| General Physician, Pc | |
|
3898 Vineyard Dr Dunkirk NY 14048-3559 | |
| (716) 692-3302 | |
| Not Available |
| Full Name | General Physician, Pc |
|---|---|
| Speciality | General Practice |
| Location | 3898 Vineyard Dr, Dunkirk, New York |
| Authorized Official Name and Position | Michael Mineo (DIRECTOR) |
| Authorized Official Contact | 7168598831 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| General Physician, Pc Po Box 488 Buffalo NY 14240-0488 Ph: (203) 944-1940 | General Physician, Pc 3898 Vineyard Dr Dunkirk NY 14048-3559 Ph: (716) 692-3302 |
| NPI Number | 1093959322 |
|---|---|
| Provider Enumeration Date | 04/30/2009 |
| Last Update Date | 12/14/2022 |
| Medicare PECOS PAC ID | 9537213079 |
|---|---|
| Medicare Enrollment ID | O20090818000154 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093959322 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Lynn-marie Aronica |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952374050 PECOS PAC ID: 4880591676 Enrollment ID: I20031218000691 |
| Provider Name | Marybeth H Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396789517 PECOS PAC ID: 9133014434 Enrollment ID: I20040217000081 |
| Provider Name | Judith Ortman Nabi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699731141 PECOS PAC ID: 2365334646 Enrollment ID: I20040330000356 |
| Provider Name | Diana Vakante Jankovic |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457330623 PECOS PAC ID: 7618969486 Enrollment ID: I20040401000204 |
| Provider Name | Thomas J Madejski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356318992 PECOS PAC ID: 8729071451 Enrollment ID: I20040412000126 |
| Provider Name | Allyn M Norman |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1568420925 PECOS PAC ID: 2668461468 Enrollment ID: I20040507000667 |
| Provider Name | Jehad A Miqdadi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1396724357 PECOS PAC ID: 7214926914 Enrollment ID: I20040508000021 |
| Provider Name | Christopher A Michaeles |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1225060684 PECOS PAC ID: 0244229839 Enrollment ID: I20040510000271 |
| Provider Name | Leslie Lehmann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801962329 PECOS PAC ID: 0143219576 Enrollment ID: I20040510001448 |
| Provider Name | Michael J Chaskes |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1215971395 PECOS PAC ID: 6507755824 Enrollment ID: I20040512000714 |
| Provider Name | Gregg A Nuessle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699837450 PECOS PAC ID: 2668462995 Enrollment ID: I20040517001411 |
| Provider Name | Vijay S Iyer |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1114947272 PECOS PAC ID: 7012998545 Enrollment ID: I20040528000980 |
| Provider Name | Ranjan Bhayana |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366407173 PECOS PAC ID: 8921081696 Enrollment ID: I20040611001398 |
| Provider Name | Edward J Spangenthal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285615047 PECOS PAC ID: 0648254987 Enrollment ID: I20040615001113 |
| Provider Name | Joseph P Falcone |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1366449332 PECOS PAC ID: 7113907528 Enrollment ID: I20040724000167 |
| Provider Name | Celestino Pietrantoni |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1689658312 PECOS PAC ID: 1658345392 Enrollment ID: I20040819001324 |
| Provider Name | Amy W Jones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316929086 PECOS PAC ID: 3779558176 Enrollment ID: I20040831000020 |
| Provider Name | Farid Berenji |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1699783324 PECOS PAC ID: 2769458272 Enrollment ID: I20040907000752 |
| Provider Name | Elizabeth Schmand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356308845 PECOS PAC ID: 1355318759 Enrollment ID: I20040915000243 |
| Provider Name | Jeanette L Figueroa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710972245 PECOS PAC ID: 6305813692 Enrollment ID: I20040915000910 |
| Provider Name | Thomas P Smith |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205996980 PECOS PAC ID: 5991773905 Enrollment ID: I20040917000799 |
| Provider Name | Jeffrey J Visco |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1902885601 PECOS PAC ID: 9032187620 Enrollment ID: I20040921001160 |
| Provider Name | John M Canty |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609824036 PECOS PAC ID: 4981663226 Enrollment ID: I20041004000612 |
| Provider Name | Nisha Sharma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932103769 PECOS PAC ID: 9234198227 Enrollment ID: I20041006000183 |
| Provider Name | Jonathan T Sweeney |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073572467 PECOS PAC ID: 6608835285 Enrollment ID: I20041008000370 |
| Provider Name | Catherine M Falkner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174679880 PECOS PAC ID: 3072578921 Enrollment ID: I20041119001006 |
| Provider Name | Jeffrey C Constantine |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467431429 PECOS PAC ID: 6507814720 Enrollment ID: I20050105000724 |
| Provider Name | Philip R Sullivan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1538234661 PECOS PAC ID: 9537119052 Enrollment ID: I20050124000858 |
| Provider Name | Nancy A Savoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215995808 PECOS PAC ID: 4385693290 Enrollment ID: I20050127000179 |
| Provider Name | Jeffrey W Berndtson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457340689 PECOS PAC ID: 1456300029 Enrollment ID: I20050127000399 |
| Provider Name | Sheila M Pace |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1720045065 PECOS PAC ID: 8224088828 Enrollment ID: I20050204000470 |
| Provider Name | Mary A Mclellan-desai |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841257177 PECOS PAC ID: 5395795991 Enrollment ID: I20050204000498 |
| Provider Name | S Elaine Panzica |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376516195 PECOS PAC ID: 4385695378 Enrollment ID: I20050208000106 |
| Provider Name | Susan P Graham |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1871608398 PECOS PAC ID: 1456302298 Enrollment ID: I20050209000244 |
| Provider Name | Kelly A Pietrzak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063572378 PECOS PAC ID: 8325092869 Enrollment ID: I20050310000143 |
| Provider Name | Esfandiar Mafi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780656447 PECOS PAC ID: 7416902481 Enrollment ID: I20050314000415 |
| Provider Name | Frederick J Piwko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639196421 PECOS PAC ID: 0345295945 Enrollment ID: I20050407000184 |
| Provider Name | Jai G Wadhwani |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1124054671 PECOS PAC ID: 8123067055 Enrollment ID: I20050429000013 |
| Provider Name | David E Carlson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1710942859 PECOS PAC ID: 9436191368 Enrollment ID: I20050601000468 |
| Provider Name | Lisa A Durandetto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366408775 PECOS PAC ID: 1153363098 Enrollment ID: I20050601000570 |
| Provider Name | Brian J Riegel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1992788657 PECOS PAC ID: 9931143021 Enrollment ID: I20050620000692 |
| Provider Name | James G Lampasso |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1902889090 PECOS PAC ID: 0941259568 Enrollment ID: I20050620000816 |
