOS PAC ID: 2365332269 Enrollment ID: I20040316000692 |
| Provider Name | Robert A Donato |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538150560 PECOS PAC ID: 9335034206 Enrollment ID: I20040318000545 |
| Provider Name | Tammy L Harding-anderer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265406409 PECOS PAC ID: 8527050541 Enrollment ID: I20040331000852 |
| Provider Name | William Simmons |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710952817 PECOS PAC ID: 1153313036 Enrollment ID: I20040331001293 |
| Provider Name | Trent A Shultz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730147620 PECOS PAC ID: 2163416413 Enrollment ID: I20040412000352 |
| Provider Name | Richard P Moser |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528054426 PECOS PAC ID: 6507759545 Enrollment ID: I20040413001447 |
| Provider Name | Robert F Cisney |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477538718 PECOS PAC ID: 4082600036 Enrollment ID: I20040423000780 |
| Provider Name | Kedar Kulkarni |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588620686 PECOS PAC ID: 0244138337 Enrollment ID: I20040427000957 |
| Provider Name | Alfred Stanle Casale |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1598730384 PECOS PAC ID: 1052301561 Enrollment ID: I20040517000453 |
| Provider Name | Aalpen A Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578595898 PECOS PAC ID: 2567443351 Enrollment ID: I20040527000377 |
| Provider Name | Gervais Vezuma Charles |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821058405 PECOS PAC ID: 4688656648 Enrollment ID: I20040603000376 |
| Provider Name | Heesun N Kim |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902965452 PECOS PAC ID: 1951384262 Enrollment ID: I20040609000204 |
| Provider Name | Carl C Rest |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1053386557 PECOS PAC ID: 0143204826 Enrollment ID: I20040618000128 |
| Provider Name | Scott Arthur Sulman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134177116 PECOS PAC ID: 3274512520 Enrollment ID: I20040719001338 |
| Provider Name | David Maish |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1215998968 PECOS PAC ID: 0143209395 Enrollment ID: I20040720000525 |
| Provider Name | William Fitzhugh Taylor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588612303 PECOS PAC ID: 6103721915 Enrollment ID: I20040722000741 |
| Provider Name | Thomas Peter Nickles |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245293133 PECOS PAC ID: 2961474887 Enrollment ID: I20040811000525 |
| Provider Name | Thomas P Olenginski |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1720041676 PECOS PAC ID: 7911970561 Enrollment ID: I20040813000033 |
| Provider Name | Laurence John Soges |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548226186 PECOS PAC ID: 9234102575 Enrollment ID: I20040816000870 |
| Provider Name | Mark K Krammes |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740279900 PECOS PAC ID: 5496729097 Enrollment ID: I20040820000215 |
| Provider Name | Tammie C Ferringer |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1235106345 PECOS PAC ID: 4284601089 Enrollment ID: I20040913000102 |
| Provider Name | Anne P Dunne |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407822414 PECOS PAC ID: 0143298331 Enrollment ID: I20040924000581 |
| Provider Name | David G Talabiska |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1922080274 PECOS PAC ID: 7719956283 Enrollment ID: I20040930000910 |
| Provider Name | James R Elmore |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1477520971 PECOS PAC ID: 1759340730 Enrollment ID: I20041006000101 |
| Provider Name | Paul Licata |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790772002 PECOS PAC ID: 0648230326 Enrollment ID: I20041018000072 |
| Provider Name | Andrew Barbrow Lobl |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598865503 PECOS PAC ID: 1658335468 Enrollment ID: I20041112000012 |
| Provider Name | Bernard Dennis M Go |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740258177 PECOS PAC ID: 3678538303 Enrollment ID: I20041122001156 |
| Provider Name | Colette R Lasek |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1225035975 PECOS PAC ID: 7618933045 Enrollment ID: I20041207000622 |
| Provider Name | Usha Kanakamedala |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801840236 PECOS PAC ID: 8820054182 Enrollment ID: I20041208000406 |
| Provider Name | Nimesh D Vesuwala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740253574 PECOS PAC ID: 4981508025 Enrollment ID: I20041209000136 |
| Provider Name | Mark S Rozick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003872128 PECOS PAC ID: 3779549829 Enrollment ID: I20041209000693 |
| Provider Name | Scott A Sauerwine |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861465981 PECOS PAC ID: 4284691445 Enrollment ID: I20041220000443 |
| Provider Name | Brenda T Goodrich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093783383 PECOS PAC ID: 7315995362 Enrollment ID: I20050106000778 |
| Provider Name | Thomas Donald Scott |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1740247808 PECOS PAC ID: 5890743462 Enrollment ID: I20050111000170 |
| Provider Name | Robert Patrick Dorion |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1326014325 PECOS PAC ID: 7113975640 Enrollment ID: I20050111000498 |
| Provider Name | Pedro O Servano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134186240 PECOS PAC ID: 3072562057 Enrollment ID: I20050117000435 |
| Provider Name | Myra Lyn Wilkerson |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1104878578 PECOS PAC ID: 5092764944 Enrollment ID: I20050118000480 |
| Provider Name | Marcus Matthew Riedhammer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164486999 PECOS PAC ID: 0345290953 Enrollment ID: I20050131000718 |
| Provider Name | Thomas F Payton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184689598 PECOS PAC ID: 0042293680 Enrollment ID: I20050201000553 |
| Provider Name | Timothy P Braatz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073526240 PECOS PAC ID: 0749231637 Enrollment ID: I20050208000931 |
| Provider Name | Thomas A Kavic |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639140882 PECOS PAC ID: 8729076138 Enrollment ID: I20050210000260 |
| Provider Name | Kelly Haikes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003885435 PECOS PAC ID: 2567414113 Enrollment ID: I20050211000531 |
| Provider Name | Dennis R Smith |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1710903760 PECOS PAC ID: 8527010305 Enrollment ID: I20050221000476 |
| Provider Name | John Alan Semian |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528061355 PECOS PAC ID: 6406809276 Enrollment ID: I20050222000520 |
| Provider Name | Mahmoud T Sabri |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073570768 PECOS PAC ID: 4789637851 Enrollment ID: I20050301000499 |
| Provider Name | Fan Lin |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1942261961 PECOS PAC ID: 5193778298 Enrollment ID: I20050301000731 |
| Provider Name | Luis Nadal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720041510 PECOS PAC ID: 0547214710 Enrollment ID: I20050310000269 |
| Provider Name | Mark A Karcutskie |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1821064080 PECOS PAC ID: 2567418163 Enrollment ID: I20050328000222 |
| Provider Name | Linda D Panikkar |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679534986 PECOS PAC ID: 3173560323 Enrollment ID: I20050411000207 |
| Provider Name | Christiaan J. Vrabel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265413595 PECOS PAC ID: 2860430337 Enrollment ID: I20050425000640 |
| Provider Name | Michael H Fitzpatrick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629045687 PECOS PAC ID: 5890734438 Enrollment ID: I20050503000364 |
| Provider Name | Linda J Grady |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811962707 PECOS PAC ID: 0941240238 Enrollment ID: I20050505000859 |
| Provider Name | Robert L Glicini |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1538137948 PECOS PAC ID: 8628018975 Enrollment ID: I20050506000068 |
| Provider Name | Arie Kandel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1770551434 PECOS PAC ID: 8325089964 Enrollment ID: I20050513000504 |
| Provider Name | Henry T Dietrich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922074046 PECOS PAC ID: 9830130327 Enrollment ID: I20050516000082 |
| Provider Name | Sean T Devine |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1861468944 PECOS PAC ID: 8123069259 Enrollment ID: I20050518000932 |
| Provider Name | Marta M Carleton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063487841 PECOS PAC ID: 3870535610 Enrollment ID: I20050523000867 |
| Provider Name | Oleg Erlenovich Bronov |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255333027 PECOS PAC ID: 2769424076 Enrollment ID: I20050526000559 |
| Provider Name | Larry M Robbins |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1174589402 PECOS PAC ID: 6103868419 Enrollment ID: I20050526000576 |
| Provider Name | Paul J Wiegand |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1932151370 PECOS PAC ID: 0143117580 Enrollment ID: I20050606000115 |
| Provider Name | Shaobo Zhu |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1275597411 PECOS PAC ID: 3971547837 Enrollment ID: I20050613000629 |
| Provider Name | Matthew Thomas Mcelroy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952363558 PECOS PAC ID: 2769427780 Enrollment ID: I20050621000703 |
| Provider Name | George Redsecker Rohrer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942266242 PECOS PAC ID: 3072558873 Enrollment ID: I20050622000862 |
| Provider Name | Anwer Qureshi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588629521 PECOS PAC ID: 9537104351 Enrollment ID: I20050622001037 |
| Provider Name | Ryan J Muir |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689696940 PECOS PAC ID: 2062458185 Enrollment ID: I20050629000518 |
| Provider Name | Xiaohong Zhang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1437102761 PECOS PAC ID: 7810933413 Enrollment ID: I20050706000083 |
| Provider Name | Gerard J Cush |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1225004542 PECOS PAC ID: 2860459971 Enrollment ID: I20050712000616 |
| Provider Name | David M Pugliese |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1548225543 PECOS PAC ID: 4880620772 Enrollment ID: I20050712000884 |
| Provider Name | Timothy J Murphy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447213525 PECOS PAC ID: 8224064746 Enrollment ID: I20050715000015 |
| Provider Name | Joel L Lorenz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487630794 PECOS PAC ID: 3870520091 Enrollment ID: I20050720000122 |
| Provider Name | Rajamanickam Natarajan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609878479 PECOS PAC ID: 4183652555 Enrollment ID: I20050728000208 |
| Provider Name | Lance Jay Becker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093709552 PECOS PAC ID: 6608804356 Enrollment ID: I20050804000288 |
| Provider Name | Elizabeth Seed Karashin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164497277 PECOS PAC ID: 4789614801 Enrollment ID: I20050818000462 |
| Provider Name | John Scott Farrell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609824796 PECOS PAC ID: 4486684453 Enrollment ID: I20050818000918 |
| Provider Name | Diane J Butkus |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568464337 PECOS PAC ID: 5395776181 Enrollment ID: I20050822000751 |
| Provider Name | Robert Jude Strony |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942258926 PECOS PAC ID: 3476584921 Enrollment ID: I20050825000096 |
| Provider Name | Nicholas Wilson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265484596 PECOS PAC ID: 2163453283 Enrollment ID: I20050829000066 |
| Provider Name | Mayur A Patel |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1538161534 PECOS PAC ID: 8921032103 Enrollment ID: I20050927000430 |
| Provider Name | Robert E Davis |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1669452728 PECOS PAC ID: 8325073943 Enrollment ID: I20051003000692 |
| Provider Name | William J Malone |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548221112 PECOS PAC ID: 8628095205 Enrollment ID: I20051102000427 |
| Provider Name | Amy Benfer Kline |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902866247 PECOS PAC ID: 2860410677 Enrollment ID: I20051109000869 |
| Provider Name | John Gary Kemberling |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447219860 PECOS PAC ID: 2860411261 Enrollment ID: I20051115000715 |
| Provider Name | Jill Ann Sharer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225029085 PECOS PAC ID: 9739100884 Enrollment ID: I20051216000102 |
| Provider Name | Tana M Shaffer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013932268 PECOS PAC ID: 8123040839 Enrollment ID: I20051222000027 |
| Provider Name | Lisa A Rawa |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043294838 PECOS PAC ID: 7113932443 Enrollment ID: I20060208000227 |
| Provider Name | Lorraine M Laubach |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417917428 PECOS PAC ID: 4587678909 Enrollment ID: I20060208000829 |
| Provider Name | Charles E Huckel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689650335 PECOS PAC ID: 6800802224 Enrollment ID: I20060222000563 |
| Provider Name | Jeffrey William Prichard |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1073578191 PECOS PAC ID: 6103832340 Enrollment ID: I20060227000155 |
| Provider Name | Haiyan Liu |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1285710996 PECOS PAC ID: 5991713349 Enrollment ID: I20060329000251 |
| Provider Name | Maria S Kobylinski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033178348 PECOS PAC ID: 6507874435 Enrollment ID: I20060404000029 |
| Provider Name | James Albert Zola |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225081433 PECOS PAC ID: 1759390727 Enrollment ID: I20060419000578 |
| Provider Name | Norman J Egan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427168780 PECOS PAC ID: 8527077494 Enrollment ID: I20060421000347 |
| Provider Name | Margaret M Still |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952359978 PECOS PAC ID: 5597775916 Enrollment ID: I20060501000272 |
| Provider Name | Matthew Joshua Shellenberger |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1619911237 PECOS PAC ID: 6901818301 Enrollment ID: I20060630000092 |
| Provider Name | Yuri Kuras |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1841233996 PECOS PAC ID: 1850375668 Enrollment ID: I20060705000058 |
| Provider Name | Elizabeth K Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326096447 PECOS PAC ID: 6800809872 Enrollment ID: I20060714000077 |
| Provider Name | Mohammed A Talukder |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184657843 PECOS PAC ID: 2365455664 Enrollment ID: I20060802000395 |
| Provider Name | Tamra Lynne Heimert |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689631814 PECOS PAC ID: 1759394083 Enrollment ID: I20060803000076 |
| Provider Name | Ronald Evans |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538193032 PECOS PAC ID: 2062425358 Enrollment ID: I20060804000019 |
| Provider Name | Joseph F Answine |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1205826674 PECOS PAC ID: 2062415177 Enrollment ID: I20060810000216 |
| Provider Name | Lisa K Strawser |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265467302 PECOS PAC ID: 0143224360 Enrollment ID: I20060831000058 |
| Provider Name | Tina M Hockenbury |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174532899 PECOS PAC ID: 5890790612 Enrollment ID: I20060928000327 |
| Provider Name | Kenric A Maynor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831148931 PECOS PAC ID: 4587680426 Enrollment ID: I20061002000017 |
| Provider Name | Abdelhamed Lotfi Ragab |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1962467993 PECOS PAC ID: 3173529807 Enrollment ID: I20061019000497 |
| Provider Name | Loris F Cedeno |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235223470 PECOS PAC ID: 5991704686 Enrollment ID: I20061206000367 |
| Provider Name | Daniel J. Lebowitz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962409953 PECOS PAC ID: 2163482803 Enrollment ID: I20061207000047 |
| Provider Name | Olutunde O Odeyemi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730100397 PECOS PAC ID: 3476552720 Enrollment ID: I20061214000012 |
| Provider Name | Jeremy J Arner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386741528 PECOS PAC ID: 1052311081 Enrollment ID: I20061222000011 |
| Provider Name | Jack T Martin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932159878 PECOS PAC ID: 1658371133 Enrollment ID: I20070106000073 |
| Provider Name | Susan L Mowatt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699743450 PECOS PAC ID: 8123028636 Enrollment ID: I20070108000191 |
| Provider Name | Carlos Alberto Fernandez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407921596 PECOS PAC ID: 5496755860 Enrollment ID: I20070109000212 |
| Provider Name | Kris K Armson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1063515237 PECOS PAC ID: 4981605078 Enrollment ID: I20070116000023 |
| Provider Name | Ryan J Ness |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1134210172 PECOS PAC ID: 7315949583 Enrollment ID: I20070201000358 |
| Provider Name | Diane R Zarconi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578508396 PECOS PAC ID: 3779526884 Enrollment ID: I20070223000260 |
| Provider Name | Christopher Torres |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285784512 PECOS PAC ID: 2860594397 Enrollment ID: I20070301000187 |
| Provider Name | David Diehl |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1487647897 PECOS PAC ID: 9638069685 Enrollment ID: I20070305000643 |
| Provider Name | Charles E Heid |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1629094685 PECOS PAC ID: 2163525239 Enrollment ID: I20070309000223 |
| Provider Name | Michele Lisa Hartigan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588664171 PECOS PAC ID: 4981707817 Enrollment ID: I20070314000489 |
| Provider Name | David Martin Connuck |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356385306 PECOS PAC ID: 8820192743 Enrollment ID: I20070403000346 |
| Provider Name | Jeffrey Hare |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205837895 PECOS PAC ID: 8224931852 Enrollment ID: I20070412000191 |
| Provider Name | Mary L Strickland |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043268097 PECOS PAC ID: 1153427398 Enrollment ID: I20070503000486 |
| Provider Name | Jaime Charles Lent |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205882776 PECOS PAC ID: 8022115575 Enrollment ID: I20070518000114 |
| Provider Name | John E Ecker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649219825 PECOS PAC ID: 5496852865 Enrollment ID: I20070518000339 |