| Provider Name | Thomas Francis Hughes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518928290 PECOS PAC ID: 4385547595 Enrollment ID: I20050623000579 |
| Provider Name | Elizabeth A O Neill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346204377 PECOS PAC ID: 0446295950 Enrollment ID: I20050624000852 |
| Provider Name | Marcus R Romanowski |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1265469126 PECOS PAC ID: 8325009087 Enrollment ID: I20050712000448 |
| Provider Name | Mohammad Fayyaz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1992731616 PECOS PAC ID: 2264462183 Enrollment ID: I20050819000249 |
| Provider Name | Paul D Paterson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1235114349 PECOS PAC ID: 2860422607 Enrollment ID: I20050822000290 |
| Provider Name | Virginia M Hart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235145905 PECOS PAC ID: 6406881523 Enrollment ID: I20050928000270 |
| Provider Name | Robert P Gatewood |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1215915681 PECOS PAC ID: 7810978327 Enrollment ID: I20050929000978 |
| Provider Name | Priscilla K Dale |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194725275 PECOS PAC ID: 2961437793 Enrollment ID: I20050930000049 |
| Provider Name | Karen W Manning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114909066 PECOS PAC ID: 6507891082 Enrollment ID: I20051004000351 |
| Provider Name | Michele A Potempa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023072055 PECOS PAC ID: 7214910629 Enrollment ID: I20051017000785 |
| Provider Name | Dawn M Dolan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871549048 PECOS PAC ID: 3779476817 Enrollment ID: I20051018000095 |
| Provider Name | William R Kuehnling |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255337705 PECOS PAC ID: 5496771586 Enrollment ID: I20051018000886 |
| Provider Name | Margaret M Eberl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669466843 PECOS PAC ID: 0941227417 Enrollment ID: I20051025000414 |
| Provider Name | Gretchen Tower |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538177910 PECOS PAC ID: 5991725541 Enrollment ID: I20051129000328 |
| Provider Name | Joseph Gomez |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750304036 PECOS PAC ID: 1850312760 Enrollment ID: I20051207000603 |
| Provider Name | Marion R Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255381786 PECOS PAC ID: 8224050091 Enrollment ID: I20051221000099 |
| Provider Name | Laurie T Alexander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235180621 PECOS PAC ID: 3476575242 Enrollment ID: I20051221000119 |
| Provider Name | George T Danakas |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164487385 PECOS PAC ID: 3072562461 Enrollment ID: I20051221000138 |
| Provider Name | Gil M Farkash |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871599381 PECOS PAC ID: 4981618782 Enrollment ID: I20060201000152 |
| Provider Name | Suchitra Koneru |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336170729 PECOS PAC ID: 6709785488 Enrollment ID: I20060224000275 |
| Provider Name | Chee H Kim |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1013974245 PECOS PAC ID: 3072553536 Enrollment ID: I20060403000185 |
| Provider Name | Nicole R Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245262955 PECOS PAC ID: 8123036118 Enrollment ID: I20060403000382 |
| Provider Name | Mandip Panesar |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1164471959 PECOS PAC ID: 1456363928 Enrollment ID: I20060629000113 |
| Provider Name | Michael D Banas |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1447283288 PECOS PAC ID: 7113920802 Enrollment ID: I20060818000268 |
| Provider Name | Mary P Whistler-andrews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265433759 PECOS PAC ID: 3971505520 Enrollment ID: I20070209000530 |
| Provider Name | Indra Tambar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992771794 PECOS PAC ID: 1951403021 Enrollment ID: I20070220000241 |
| Provider Name | Deborah Wydysh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184722415 PECOS PAC ID: 3971607185 Enrollment ID: I20070328000309 |
| Provider Name | Eileen Daetsch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477644508 PECOS PAC ID: 0840394946 Enrollment ID: I20070329000418 |
| Provider Name | Thomas J Cumbo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396737532 PECOS PAC ID: 7416052972 Enrollment ID: I20070412000244 |
| Provider Name | Jennifer Joy Axtell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346358983 PECOS PAC ID: 9436254851 Enrollment ID: I20070413000226 |
| Provider Name | Christopher Schaeffer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265404982 PECOS PAC ID: 2668577974 Enrollment ID: I20070416000286 |
| Provider Name | Patrick T Hurley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942245923 PECOS PAC ID: 8820195316 Enrollment ID: I20070517000339 |
| Provider Name | Christine M Schonour |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285692483 PECOS PAC ID: 7719085851 Enrollment ID: I20070613000249 |
| Provider Name | James G Corasanti |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1750347068 PECOS PAC ID: 6901703768 Enrollment ID: I20070703000234 |
| Provider Name | Cathleen A Seebald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346223112 PECOS PAC ID: 9739289562 Enrollment ID: I20070710000335 |
| Provider Name | Charlene L Conley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861456758 PECOS PAC ID: 0143311506 Enrollment ID: I20070814000658 |
| Provider Name | Kelly A Marotta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881730489 PECOS PAC ID: 4587756564 Enrollment ID: I20070822000824 |
| Provider Name | Collins O Osula |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831169432 PECOS PAC ID: 9931292778 Enrollment ID: I20070910000678 |
| Provider Name | Randall B Sam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487683769 PECOS PAC ID: 5890889448 Enrollment ID: I20070913000575 |
| Provider Name | Calogero Ippolito |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205803509 PECOS PAC ID: 6002900420 Enrollment ID: I20070917000222 |
| Provider Name | Ashish Bhatia |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1104034545 PECOS PAC ID: 7214021476 Enrollment ID: I20070919000078 |
| Provider Name | Ritu Sood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780883900 PECOS PAC ID: 7416042882 Enrollment ID: I20070929000063 |
| Provider Name | Maritza Y Baez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285849877 PECOS PAC ID: 5698862084 Enrollment ID: I20071101000308 |
| Provider Name | Timothy M. Adams |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649461401 PECOS PAC ID: 0345338166 Enrollment ID: I20071129000559 |
| Provider Name | Nicholas Cromwell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790708626 PECOS PAC ID: 8224127717 Enrollment ID: I20071207000089 |
| Provider Name | Mark A. Falvo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1699966242 PECOS PAC ID: 5294815460 Enrollment ID: I20071231000505 |
| Provider Name | Anthony F Perna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568429330 PECOS PAC ID: 5092604256 Enrollment ID: I20080124000204 |
| Provider Name | Timothy J Giglio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225189640 PECOS PAC ID: 0446332787 Enrollment ID: I20080125000485 |