| Provider Name | Christine Althea Noble |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1275758625 PECOS PAC ID: 0941307268 Enrollment ID: I20070522000344 |
| Provider Name | Scotty R Collins |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104042142 PECOS PAC ID: 2668579996 Enrollment ID: I20070522000430 |
| Provider Name | Sharon R Connolly |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629009170 PECOS PAC ID: 8325145303 Enrollment ID: I20070529000002 |
| Provider Name | Thomas Chayapruks |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871617399 PECOS PAC ID: 7416055421 Enrollment ID: I20070614000068 |
| Provider Name | Thomas R Bowen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1396708491 PECOS PAC ID: 5092718965 Enrollment ID: I20070711000313 |
| Provider Name | Jon D Gabrielsen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1093829939 PECOS PAC ID: 8426157900 Enrollment ID: I20070711000550 |
| Provider Name | Jonathan D Stephenson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821018813 PECOS PAC ID: 0749283372 Enrollment ID: I20070731000290 |
| Provider Name | Claudia Corona |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1912100405 PECOS PAC ID: 2961593116 Enrollment ID: I20070802000378 |
| Provider Name | Heath Brandon Mackley |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1336346659 PECOS PAC ID: 3072604727 Enrollment ID: I20070809000259 |
| Provider Name | Michael Lawrence Robinson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013135813 PECOS PAC ID: 3971694639 Enrollment ID: I20070809000356 |
| Provider Name | Shamsher Dalal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194879338 PECOS PAC ID: 8628160223 Enrollment ID: I20070828000448 |
| Provider Name | Christen Maria Mowad |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1639132830 PECOS PAC ID: 4981798501 Enrollment ID: I20070913000296 |
| Provider Name | Elizabeth Joan Hotaling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326232893 PECOS PAC ID: 7911091772 Enrollment ID: I20070924000653 |
| Provider Name | Juan Ricardo Escobar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457546970 PECOS PAC ID: 3779677562 Enrollment ID: I20070925000090 |
| Provider Name | Clara Chudow |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053300228 PECOS PAC ID: 4486567625 Enrollment ID: I20071004000377 |
| Provider Name | Lynn A Grove |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043426828 PECOS PAC ID: 7012003213 Enrollment ID: I20071019000049 |
| Provider Name | Patricia Yocum |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235321050 PECOS PAC ID: 1658269444 Enrollment ID: I20071106000527 |
| Provider Name | Brian P Oppermann |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1194904797 PECOS PAC ID: 1052409661 Enrollment ID: I20071115000379 |
| Provider Name | Michael J Siniscalchi |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083785794 PECOS PAC ID: 7113016643 Enrollment ID: I20071205000417 |
| Provider Name | Anthony Billas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518931211 PECOS PAC ID: 6608966320 Enrollment ID: I20071219000213 |
| Provider Name | Robert Reginald Snowden |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427231091 PECOS PAC ID: 3476586009 Enrollment ID: I20071220000004 |
| Provider Name | Danette Renee Mcpherson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1518156546 PECOS PAC ID: 6507956026 Enrollment ID: I20071220000049 |
| Provider Name | Mark E Armstrong |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1013981711 PECOS PAC ID: 6103916523 Enrollment ID: I20071221000102 |
| Provider Name | Kassa Darge |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407996804 PECOS PAC ID: 0345320776 Enrollment ID: I20080110000249 |
| Provider Name | Amy Hostelley Schutter |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891754867 PECOS PAC ID: 3678532983 Enrollment ID: I20080128000300 |
| Provider Name | Manoharan Muthuvelu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609062223 PECOS PAC ID: 8820171572 Enrollment ID: I20080219000162 |
| Provider Name | Louis A Nassef |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1659334548 PECOS PAC ID: 0345324265 Enrollment ID: I20080229000486 |
| Provider Name | Randle H Storm |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1427006477 PECOS PAC ID: 3173607066 Enrollment ID: I20080303000237 |
| Provider Name | Mary E Fisher |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093797821 PECOS PAC ID: 1759336787 Enrollment ID: I20080303000383 |
| Provider Name | Henry F Fesniak |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1174590277 PECOS PAC ID: 4082798897 Enrollment ID: I20080303000384 |
| Provider Name | Thomas A Harrison |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205805983 PECOS PAC ID: 5395820088 Enrollment ID: I20080305000209 |
| Provider Name | Jess W Oren |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1114980901 PECOS PAC ID: 9931284635 Enrollment ID: I20080305000461 |
| Provider Name | Stanley Mark Poler |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487619862 PECOS PAC ID: 1850476185 Enrollment ID: I20080311000588 |
| Provider Name | Paul F Simonelli |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1013918424 PECOS PAC ID: 5395820468 Enrollment ID: I20080313000264 |
| Provider Name | Joyce A Burnside |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568437457 PECOS PAC ID: 2961587076 Enrollment ID: I20080313000593 |
| Provider Name | Daniel D Feldmann |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1558338632 PECOS PAC ID: 7214013176 Enrollment ID: I20080318000775 |
| Provider Name | Gregory C Fanelli |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1487621611 PECOS PAC ID: 5193801959 Enrollment ID: I20080320000049 |
| Provider Name | John M Parenti |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1861457400 PECOS PAC ID: 8820174410 Enrollment ID: I20080324000262 |
| Provider Name | Rebecca S Stoudt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1881642833 PECOS PAC ID: 6305922907 Enrollment ID: I20080324000428 |
| Provider Name | Christopher A Kronenwetter |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487614558 PECOS PAC ID: 2860578473 Enrollment ID: I20080324000504 |
| Provider Name | William Fred Hess |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1902865934 PECOS PAC ID: 0941386049 Enrollment ID: I20080331000215 |
| Provider Name | David A Andreychik |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1861466039 PECOS PAC ID: 4789760745 Enrollment ID: I20080401000189 |
| Provider Name | Howard B Pride |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1235194457 PECOS PAC ID: 8729165519 Enrollment ID: I20080403000123 |
| Provider Name | James C Widmaier |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1205888526 PECOS PAC ID: 3173600996 Enrollment ID: I20080403000385 |
| Provider Name | Joseph H Lock |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144255993 PECOS PAC ID: 7517951593 Enrollment ID: I20080407000030 |
| Provider Name | Kai Zhang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1265485536 PECOS PAC ID: 7214014893 Enrollment ID: I20080407000441 |
| Provider Name | Marianne J Pavis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033174313 PECOS PAC ID: 6103904750 Enrollment ID: I20080422000716 |
| Provider Name | Lyndell C Wright |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1477747202 PECOS PAC ID: 0941379549 Enrollment ID: I20080522000358 |
| Provider Name | Praful U Bhatt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982699161 PECOS PAC ID: 3375612773 Enrollment ID: I20080527000047 |
| Provider Name | Diane E Knudsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245419548 PECOS PAC ID: 6709957962 Enrollment ID: I20080616000133 |
| Provider Name | Rajiv P Panikkar |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1194991208 PECOS PAC ID: 1850364100 Enrollment ID: I20080618000131 |
| Provider Name | Jinhong Li |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1336294149 PECOS PAC ID: 2163594789 Enrollment ID: I20080626000327 |
| Provider Name | Patricia A Barry Lane |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093938367 PECOS PAC ID: 3971695297 Enrollment ID: I20080721000064 |
| Provider Name | Sara E Monaco |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1528246428 PECOS PAC ID: 7012082845 Enrollment ID: I20080813000657 |
| Provider Name | Alberto Unzueta |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1558521831 PECOS PAC ID: 3072689363 Enrollment ID: I20080911000019 |
| Provider Name | Suresh Chamarthi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821253675 PECOS PAC ID: 5890861058 Enrollment ID: I20080912000007 |
| Provider Name | Kasim Kasim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780846873 PECOS PAC ID: 0941377972 Enrollment ID: I20080917000386 |
| Provider Name | Farook K Shroff |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1033249750 PECOS PAC ID: 7719045673 Enrollment ID: I20081021000544 |
| Provider Name | Dale C Gustitus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588814271 PECOS PAC ID: 5597824854 Enrollment ID: I20081101000091 |
| Provider Name | Xiaopeng Zhang |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1861528259 PECOS PAC ID: 8820157001 Enrollment ID: I20081103000281 |
| Provider Name | William C Perry |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851503197 PECOS PAC ID: 0749349678 Enrollment ID: I20081107000155 |
| Provider Name | Daniel S Reifsnyder |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366470734 PECOS PAC ID: 1951463025 Enrollment ID: I20081224000229 |
| Provider Name | Bryan E Martin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1710145388 PECOS PAC ID: 4385709260 Enrollment ID: I20090209000536 |
| Provider Name | Kevin D Frederick |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629233572 PECOS PAC ID: 6800951211 Enrollment ID: I20090219000195 |
| Provider Name | Cynthia M Gallagher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952550782 PECOS PAC ID: 0547325748 Enrollment ID: I20090224000091 |
| Provider Name | Thomas C Connolly |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1922091123 PECOS PAC ID: 5597821587 Enrollment ID: I20090226000398 |
| Provider Name | Alexander Trebelev |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1104863489 PECOS PAC ID: 3476619024 Enrollment ID: I20090305000376 |
| Provider Name | Robert James Withee |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184861296 PECOS PAC ID: 1254488356 Enrollment ID: I20090407000209 |
| Provider Name | Melissa M Mcadoo |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710121918 PECOS PAC ID: 2860542008 Enrollment ID: I20090616000678 |
| Provider Name | Brian C Klimas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073767109 PECOS PAC ID: 5092866384 Enrollment ID: I20090626000155 |
| Provider Name | Xianren Wu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1265667133 PECOS PAC ID: 0840341897 Enrollment ID: I20090702000233 |
| Provider Name | Darshan K Bhangdia |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1558347518 PECOS PAC ID: 1759484942 Enrollment ID: I20090702000570 |
| Provider Name | Amitpal S Johal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1720245137 PECOS PAC ID: 3779635594 Enrollment ID: I20090708000760 |
| Provider Name | Timothy F Doberstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841446135 PECOS PAC ID: 8022160423 Enrollment ID: I20090716000005 |
| Provider Name | Vahid Grami |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1598903015 PECOS PAC ID: 2264486968 Enrollment ID: I20090806000583 |
| Provider Name | Anthony A Wylie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295992204 PECOS PAC ID: 8123171212 Enrollment ID: I20090807000131 |
| Provider Name | Eric W. Hossler |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1609033083 PECOS PAC ID: 7012060015 Enrollment ID: I20090807000342 |
| Provider Name | Juan C Baracaldo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023276680 PECOS PAC ID: 2769536424 Enrollment ID: I20090813000809 |
| Provider Name | Zankhana Y Mehta |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1912191842 PECOS PAC ID: 7911051446 Enrollment ID: I20090819000181 |
| Provider Name | Penny E Yenchick |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285619890 PECOS PAC ID: 2264586627 Enrollment ID: I20090819000480 |
| Provider Name | Hong Yin |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1962486092 PECOS PAC ID: 8325938582 Enrollment ID: I20090819000597 |
| Provider Name | Kelly D Snyder |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366659435 PECOS PAC ID: 7810041225 Enrollment ID: I20090820000026 |
| Provider Name | Maryam Khorrami |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619125127 PECOS PAC ID: 5597811489 Enrollment ID: I20090917000454 |
| Provider Name | Patrick J Foster |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1629264221 PECOS PAC ID: 7911053616 Enrollment ID: I20090922000457 |
| Provider Name | Jing Yao |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841417664 PECOS PAC ID: 9537215819 Enrollment ID: I20090929000377 |
| Provider Name | Richard Prisuta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669468997 PECOS PAC ID: 6608883855 Enrollment ID: I20091009000231 |
| Provider Name | Brian S Jacobs |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1215915111 PECOS PAC ID: 6406817733 Enrollment ID: I20091111000303 |
| Provider Name | Nicole Polanichka |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619107869 PECOS PAC ID: 6204975733 Enrollment ID: I20091123000360 |
| Provider Name | Elena A Ackah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922289891 PECOS PAC ID: 9739228537 Enrollment ID: I20091208000734 |
| Provider Name | Gary C. Wright |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629119979 PECOS PAC ID: 1951443910 Enrollment ID: I20100128000827 |
| Provider Name | Hongbing Deng |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1255538542 PECOS PAC ID: 0648365973 Enrollment ID: I20100420000100 |
| Provider Name | Kenneth L Jusko |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487805115 PECOS PAC ID: 5092866038 Enrollment ID: I20100421000142 |
| Provider Name | Mark Gifeisman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1740225234 PECOS PAC ID: 4284524653 Enrollment ID: I20100513000489 |
| Provider Name | Lisa L Schroeder |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1215195003 PECOS PAC ID: 7719018449 Enrollment ID: I20100624000623 |
| Provider Name | Victor J Marks |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1083889885 PECOS PAC ID: 8527199264 Enrollment ID: I20100624000770 |
| Provider Name | Erik Hill |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790933570 PECOS PAC ID: 8123159605 Enrollment ID: I20100628000252 |
| Provider Name | Amanda Haynes |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1821215641 PECOS PAC ID: 1658402029 Enrollment ID: I20100629000174 |
| Provider Name | Christopher J Wilson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558528083 PECOS PAC ID: 9830220219 Enrollment ID: I20100629000277 |
| Provider Name | Joseph Murray |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477521649 PECOS PAC ID: 1759413750 Enrollment ID: I20100709000136 |
| Provider Name | Amit Mehta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205159985 PECOS PAC ID: 1658403654 Enrollment ID: I20100709000151 |
| Provider Name | Kristan Mcghee |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255657847 PECOS PAC ID: 2860524832 Enrollment ID: I20100712000104 |
| Provider Name | Robert L Lozo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548451305 PECOS PAC ID: 6901938802 Enrollment ID: I20100712000584 |
| Provider Name | Christine M Policare |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811100662 PECOS PAC ID: 8527190479 Enrollment ID: I20100713000511 |
| Provider Name | Jonelle M Thomas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104081223 PECOS PAC ID: 0042363814 Enrollment ID: I20100719000407 |
| Provider Name | Stephen J Brenza |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790765105 PECOS PAC ID: 0749312296 Enrollment ID: I20100719000489 |
| Provider Name | Tamara A Trella |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871708438 PECOS PAC ID: 5193858504 Enrollment ID: I20100805000928 |
| Provider Name | Nicholas P Otto |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346467693 PECOS PAC ID: 9931232261 Enrollment ID: I20100806000127 |
| Provider Name | Mohanbabu Alaparthi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881858512 PECOS PAC ID: 6709900038 Enrollment ID: I20100824000387 |
| Provider Name | Amy E Howell Harte |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548476740 PECOS PAC ID: 8628193257 Enrollment ID: I20100920000163 |
| Provider Name | Shirah Shore |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1154391019 PECOS PAC ID: 2264432590 Enrollment ID: I20101004000133 |
| Provider Name | Denise M Torres |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1598904971 PECOS PAC ID: 0345433884 Enrollment ID: I20101018000292 |
| Provider Name | Alfred Elon Denio |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1972584001 PECOS PAC ID: 7517095854 Enrollment ID: I20101027000329 |
| Provider Name | Joseph W Galassi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1306835293 PECOS PAC ID: 2860686250 Enrollment ID: I20101029000741 |
| Provider Name | Ferenc Gyulai |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1053389783 PECOS PAC ID: 1951596485 Enrollment ID: I20101110000763 |
| Provider Name | Randal L Shelly |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730180126 PECOS PAC ID: 7012102163 Enrollment ID: I20101115000516 |
| Provider Name | Mohammad S Hossain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669639670 PECOS PAC ID: 7618162504 Enrollment ID: I20101117001162 |
| Provider Name | Roy Tuller |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1386607000 PECOS PAC ID: 3577603562 Enrollment ID: I20101202000757 |
| Provider Name | Thomas J Bules |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235443508 PECOS PAC ID: 4880881283 Enrollment ID: I20101210000926 |
| Provider Name | Ashok Bhanushali |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1801935598 PECOS PAC ID: 4284737768 Enrollment ID: I20101221000508 |
| Provider Name | Robert A Mangano |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1265493712 PECOS PAC ID: 8426247065 Enrollment ID: I20110112000629 |
| Provider Name | John Mark Prater |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992889885 PECOS PAC ID: 3072792886 Enrollment ID: I20110126000458 |
| Provider Name | Theresa Lunsford |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730409145 PECOS PAC ID: 4789863242 Enrollment ID: I20110131000079 |