| Provider Name | Andre A Persaud |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194796482 PECOS PAC ID: 8426130337 Enrollment ID: I20080131000228 |
| Provider Name | Jean Marcaisse Cange |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477512259 PECOS PAC ID: 4082797675 Enrollment ID: I20080205000410 |
| Provider Name | James G Conley |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1083611982 PECOS PAC ID: 2668555251 Enrollment ID: I20080205000485 |
| Provider Name | Thomas R Cimato |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497942809 PECOS PAC ID: 1052494291 Enrollment ID: I20080212000368 |
| Provider Name | John P Visco |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1275582744 PECOS PAC ID: 1557445897 Enrollment ID: I20080226000564 |
| Provider Name | Susan C Erk |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477520203 PECOS PAC ID: 1153408588 Enrollment ID: I20080409000148 |
| Provider Name | Richard T Milazzo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487605150 PECOS PAC ID: 4284728478 Enrollment ID: I20080415000049 |
| Provider Name | Ashokkumar J Kothari |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1265431332 PECOS PAC ID: 3870671159 Enrollment ID: I20080428000310 |
| Provider Name | Stephen Scrivani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720088081 PECOS PAC ID: 1557430634 Enrollment ID: I20080515000126 |
| Provider Name | Karen F Giardino |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1023175361 PECOS PAC ID: 1658440037 Enrollment ID: I20080527000725 |
| Provider Name | Jeffrey Neu |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1184608911 PECOS PAC ID: 8022067644 Enrollment ID: I20080627000338 |
| Provider Name | Valerie Burkhard |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1275709164 PECOS PAC ID: 1153494638 Enrollment ID: I20080716000407 |
| Provider Name | Paul L. Ogburn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992706923 PECOS PAC ID: 6002981610 Enrollment ID: I20080815000650 |
| Provider Name | Steven M Barone |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1447407036 PECOS PAC ID: 7315007283 Enrollment ID: I20081121000463 |
| Provider Name | Julie Szumigala |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659374023 PECOS PAC ID: 4486678166 Enrollment ID: I20090210000021 |
| Provider Name | Marylou C Scholl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962561399 PECOS PAC ID: 6002963436 Enrollment ID: I20090422000005 |
| Provider Name | Roberto Pili |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1669419867 PECOS PAC ID: 9931257169 Enrollment ID: I20090428000289 |
| Provider Name | Brian J Page |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700028933 PECOS PAC ID: 1850441668 Enrollment ID: I20090616000456 |
| Provider Name | Brian G Smith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528051596 PECOS PAC ID: 3274633813 Enrollment ID: I20090729000262 |
| Provider Name | Carlos Santos |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275526246 PECOS PAC ID: 9537269089 Enrollment ID: I20090806000465 |
| Provider Name | Carmen Todoro |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245223437 PECOS PAC ID: 6406956044 Enrollment ID: I20090806000543 |
| Provider Name | Tat S Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477500304 PECOS PAC ID: 0143299883 Enrollment ID: I20090910000129 |
| Provider Name | Michele L Elia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114170651 PECOS PAC ID: 7618023185 Enrollment ID: I20090924000493 |
| Provider Name | Azher Iqbal |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1467476291 PECOS PAC ID: 4688713563 Enrollment ID: I20091207000179 |
| Provider Name | Jennifer Cathcart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669700209 PECOS PAC ID: 5496897068 Enrollment ID: I20100120000151 |
| Provider Name | Ericaann J Patino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619983434 PECOS PAC ID: 5698817203 Enrollment ID: I20100121000600 |
| Provider Name | Clifford C Pyne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245306729 PECOS PAC ID: 6901949031 Enrollment ID: I20100211000238 |
| Provider Name | Philip Swiantek |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1013966696 PECOS PAC ID: 9931242062 Enrollment ID: I20100211000302 |
| Provider Name | Donald F Switzer |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1326098112 PECOS PAC ID: 1759463284 Enrollment ID: I20100217000005 |
| Provider Name | William M Morris |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1538127923 PECOS PAC ID: 0143365361 Enrollment ID: I20100226000492 |
| Provider Name | Eli R Farhi |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1932166709 PECOS PAC ID: 7911042098 Enrollment ID: I20100301000198 |
| Provider Name | August Andrew Bruno |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013996131 PECOS PAC ID: 5991840068 Enrollment ID: I20100302000174 |
| Provider Name | Richard E Charles |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588629216 PECOS PAC ID: 3274678750 Enrollment ID: I20100309000186 |
| Provider Name | Mofid N Khalil Ibrahim |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1770645012 PECOS PAC ID: 7113913435 Enrollment ID: I20100323000850 |
| Provider Name | Thomas R Mcternan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336242387 PECOS PAC ID: 0547396392 Enrollment ID: I20100331000255 |
| Provider Name | Amy L Damiani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174626170 PECOS PAC ID: 8224164082 Enrollment ID: I20100331000397 |
| Provider Name | Brenda A Mrkall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205067931 PECOS PAC ID: 8820125230 Enrollment ID: I20100415000930 |
| Provider Name | George E Matthews |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1184607848 PECOS PAC ID: 5395794911 Enrollment ID: I20100415000958 |
| Provider Name | Kim M Ferrucci |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578579579 PECOS PAC ID: 2769510874 Enrollment ID: I20100511000856 |
| Provider Name | Jeremiah O Sullivan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104893833 PECOS PAC ID: 3274663935 Enrollment ID: I20100608000130 |
| Provider Name | Nadeem U Haq |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1790729820 PECOS PAC ID: 3971522368 Enrollment ID: I20100609000204 |
| Provider Name | Joseph Cardamone |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1912934811 PECOS PAC ID: 1153231584 Enrollment ID: I20100623000839 |
| Provider Name | Kevin G Cleary |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831156447 PECOS PAC ID: 5294648473 Enrollment ID: I20100630000000 |
| Provider Name | Evan Evans |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1285617431 PECOS PAC ID: 4688707631 Enrollment ID: I20100728000664 |
| Provider Name | Mary E Earl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962424226 PECOS PAC ID: 4486787108 Enrollment ID: I20100802000851 |
| Provider Name | Cindy R Romanowski |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1952338873 PECOS PAC ID: 4688635345 Enrollment ID: I20100816000728 |
| Provider Name | Kishor V. Phadke |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205840162 PECOS PAC ID: 5496889131 Enrollment ID: I20100817000167 |
| Provider Name | Judy A Wesolowski |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528042108 PECOS PAC ID: 8921024993 Enrollment ID: I20100823000243 |
| Provider Name | Susan Delong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548223076 PECOS PAC ID: 9436273034 Enrollment ID: I20100903000367 |
| Provider Name | Lisa A Daye |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1083673693 PECOS PAC ID: 8426173311 Enrollment ID: I20100915001019 |
| Provider Name | David Marchetti |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1528042835 PECOS PAC ID: 4880774165 Enrollment ID: I20100921000031 |
| Provider Name | Jay M Bolnick |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104815679 PECOS PAC ID: 5395762439 Enrollment ID: I20101007000087 |
| Provider Name | Deborah Kay Lavin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720099336 PECOS PAC ID: 5092907071 Enrollment ID: I20101008000536 |
| Provider Name | Donna Marie Steinwachs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386644540 PECOS PAC ID: 2860685047 Enrollment ID: I20101020000623 |
| Provider Name | Theodore G Costich |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245331818 PECOS PAC ID: 7517965585 Enrollment ID: I20101105000565 |
| Provider Name | Afshan Samad |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275844540 PECOS PAC ID: 3274728639 Enrollment ID: I20101110001225 |
| Provider Name | Stanley F Fernandez |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1245560119 PECOS PAC ID: 8820285109 Enrollment ID: I20101213000690 |
| Provider Name | Thomas I Dilamarter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023030251 PECOS PAC ID: 1355539412 Enrollment ID: I20101216000573 |
| Provider Name | Jerome M Rutowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780996769 PECOS PAC ID: 3971791567 Enrollment ID: I20101227000158 |
| Provider Name | Michael Christopher Moore |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1700957727 PECOS PAC ID: 6305034539 Enrollment ID: I20110103000584 |
| Provider Name | John Henry Lalor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841381845 PECOS PAC ID: 4789873746 Enrollment ID: I20110106001042 |
| Provider Name | Gerald H Colern |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396057931 PECOS PAC ID: 5597954263 Enrollment ID: I20110111000716 |
| Provider Name | Christian D Lates |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649279191 PECOS PAC ID: 9234318254 Enrollment ID: I20110124000604 |
| Provider Name | Nadezhda Danilovich |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316077878 PECOS PAC ID: 7315128519 Enrollment ID: I20110222000194 |
| Provider Name | Loubert S Suddaby |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1609869783 PECOS PAC ID: 4688569841 Enrollment ID: I20110329000404 |
| Provider Name | Ronald Merino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386957587 PECOS PAC ID: 9931383627 Enrollment ID: I20110404000735 |
| Provider Name | Steven C Herrmann |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518913763 PECOS PAC ID: 1254392871 Enrollment ID: I20110407000580 |
| Provider Name | Coleen M Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588981575 PECOS PAC ID: 6901081751 Enrollment ID: I20110421000383 |
| Provider Name | Roseann Boswell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578529871 PECOS PAC ID: 0042495483 Enrollment ID: I20110428000049 |
| Provider Name | Anne B Curtis |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1245275445 PECOS PAC ID: 9830144153 Enrollment ID: I20110428000382 |
| Provider Name | Joanne Q Chmura |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982653960 PECOS PAC ID: 0749465060 Enrollment ID: I20110503000008 |
| Provider Name | Ihab M Shafik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225038581 PECOS PAC ID: 3476739236 Enrollment ID: I20110512000738 |
| Provider Name | Lawrence T Sinatra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942200209 PECOS PAC ID: 4082692892 Enrollment ID: I20110512000838 |
| Provider Name | Michael Thomas Doldan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457686347 PECOS PAC ID: 6901082676 Enrollment ID: I20110513000018 |
| Provider Name | Jennifer Rojek |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568602209 PECOS PAC ID: 5799963039 Enrollment ID: I20110711000080 |
| Provider Name | Priyanka Patnaik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932360799 PECOS PAC ID: 5890963755 Enrollment ID: I20110719000817 |
| Provider Name | Sara M Mckenica |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578857132 PECOS PAC ID: 3577733054 Enrollment ID: I20110822000080 |
| Provider Name | Victor J Vacanti |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1558522268 PECOS PAC ID: 6002086287 Enrollment ID: I20110825000286 |
| Provider Name | Haider A Khadim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174788541 PECOS PAC ID: 2163692351 Enrollment ID: I20110825000439 |
| Provider Name | Leia K Ince-mercer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962666107 PECOS PAC ID: 8628248630 Enrollment ID: I20110831000233 |
| Provider Name | Reza Banifatemi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205884533 PECOS PAC ID: 9638128051 Enrollment ID: I20110915000605 |
| Provider Name | Kelly L Vargo |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1104899418 PECOS PAC ID: 9436320363 Enrollment ID: I20110926000039 |
| Provider Name | Kimberly C Mecca |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1457325979 PECOS PAC ID: 3971774803 Enrollment ID: I20110926000057 |
| Provider Name | Marcelino Dsouza |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790899458 PECOS PAC ID: 8729250345 Enrollment ID: I20111004000239 |
| Provider Name | Anne C Banas |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1255650842 PECOS PAC ID: 8820262561 Enrollment ID: I20111115000795 |
| Provider Name | Syed E Haq |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467431296 PECOS PAC ID: 0345414819 Enrollment ID: I20111118000014 |
| Provider Name | Angelo J Campagna |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508821638 PECOS PAC ID: 5193769651 Enrollment ID: I20111121000000 |
| Provider Name | Carolyn S Doyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598720815 PECOS PAC ID: 6002095593 Enrollment ID: I20111214001018 |
| Provider Name | Douglas D Hage |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538113873 PECOS PAC ID: 7416934948 Enrollment ID: I20120112000538 |
| Provider Name | Sangeeta Gupta |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952537151 PECOS PAC ID: 5991972770 Enrollment ID: I20120119000087 |
| Provider Name | Henry E Reyes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144456880 PECOS PAC ID: 8729255526 Enrollment ID: I20120119000289 |
| Provider Name | Laraine Marie Wende |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336424472 PECOS PAC ID: 4183891591 Enrollment ID: I20120125000266 |
| Provider Name | Kelly Cardamone |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1417120833 PECOS PAC ID: 3779742952 Enrollment ID: I20120307000451 |
| Provider Name | Barbara J Spatafora |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376828848 PECOS PAC ID: 8628238417 Enrollment ID: I20120403000002 |
| Provider Name | Susan T Giardino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568564037 PECOS PAC ID: 5597927681 Enrollment ID: I20120508000027 |
| Provider Name | Sachin Wadhawan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700023579 PECOS PAC ID: 2668638214 Enrollment ID: I20120725000888 |