| Provider Name | Jamey R Wilmoth |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295038628 PECOS PAC ID: 1759562242 Enrollment ID: I20110216000502 |
| Provider Name | Christian S. Adonizio |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1932198629 PECOS PAC ID: 1658552922 Enrollment ID: I20110218000658 |
| Provider Name | Tolulope Mathias Olasunkanmi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558500447 PECOS PAC ID: 7012054695 Enrollment ID: I20110308000210 |
| Provider Name | John T Burns |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1184621260 PECOS PAC ID: 9133211006 Enrollment ID: I20110318000728 |
| Provider Name | Li Zhang |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1760518146 PECOS PAC ID: 0345424396 Enrollment ID: I20110415000257 |
| Provider Name | William Haynos |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093786923 PECOS PAC ID: 0941288468 Enrollment ID: I20110509000549 |
| Provider Name | Tricia A Zoba |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427001791 PECOS PAC ID: 8820274665 Enrollment ID: I20110512000467 |
| Provider Name | Robert E Purcell |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1992700900 PECOS PAC ID: 2062589054 Enrollment ID: I20110613000240 |
| Provider Name | Vladan N Obradovic |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497910228 PECOS PAC ID: 4284812389 Enrollment ID: I20110620000294 |
| Provider Name | Jacob N Erickson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194059543 PECOS PAC ID: 0244408045 Enrollment ID: I20110721000836 |
| Provider Name | George Wu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639349988 PECOS PAC ID: 2769650498 Enrollment ID: I20110722000355 |
| Provider Name | Daniel Horwitz |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1174613772 PECOS PAC ID: 2769444793 Enrollment ID: I20110727000263 |
| Provider Name | Ishraque Shawon |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841453297 PECOS PAC ID: 3971772336 Enrollment ID: I20110802000205 |
| Provider Name | Keri J Donaldson |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1912105511 PECOS PAC ID: 9436328796 Enrollment ID: I20110803000588 |
| Provider Name | Shibu M Philips |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427225911 PECOS PAC ID: 6800911074 Enrollment ID: I20110815000814 |
| Provider Name | Tejpal B Singh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558588327 PECOS PAC ID: 8628248150 Enrollment ID: I20110819000051 |
| Provider Name | Meagan M Fernandez |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1538369319 PECOS PAC ID: 3870763303 Enrollment ID: I20110819000098 |
| Provider Name | Paul Damaske |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780708248 PECOS PAC ID: 3870679905 Enrollment ID: I20110822000387 |
| Provider Name | Joseph Owen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689952624 PECOS PAC ID: 7517137771 Enrollment ID: I20110825000049 |
| Provider Name | Kathryn W Jarrett |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992932545 PECOS PAC ID: 6507036738 Enrollment ID: I20110826000058 |
| Provider Name | Sara Moshiri |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154534998 PECOS PAC ID: 8426101395 Enrollment ID: I20110826000279 |
| Provider Name | Aaron N Vanzanten |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144422940 PECOS PAC ID: 7719168178 Enrollment ID: I20110908002083 |
| Provider Name | Chaitali K Shah |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588822324 PECOS PAC ID: 0446376669 Enrollment ID: I20110927000067 |
| Provider Name | Pamela D Dwyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366687287 PECOS PAC ID: 4284808981 Enrollment ID: I20111115000245 |
| Provider Name | Elolo F Awouya |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518127513 PECOS PAC ID: 8224202981 Enrollment ID: I20111116000111 |
| Provider Name | Sameer B Shetty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891988226 PECOS PAC ID: 3870680085 Enrollment ID: I20111201000067 |
| Provider Name | Michael Suk |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1699736793 PECOS PAC ID: 5395714109 Enrollment ID: I20111222000490 |
| Provider Name | Robert Powell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982989430 PECOS PAC ID: 9638345077 Enrollment ID: I20120105000709 |
| Provider Name | Avnit Golten |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316955156 PECOS PAC ID: 5294896825 Enrollment ID: I20120106000653 |
| Provider Name | Stephanie Rebecca Hanlon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003190224 PECOS PAC ID: 8820257264 Enrollment ID: I20120305000508 |
| Provider Name | David S Pryluck |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841495181 PECOS PAC ID: 9739340597 Enrollment ID: I20120423000352 |
| Provider Name | Lisa M Hoffman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386888287 PECOS PAC ID: 3971765066 Enrollment ID: I20120508000105 |
| Provider Name | Sandy M Green |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1225164973 PECOS PAC ID: 5991969313 Enrollment ID: I20120615000379 |
| Provider Name | Heidi M Clark |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255321386 PECOS PAC ID: 3779511043 Enrollment ID: I20120618000124 |
| Provider Name | Martha F Showalter |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720289994 PECOS PAC ID: 6800050162 Enrollment ID: I20120618000273 |
| Provider Name | Jason M Schauer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376785535 PECOS PAC ID: 9436315553 Enrollment ID: I20120718000198 |
| Provider Name | Catherine T Shoff |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1134322381 PECOS PAC ID: 5395901391 Enrollment ID: I20120719000082 |
| Provider Name | Anja O Landis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457374431 PECOS PAC ID: 5294991931 Enrollment ID: I20120724000578 |
| Provider Name | David M Parker |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1902024854 PECOS PAC ID: 3577729185 Enrollment ID: I20120726000378 |
| Provider Name | Adam Edelstein |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124246327 PECOS PAC ID: 2961680251 Enrollment ID: I20120731000401 |
| Provider Name | Jamie L Weeder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518220995 PECOS PAC ID: 9830345891 Enrollment ID: I20120807000201 |
| Provider Name | Matthew G Souder |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578763215 PECOS PAC ID: 2567618044 Enrollment ID: I20120816000367 |
| Provider Name | Susan Dulka |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114149168 PECOS PAC ID: 2466600150 Enrollment ID: I20120921000659 |
| Provider Name | Bernadette R Curtis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407858970 PECOS PAC ID: 2860420346 Enrollment ID: I20121025000317 |
| Provider Name | Marlene Julie Baumann |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518123231 PECOS PAC ID: 3274785951 Enrollment ID: I20121203000265 |
| Provider Name | Ram P Yogendra |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1528233020 PECOS PAC ID: 9335391945 Enrollment ID: I20121206000027 |
| Provider Name | Jeanne C Cadman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164766952 PECOS PAC ID: 0042464224 Enrollment ID: I20130218000309 |
| Provider Name | Lia F Crispell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235447376 PECOS PAC ID: 9638324544 Enrollment ID: I20130226000457 |
| Provider Name | Julie M Messimer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649497967 PECOS PAC ID: 3577718238 Enrollment ID: I20130301000369 |
| Provider Name | Marilyn M Piemontese |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1437495066 PECOS PAC ID: 7416192745 Enrollment ID: I20130314000334 |
| Provider Name | Michael H Haak |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1780799262 PECOS PAC ID: 6507909066 Enrollment ID: I20130510000381 |
| Provider Name | Edward A Monaco |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1508063017 PECOS PAC ID: 7618116310 Enrollment ID: I20130610000182 |
| Provider Name | Tracey L Sanderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093056541 PECOS PAC ID: 8921247651 Enrollment ID: I20130610000459 |
| Provider Name | Shivam Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275735235 PECOS PAC ID: 7719127554 Enrollment ID: I20130628000154 |
| Provider Name | Joel Salesky |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346305653 PECOS PAC ID: 3870763360 Enrollment ID: I20130716000583 |
| Provider Name | Edward C Fourgas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982805255 PECOS PAC ID: 6608054689 Enrollment ID: I20130720000003 |
| Provider Name | Chadd Kenneth Kraus |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528290814 PECOS PAC ID: 8022255439 Enrollment ID: I20130723000110 |
| Provider Name | Dana Marie Smith |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386966331 PECOS PAC ID: 1052553070 Enrollment ID: I20130805000038 |
| Provider Name | Scott Vaughan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1386806628 PECOS PAC ID: 1658537915 Enrollment ID: I20130807000165 |
| Provider Name | Michael D Sobolewski |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1811143027 PECOS PAC ID: 5799927315 Enrollment ID: I20130812000455 |
| Provider Name | Lauren A Devita |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679886329 PECOS PAC ID: 4385886712 Enrollment ID: I20130814000096 |
| Provider Name | Cybele Pacheco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518167287 PECOS PAC ID: 4981846227 Enrollment ID: I20130815000440 |
| Provider Name | Tariq Rahman |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1679731343 PECOS PAC ID: 2769624014 Enrollment ID: I20130815000593 |
| Provider Name | Jeffrey B Adler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144395922 PECOS PAC ID: 6305977794 Enrollment ID: I20130821000070 |
| Provider Name | Deborah A Mustin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396955324 PECOS PAC ID: 0749423192 Enrollment ID: I20130904000113 |
| Provider Name | Arvind Kumar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821336058 PECOS PAC ID: 3173766433 Enrollment ID: I20130905000640 |
| Provider Name | Amarpreet Rai |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255601225 PECOS PAC ID: 5597908723 Enrollment ID: I20130906000701 |
| Provider Name | Karina A Henriquez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326201484 PECOS PAC ID: 1355517814 Enrollment ID: I20130909000248 |
| Provider Name | Nancy Nickles |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518391663 PECOS PAC ID: 0749424620 Enrollment ID: I20130916000058 |
| Provider Name | Michael Moser |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568649168 PECOS PAC ID: 6002064920 Enrollment ID: I20130916000543 |
| Provider Name | Jeremy Sykes |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639375702 PECOS PAC ID: 2365676202 Enrollment ID: I20131009001166 |
| Provider Name | Eddie Orlando Rodriguez Lopez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457352221 PECOS PAC ID: 4981661733 Enrollment ID: I20131023001466 |
| Provider Name | Gregory W Yost |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558500280 PECOS PAC ID: 4789819939 Enrollment ID: I20131024001582 |
| Provider Name | Ryan Roza |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1558525030 PECOS PAC ID: 9335374388 Enrollment ID: I20131028001431 |
| Provider Name | Charlea Pedro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588908651 PECOS PAC ID: 1951537356 Enrollment ID: I20131113000527 |
| Provider Name | Farrukh A Khan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1871594077 PECOS PAC ID: 5395710685 Enrollment ID: I20131203001680 |
| Provider Name | Angela L Delonti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689008880 PECOS PAC ID: 2466689625 Enrollment ID: I20131213000547 |
| Provider Name | William Quinones |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1174795199 PECOS PAC ID: 2365679305 Enrollment ID: I20131218000705 |
| Provider Name | Ronald N Eister |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205934544 PECOS PAC ID: 6305074576 Enrollment ID: I20140115000556 |
| Provider Name | Jason Lee Pennypacker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154533313 PECOS PAC ID: 3375781768 Enrollment ID: I20140124001177 |
| Provider Name | Patricia Rekas Duncan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417991829 PECOS PAC ID: 6507096112 Enrollment ID: I20140227000894 |
| Provider Name | Rosalind L Kellum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750331062 PECOS PAC ID: 5799855706 Enrollment ID: I20140228001120 |
| Provider Name | Neda Jallah |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972933133 PECOS PAC ID: 6103055892 Enrollment ID: I20140304001285 |
| Provider Name | Cletus Baidoo |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1700050028 PECOS PAC ID: 4880824283 Enrollment ID: I20140305000073 |
| Provider Name | Wells Chandler |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1902066582 PECOS PAC ID: 1355571316 Enrollment ID: I20140313001205 |
| Provider Name | Martin C Price |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1689884330 PECOS PAC ID: 8426206269 Enrollment ID: I20140322000083 |
| Provider Name | Syed Kazmi |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1750591970 PECOS PAC ID: 0941309116 Enrollment ID: I20140329000205 |
| Provider Name | Danielle M Carpenter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578984241 PECOS PAC ID: 0244462109 Enrollment ID: I20140409000219 |
| Provider Name | Jennifer Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972835833 PECOS PAC ID: 1658503495 Enrollment ID: I20140410000757 |
| Provider Name | Dahlia A Thorpe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497069942 PECOS PAC ID: 8123204005 Enrollment ID: I20140430000048 |
| Provider Name | Michael J Graybill |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033345061 PECOS PAC ID: 2860625787 Enrollment ID: I20140430001032 |
| Provider Name | Kara Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588093025 PECOS PAC ID: 1456574482 Enrollment ID: I20140521000099 |
| Provider Name | Letitia Saylor |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750703922 PECOS PAC ID: 2163645060 Enrollment ID: I20140522000286 |
| Provider Name | Sara Mae Yoder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326464579 PECOS PAC ID: 2769605468 Enrollment ID: I20140528000394 |
| Provider Name | Steven Crellin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467749804 PECOS PAC ID: 0941446637 Enrollment ID: I20140610001407 |
| Provider Name | Tanisha Orriana Robinson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407021363 PECOS PAC ID: 1052562733 Enrollment ID: I20140620000458 |
| Provider Name | Jordan Olson |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1720245269 PECOS PAC ID: 6103065594 Enrollment ID: I20140624000095 |
| Provider Name | Vishal Mehra |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1306934740 PECOS PAC ID: 5496704959 Enrollment ID: I20140702000510 |
| Provider Name | William Millar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013945914 PECOS PAC ID: 4880675289 Enrollment ID: I20140721000583 |
| Provider Name | Sara Marie Krauth |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215352372 PECOS PAC ID: 3577789924 Enrollment ID: I20140722000318 |
| Provider Name | Karen A Fateh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740591189 PECOS PAC ID: 2365668654 Enrollment ID: I20140722002109 |
| Provider Name | Jeremy L Bloomfield |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174939763 PECOS PAC ID: 0446476527 Enrollment ID: I20140725000980 |
| Provider Name | Alexey Dyachkov |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1174755888 PECOS PAC ID: 6800012725 Enrollment ID: I20140729001245 |
| Provider Name | Christopher Leon Smith |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699793604 PECOS PAC ID: 8123027927 Enrollment ID: I20140818000111 |
| Provider Name | Sangeeta Chaudhary |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134363146 PECOS PAC ID: 0840418547 Enrollment ID: I20140821001032 |
| Provider Name | Tara Jean Schaaf |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1275944530 PECOS PAC ID: 3274751417 Enrollment ID: I20140829000101 |
| Provider Name | Anthony J Mazza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740570142 PECOS PAC ID: 8325266372 Enrollment ID: I20140904001227 |
| Provider Name | Michelle Pramick |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1053571141 PECOS PAC ID: 2365660206 Enrollment ID: I20140905001667 |
| Provider Name | Umer Abdur Rahim Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528355393 PECOS PAC ID: 6901025956 Enrollment ID: I20140924000834 |
| Provider Name | Rachita Bansal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669762803 PECOS PAC ID: 3274753264 Enrollment ID: I20140925000093 |
| Provider Name | Melad Kamel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144591371 PECOS PAC ID: 6204056005 Enrollment ID: I20140930000128 |
| Provider Name | Karen Johnson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417190554 PECOS PAC ID: 5991925612 Enrollment ID: I20141001001187 |
| Provider Name | Misha Mutizwa |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1154559375 PECOS PAC ID: 8123257870 Enrollment ID: I20141001001507 |
| Provider Name | Ann R Truax |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447677984 PECOS PAC ID: 2062632342 Enrollment ID: I20141009000055 |
| Provider Name | Christopher Buzas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1790943090 PECOS PAC ID: 9335381235 Enrollment ID: I20141021000504 |
| Provider Name | Sandrina Dawn Womer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083022289 PECOS PAC ID: 3375764830 Enrollment ID: I20141027000230 |
| Provider Name | Nigelle Savia Pinto |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194133512 PECOS PAC ID: 0143546861 Enrollment ID: I20150224000337 |
| Provider Name | Aimee E Detweiler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023407244 PECOS PAC ID: 2264758721 Enrollment ID: I20150302000334 |
| Provider Name | Aderonke V Jegede |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447413281 PECOS PAC ID: 3476611211 Enrollment ID: I20150304000932 |
| Provider Name | Laura Lunger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881001014 PECOS PAC ID: 6002132974 Enrollment ID: I20150312000389 |
| Provider Name | Amro Alsaid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144532474 PECOS PAC ID: 7810149630 Enrollment ID: I20150504000820 |
| Provider Name | Monica Froicu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437385374 PECOS PAC ID: 7012237787 Enrollment ID: I20150520001134 |
| Provider Name | Stanley I Martin |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1861482069 PECOS PAC ID: 9537142583 Enrollment ID: I20150617000439 |