| Provider Name | Stacey N Akers |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1639204829 PECOS PAC ID: 9830281252 Enrollment ID: I20120813000249 |
| Provider Name | Laura Louise Ford-mukkamala |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1306950001 PECOS PAC ID: 8729977632 Enrollment ID: I20120824000066 |
| Provider Name | Rosemary E Hansen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548534001 PECOS PAC ID: 6406003227 Enrollment ID: I20120830000396 |
| Provider Name | Courtney G Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467717454 PECOS PAC ID: 9739336405 Enrollment ID: I20120831000221 |
| Provider Name | Virginia K Bond |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881853695 PECOS PAC ID: 5395994362 Enrollment ID: I20121008000095 |
| Provider Name | Stefanie B Tubin |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1851645485 PECOS PAC ID: 3678724804 Enrollment ID: I20121115000238 |
| Provider Name | Christine M Klemp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558617803 PECOS PAC ID: 1456503630 Enrollment ID: I20121217000038 |
| Provider Name | Marcia Shiel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760596787 PECOS PAC ID: 7618121971 Enrollment ID: I20130214000190 |
| Provider Name | Linda Marie Fuller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609045343 PECOS PAC ID: 0345486676 Enrollment ID: I20130411000318 |
| Provider Name | Alan D Bolnick |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629074901 PECOS PAC ID: 0143204693 Enrollment ID: I20130502000137 |
| Provider Name | Emma Lee Harrington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316200348 PECOS PAC ID: 6406002757 Enrollment ID: I20130619000436 |
| Provider Name | Brian A. Herbst |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538486576 PECOS PAC ID: 0648419853 Enrollment ID: I20130619000641 |
| Provider Name | Armen A Kirakosyan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043489586 PECOS PAC ID: 5799978441 Enrollment ID: I20130813000641 |
| Provider Name | Laura J Rayner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467695262 PECOS PAC ID: 2062655913 Enrollment ID: I20130826000502 |
| Provider Name | Jennie L Dembski |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477757425 PECOS PAC ID: 3779726328 Enrollment ID: I20130829000157 |
| Provider Name | Umesh C Sharma |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366605800 PECOS PAC ID: 4789853300 Enrollment ID: I20130906000285 |
| Provider Name | Michael P Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508005299 PECOS PAC ID: 8022242320 Enrollment ID: I20130927000315 |
| Provider Name | Christopher Mallavarapu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1649273715 PECOS PAC ID: 5991695934 Enrollment ID: I20131009002222 |
| Provider Name | Alexander Eswar |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679714562 PECOS PAC ID: 2961636360 Enrollment ID: I20131017000571 |
| Provider Name | Michael G Beckwith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295999308 PECOS PAC ID: 3476628066 Enrollment ID: I20131029001855 |
| Provider Name | Renee L Hansen |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1912337718 PECOS PAC ID: 8325276371 Enrollment ID: I20140121000248 |
| Provider Name | Sharon B Hughes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790118826 PECOS PAC ID: 8022246883 Enrollment ID: I20140124001099 |
| Provider Name | Adele M Whitted |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548693724 PECOS PAC ID: 7911136601 Enrollment ID: I20140129000030 |
| Provider Name | Susan J Littler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265502546 PECOS PAC ID: 5890689467 Enrollment ID: I20140430000788 |
| Provider Name | David M Zlotnick |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366548364 PECOS PAC ID: 2466693684 Enrollment ID: I20140627002172 |
| Provider Name | John F Redmond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134531023 PECOS PAC ID: 6406071752 Enrollment ID: I20140701000440 |
| Provider Name | Rohini D Thodge |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003026147 PECOS PAC ID: 8921224577 Enrollment ID: I20140717000914 |
| Provider Name | Michele M Battista-hodge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386650570 PECOS PAC ID: 3274762273 Enrollment ID: I20140723002403 |
| Provider Name | Saurabh Malhotra |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1033304431 PECOS PAC ID: 4789849159 Enrollment ID: I20140724001506 |
| Provider Name | Jennifer A Yerke Mcnamara |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821357674 PECOS PAC ID: 8224254057 Enrollment ID: I20140730002540 |
| Provider Name | Jamie Szczepanski |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376862383 PECOS PAC ID: 9436377264 Enrollment ID: I20140820000954 |
| Provider Name | Shaveta Malik |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154632966 PECOS PAC ID: 8426276601 Enrollment ID: I20140829001740 |
| Provider Name | Paula M Leszak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982018388 PECOS PAC ID: 4981823895 Enrollment ID: I20140908001805 |
| Provider Name | Gavin M Davison |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487898482 PECOS PAC ID: 7214157460 Enrollment ID: I20141010000200 |
| Provider Name | Sameer Waheed |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1225311095 PECOS PAC ID: 4284856147 Enrollment ID: I20141107001430 |
| Provider Name | Herbert Duvivier |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1710982731 PECOS PAC ID: 6800889742 Enrollment ID: I20141120000614 |
| Provider Name | Paul E Shields |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508861949 PECOS PAC ID: 9335193515 Enrollment ID: I20141126000390 |
| Provider Name | Ashley D Kremer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548569031 PECOS PAC ID: 2264757194 Enrollment ID: I20150217000268 |
| Provider Name | Kathleen Patricia King |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235459066 PECOS PAC ID: 3870623770 Enrollment ID: I20150323000901 |
| Provider Name | Teresa M Snyder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033513411 PECOS PAC ID: 2860719812 Enrollment ID: I20150331002728 |
| Provider Name | Matthew J George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306251400 PECOS PAC ID: 9739408865 Enrollment ID: I20150512000816 |
| Provider Name | James I Youssef |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417273152 PECOS PAC ID: 7911228424 Enrollment ID: I20150610000092 |
| Provider Name | Fallon Harrington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487048427 PECOS PAC ID: 5092026468 Enrollment ID: I20150625002624 |
| Provider Name | Amber H Krol |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952501496 PECOS PAC ID: 2163575903 Enrollment ID: I20150713002153 |
| Provider Name | Jennifer K Lang |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1487897062 PECOS PAC ID: 3678886348 Enrollment ID: I20150723009136 |
| Provider Name | Matthew J Hudson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1801058565 PECOS PAC ID: 8921270646 Enrollment ID: I20150810002581 |
| Provider Name | Sita Lakshmi Akkinepally |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225372691 PECOS PAC ID: 2961718036 Enrollment ID: I20150903002213 |
| Provider Name | Laura E Kuczmanski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184023855 PECOS PAC ID: 9032429667 Enrollment ID: I20151110001864 |
| Provider Name | Kristen Ritter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194100677 PECOS PAC ID: 0143520171 Enrollment ID: I20151124001269 |
| Provider Name | Ramon E Rivera |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457545600 PECOS PAC ID: 0042307126 Enrollment ID: I20151209001696 |
| Provider Name | Emily Rossiter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285862847 PECOS PAC ID: 7416259403 Enrollment ID: I20160107002444 |
| Provider Name | Heather M Pisano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518330216 PECOS PAC ID: 7214230770 Enrollment ID: I20160118000611 |
| Provider Name | Joseph B Gross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740664093 PECOS PAC ID: 7416250386 Enrollment ID: I20160127000881 |
| Provider Name | Neeta Kohli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720394505 PECOS PAC ID: 0941507057 Enrollment ID: I20160404001728 |
| Provider Name | Maureen Ryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902025943 PECOS PAC ID: 5890094155 Enrollment ID: I20160509001408 |
| Provider Name | Nicole M Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295059301 PECOS PAC ID: 5597921361 Enrollment ID: I20160613002440 |
| Provider Name | Philip J Federio |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1851476477 PECOS PAC ID: 7012809171 Enrollment ID: I20160624000699 |
| Provider Name | Marcy Ann Masyga |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497192330 PECOS PAC ID: 6103057773 Enrollment ID: I20160902000943 |
| Provider Name | Nicholas Patrick Masyga |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033556972 PECOS PAC ID: 9436380011 Enrollment ID: I20160907000347 |
| Provider Name | Brittanny Jo Keeler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164789210 PECOS PAC ID: 9436446788 Enrollment ID: I20160929002201 |
| Provider Name | Maria Ines Aguero Demanunta |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1962858621 PECOS PAC ID: 9638466923 Enrollment ID: I20160930000671 |
| Provider Name | Adam J Norman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235572454 PECOS PAC ID: 6002194222 Enrollment ID: I20161024000087 |
| Provider Name | Vincent C Lee |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689010878 PECOS PAC ID: 9931487170 Enrollment ID: I20161024000714 |
| Provider Name | Julie K Baudo |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1770938383 PECOS PAC ID: 5698056851 Enrollment ID: I20161229001562 |
| Provider Name | Caroline A D' Souza |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164541066 PECOS PAC ID: 3173603354 Enrollment ID: I20170224001420 |
| Provider Name | Kinan Dalal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952619041 PECOS PAC ID: 1153607791 Enrollment ID: I20170413000606 |
| Provider Name | Elisabeth Ann Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376834085 PECOS PAC ID: 4284803511 Enrollment ID: I20170505000380 |
| Provider Name | Tina Marie Ricchiazzi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356880579 PECOS PAC ID: 3577840826 Enrollment ID: I20170515001911 |
| Provider Name | Lauren Steinmetz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447670203 PECOS PAC ID: 4789952920 Enrollment ID: I20170613000519 |
| Provider Name | Ahmad Kadhim |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1386892479 PECOS PAC ID: 5597987503 Enrollment ID: I20170629001415 |
| Provider Name | Joseph D. Mills |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396027207 PECOS PAC ID: 4880965078 Enrollment ID: I20170807001641 |
| Provider Name | Kathleen A Humphrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780939199 PECOS PAC ID: 6507155934 Enrollment ID: I20170807003681 |
| Provider Name | John B Ortolani |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760781330 PECOS PAC ID: 3577797489 Enrollment ID: I20170824000679 |
| Provider Name | Gianna M Mcevoy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366889230 PECOS PAC ID: 1456623446 Enrollment ID: I20170825002603 |
| Provider Name | Lydia Lutkoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366992422 PECOS PAC ID: 2961775846 Enrollment ID: I20170829003359 |
| Provider Name | Dilafruz Usman Elnasser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902344385 PECOS PAC ID: 5597042010 Enrollment ID: I20170928002559 |
| Provider Name | J'leise D Sosa |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376806059 PECOS PAC ID: 3072805589 Enrollment ID: I20171020000501 |
| Provider Name | Keilen L Sam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114442167 PECOS PAC ID: 3173889425 Enrollment ID: I20171102001888 |
| Provider Name | Stephen J Barido |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174040232 PECOS PAC ID: 0941567192 Enrollment ID: I20171127002016 |
| Provider Name | Lucas J Speak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750890919 PECOS PAC ID: 8022375807 Enrollment ID: I20171204000776 |
| Provider Name | Susan C Rajczak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578563995 PECOS PAC ID: 8729370135 Enrollment ID: I20171211002534 |
| Provider Name | Julie P Delellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417469016 PECOS PAC ID: 7719246875 Enrollment ID: I20180117001898 |
| Provider Name | Karrie Kuhn |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1063921419 PECOS PAC ID: 5193086965 Enrollment ID: I20180220000460 |
| Provider Name | Jane M Becht |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629283163 PECOS PAC ID: 3072805985 Enrollment ID: I20180407000005 |
| Provider Name | Csaba Gajdos |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710192083 PECOS PAC ID: 1456443233 Enrollment ID: I20180627002108 |
| Provider Name | Mia R Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689173171 PECOS PAC ID: 5496001422 Enrollment ID: I20180705002770 |
| Provider Name | Heather Grimwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538650890 PECOS PAC ID: 3779839642 Enrollment ID: I20180706001649 |
| Provider Name | Kierann E Toth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346539665 PECOS PAC ID: 7315262961 Enrollment ID: I20180724002671 |
| Provider Name | Sadik Raja Panwar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164613188 PECOS PAC ID: 0345559092 Enrollment ID: I20180814002553 |
| Provider Name | Thomas C Suchy |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1477999456 PECOS PAC ID: 8123377629 Enrollment ID: I20180816001382 |
| Provider Name | Emily Irene Van Buren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508350901 PECOS PAC ID: 7214286582 Enrollment ID: I20180820002061 |
| Provider Name | Samantha J Dombrowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578084307 PECOS PAC ID: 3173880556 Enrollment ID: I20180911000639 |
| Provider Name | Sarah Schmitz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528471414 PECOS PAC ID: 4284984162 Enrollment ID: I20180914000680 |
| Provider Name | Janet M Wysocki Freer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063998607 PECOS PAC ID: 3678824455 Enrollment ID: I20180918000818 |
| Provider Name | Elizabeth Doris Kermis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962814434 PECOS PAC ID: 8921359126 Enrollment ID: I20180927001866 |
| Provider Name | Nicole R Marker Zewe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619251055 PECOS PAC ID: 0345496048 Enrollment ID: I20180928002480 |
| Provider Name | Emily Kastner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629563200 PECOS PAC ID: 2860744083 Enrollment ID: I20181016001760 |