| Provider Name | Salman S Mirza |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093722308 PECOS PAC ID: 7810029436 Enrollment ID: I20150617000603 |
| Provider Name | Priyanka Pathak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417189440 PECOS PAC ID: 7810208881 Enrollment ID: I20150617000711 |
| Provider Name | Nicolas N Mead |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1548433758 PECOS PAC ID: 6901117993 Enrollment ID: I20150617001358 |
| Provider Name | Thomas F Eckert |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1518907104 PECOS PAC ID: 2062444920 Enrollment ID: I20150707002313 |
| Provider Name | Matthew L Palmer |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1609166834 PECOS PAC ID: 2365755626 Enrollment ID: I20150716001281 |
| Provider Name | Michael S Mccollum |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114161643 PECOS PAC ID: 7618192998 Enrollment ID: I20150716001599 |
| Provider Name | Matthew S Chin |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1740418896 PECOS PAC ID: 3678799228 Enrollment ID: I20150729009955 |
| Provider Name | Matthew E Joseph |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912262759 PECOS PAC ID: 5991019283 Enrollment ID: I20150730012395 |
| Provider Name | Justin B Bigger |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528225133 PECOS PAC ID: 6204051352 Enrollment ID: I20150825005329 |
| Provider Name | Kevin C Long |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1215164447 PECOS PAC ID: 8224276027 Enrollment ID: I20150828001298 |
| Provider Name | Christina Hill |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770574840 PECOS PAC ID: 8123019825 Enrollment ID: I20150903001895 |
| Provider Name | Patrick Whalen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1669423505 PECOS PAC ID: 6709942675 Enrollment ID: I20150909002828 |
| Provider Name | Sowmya Pinnamaneni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215261268 PECOS PAC ID: 3971810821 Enrollment ID: I20150910000405 |
| Provider Name | Allen Strickler |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1376835751 PECOS PAC ID: 1759698533 Enrollment ID: I20150910001658 |
| Provider Name | Mark Seeley |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1891922894 PECOS PAC ID: 9234446089 Enrollment ID: I20150911000607 |
| Provider Name | Amrutha Benny Panakkal |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1821414764 PECOS PAC ID: 0547486656 Enrollment ID: I20150916001791 |
| Provider Name | Mary A Herman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1265535553 PECOS PAC ID: 4880694595 Enrollment ID: I20150921000981 |
| Provider Name | Sherry Gordner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265808117 PECOS PAC ID: 9234447244 Enrollment ID: I20150924001313 |
| Provider Name | Claire Therese R Pedroso |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386991487 PECOS PAC ID: 9234447855 Enrollment ID: I20151001001049 |
| Provider Name | Bethany A Restemayer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811296411 PECOS PAC ID: 0547578064 Enrollment ID: I20151002001947 |
| Provider Name | Arun Jacob |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427305440 PECOS PAC ID: 6608186416 Enrollment ID: I20151106001761 |
| Provider Name | Michelle Daryanani |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1346479813 PECOS PAC ID: 6800036435 Enrollment ID: I20151112001786 |
| Provider Name | Mehulaben R Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033456322 PECOS PAC ID: 2264673789 Enrollment ID: I20151113001544 |
| Provider Name | Byron D. Williams |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1063492205 PECOS PAC ID: 4284602152 Enrollment ID: I20160114000960 |
| Provider Name | Alexandra H Black |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1700252616 PECOS PAC ID: 3971806506 Enrollment ID: I20160114001928 |
| Provider Name | Jacquelyn Marie Buff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992179030 PECOS PAC ID: 8729381025 Enrollment ID: I20160120001672 |
| Provider Name | Jayalakshmi Karunkaran Nair |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497019251 PECOS PAC ID: 6608035886 Enrollment ID: I20160222000291 |
| Provider Name | Sufana Zafar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386855781 PECOS PAC ID: 6204131493 Enrollment ID: I20160225002117 |
| Provider Name | Maxim I Novikov |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982807467 PECOS PAC ID: 8426142191 Enrollment ID: I20160412002751 |
| Provider Name | Seong Cheol Oh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063647741 PECOS PAC ID: 1759699937 Enrollment ID: I20160525002416 |
| Provider Name | Kashif Tufail |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1164523908 PECOS PAC ID: 0042230872 Enrollment ID: I20160607000833 |
| Provider Name | Casey J Jason |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164459657 PECOS PAC ID: 8426028515 Enrollment ID: I20160617000814 |
| Provider Name | Bradley D Confer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518132612 PECOS PAC ID: 4688845688 Enrollment ID: I20160629000032 |
| Provider Name | David C Feldstein |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386958007 PECOS PAC ID: 3577872225 Enrollment ID: I20160701000870 |
| Provider Name | Charles Brown |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275846537 PECOS PAC ID: 5890099279 Enrollment ID: I20160707000123 |
| Provider Name | Eduardo Moroni |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548431497 PECOS PAC ID: 2062552367 Enrollment ID: I20160712000079 |
| Provider Name | Michael Mcgarry |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073833125 PECOS PAC ID: 7911212527 Enrollment ID: I20160715000645 |
| Provider Name | Boyoung Song |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1528296886 PECOS PAC ID: 6507169844 Enrollment ID: I20160718000068 |
| Provider Name | Jeffrey Sodergren |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710053707 PECOS PAC ID: 8527283969 Enrollment ID: I20160719001071 |
| Provider Name | Mellar Davis |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1548224991 PECOS PAC ID: 5193738094 Enrollment ID: I20160804000058 |
| Provider Name | Jason R Burkett |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770826323 PECOS PAC ID: 6507160983 Enrollment ID: I20160804001549 |
| Provider Name | Fiori Alite |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1811289127 PECOS PAC ID: 4082917216 Enrollment ID: I20160805002209 |
| Provider Name | Renee Frank |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1942527502 PECOS PAC ID: 3274827639 Enrollment ID: I20160808000825 |
| Provider Name | C Liam Dwyer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1386962462 PECOS PAC ID: 3375837784 Enrollment ID: I20160808002665 |
| Provider Name | Shikhar Agarwal |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1326212101 PECOS PAC ID: 1759685464 Enrollment ID: I20160815002218 |
| Provider Name | Brytanie Marshall |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104182948 PECOS PAC ID: 5193019040 Enrollment ID: I20160816000552 |
| Provider Name | Joyce Rollor |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1942528419 PECOS PAC ID: 5496053621 Enrollment ID: I20160817000190 |
| Provider Name | Elisabeth Hayley Kramer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1447492384 PECOS PAC ID: 1658527114 Enrollment ID: I20160817002207 |
| Provider Name | Dillenia C Rosica |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1679893820 PECOS PAC ID: 4880914845 Enrollment ID: I20160818000625 |
| Provider Name | Gino Mongelluzzo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417278698 PECOS PAC ID: 6204121791 Enrollment ID: I20160823001513 |
| Provider Name | Thao Thidieu Alite |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1447546502 PECOS PAC ID: 8325261464 Enrollment ID: I20160824000766 |
| Provider Name | Shashank Kotakonda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467892927 PECOS PAC ID: 5991928640 Enrollment ID: I20160826000645 |
| Provider Name | Richard O Davis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386900215 PECOS PAC ID: 9739483223 Enrollment ID: I20160830000156 |
| Provider Name | Kevin Soe |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326239716 PECOS PAC ID: 1153461017 Enrollment ID: I20160831001813 |
| Provider Name | Jianhong Li |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1447543681 PECOS PAC ID: 6002033495 Enrollment ID: I20160901000510 |
| Provider Name | Ryan Cunningham |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720399546 PECOS PAC ID: 8426369323 Enrollment ID: I20160901001329 |
| Provider Name | Naveen Yellappa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437522422 PECOS PAC ID: 3476849233 Enrollment ID: I20160906001072 |
| Provider Name | Malachi Courtney |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699919480 PECOS PAC ID: 8022259506 Enrollment ID: I20160906001676 |
| Provider Name | Prakash Kharel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942624994 PECOS PAC ID: 4284920810 Enrollment ID: I20160908001426 |
| Provider Name | Joanna Kraynak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558708503 PECOS PAC ID: 6800036757 Enrollment ID: I20160908002319 |
| Provider Name | Hemil Maniar |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1972924488 PECOS PAC ID: 7214223452 Enrollment ID: I20160914001131 |
| Provider Name | Frederick Ethan Weiss |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871760538 PECOS PAC ID: 1951533207 Enrollment ID: I20160915000239 |
| Provider Name | Michael Murray |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1871580167 PECOS PAC ID: 6709821283 Enrollment ID: I20160915001245 |
| Provider Name | Passang Dolma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013342229 PECOS PAC ID: 5799072757 Enrollment ID: I20160920000983 |
| Provider Name | Taylor English |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396189221 PECOS PAC ID: 1951605708 Enrollment ID: I20160920002947 |
| Provider Name | Dariusz P Bulczak |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124011044 PECOS PAC ID: 0547345043 Enrollment ID: I20161013000457 |
| Provider Name | Sarah M Magula |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407182447 PECOS PAC ID: 2860770161 Enrollment ID: I20161020000782 |
| Provider Name | Marsha Nahra |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780663799 PECOS PAC ID: 7113066101 Enrollment ID: I20161101000672 |
| Provider Name | Chong H Nicholls |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1902850068 PECOS PAC ID: 3971409673 Enrollment ID: I20161128002000 |
| Provider Name | Joseph Timothy Candelore |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861742124 PECOS PAC ID: 4486969318 Enrollment ID: I20161207002255 |
| Provider Name | Paula A Mckenzie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376822478 PECOS PAC ID: 3173795549 Enrollment ID: I20161208001803 |
| Provider Name | William Triffo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629365499 PECOS PAC ID: 0042527830 Enrollment ID: I20161213000376 |
| Provider Name | Justin Scott |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477007169 PECOS PAC ID: 2668752379 Enrollment ID: I20161214001542 |
| Provider Name | Michael Yefimovich Neyman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619224615 PECOS PAC ID: 9436467222 Enrollment ID: I20161221000030 |
| Provider Name | Anand Mahadevan |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1891777389 PECOS PAC ID: 4880752005 Enrollment ID: I20170117000293 |
| Provider Name | Mark J Mentrikoski |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1427372044 PECOS PAC ID: 3274760491 Enrollment ID: I20170213000072 |
| Provider Name | Laura Cook |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801285531 PECOS PAC ID: 6204110968 Enrollment ID: I20170227000061 |
| Provider Name | Sandeep Khurana |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1558326207 PECOS PAC ID: 5597733089 Enrollment ID: I20170310000098 |
| Provider Name | Thomas J Dimaria |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376081646 PECOS PAC ID: 5092090951 Enrollment ID: I20170316001558 |
| Provider Name | Yasmin Bilal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699932061 PECOS PAC ID: 1456544691 Enrollment ID: I20170505000169 |
| Provider Name | Sandra Culbertson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962419788 PECOS PAC ID: 4789652124 Enrollment ID: I20170620000019 |
| Provider Name | Bradley E Brocious |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699193136 PECOS PAC ID: 6406151380 Enrollment ID: I20170629002290 |
| Provider Name | John T Debardeleben |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548523566 PECOS PAC ID: 4082983341 Enrollment ID: I20170630001138 |
| Provider Name | Pranav Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548689987 PECOS PAC ID: 8921393976 Enrollment ID: I20170703001166 |
| Provider Name | Anthony Zaklama |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497948558 PECOS PAC ID: 6204022312 Enrollment ID: I20170711001613 |
| Provider Name | Christine N Zanghi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1104068105 PECOS PAC ID: 9931336047 Enrollment ID: I20170713003447 |
| Provider Name | John Little |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922534452 PECOS PAC ID: 4284904798 Enrollment ID: I20170717001000 |
| Provider Name | Andrew Conger |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1821239898 PECOS PAC ID: 9335419746 Enrollment ID: I20170718001882 |
| Provider Name | Michelle Leeann Grant |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1073825378 PECOS PAC ID: 6406156991 Enrollment ID: I20170718003105 |
| Provider Name | Katie Messinger |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992231153 PECOS PAC ID: 8022388032 Enrollment ID: I20170725001282 |
| Provider Name | Tyler Anderson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679007033 PECOS PAC ID: 4587931522 Enrollment ID: I20170802000209 |
| Provider Name | Nada El Andary |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053500470 PECOS PAC ID: 5799926127 Enrollment ID: I20170802000500 |
| Provider Name | Kiran Sargar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114272523 PECOS PAC ID: 8224277553 Enrollment ID: I20170802000873 |
| Provider Name | Parash Pokharel |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1649437583 PECOS PAC ID: 2365519642 Enrollment ID: I20170803000285 |
| Provider Name | Louis Grandizio |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1467741439 PECOS PAC ID: 6204130636 Enrollment ID: I20170815001511 |
| Provider Name | Tamoor Shahid |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1760890909 PECOS PAC ID: 4082986617 Enrollment ID: I20170817000195 |
| Provider Name | Hardik Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508277443 PECOS PAC ID: 8123390671 Enrollment ID: I20170818001176 |
| Provider Name | Gurmukteshwar Singh |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1093946824 PECOS PAC ID: 8022242064 Enrollment ID: I20170818001472 |
| Provider Name | Akeem Adigun |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841601788 PECOS PAC ID: 5395017701 Enrollment ID: I20170821000422 |
| Provider Name | Avinash Dasari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932508892 PECOS PAC ID: 2860764289 Enrollment ID: I20170821000792 |
| Provider Name | Michael Sobieraj |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1013235829 PECOS PAC ID: 2860764107 Enrollment ID: I20170821002162 |
| Provider Name | Christine A Wolcott |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1497191340 PECOS PAC ID: 8325342835 Enrollment ID: I20170822002876 |
| Provider Name | Kathryn F Jaap |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1316203714 PECOS PAC ID: 9638472970 Enrollment ID: I20170822003537 |
| Provider Name | Habib Hamoud |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124361266 PECOS PAC ID: 4789982851 Enrollment ID: I20170824000083 |
| Provider Name | Dimple Tejwani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861668733 PECOS PAC ID: 4284894445 Enrollment ID: I20170905002951 |
| Provider Name | Romeo Wildon Laroya |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235421793 PECOS PAC ID: 0840581179 Enrollment ID: I20170921000842 |
| Provider Name | Ravi Kumar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649660655 PECOS PAC ID: 5799050852 Enrollment ID: I20170929001522 |
| Provider Name | Katherine Mae Mcnitt |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1831613652 PECOS PAC ID: 5890060032 Enrollment ID: I20171013001821 |
| Provider Name | Jennifer Reese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811414956 PECOS PAC ID: 2567737745 Enrollment ID: I20171016000053 |
| Provider Name | Marika Bergenstock |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518386960 PECOS PAC ID: 5890061642 Enrollment ID: I20171023000286 |
| Provider Name | Angela Larue Schweitzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841718491 PECOS PAC ID: 7618243015 Enrollment ID: I20171031001193 |
| Provider Name | Jessica L Mckee |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1598057150 PECOS PAC ID: 5597061267 Enrollment ID: I20171103000395 |
| Provider Name | Brian E Harry |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1407811979 PECOS PAC ID: 5890744684 Enrollment ID: I20171113001154 |
| Provider Name | Keith P Williams |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487684973 PECOS PAC ID: 0143297531 Enrollment ID: I20171115002347 |
| Provider Name | Sarah Ward Alander |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891893764 PECOS PAC ID: 0446569503 Enrollment ID: I20171129003482 |
| Provider Name | Cynthia Bubb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871014142 PECOS PAC ID: 4688932486 Enrollment ID: I20171228001141 |
| Provider Name | Nadia N Ramdin |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1831346113 PECOS PAC ID: 8325068067 Enrollment ID: I20180108001319 |
| Provider Name | Emily Jean Brunner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487979407 PECOS PAC ID: 6103137427 Enrollment ID: I20180122002214 |
| Provider Name | Jacqueline Junkins-hopkins |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1326080011 PECOS PAC ID: 6901985084 Enrollment ID: I20180220000440 |
| Provider Name | Kiel James Kelly |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427558220 PECOS PAC ID: 3274894563 Enrollment ID: I20180301001012 |
| Provider Name | Jameson Dean Woodard |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932382272 PECOS PAC ID: 4981885670 Enrollment ID: I20180305001488 |
| Provider Name | Jaclyn Teklinsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386131431 PECOS PAC ID: 3779847231 Enrollment ID: I20180509000634 |
| Provider Name | Yi Ding |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1679884274 PECOS PAC ID: 0547557076 Enrollment ID: I20180510000382 |
| Provider Name | Cynthia Shin-yee Tsai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033416391 PECOS PAC ID: 5597069096 Enrollment ID: I20180510001835 |
| Provider Name | Essie Reed-schrader |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073923603 PECOS PAC ID: 4284901349 Enrollment ID: I20180511000237 |
| Provider Name | Arsalan Rafiq |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1407101991 PECOS PAC ID: 7719287788 Enrollment ID: I20180515000930 |
| Provider Name | Akash Patel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780093344 PECOS PAC ID: 9638460801 Enrollment ID: I20180523000971 |
| Provider Name | Melissa A Bresenhan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629572870 PECOS PAC ID: 1557626215 Enrollment ID: I20180530000197 |
| Provider Name | Jed T Ritter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790170934 PECOS PAC ID: 4789980590 Enrollment ID: I20180530001800 |
| Provider Name | Nicholas W Murtha |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831585363 PECOS PAC ID: 8820392228 Enrollment ID: I20180530002128 |
| Provider Name | Brendan James Carry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376836395 PECOS PAC ID: 8022300433 Enrollment ID: I20180531000068 |
| Provider Name | David Decoskey |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396136065 PECOS PAC ID: 0042514895 Enrollment ID: I20180531000563 |
| Provider Name | Prianka Bhattacharya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407264153 PECOS PAC ID: 8426329921 Enrollment ID: I20180612000014 |
| Provider Name | Lindsey Duguet |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982099388 PECOS PAC ID: 7012212095 Enrollment ID: I20180612000181 |
| Provider Name | Sheel Mehta |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780070011 PECOS PAC ID: 9931403326 Enrollment ID: I20180613002451 |
| Provider Name | Darrell Andre Mcbride |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1508127069 PECOS PAC ID: 0648412023 Enrollment ID: I20180619000250 |
| Provider Name | Mark A Shelly |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1023027927 PECOS PAC ID: 9537344577 Enrollment ID: I20180619001365 |
| Provider Name | David C Mack |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588059984 PECOS PAC ID: 9931403128 Enrollment ID: I20180621000970 |
| Provider Name | Parth Rajeshkumar Rao |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1922365568 PECOS PAC ID: 0749535151 Enrollment ID: I20180626000581 |
| Provider Name | Lawrence John Mumie |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205276938 PECOS PAC ID: 6002162476 Enrollment ID: I20180628000054 |
| Provider Name | Zorawar Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114313715 PECOS PAC ID: 4587971114 Enrollment ID: I20180716001571 |
| Provider Name | Jounghyun Ko |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487093605 PECOS PAC ID: 4486958980 Enrollment ID: I20180717003025 |
| Provider Name | Caroline M Baran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821485590 PECOS PAC ID: 0941504120 Enrollment ID: I20180718001612 |
| Provider Name | Lindsay M Dittman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295153054 PECOS PAC ID: 5193029197 Enrollment ID: I20180723003379 |
| Provider Name | Max A Pell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1649565425 PECOS PAC ID: 7810288479 Enrollment ID: I20180726000907 |
| Provider Name | Stefanie Michelle Leader |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790177327 PECOS PAC ID: 9931456613 Enrollment ID: I20180726001475 |
| Provider Name | Shaylika Chauhan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174907687 PECOS PAC ID: 3476801929 Enrollment ID: I20180731003483 |
| Provider Name | Emily Olmes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588081145 PECOS PAC ID: 2062716491 Enrollment ID: I20180802000135 |
| Provider Name | Gregory G Salzler |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1447576079 PECOS PAC ID: 4284982422 Enrollment ID: I20180806000847 |
| Provider Name | Vency James Laurent |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043531452 PECOS PAC ID: 0244455368 Enrollment ID: I20180815000560 |
| Provider Name | Emily Keeler |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1518307784 PECOS PAC ID: 5597058719 Enrollment ID: I20180815001772 |
| Provider Name | Kayleigh Allyson Taylor |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215293162 PECOS PAC ID: 2668776105 Enrollment ID: I20180815002259 |
| Provider Name | Uzoma Chinyere Oranu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780943589 PECOS PAC ID: 4981913548 Enrollment ID: I20180820002336 |
| Provider Name | Andres Moreno De Luca |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306114061 PECOS PAC ID: 1658675186 Enrollment ID: I20180821000426 |
| Provider Name | Rouenne Joie Seeley |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1881958957 PECOS PAC ID: 3779832969 Enrollment ID: I20180821003705 |
| Provider Name | Orlando Valle |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124447834 PECOS PAC ID: 7810246998 Enrollment ID: I20180822003196 |
| Provider Name | Shahzad Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134518566 PECOS PAC ID: 8921357880 Enrollment ID: I20180827000409 |
| Provider Name | Jill Joan Buchanan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356476105 PECOS PAC ID: 4385993153 Enrollment ID: I20180828001820 |
| Provider Name | Brett Fillmore |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801156518 PECOS PAC ID: 1254635782 Enrollment ID: I20180905000054 |
| Provider Name | Jordan Marcus Haber |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508276379 PECOS PAC ID: 5395016034 Enrollment ID: I20180905001045 |
| Provider Name | Richard A Greco |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699115774 PECOS PAC ID: 3779833066 Enrollment ID: I20180907000403 |
| Provider Name | Brian T Seeley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275897118 PECOS PAC ID: 3577877026 Enrollment ID: I20180907000459 |
| Provider Name | Matthew A Emerich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447677588 PECOS PAC ID: 3375766041 Enrollment ID: I20180910002929 |
| Provider Name | Mara C Modzeski |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1053758094 PECOS PAC ID: 2264673391 Enrollment ID: I20180912003684 |
| Provider Name | Rizwan Tahir |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1538395272 PECOS PAC ID: 8527232818 Enrollment ID: I20180913000174 |
| Provider Name | Benyam D Addissie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619262854 PECOS PAC ID: 2062668882 Enrollment ID: I20180913002545 |
| Provider Name | Umair Iqbal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609250596 PECOS PAC ID: 1850691668 Enrollment ID: I20180917001123 |
| Provider Name | Vishnu Teja Kommineni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104209147 PECOS PAC ID: 8628387339 Enrollment ID: I20180918000480 |
| Provider Name | Rebecca Beichner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134507478 PECOS PAC ID: 4284938259 Enrollment ID: I20180918002155 |
| Provider Name | Robert D Bailiff |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1477693489 PECOS PAC ID: 2163431032 Enrollment ID: I20180919000863 |
| Provider Name | Ahmad Abdullah Chaudhary |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538423124 PECOS PAC ID: 7517190184 Enrollment ID: I20180919003068 |
| Provider Name | Marissa Nicole Meissner |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1518258227 PECOS PAC ID: 9133368806 Enrollment ID: I20180924002156 |
| Provider Name | Riddhi Sunil Shah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396035945 PECOS PAC ID: 0547487282 Enrollment ID: I20181005000436 |
| Provider Name | Elizabeth Marie Hart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740667039 PECOS PAC ID: 8224385976 Enrollment ID: I20181024001083 |
| Provider Name | Joseph P Lynch |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1932141835 PECOS PAC ID: 5294792230 Enrollment ID: I20181105000789 |
| Provider Name | Seyed Karim Taghaddos |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710015714 PECOS PAC ID: 2668530908 Enrollment ID: I20181114001136 |
| Provider Name | Jason Yi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699180992 PECOS PAC ID: 4789954207 Enrollment ID: I20181128003316 |
| Provider Name | Amilynn Britton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861976391 PECOS PAC ID: 0648514810 Enrollment ID: I20181129002126 |
| Provider Name | Brandon J Bachert |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164866471 PECOS PAC ID: 8820221914 Enrollment ID: I20181206003246 |
| Provider Name | Gregory J Mckenna |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710320569 PECOS PAC ID: 0143452888 Enrollment ID: I20181218000406 |
| Provider Name | Katelyn M Bowen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861962714 PECOS PAC ID: 0840535357 Enrollment ID: I20190102001401 |
| Provider Name | Sarah Kwan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891160974 PECOS PAC ID: 6800132978 Enrollment ID: I20190110000430 |
| Provider Name | Marcella Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780155002 PECOS PAC ID: 4284970302 Enrollment ID: I20190110002688 |
| Provider Name | Emily A Fuller |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356870588 PECOS PAC ID: 2860747326 Enrollment ID: I20190122002114 |
| Provider Name | Akanksha D Sharma |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1568441640 PECOS PAC ID: 6507778081 Enrollment ID: I20190123003174 |
| Provider Name | Timothy Hogan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245767219 PECOS PAC ID: 1951664911 Enrollment ID: I20190211001135 |
| Provider Name | Tiffany Harris |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568933612 PECOS PAC ID: 7517205628 Enrollment ID: I20190215000852 |
| Provider Name | Nathan S Cheon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942772744 PECOS PAC ID: 9931448446 Enrollment ID: I20190228000021 |
| Provider Name | Melissa J Kireski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225507932 PECOS PAC ID: 6406195882 Enrollment ID: I20190301000440 |
| Provider Name | Branden Clyde Birth |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700350113 PECOS PAC ID: 7911246210 Enrollment ID: I20190305000110 |
| Provider Name | Sandhya Vunnam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013359397 PECOS PAC ID: 8224350202 Enrollment ID: I20190312001023 |
| Provider Name | Lindsay A Hauser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306302716 PECOS PAC ID: 0446590889 Enrollment ID: I20190320002772 |
| Provider Name | Desiree Evon Tarr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922565845 PECOS PAC ID: 0143560474 Enrollment ID: I20190322000520 |
| Provider Name | Corrine Ann Joy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821553835 PECOS PAC ID: 1759621725 Enrollment ID: I20190329000893 |
| Provider Name | Alexandria L Jilg |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356700702 PECOS PAC ID: 3476849977 Enrollment ID: I20190522000654 |
| Provider Name | Christine Shinyoung Hanna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487014023 PECOS PAC ID: 4688961220 Enrollment ID: I20190523000319 |
| Provider Name | Spencer Tavares |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740544733 PECOS PAC ID: 2466795992 Enrollment ID: I20190523002065 |
| Provider Name | Daniel Valdes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528427101 PECOS PAC ID: 9830432392 Enrollment ID: I20190524000191 |
| Provider Name | Kyle Yebernetsky |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235592593 PECOS PAC ID: 7810284635 Enrollment ID: I20190524001128 |
| Provider Name | Brandon Chen |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1821433277 PECOS PAC ID: 4082950480 Enrollment ID: I20190524002380 |
| Provider Name | Nathaniel E Eldredge |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1881038073 PECOS PAC ID: 8224333661 Enrollment ID: I20190528001161 |
| Provider Name | Raghuveer Puttagunta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427442334 PECOS PAC ID: 2668776949 Enrollment ID: I20190603000825 |
| Provider Name | Kerolos R Yousef |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1124413059 PECOS PAC ID: 5799088969 Enrollment ID: I20190603001945 |
| Provider Name | Evan B Young |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487945325 PECOS PAC ID: 0042514952 Enrollment ID: I20190604003080 |
| Provider Name | Mistraine Durand-douglas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184895708 PECOS PAC ID: 7113006453 Enrollment ID: I20190610001234 |
| Provider Name | James Eric Kasenchak |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1841531985 PECOS PAC ID: 0446554265 Enrollment ID: I20190611001967 |
| Provider Name | Chijindu Rowland Nworgu |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1669816518 PECOS PAC ID: 1153654884 Enrollment ID: I20190611002452 |
| Provider Name | Chelsea Mehr |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1265877971 PECOS PAC ID: 1658604384 Enrollment ID: I20190611002704 |
| Provider Name | Kristin Martin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033590104 PECOS PAC ID: 7214249432 Enrollment ID: I20190628001791 |
| Provider Name | Konstantinos Pilidis |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1336526326 PECOS PAC ID: 6406149640 Enrollment ID: I20190718001413 |
| Provider Name | Albert Duah |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1720465628 PECOS PAC ID: 1052604097 Enrollment ID: I20190722000100 |
| Provider Name | Dennis James Warfield |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1679991434 PECOS PAC ID: 5496000283 Enrollment ID: I20190722002058 |
| Provider Name | Joshua Nicholas Pitzen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932548567 PECOS PAC ID: 6608019583 Enrollment ID: I20190722003443 |
| Provider Name | Jane Viernes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184087397 PECOS PAC ID: 0749576858 Enrollment ID: I20190723000066 |
| Provider Name | Lawrence Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629630595 PECOS PAC ID: 1254667389 Enrollment ID: I20190729000293 |
| Provider Name | Gustaaf Gregoire De Ridder |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1528350923 PECOS PAC ID: 2062779119 Enrollment ID: I20190729001148 |
| Provider Name | Kofi Osei Owusu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1790171403 PECOS PAC ID: 6204119308 Enrollment ID: I20190807000428 |
| Provider Name | Keith De Thomas Troche |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1265859631 PECOS PAC ID: 3577788454 Enrollment ID: I20190808001006 |
| Provider Name | Manjul Bhandari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063863181 PECOS PAC ID: 1557615341 Enrollment ID: I20190809002574 |
| Provider Name | Nathan Ryan Tomlinson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043877293 PECOS PAC ID: 9436486636 Enrollment ID: I20190812000633 |
| Provider Name | Megan Beaton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407240633 PECOS PAC ID: 2163727280 Enrollment ID: I20190812001209 |
| Provider Name | Laura Boyer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699145037 PECOS PAC ID: 2466780291 Enrollment ID: I20190819000346 |
| Provider Name | Connor Dougherty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598127821 PECOS PAC ID: 0143516245 Enrollment ID: I20190821000078 |
| Provider Name | Deidre M Heber |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194119651 PECOS PAC ID: 2567766926 Enrollment ID: I20190826001729 |
| Provider Name | Rebecca Lynn Hoffman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1740508233 PECOS PAC ID: 3274832688 Enrollment ID: I20190826003859 |
| Provider Name | Pradeep Puri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912359209 PECOS PAC ID: 2567716293 Enrollment ID: I20190828001171 |
| Provider Name | Tiffany A Becker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154785301 PECOS PAC ID: 5890086631 Enrollment ID: I20190828002845 |
| Provider Name | Darya Shevchenko |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1558748558 PECOS PAC ID: 4587957733 Enrollment ID: I20190829002792 |
| Provider Name | John Deegan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1588907257 PECOS PAC ID: 1153674189 Enrollment ID: I20190903000721 |
| Provider Name | Sagar M Shah |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144640616 PECOS PAC ID: 8729324967 Enrollment ID: I20190905001723 |
| Provider Name | Shaun W Mclaughlin |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1033504287 PECOS PAC ID: 4688981715 Enrollment ID: I20190918001120 |
| Provider Name | Utpal Jha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003361205 PECOS PAC ID: 5395075659 Enrollment ID: I20190930001138 |
| Provider Name | Michael Madden |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306209002 PECOS PAC ID: 0143516401 Enrollment ID: I20190930001600 |
| Provider Name | Shweta Sharma |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225481153 PECOS PAC ID: 6901189752 Enrollment ID: I20191017000549 |
| Provider Name | Matthew Hermann |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477990521 PECOS PAC ID: 0345482212 Enrollment ID: I20191023000092 |
| Provider Name | Sara Fang-jone West |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1700129517 PECOS PAC ID: 8224332465 Enrollment ID: I20191105001862 |
| Provider Name | Kelly J Eyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962974923 PECOS PAC ID: 6305178674 Enrollment ID: I20191106001276 |
| Provider Name | James Andrew Daucher |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356558050 PECOS PAC ID: 4385728542 Enrollment ID: I20191213000770 |
| Provider Name | John Bak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235770702 PECOS PAC ID: 6608200050 Enrollment ID: I20191218002016 |
| Provider Name | Joshua Paul Nickerson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932261906 PECOS PAC ID: 7113198524 Enrollment ID: I20191219000303 |
| Provider Name | Courtney Condiracci |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295143543 PECOS PAC ID: 3173957016 Enrollment ID: I20191230002284 |
| Provider Name | Rory F Detar |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1518352582 PECOS PAC ID: 2567742083 Enrollment ID: I20200109000082 |
| Provider Name | Jessica Kathleen Kemock |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1619515780 PECOS PAC ID: 8921433871 Enrollment ID: I20200122002940 |
| Provider Name | Brittany Tremblay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629615752 PECOS PAC ID: 6406282771 Enrollment ID: I20200204002753 |