| Provider Name | Anna B Haseley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851879696 PECOS PAC ID: 8426301151 Enrollment ID: I20181026001597 |
| Provider Name | Nitin Verma |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598872731 PECOS PAC ID: 2264439256 Enrollment ID: I20181114002767 |
| Provider Name | Aman Gupta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972881639 PECOS PAC ID: 7416173695 Enrollment ID: I20190206002570 |
| Provider Name | Jonathan David Lechner |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1053329037 PECOS PAC ID: 9335041011 Enrollment ID: I20190213001661 |
| Provider Name | Robert L Seeley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245726249 PECOS PAC ID: 7012256704 Enrollment ID: I20190225000365 |
| Provider Name | Ryane Parsons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215351887 PECOS PAC ID: 7719228659 Enrollment ID: I20190403000610 |
| Provider Name | Michelle M Gilliland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619129764 PECOS PAC ID: 4385985902 Enrollment ID: I20190409001821 |
| Provider Name | Mackenzie E Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437619301 PECOS PAC ID: 5597006692 Enrollment ID: I20190417001486 |
| Provider Name | Sabry Ahmad Omar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1689939910 PECOS PAC ID: 3375868359 Enrollment ID: I20190417002092 |
| Provider Name | Peter E Graham |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1841385226 PECOS PAC ID: 3971501545 Enrollment ID: I20190425000284 |
| Provider Name | Chelsey M Mccabe |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699238998 PECOS PAC ID: 2062746381 Enrollment ID: I20190620000812 |
| Provider Name | Raviinder Mann |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1124381637 PECOS PAC ID: 7911231105 Enrollment ID: I20190621000466 |
| Provider Name | Alexandra L Mikolajek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164080891 PECOS PAC ID: 7517292493 Enrollment ID: I20190715002568 |
| Provider Name | Julianne H Nichols |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1851739460 PECOS PAC ID: 4082933395 Enrollment ID: I20190724001805 |
| Provider Name | Basem Goueli |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1699064089 PECOS PAC ID: 8224288808 Enrollment ID: I20190809000663 |
| Provider Name | Meagen M. Mrugala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114588480 PECOS PAC ID: 9739416991 Enrollment ID: I20190809002001 |
| Provider Name | Upasana Kochhar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205280245 PECOS PAC ID: 3072850353 Enrollment ID: I20190822000477 |
| Provider Name | Amanda Kosior |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518510502 PECOS PAC ID: 2163750175 Enrollment ID: I20190828001565 |
| Provider Name | Mojdeh S Kappus |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1366887960 PECOS PAC ID: 5799013728 Enrollment ID: I20190828002748 |
| Provider Name | Kathryn G Bechmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407418056 PECOS PAC ID: 3072841063 Enrollment ID: I20190829001441 |
| Provider Name | Arthur I Mash |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669835930 PECOS PAC ID: 9234476649 Enrollment ID: I20190905001815 |
| Provider Name | Maxim Mitchell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194175968 PECOS PAC ID: 8820382666 Enrollment ID: I20190905002378 |
| Provider Name | Shanchiya Ravindradas |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1548601446 PECOS PAC ID: 0446557854 Enrollment ID: I20190911001705 |
| Provider Name | Rachel Muroff |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1447811575 PECOS PAC ID: 5698004612 Enrollment ID: I20190917000093 |
| Provider Name | Sultan Mahmood |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1801151907 PECOS PAC ID: 1355564022 Enrollment ID: I20190918000099 |
| Provider Name | Renee E Robel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205481017 PECOS PAC ID: 5395075766 Enrollment ID: I20190927000189 |
| Provider Name | Avani Kanneganti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235585407 PECOS PAC ID: 4587994611 Enrollment ID: I20191002002718 |
| Provider Name | Yaron Perry |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1508013608 PECOS PAC ID: 0648162875 Enrollment ID: I20191008003887 |
| Provider Name | Gregory Marra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275997140 PECOS PAC ID: 1557656873 Enrollment ID: I20191104002130 |
| Provider Name | Rachel Wolniewicz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962053140 PECOS PAC ID: 5294067625 Enrollment ID: I20191104002411 |
| Provider Name | Ravi Sahni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215483581 PECOS PAC ID: 4789016296 Enrollment ID: I20191120002966 |
| Provider Name | Lexi M Smoak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467093468 PECOS PAC ID: 4183056617 Enrollment ID: I20191121000252 |
| Provider Name | Afari Kwesi Dwamena |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558700757 PECOS PAC ID: 3375828932 Enrollment ID: I20191125002252 |
| Provider Name | Mona Pourramazan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790149128 PECOS PAC ID: 4688919939 Enrollment ID: I20191127002033 |
| Provider Name | Geovanny Perez Estrella |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255618906 PECOS PAC ID: 1850514209 Enrollment ID: I20191204001591 |
| Provider Name | Rosh-neke D Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255972386 PECOS PAC ID: 2264866904 Enrollment ID: I20200106000570 |
| Provider Name | Aniqa Avivah Kohen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1831531995 PECOS PAC ID: 2365877057 Enrollment ID: I20200128001038 |
| Provider Name | Sandip Saha |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1942563911 PECOS PAC ID: 1759717689 Enrollment ID: I20200212001291 |
| Provider Name | Micah V Rutland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215576558 PECOS PAC ID: 4880024066 Enrollment ID: I20200501000661 |
| Provider Name | Mohamed Yahia Z Abdel-aal Ahmed |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164834776 PECOS PAC ID: 9133463938 Enrollment ID: I20200625003109 |
| Provider Name | Zhen Wang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619396967 PECOS PAC ID: 1759627185 Enrollment ID: I20200629002449 |
| Provider Name | Cassandra Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558546820 PECOS PAC ID: 0345313532 Enrollment ID: I20200708001875 |
| Provider Name | Michael J Park |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1760864037 PECOS PAC ID: 3678823879 Enrollment ID: I20200708002750 |
| Provider Name | Sarah E Mathis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639618341 PECOS PAC ID: 9436572328 Enrollment ID: I20200710001712 |
| Provider Name | Ryan J Mikac |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346502689 PECOS PAC ID: 8628491487 Enrollment ID: I20200713000944 |
| Provider Name | Mohammed N Abdulrazzaq |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1871913095 PECOS PAC ID: 1355610775 Enrollment ID: I20200720003476 |
| Provider Name | Allison E Bolton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255955381 PECOS PAC ID: 9032534979 Enrollment ID: I20200810000642 |
| Provider Name | Meghan Park |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1699166959 PECOS PAC ID: 4981020336 Enrollment ID: I20200814001916 |