| Provider Name | Erin M Arney |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770121543 PECOS PAC ID: 2860828787 Enrollment ID: I20200212000731 |
| Provider Name | Suresh Tammineni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790981868 PECOS PAC ID: 0648462580 Enrollment ID: I20200218001004 |
| Provider Name | Jerad Gardner |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1568608651 PECOS PAC ID: 0941465314 Enrollment ID: I20200416000948 |
| Provider Name | Zachary Scott Hoffer |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1831348374 PECOS PAC ID: 3971933524 Enrollment ID: I20200422000524 |
| Provider Name | Joshua David Heidecker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760027395 PECOS PAC ID: 2062842552 Enrollment ID: I20200424000349 |
| Provider Name | Naga Sasidhar Kanaparthy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962662437 PECOS PAC ID: 2062683683 Enrollment ID: I20200522000262 |
| Provider Name | Bhumi Patel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043742679 PECOS PAC ID: 7719222744 Enrollment ID: I20200527000185 |
| Provider Name | Mark M Massak |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952740532 PECOS PAC ID: 3375847361 Enrollment ID: I20200611000924 |
| Provider Name | Sabrina Talbott Browning |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548399249 PECOS PAC ID: 0446414478 Enrollment ID: I20200617002759 |
| Provider Name | Ravi Kagali |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1336433671 PECOS PAC ID: 3870897168 Enrollment ID: I20200623001145 |
| Provider Name | Christopher J Jones |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841610326 PECOS PAC ID: 2668894288 Enrollment ID: I20200626000982 |
| Provider Name | Thu-thao Ngoc Ly |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518384510 PECOS PAC ID: 8325334931 Enrollment ID: I20200629000198 |
| Provider Name | David J Aria |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477794253 PECOS PAC ID: 2062655327 Enrollment ID: I20200702001462 |
| Provider Name | Thomas Douglas Sallade |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184158164 PECOS PAC ID: 3779857826 Enrollment ID: I20200702002412 |
| Provider Name | Zhe Yan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1992169254 PECOS PAC ID: 7416370432 Enrollment ID: I20200709002329 |
| Provider Name | Selwan Abdullah |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801214325 PECOS PAC ID: 9133352867 Enrollment ID: I20200710001725 |
| Provider Name | Matthew Scott Gulliver |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083239701 PECOS PAC ID: 4284057803 Enrollment ID: I20200714003367 |
| Provider Name | Mohamed Hassan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770010498 PECOS PAC ID: 1153744776 Enrollment ID: I20200714003515 |
| Provider Name | Swathi Gopishetty |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811316052 PECOS PAC ID: 7012215965 Enrollment ID: I20200716003589 |
| Provider Name | Jialing Huang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1609295153 PECOS PAC ID: 0244654713 Enrollment ID: I20200717000323 |
| Provider Name | Benjamin R Wagner |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1417343757 PECOS PAC ID: 9335443415 Enrollment ID: I20200724002003 |
| Provider Name | Peter J Patitsas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770016396 PECOS PAC ID: 9739503517 Enrollment ID: I20200727002365 |
| Provider Name | Jennifer Nicole Spinozzi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194245803 PECOS PAC ID: 7214293190 Enrollment ID: I20200729000261 |
| Provider Name | Kristen Kish |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154855161 PECOS PAC ID: 6305117565 Enrollment ID: I20200730000012 |
| Provider Name | Towhid Ali |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689093718 PECOS PAC ID: 6901023134 Enrollment ID: I20200730000469 |
| Provider Name | Saurabh Verma |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659785665 PECOS PAC ID: 8426396821 Enrollment ID: I20200731000016 |
| Provider Name | Robert Blake Lowe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326400854 PECOS PAC ID: 0941595979 Enrollment ID: I20200731002014 |
| Provider Name | Birju Patel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1144682493 PECOS PAC ID: 5597059501 Enrollment ID: I20200805001984 |
| Provider Name | Cherish Marie Boehm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316555931 PECOS PAC ID: 4688099583 Enrollment ID: I20200810002188 |
| Provider Name | Gwendolyn Bodkin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285163717 PECOS PAC ID: 6103195359 Enrollment ID: I20200811002936 |
| Provider Name | Xuan Hanh Thanh Lam |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306460191 PECOS PAC ID: 2668898982 Enrollment ID: I20200818001436 |
| Provider Name | Tatianie Jackson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528313558 PECOS PAC ID: 1355681891 Enrollment ID: I20200819000001 |
| Provider Name | Jordan B Southern |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1730575879 PECOS PAC ID: 3476857962 Enrollment ID: I20200820003337 |
| Provider Name | Amy Lois Raup |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306462668 PECOS PAC ID: 6103242086 Enrollment ID: I20200824000538 |
| Provider Name | Thomas J Nevers |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578983557 PECOS PAC ID: 4486908977 Enrollment ID: I20200824002055 |
| Provider Name | Anil Akoon |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1659791689 PECOS PAC ID: 7315241346 Enrollment ID: I20200825001363 |
| Provider Name | Nakiasha Scheeler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902424880 PECOS PAC ID: 7113344789 Enrollment ID: I20200827000983 |
| Provider Name | Matthew Payne |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023628484 PECOS PAC ID: 9638596240 Enrollment ID: I20200827002527 |
| Provider Name | Dana Pfeifer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831714823 PECOS PAC ID: 5193142271 Enrollment ID: I20200903002233 |
| Provider Name | Brock Davis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487187001 PECOS PAC ID: 7719256783 Enrollment ID: I20200908001372 |
| Provider Name | Kaila Queen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477936268 PECOS PAC ID: 9032419841 Enrollment ID: I20200917001126 |
| Provider Name | Eric Drago |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801329453 PECOS PAC ID: 7517235856 Enrollment ID: I20200921000712 |
| Provider Name | Corey Dietz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740737865 PECOS PAC ID: 5799065157 Enrollment ID: I20200922000004 |
| Provider Name | Michael Alexander Germano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023542362 PECOS PAC ID: 4789002890 Enrollment ID: I20200922000104 |
| Provider Name | Tara Welsh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962933481 PECOS PAC ID: 8820418775 Enrollment ID: I20201015001535 |
| Provider Name | Lesly Louis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124506290 PECOS PAC ID: 6709137839 Enrollment ID: I20201019003061 |
| Provider Name | Kamala Kallur |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1295154433 PECOS PAC ID: 9335559293 Enrollment ID: I20201104000107 |
| Provider Name | Audrey Dean |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1053765784 PECOS PAC ID: 5799070074 Enrollment ID: I20201111000873 |
| Provider Name | Sasha H Slipak |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1124446232 PECOS PAC ID: 3375846629 Enrollment ID: I20201111002039 |
| Provider Name | Rachel M Devaney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316431885 PECOS PAC ID: 0941611164 Enrollment ID: I20201119001001 |
| Provider Name | Dhwani Y Pandya |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1750793949 PECOS PAC ID: 8325264799 Enrollment ID: I20201202002018 |
| Provider Name | Samuel A Faulkner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417444746 PECOS PAC ID: 1456764000 Enrollment ID: I20201229000684 |
| Provider Name | Randin Nelson |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1386871531 PECOS PAC ID: 1254628449 Enrollment ID: I20210111000223 |
| Provider Name | Anthony Darrington |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043630718 PECOS PAC ID: 3072854702 Enrollment ID: I20210120001177 |
| Provider Name | Morgan Adams |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245846211 PECOS PAC ID: 2567876402 Enrollment ID: I20210204000187 |
| Provider Name | Albert Morgan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1528161643 PECOS PAC ID: 7618160730 Enrollment ID: I20210212000553 |
| Provider Name | Ryan Kyle David |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770175622 PECOS PAC ID: 0042626970 Enrollment ID: I20210301002183 |
| Provider Name | David Lisbon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083716237 PECOS PAC ID: 8628974599 Enrollment ID: I20210308001673 |
| Provider Name | Dixon K Kitonyo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295351377 PECOS PAC ID: 6608283635 Enrollment ID: I20210318001418 |
| Provider Name | Shirley Behm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902498389 PECOS PAC ID: 2961819636 Enrollment ID: I20210324001874 |
| Provider Name | Erika Lynnea Stehle |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1437747268 PECOS PAC ID: 5890102255 Enrollment ID: I20210331001183 |
| Provider Name | Jenna Lynn Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972193357 PECOS PAC ID: 1052729597 Enrollment ID: I20210421001497 |
| Provider Name | Mary Dhesi |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1295067767 PECOS PAC ID: 0749699544 Enrollment ID: I20210507000268 |
| Provider Name | Robert M Kuzel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1568474849 PECOS PAC ID: 1658377536 Enrollment ID: I20210511001031 |
| Provider Name | Virginia E Smith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952530628 PECOS PAC ID: 8022259696 Enrollment ID: I20210520000925 |
| Provider Name | Kinjal Banerjee |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245727114 PECOS PAC ID: 7315356888 Enrollment ID: I20210608003314 |
| Provider Name | Grant Austin Ciavarella |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285097907 PECOS PAC ID: 5799185047 Enrollment ID: I20210609000104 |
| Provider Name | Yazan Hasan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1386999431 PECOS PAC ID: 1850516410 Enrollment ID: I20210609000137 |
| Provider Name | Sharon Jia |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982195210 PECOS PAC ID: 4789084047 Enrollment ID: I20210609000187 |
| Provider Name | Hongjie Li |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1215303094 PECOS PAC ID: 1456751668 Enrollment ID: I20210609002643 |
| Provider Name | Kortnee Michelle Koziara |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306348123 PECOS PAC ID: 0547660763 Enrollment ID: I20210609003113 |
| Provider Name | Bijal Patel |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1952716391 PECOS PAC ID: 4183962830 Enrollment ID: I20210610000141 |
| Provider Name | Ajay Puri |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487816187 PECOS PAC ID: 5597989392 Enrollment ID: I20210610000234 |
| Provider Name | Neil S Bhogal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1811379324 PECOS PAC ID: 9234448309 Enrollment ID: I20210610000955 |
| Provider Name | Andrew Upchurch |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1124550330 PECOS PAC ID: 2567735814 Enrollment ID: I20210615002097 |
| Provider Name | Alexandra Katherine Jones |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689170706 PECOS PAC ID: 5890195622 Enrollment ID: I20210615002456 |
| Provider Name | James Joseph Dent |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518344654 PECOS PAC ID: 0941509053 Enrollment ID: I20210615003736 |
| Provider Name | Mihail Voica |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1205290699 PECOS PAC ID: 1759626872 Enrollment ID: I20210617000029 |
| Provider Name | David Kotlyar |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1245527670 PECOS PAC ID: 8325327950 Enrollment ID: I20210621001660 |
| Provider Name | Nicholas David Montecalvo |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1750761599 PECOS PAC ID: 3476954967 Enrollment ID: I20210622000373 |
| Provider Name | Kailyn Forman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265021893 PECOS PAC ID: 5991106411 Enrollment ID: I20210622001268 |
| Provider Name | Jeremy R Fahringer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053900365 PECOS PAC ID: 7618378944 Enrollment ID: I20210624001395 |
| Provider Name | Kristopher Pfirman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1306233804 PECOS PAC ID: 6709174360 Enrollment ID: I20210624002395 |
| Provider Name | Osama Mukarram |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1316352586 PECOS PAC ID: 9638469356 Enrollment ID: I20210707000083 |
| Provider Name | Erich Hufnagel |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1376075721 PECOS PAC ID: 3173925211 Enrollment ID: I20210712001821 |
| Provider Name | Kevin Gerard Harvey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417440348 PECOS PAC ID: 9133476609 Enrollment ID: I20210712003572 |
| Provider Name | Husnain Shaukat |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477058592 PECOS PAC ID: 1759631187 Enrollment ID: I20210712003860 |
| Provider Name | Manmeet S Ahluwalia |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1053706168 PECOS PAC ID: 6800134701 Enrollment ID: I20210713000025 |
| Provider Name | Sean C Hostmeyer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104210673 PECOS PAC ID: 5395052807 Enrollment ID: I20210713000860 |
| Provider Name | Oluwatoba Moninuola |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063908754 PECOS PAC ID: 5092117119 Enrollment ID: I20210713000925 |
| Provider Name | Angel Rafael Diaz Sanchez |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1346771565 PECOS PAC ID: 5496157471 Enrollment ID: I20210713003430 |
| Provider Name | Anna Griffith |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1235526922 PECOS PAC ID: 5092026948 Enrollment ID: I20210714001808 |
| Provider Name | Rachel Z Polinski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255835161 PECOS PAC ID: 7113271016 Enrollment ID: I20210715001321 |
| Provider Name | Hany Eskarous |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790285203 PECOS PAC ID: 3375946023 Enrollment ID: I20210720000012 |
| Provider Name | Manuel Martinez |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720441835 PECOS PAC ID: 6709172760 Enrollment ID: I20210721000443 |
| Provider Name | Allen Wolfe |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578983284 PECOS PAC ID: 0749528131 Enrollment ID: I20210721002126 |
| Provider Name | Matthew Fisher |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841681657 PECOS PAC ID: 5991108417 Enrollment ID: I20210721003050 |
| Provider Name | Robert Jeffrey Moyer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1124553938 PECOS PAC ID: 8325317258 Enrollment ID: I20210728002997 |
| Provider Name | Patrick Chabra |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952806127 PECOS PAC ID: 1153724935 Enrollment ID: I20210730002843 |
| Provider Name | Eric Strong |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1467807925 PECOS PAC ID: 4688078470 Enrollment ID: I20210802000031 |
| Provider Name | Manjari Pandey |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1932339876 PECOS PAC ID: 9436395084 Enrollment ID: I20210811000867 |
| Provider Name | Zaid Obada |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942799879 PECOS PAC ID: 7810231321 Enrollment ID: I20210811001876 |
| Provider Name | Rachel Haupt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649738162 PECOS PAC ID: 9032513197 Enrollment ID: I20210811002437 |
| Provider Name | Kashif Saeed |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1932652211 PECOS PAC ID: 7517361629 Enrollment ID: I20210811004217 |
| Provider Name | Joshua Brody |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841220647 PECOS PAC ID: 4789582131 Enrollment ID: I20210816002953 |
| Provider Name | Lionel Varela |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619461670 PECOS PAC ID: 4183029895 Enrollment ID: I20210818002699 |
| Provider Name | Rebecca Jane Anderson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1548824105 PECOS PAC ID: 5799180402 Enrollment ID: I20210818002804 |
| Provider Name | Dan Alan Loughran |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164928164 PECOS PAC ID: 3476958034 Enrollment ID: I20210819001035 |
| Provider Name | Kaitlyn Marie Sweeney |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629509989 PECOS PAC ID: 3274802103 Enrollment ID: I20210825000041 |
| Provider Name | Jason J Higgins |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093196099 PECOS PAC ID: 2264742394 Enrollment ID: I20210825001788 |
| Provider Name | Christopher Cardillo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831694801 PECOS PAC ID: 6901152578 Enrollment ID: I20210831000051 |
| Provider Name | Oksana Bailiff |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1396270096 PECOS PAC ID: 6002188398 Enrollment ID: I20210901001300 |
| Provider Name | Rashid Cheema |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1184857203 PECOS PAC ID: 0941451363 Enrollment ID: I20210909002172 |
| Provider Name | Yingyi Wu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912428947 PECOS PAC ID: 1658777990 Enrollment ID: I20210910002735 |
| Provider Name | Michelle Ashley-dwyer Appel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649768896 PECOS PAC ID: 3971900655 Enrollment ID: I20210922002799 |
| Provider Name | Shailesh Bhattarai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093202491 PECOS PAC ID: 9931506334 Enrollment ID: I20210928002516 |
| Provider Name | Ritesh Bhandari Sharma |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700380722 PECOS PAC ID: 9739427451 Enrollment ID: I20211005000464 |
| Provider Name | Rolf Abel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427048917 PECOS PAC ID: 2365506250 Enrollment ID: I20211005002224 |
| Provider Name | Ghazala Sabeeh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427544469 PECOS PAC ID: 9638577562 Enrollment ID: I20211007001549 |
| Provider Name | Cheryl Pysher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790454841 PECOS PAC ID: 2567860067 Enrollment ID: I20211014000792 |
| Provider Name | Steven Farina |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1750703849 PECOS PAC ID: 6103112594 Enrollment ID: I20211020000546 |
| Provider Name | Syeda Atiqa Batul |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1326384868 PECOS PAC ID: 4385988930 Enrollment ID: I20211025003286 |
| Provider Name | Jennifer Margarethe Luers-ruhl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124791793 PECOS PAC ID: 5890183362 Enrollment ID: I20211103000017 |
| Provider Name | Colleen Theresa Risley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336806686 PECOS PAC ID: 1254721046 Enrollment ID: I20211210000217 |
| Provider Name | Nadine Kalavazoff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881941441 PECOS PAC ID: 0840422903 Enrollment ID: I20220112000153 |
| Provider Name | Nasir Hameed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821568718 PECOS PAC ID: 7719224070 Enrollment ID: I20220113000439 |
| Provider Name | Frank W Baker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245998921 PECOS PAC ID: 4587056825 Enrollment ID: I20220119001929 |
| Provider Name | Enrique Soltero Mariscal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1851777809 PECOS PAC ID: 6800100850 Enrollment ID: I20220203000612 |
| Provider Name | Oluchi Kalu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669674198 PECOS PAC ID: 9739572777 Enrollment ID: I20220215001284 |
| Provider Name | Adrienne Tounsel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902066061 PECOS PAC ID: 1153599717 Enrollment ID: I20220217000569 |
| Provider Name | Youzhong Yuan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1982921342 PECOS PAC ID: 5496064826 Enrollment ID: I20220323001834 |
| Provider Name | Julie Warren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134779127 PECOS PAC ID: 2365879251 Enrollment ID: I20220328001120 |
| Provider Name | Parminder Dhingra |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457882599 PECOS PAC ID: 2264856434 Enrollment ID: I20220330001570 |
| Provider Name | Harun Otieno |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1336188721 PECOS PAC ID: 6305948381 Enrollment ID: I20220331000005 |
| Provider Name | Nevin Brooks |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881354173 PECOS PAC ID: 9830585611 Enrollment ID: I20220404001257 |
| Provider Name | Erik Auker |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508426404 PECOS PAC ID: 1759616113 Enrollment ID: I20220405003081 |
| Provider Name | Amy Marie Pinkham |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1659023208 PECOS PAC ID: 4082000591 Enrollment ID: I20220411001085 |
| Provider Name | Jackee Shrader |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1831771567 PECOS PAC ID: 6800273194 Enrollment ID: I20220505001917 |
| Provider Name | Alexander D'angelo |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1972998516 PECOS PAC ID: 8426363466 Enrollment ID: I20220506000004 |
| Provider Name | Monica Christianne Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588317564 PECOS PAC ID: 5597142513 Enrollment ID: I20220512002707 |
| Provider Name | Pablo Adler |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1205871902 PECOS PAC ID: 0446447098 Enrollment ID: I20220513001726 |
| Provider Name | Hannah Beth Curtiss |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1578238234 PECOS PAC ID: 0042697930 Enrollment ID: I20220516000456 |
| Provider Name | Meghan Archer |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1588311468 PECOS PAC ID: 5092192997 Enrollment ID: I20220516000730 |
| Provider Name | Raeanne Kathleen Jordan |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1255071080 PECOS PAC ID: 2062899966 Enrollment ID: I20220516000881 |
| Provider Name | Alexei Boylan |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1386194520 PECOS PAC ID: 3476930389 Enrollment ID: I20220516001095 |
| Provider Name | Marina Weinstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124339262 PECOS PAC ID: 1355584574 Enrollment ID: I20220517000302 |
| Provider Name | Maya Yoder |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1154061588 PECOS PAC ID: 2567849334 Enrollment ID: I20220517000540 |
| Provider Name | James Kovacs |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447335039 PECOS PAC ID: 0345137212 Enrollment ID: I20220518000544 |
| Provider Name | Elizabeth S So |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285123497 PECOS PAC ID: 2769729003 Enrollment ID: I20220518001236 |
| Provider Name | Adam S Brodginski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083362693 PECOS PAC ID: 5193103059 Enrollment ID: I20220606000012 |
| Provider Name | Anil Menedal |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1356600340 PECOS PAC ID: 5496073645 Enrollment ID: I20220608000673 |
| Provider Name | Thomas Bozzuto |
|---|---|
| Provider Type | Practitioner - Undersea And Hyperbaric Medicine |
| Provider Identifiers | NPI Number: 1164494720 PECOS PAC ID: 6608867866 Enrollment ID: I20220609000971 |
| Provider Name | Mohammed Khan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295265163 PECOS PAC ID: 7517231400 Enrollment ID: I20220610000720 |
| Provider Name | John Childs |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1982879821 PECOS PAC ID: 9638493232 Enrollment ID: I20220611000035 |
| Provider Name | Sonia Lucille Wright |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104804343 PECOS PAC ID: 1557323136 Enrollment ID: I20220613000339 |
| Provider Name | Katerina Nye |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1255070785 PECOS PAC ID: 0648659029 Enrollment ID: I20220615000044 |
| Provider Name | George R Mckay |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942476114 PECOS PAC ID: 6901969047 Enrollment ID: I20220616000840 |
| Provider Name | Muhammad Ameen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710360862 PECOS PAC ID: 1153678602 Enrollment ID: I20220618000386 |
| Provider Name | Saba Afroz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821473406 PECOS PAC ID: 9931413986 Enrollment ID: I20220629001800 |
| Provider Name | Ian Coote |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104386184 PECOS PAC ID: 6002296399 Enrollment ID: I20220705000484 |
| Provider Name | Steven Aaron Jacobs |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669933248 PECOS PAC ID: 4183950751 Enrollment ID: I20220705002256 |
| Provider Name | Arina Chesnokova |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386131712 PECOS PAC ID: 8527448612 Enrollment ID: I20220707000861 |
| Provider Name | Tawny Amber Engelberger |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134871866 PECOS PAC ID: 0042690794 Enrollment ID: I20220712001587 |
| Provider Name | David Lucero |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982133781 PECOS PAC ID: 5193051241 Enrollment ID: I20220712001870 |
| Provider Name | Gino Sartori |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801327036 PECOS PAC ID: 3971871641 Enrollment ID: I20220714000172 |
| Provider Name | Jeffrey Ortiz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609220813 PECOS PAC ID: 2163824848 Enrollment ID: I20220714001340 |
| Provider Name | Brian A Supsic |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043967128 PECOS PAC ID: 1759762214 Enrollment ID: I20220715000947 |
| Provider Name | Philip Krupka |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396232575 PECOS PAC ID: 4688922438 Enrollment ID: I20220716000055 |
| Provider Name | Saroj Sapkota |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073160636 PECOS PAC ID: 2567843972 Enrollment ID: I20220718000173 |
| Provider Name | Sarah Rose Jacobs |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942762414 PECOS PAC ID: 3577899830 Enrollment ID: I20220719000588 |
| Provider Name | John Ellis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356808745 PECOS PAC ID: 0446587349 Enrollment ID: I20220719001787 |
| Provider Name | Sorab Gupta |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1972917656 PECOS PAC ID: 7618306325 Enrollment ID: I20220720000014 |
| Provider Name | Robin Skrine |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1346277589 PECOS PAC ID: 0941301345 Enrollment ID: I20220721000194 |
| Provider Name | Siddharth Bhesania |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255838173 PECOS PAC ID: 6901200419 Enrollment ID: I20220722000016 |
| Provider Name | Dow Emerson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417301367 PECOS PAC ID: 2961796990 Enrollment ID: I20220725001392 |
| Provider Name | David Fanelli |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1932693090 PECOS PAC ID: 5496137713 Enrollment ID: I20220803002569 |
| Provider Name | Christopher Lee Yokimcus |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1194463273 PECOS PAC ID: 6204218449 Enrollment ID: I20220803003888 |
| Provider Name | Matthew Daniel Moore |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295473874 PECOS PAC ID: 9032591102 Enrollment ID: I20220805001500 |
| Provider Name | Jamie A. Long |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851038152 PECOS PAC ID: 2062894173 Enrollment ID: I20220806000001 |
| Provider Name | Nana Yamfo Amoah |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1972858082 PECOS PAC ID: 5496066573 Enrollment ID: I20220810000246 |
| Provider Name | Garrett Todd Stoltzfus |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770043127 PECOS PAC ID: 4587990957 Enrollment ID: I20220816001228 |
| Provider Name | Nilam Bhavsar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861058448 PECOS PAC ID: 1355724600 Enrollment ID: I20220818001990 |
| Provider Name | Dominik Beer |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1407271281 PECOS PAC ID: 1951605476 Enrollment ID: I20220818003877 |
| Provider Name | Reda A Awali |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1245690122 PECOS PAC ID: 0143519025 Enrollment ID: I20220819000593 |
| Provider Name | Hannah M Richwine |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275092140 PECOS PAC ID: 1759617269 Enrollment ID: I20220820000006 |
| Provider Name | Amrit Devkota |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407409287 PECOS PAC ID: 0648653766 Enrollment ID: I20220822002940 |
| Provider Name | Sonali Koirala |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720541063 PECOS PAC ID: 2860875994 Enrollment ID: I20220822003339 |
| Provider Name | Keerthana Gangadharan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528613700 PECOS PAC ID: 0648653782 Enrollment ID: I20220822003570 |
| Provider Name | Tyler Boozel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740849777 PECOS PAC ID: 2466787437 Enrollment ID: I20220823002935 |
| Provider Name | Ishmail Saccoh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437651338 PECOS PAC ID: 1355698358 Enrollment ID: I20220824001977 |
| Provider Name | Aparna Baburaj |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558913111 PECOS PAC ID: 5395073902 Enrollment ID: I20220825000452 |
| Provider Name | Nancy Clemens |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447645064 PECOS PAC ID: 2860743218 Enrollment ID: I20220825001418 |
| Provider Name | Ryan Woll |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265180764 PECOS PAC ID: 9133503113 Enrollment ID: I20220825002573 |
| Provider Name | Dorothea S Meyer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912644519 PECOS PAC ID: 7214311141 Enrollment ID: I20220826000658 |
| Provider Name | Matthew Fanelli |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1518329739 PECOS PAC ID: 5092092338 Enrollment ID: I20220826003056 |
| Provider Name | Muhammad Anwar |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1265538052 PECOS PAC ID: 4688759012 Enrollment ID: I20220829001321 |
| Provider Name | Noor U Amin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649686155 PECOS PAC ID: 5890099436 Enrollment ID: I20220831000769 |
| Provider Name | Caleb Shervinskie |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407317373 PECOS PAC ID: 2062896665 Enrollment ID: I20220831001658 |
| Provider Name | Mishouri Paul |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013579457 PECOS PAC ID: 5496139024 Enrollment ID: I20220831002546 |
| Provider Name | Rand Hindosh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194384875 PECOS PAC ID: 3779817424 Enrollment ID: I20220901000374 |
| Provider Name | Jeewendra Dulal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003478538 PECOS PAC ID: 8325378961 Enrollment ID: I20220902000052 |
| Provider Name | Priyanka Barua |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1649698440 PECOS PAC ID: 3072871961 Enrollment ID: I20220902001134 |
| Provider Name | Benefsha Mohammad |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578959177 PECOS PAC ID: 8729385307 Enrollment ID: I20220908000080 |
| Provider Name | Sagar Patel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1851822613 PECOS PAC ID: 7618213687 Enrollment ID: I20220908001814 |
| Provider Name | Nicole Lillian Kargul |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821721713 PECOS PAC ID: 3971988015 Enrollment ID: I20220909003025 |
| Provider Name | Michelle Ann Pitch |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1669978284 PECOS PAC ID: 5193100246 Enrollment ID: I20220910000171 |
| Provider Name | Nigel Sparks |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1982697959 PECOS PAC ID: 7810973203 Enrollment ID: I20220912000033 |
| Provider Name | Laura Geiszler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902367006 PECOS PAC ID: 5799012191 Enrollment ID: I20220914000139 |
| Provider Name | Neal Cooper |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1285011767 PECOS PAC ID: 6800181041 Enrollment ID: I20220915002252 |
| Provider Name | Sarah Murray |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336871698 PECOS PAC ID: 7315322088 Enrollment ID: I20220915002855 |
| Provider Name | Michael J Bernett |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497216949 PECOS PAC ID: 6800271511 Enrollment ID: I20220916000678 |
| Provider Name | Sunny Patel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1780045906 PECOS PAC ID: 0648568857 Enrollment ID: I20220916002717 |
| Provider Name | Ronit Sternberg |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1457510323 PECOS PAC ID: 3870837784 Enrollment ID: I20220919000054 |
| Provider Name | Afrah Talpur |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811559842 PECOS PAC ID: 8022493535 Enrollment ID: I20220920002350 |
| Provider Name | Vijay Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619537560 PECOS PAC ID: 7810225513 Enrollment ID: I20220922000041 |
| Provider Name | Deekchha Uprety |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104386713 PECOS PAC ID: 7719213354 Enrollment ID: I20220922000196 |
| Provider Name | Alison Reese |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124747183 PECOS PAC ID: 1052796398 Enrollment ID: I20220922001042 |
| Provider Name | Shakeel Yousaf |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740740729 PECOS PAC ID: 5597141572 Enrollment ID: I20220928001402 |
| Provider Name | Mai Abd Alqader |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487001848 PECOS PAC ID: 0749556959 Enrollment ID: I20220929001180 |
| Provider Name | Damian Francis Richards |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790411072 PECOS PAC ID: 9931585262 Enrollment ID: I20221010002625 |
| Provider Name | Rebecca Lauren Lepovsky Braunsdorf |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1760051254 PECOS PAC ID: 8921474289 Enrollment ID: I20221012001476 |
| Provider Name | Sanjeev Shrestha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528620085 PECOS PAC ID: 1951777689 Enrollment ID: I20221020000270 |
| Provider Name | Breyana Gibson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023744323 PECOS PAC ID: 2668848342 Enrollment ID: I20221020002302 |
| Provider Name | Christian Mcdonough |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1194925644 PECOS PAC ID: 6002000916 Enrollment ID: I20221024001941 |
| Provider Name | Bradley Kramer |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1144264201 PECOS PAC ID: 1557361466 Enrollment ID: I20221102002235 |
| Provider Name | Brandy Jeansimon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578855201 PECOS PAC ID: 0345559852 Enrollment ID: I20221105000099 |
| Provider Name | Daliborka Danelisen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730387358 PECOS PAC ID: 7214100080 Enrollment ID: I20221107000004 |
| Provider Name | Shikha Pal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235664111 PECOS PAC ID: 5092089995 Enrollment ID: I20221109002529 |
| Provider Name | Haleema Sajid |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033641360 PECOS PAC ID: 8426302738 Enrollment ID: I20221110000386 |
| Provider Name | Hannah L Fanelli |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1144714155 PECOS PAC ID: 4981955218 Enrollment ID: I20221115000485 |
| Provider Name | Najma Nawaz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811550890 PECOS PAC ID: 2668708884 Enrollment ID: I20221117000661 |
| Provider Name | Brittany Broderick |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366071003 PECOS PAC ID: 4284002411 Enrollment ID: I20221121000044 |
| Provider Name | Thomas Reynaldo Barkley |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447817838 PECOS PAC ID: 3577891605 Enrollment ID: I20221129000548 |
| Provider Name | Colleen Elise Jones |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1952035214 PECOS PAC ID: 6305215468 Enrollment ID: I20221212002008 |
| Provider Name | Megan Brooke Zimmerly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578280111 PECOS PAC ID: 1456720358 Enrollment ID: I20221216000161 |
| Provider Name | Alexander Reimund Ming |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629626908 PECOS PAC ID: 3072983543 Enrollment ID: I20221227000299 |
| Provider Name | Pwint Khine |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003264011 PECOS PAC ID: 3779871819 Enrollment ID: I20221227000672 |
| Provider Name | Carol Stojinski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740843424 PECOS PAC ID: 4981074028 Enrollment ID: I20230105001461 |
| Provider Name | Marc Chery |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225410459 PECOS PAC ID: 7315226297 Enrollment ID: I20230109000016 |
| Provider Name | Wynell C Schatz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497794085 PECOS PAC ID: 4688635634 Enrollment ID: I20230113000025 |
| Provider Name | Lloyd Nagbe |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366582991 PECOS PAC ID: 1658474754 Enrollment ID: I20230126003215 |
| Provider Name | Aaron Michael Baratta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609589233 PECOS PAC ID: 0840661831 Enrollment ID: I20230131000842 |
| Provider Name | Courtney Zampetti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609585462 PECOS PAC ID: 6204207186 Enrollment ID: I20230201001679 |
| Provider Name | Lana Rivers |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831457837 PECOS PAC ID: 7719101815 Enrollment ID: I20230209000074 |
| Provider Name | Luis Felipe Gonzalez Vazquez |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1447963939 PECOS PAC ID: 0941672265 Enrollment ID: I20230215001766 |
| Provider Name | Candace Francine Chumley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558892257 PECOS PAC ID: 8325302052 Enrollment ID: I20230217000458 |
| Provider Name | Elliot G Martin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639662364 PECOS PAC ID: 9638506389 Enrollment ID: I20230217001735 |
| Provider Name | Brittany Jury |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497467385 PECOS PAC ID: 8426420506 Enrollment ID: I20230220000506 |
| Provider Name | Paul Liszka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942273305 PECOS PAC ID: 4486691482 Enrollment ID: I20230224002064 |
| Provider Name | Erica Card |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1376272419 PECOS PAC ID: 0244603041 Enrollment ID: I20230227000023 |
| Provider Name | Rehana Bhuiyan |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1518321603 PECOS PAC ID: 3779956339 Enrollment ID: I20230301000972 |
| Provider Name | Natalia Alford |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518474220 PECOS PAC ID: 9638432115 Enrollment ID: I20230323000222 |
| Provider Name | Alexander Hawson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1174899272 PECOS PAC ID: 2567731243 Enrollment ID: I20230329001054 |
| Provider Name | Kevin E Schlegel |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1881684371 PECOS PAC ID: 5597009621 Enrollment ID: I20230330002070 |
| Provider Name | Matthew Cellini |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679919435 PECOS PAC ID: 7719273440 Enrollment ID: I20230411002870 |
| Provider Name | Solomon M Amemasor |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285128892 PECOS PAC ID: 0446506885 Enrollment ID: I20230421001827 |
| Provider Name | Kristin Marie Badman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700589496 PECOS PAC ID: 5799140992 Enrollment ID: I20230421001870 |
| Provider Name | Jennifer Kay Nicolella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043910243 PECOS PAC ID: 7911362918 Enrollment ID: I20230426001974 |
| Provider Name | Jamie Manbeck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740980952 PECOS PAC ID: 4082079033 Enrollment ID: I20230427000979 |
| Provider Name | Keshaben Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609576792 PECOS PAC ID: 7012372618 Enrollment ID: I20230504001221 |
| Provider Name | Evan Gajkowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538863329 PECOS PAC ID: 0840655262 Enrollment ID: I20230508001152 |
| Provider Name | Jewelia Chevalier |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1619664430 PECOS PAC ID: 4880059245 Enrollment ID: I20230508002856 |
| Provider Name | Himanshu Kavani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174153282 PECOS PAC ID: 6507259090 Enrollment ID: I20230510001705 |
| Provider Name | Tamara M Brown |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467058925 PECOS PAC ID: 6507254216 Enrollment ID: I20230512001076 |
| Provider Name | Shamik Patel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750885497 PECOS PAC ID: 0446594279 Enrollment ID: I20230605001941 |
| Provider Name | Lauren Elizabeth Benzinger |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467081315 PECOS PAC ID: 0345663647 Enrollment ID: I20230607001988 |
| Provider Name | Abigail Lynne Urbanik |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346879145 PECOS PAC ID: 3678930435 Enrollment ID: I20230609000803 |
| Provider Name | Deepa Pramod Budh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164040085 PECOS PAC ID: 2769849397 Enrollment ID: I20230613001129 |
| Provider Name | Amanda L Dangle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285325696 PECOS PAC ID: 4688839004 Enrollment ID: I20230616001477 |
| Provider Name | Monica Dzwonkowski |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801425517 PECOS PAC ID: 2668895004 Enrollment ID: I20230621000561 |
| Provider Name | Ryan Palenske |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760011654 PECOS PAC ID: 1658794987 Enrollment ID: I20230621003092 |
| Provider Name | Dema Shamoon |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1396265906 PECOS PAC ID: 5395103295 Enrollment ID: I20230626001709 |
| Provider Name | Jamare Reed |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366019978 PECOS PAC ID: 5890192793 Enrollment ID: I20230627001348 |
| Provider Name | Allyson Michele Haas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497384911 PECOS PAC ID: 7012339724 Enrollment ID: I20230705000509 |
| Provider Name | Justin Daniel Hark |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649809559 PECOS PAC ID: 7719300037 Enrollment ID: I20230706000524 |
| Provider Name | Alicia Kovach |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518579838 PECOS PAC ID: 5698135101 Enrollment ID: I20230716000011 |
| Provider Name | Michelle Melvin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073773552 PECOS PAC ID: 8628148251 Enrollment ID: I20230724001496 |
| Provider Name | Sean Isaac |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1386835767 PECOS PAC ID: 2264525575 Enrollment ID: I20230725002152 |
| Provider Name | Joshua Steven Gratti |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891487716 PECOS PAC ID: 8426419136 Enrollment ID: I20230727002893 |
| Provider Name | Samuel Robert Batchelor |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942992540 PECOS PAC ID: 1951762418 Enrollment ID: I20230731002459 |
| Provider Name | Yubraj Aryal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710599501 PECOS PAC ID: 1456712785 Enrollment ID: I20230802001805 |
| Provider Name | Luis Filipe Da Cruz Monteiro De Pina |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467946962 PECOS PAC ID: 0840651113 Enrollment ID: I20230802003276 |
| Provider Name | Michael Martin Kapral |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154015436 PECOS PAC ID: 1951762129 Enrollment ID: I20230803003524 |
| Provider Name | Tuna Ozyurekoglu |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1659365930 PECOS PAC ID: 5890782973 Enrollment ID: I20230803003779 |
| Provider Name | Robert Joseph Anderson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235758947 PECOS PAC ID: 3971926296 Enrollment ID: I20230804002094 |
| Provider Name | Jesse A Calestine |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437788437 PECOS PAC ID: 3375966716 Enrollment ID: I20230807001833 |
| Provider Name | Gina Marie Baiamonte |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790314110 PECOS PAC ID: 3375966575 Enrollment ID: I20230810002073 |
| Provider Name | Austin Mike-mayer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1659868842 PECOS PAC ID: 1254793938 Enrollment ID: I20230811001463 |
| Provider Name | Victoria Michele Ruth |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659057099 PECOS PAC ID: 6002278736 Enrollment ID: I20230814000320 |
| Provider Name | Balkishan Malviya |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225652175 PECOS PAC ID: 9638593288 Enrollment ID: I20230816001714 |
| Provider Name | Adnan Al-maaitah |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1649917162 PECOS PAC ID: 5496117822 Enrollment ID: I20230816001939 |
| Provider Name | Elda Baraniak |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538851688 PECOS PAC ID: 0648632901 Enrollment ID: I20230817003298 |
| Provider Name | Waleed Zafar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093210890 PECOS PAC ID: 6608238803 Enrollment ID: I20230821002048 |
| Provider Name | Adam Boyer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538739859 PECOS PAC ID: 9739541830 Enrollment ID: I20230821002764 |
| Provider Name | Oliver Ruiz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073132924 PECOS PAC ID: 5193148484 Enrollment ID: I20230822000234 |
| Provider Name | Mohamed Shitia |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1861996555 PECOS PAC ID: 4880940386 Enrollment ID: I20230822001573 |
| Provider Name | Megan Burger |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1225539430 PECOS PAC ID: 9830552942 Enrollment ID: I20230822003826 |
| Provider Name | Casey William Shay |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992481154 PECOS PAC ID: 1759744808 Enrollment ID: I20230823000805 |
| Provider Name | Michael C Morgan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1689238230 PECOS PAC ID: 1153664487 Enrollment ID: I20230823002528 |
| Provider Name | Taroob Latef |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497398366 PECOS PAC ID: 2062837347 Enrollment ID: I20230823002772 |
| Provider Name | Alexandra Paige Russell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538851902 PECOS PAC ID: 3476916446 Enrollment ID: I20230824002004 |
| Provider Name | Oleg Dvulit |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134758147 PECOS PAC ID: 3072976901 Enrollment ID: I20230825000643 |
| Provider Name | Michael Torrin Keats |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497431282 PECOS PAC ID: 6608239538 Enrollment ID: I20230825000668 |
| Provider Name | Mirza Shahid Baig |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1578230561 PECOS PAC ID: 7315300266 Enrollment ID: I20230825001129 |
| Provider Name | Zarah Sy |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649963166 PECOS PAC ID: 5092178897 Enrollment ID: I20230828000247 |
| Provider Name | Julie Mingjue Jiang |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1891291068 PECOS PAC ID: 9436512233 Enrollment ID: I20230828000298 |
| Provider Name | Lindsey J Moore |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508542879 PECOS PAC ID: 5193188902 Enrollment ID: I20230828000669 |
| Provider Name | Parth Ashok Shah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275092025 PECOS PAC ID: 0840526471 Enrollment ID: I20230829000220 |
| Provider Name | Shiva Naidoo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912523705 PECOS PAC ID: 1557734969 Enrollment ID: I20230829000521 |
| Provider Name | Anthony Albert Capozucca |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124718911 PECOS PAC ID: 9931562592 Enrollment ID: I20230829004546 |
| Provider Name | Diego A Lozano |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1184184921 PECOS PAC ID: 3173986684 Enrollment ID: I20230831001926 |
| Provider Name | Shaohua Xu |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1881156545 PECOS PAC ID: 6901132604 Enrollment ID: I20230901001084 |
| Provider Name | Morgan Nickerson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1477073724 PECOS PAC ID: 1052775152 Enrollment ID: I20230907002835 |
| Provider Name | Sharon Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093493678 PECOS PAC ID: 3072977131 Enrollment ID: I20230908000949 |
| Provider Name | Kristena Yossef |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1275162018 PECOS PAC ID: 4082078159 Enrollment ID: I20230908001444 |
| Provider Name | Krysta Smith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760164081 PECOS PAC ID: 8527422435 Enrollment ID: I20230912000045 |
| Provider Name | Griffin Becker |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184163594 PECOS PAC ID: 6406126416 Enrollment ID: I20230912001940 |
| Provider Name | Aislynn Raymond |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740713445 PECOS PAC ID: 2860856671 Enrollment ID: I20230913000170 |
| Provider Name | Lihua Zou |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821390501 PECOS PAC ID: 9931382058 Enrollment ID: I20230913000593 |
| Provider Name | Katrina Lynn Hetro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144903915 PECOS PAC ID: 7810351632 Enrollment ID: I20230913000677 |
| Provider Name | John Nguyen-lee |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1508244955 PECOS PAC ID: 2567710858 Enrollment ID: I20230913003996 |
| Provider Name | Raza Naseer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225659584 PECOS PAC ID: 0941612121 Enrollment ID: I20230915002459 |
| Provider Name | Shannon Seeland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417573254 PECOS PAC ID: 5496178808 Enrollment ID: I20230915003617 |
| Provider Name | Navin Kumar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255952248 PECOS PAC ID: 6709259989 Enrollment ID: I20230919001456 |
| Provider Name | Ryan Williams |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053097576 PECOS PAC ID: 1759735897 Enrollment ID: I20230924000006 |
| Provider Name | Youck Jen Siu Navarro |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538698113 PECOS PAC ID: 1557715554 Enrollment ID: I20230925002898 |
| Provider Name | Spencer Strobel |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1538620224 PECOS PAC ID: 6709113830 Enrollment ID: I20230926003897 |
| Provider Name | Jennifer Collins |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1407201601 PECOS PAC ID: 7416294418 Enrollment ID: I20230929001996 |
| Provider Name | Lucas Murray |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1700318201 PECOS PAC ID: 7012251903 Enrollment ID: I20231002003166 |
| Provider Name | Vipul Gidwani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235649948 PECOS PAC ID: 2365864691 Enrollment ID: I20231002003528 |
| Provider Name | Gunbir Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972126167 PECOS PAC ID: 9739534926 Enrollment ID: I20231007000510 |
| Provider Name | Danielle Reilly |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891132635 PECOS PAC ID: 4486885902 Enrollment ID: I20231009000456 |
| Provider Name | Ambreen Shahzadi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154945434 PECOS PAC ID: 0143675363 Enrollment ID: I20231009001153 |
| Provider Name | Brendan Steele |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265061865 PECOS PAC ID: 4981027273 Enrollment ID: I20231012000849 |
| Provider Name | Farnaz Tahmasebi |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1538249024 PECOS PAC ID: 4688778822 Enrollment ID: I20231014000404 |
| Provider Name | Michelle Bridget Byrne |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1063625614 PECOS PAC ID: 9931232071 Enrollment ID: I20231016000355 |
| Provider Name | Sheila Drnec |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659661999 PECOS PAC ID: 4880981786 Enrollment ID: I20231029000015 |
| Provider Name | Shawn Tredinnick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194456541 PECOS PAC ID: 9436525599 Enrollment ID: I20231030002905 |
| Provider Name | Victor Essien Uko |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639348832 PECOS PAC ID: 0547424376 Enrollment ID: I20231031003473 |
| Provider Name | Candice Megan Townsend |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1437850393 PECOS PAC ID: 1153778345 Enrollment ID: I20231109001424 |
| Provider Name | Kamran Husain |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1083858740 PECOS PAC ID: 5193940179 Enrollment ID: I20231118000326 |
| Provider Name | Arjun Mainali |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194337162 PECOS PAC ID: 5698136588 Enrollment ID: I20231123000139 |
| Provider Name | Liane Mae Bacon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699475517 PECOS PAC ID: 8729436985 Enrollment ID: I20231128002864 |
| Provider Name | Irene Lynn Rodgers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922871201 PECOS PAC ID: 0749638849 Enrollment ID: I20231130000897 |
| Provider Name | Scharri Richmond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063968535 PECOS PAC ID: 9931449352 Enrollment ID: I20231201000193 |
| Provider Name | Zakari Aliyu Suleiman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982480539 PECOS PAC ID: 1850749797 Enrollment ID: I20231202000498 |
| Provider Name | Ashish Thapa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013529775 PECOS PAC ID: 4183085095 Enrollment ID: I20231203000055 |
| Provider Name | Iara De Albuquerque Lacerda |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1457887242 PECOS PAC ID: 3072961879 Enrollment ID: I20231204001952 |
| Provider Name | Laryssa N Loncar |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1346738598 PECOS PAC ID: 7810243276 Enrollment ID: I20231206000015 |
| Provider Name | Conway Yee |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1427091966 PECOS PAC ID: 3476445123 Enrollment ID: I20231208001787 |
| Provider Name | Sruti Golthi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1629506118 PECOS PAC ID: 4981072162 Enrollment ID: I20231213001036 |
| Provider Name | Victoria Elizabeth Boyd |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528528346 PECOS PAC ID: 2264768605 Enrollment ID: I20231214000012 |
| Provider Name | Scott Peters |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1134512171 PECOS PAC ID: 9931444908 Enrollment ID: I20240103001063 |
| Provider Name | Allix Hillebrand |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003375973 PECOS PAC ID: 5496083735 Enrollment ID: I20240105002466 |
| Provider Name | Amanda M Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629703368 PECOS PAC ID: 7618349937 Enrollment ID: I20240119001420 |
| Provider Name | Mckenna Renee Mera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699548388 PECOS PAC ID: 9335592906 Enrollment ID: I20240130003706 |
| Provider Name | Christopher Hall |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780905091 PECOS PAC ID: 7517213473 Enrollment ID: I20240305001238 |
| Provider Name | George C Metz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700576485 PECOS PAC ID: 0941646004 Enrollment ID: I20240312000032 |
| Provider Name | Yelena Kozirovsky |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003108085 PECOS PAC ID: 6002171329 Enrollment ID: I20240319003628 |
| Provider Name | Anna Meyers |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1588340418 PECOS PAC ID: 5193162261 Enrollment ID: I20240325002682 |
| Provider Name | Katie Stump |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538933981 PECOS PAC ID: 9234577578 Enrollment ID: I20240404003039 |
| Provider Name | Roshan Bisural |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063025625 PECOS PAC ID: 7911368832 Enrollment ID: I20240510003051 |
Lock Haven Medical Center Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 930 Bellefonte Ave, Suite 105, Lock Haven, PA 17745 Phone: 570-748-1550 Fax: 570-748-1510 | |
River Valley Health & Dental Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 124 E Walnut St Ste 2, Lock Haven, PA 17745 Phone: 570-567-5422 | |
Pleasant Valley Family Medicine P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 401 High St, Lock Haven, PA 17745 Phone: 570-748-7400 Fax: 570-748-8004 | |
Lock Haven Clinic Company, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 24 Cree Dr, Lock Haven, PA 17745 Phone: 570-893-5330 | |
Keystone Gi Consultants Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1019 Oriole Cir S, Lock Haven, PA 17745 Phone: 570-660-1203 | |
Geisinger Jersey Shore Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 529 High St, Lock Haven, PA 17745 Phone: 570-748-8038 Fax: 570-748-0323 |