| Provider Name | Dinesh Kumar Sharma |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1306158514 PECOS PAC ID: 3870737653 Enrollment ID: I20200818001885 |
| Provider Name | Stuti Tambar |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1265756753 PECOS PAC ID: 7719245687 Enrollment ID: I20201109000102 |
| Provider Name | Joanna Catherine Grosskopf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902438039 PECOS PAC ID: 6002226701 Enrollment ID: I20201109002447 |
| Provider Name | Azadeh Hassan-tehrani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598371130 PECOS PAC ID: 2163832510 Enrollment ID: I20201113001316 |
| Provider Name | Shannon Marie Packard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043827769 PECOS PAC ID: 6204247802 Enrollment ID: I20201203002116 |
| Provider Name | Bridget M Golinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912420563 PECOS PAC ID: 5294147955 Enrollment ID: I20201222001219 |
| Provider Name | Teneika A Gravely |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679823470 PECOS PAC ID: 6800209438 Enrollment ID: I20201228002396 |
| Provider Name | Nicole R Fazzolari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962010116 PECOS PAC ID: 7416360268 Enrollment ID: I20210115001159 |
| Provider Name | Sarah Belliotti |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801258769 PECOS PAC ID: 0143567578 Enrollment ID: I20210208002833 |
| Provider Name | Jeffery Stahl |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1023399870 PECOS PAC ID: 7911139688 Enrollment ID: I20210304002695 |
| Provider Name | Jessica Lauren Martinolich |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1154740199 PECOS PAC ID: 6901213891 Enrollment ID: I20210319001074 |
| Provider Name | Amy L Claroni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689281206 PECOS PAC ID: 2567879208 Enrollment ID: I20210325001448 |
| Provider Name | Kathleen Kornacki |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1609038132 PECOS PAC ID: 5597173021 Enrollment ID: I20210421001128 |
| Provider Name | Taylor P Johnson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124559315 PECOS PAC ID: 8325447436 Enrollment ID: I20210521001874 |
| Provider Name | Maria Velez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215521430 PECOS PAC ID: 1658770284 Enrollment ID: I20210601002038 |
| Provider Name | Christopher Manion |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609213362 PECOS PAC ID: 9931406121 Enrollment ID: I20210621001514 |
| Provider Name | Melanie Lyn Herbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295301273 PECOS PAC ID: 5890196760 Enrollment ID: I20210629002984 |
| Provider Name | Paisley Brooke Mafi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447757166 PECOS PAC ID: 6709123334 Enrollment ID: I20210811002940 |
| Provider Name | Vandana Pai |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1699156620 PECOS PAC ID: 9537406194 Enrollment ID: I20210811003217 |
| Provider Name | Lachaundra Latrice Johnson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710411079 PECOS PAC ID: 7113264524 Enrollment ID: I20210813002249 |
| Provider Name | Ahmad Mafi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003312455 PECOS PAC ID: 9931446200 Enrollment ID: I20210824001657 |
| Provider Name | Michele Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588184808 PECOS PAC ID: 0547666745 Enrollment ID: I20210914002554 |
| Provider Name | Robert Setlik |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1487635678 PECOS PAC ID: 4385897552 Enrollment ID: I20210915003219 |
| Provider Name | Sheila M Lekanka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528644853 PECOS PAC ID: 9335546902 Enrollment ID: I20210923003066 |
| Provider Name | Ashley N Noel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275202434 PECOS PAC ID: 7911305537 Enrollment ID: I20211013000817 |
| Provider Name | Mayada Ismail |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1740663962 PECOS PAC ID: 9436450913 Enrollment ID: I20211021000477 |
| Provider Name | Tracey J Sakpal |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1649943549 PECOS PAC ID: 8123416864 Enrollment ID: I20211028002080 |
| Provider Name | Joseph M Loor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780178715 PECOS PAC ID: 8921498387 Enrollment ID: I20211130000507 |
| Provider Name | Katherine Joan Trawinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215693072 PECOS PAC ID: 5597157677 Enrollment ID: I20220124000148 |
| Provider Name | Bradley Carrier |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033606736 PECOS PAC ID: 6800133109 Enrollment ID: I20220128001632 |
| Provider Name | Teawna Hemphill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629740204 PECOS PAC ID: 6103219993 Enrollment ID: I20220129000189 |
| Provider Name | Alicia Mandujano |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114106119 PECOS PAC ID: 5890840169 Enrollment ID: I20220322000953 |
| Provider Name | Stephanie Small |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285386276 PECOS PAC ID: 5496141137 Enrollment ID: I20220406002051 |
| Provider Name | Mohammad A Kashef |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1306134911 PECOS PAC ID: 9436393071 Enrollment ID: I20220503000086 |
| Provider Name | Christina N Schunke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558014183 PECOS PAC ID: 7810375706 Enrollment ID: I20220606001114 |
| Provider Name | Kearsten Ann Pipkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447918982 PECOS PAC ID: 8123406899 Enrollment ID: I20220608002024 |
| Provider Name | Parikshit Padhi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528356037 PECOS PAC ID: 5597053108 Enrollment ID: I20220621002504 |
| Provider Name | Ajoe John Kattoor |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1659754422 PECOS PAC ID: 3476869744 Enrollment ID: I20220628002589 |
| Provider Name | Michael E Farrell |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1972811628 PECOS PAC ID: 8426450628 Enrollment ID: I20220727001921 |
| Provider Name | Maira T Ilahi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548828015 PECOS PAC ID: 2264814359 Enrollment ID: I20220805002465 |
| Provider Name | Alyse N Sireika |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619438090 PECOS PAC ID: 0840527099 Enrollment ID: I20220901002334 |
| Provider Name | Alia Mann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720744873 PECOS PAC ID: 0749665107 Enrollment ID: I20220921001053 |
| Provider Name | Mustafa Mohmand |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871099085 PECOS PAC ID: 8820335250 Enrollment ID: I20221004002991 |
| Provider Name | Martyna Zukowska |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306566781 PECOS PAC ID: 8022484195 Enrollment ID: I20221013002860 |
| Provider Name | Clara Maria Gomez Quinonez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669979860 PECOS PAC ID: 0345587747 Enrollment ID: I20221017002769 |
| Provider Name | Katelyn R Plecker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831827609 PECOS PAC ID: 7113393737 Enrollment ID: I20221021001152 |
| Provider Name | Ashley A Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033833884 PECOS PAC ID: 2769859537 Enrollment ID: I20221108001140 |
| Provider Name | Stephanie M Latoszek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760146450 PECOS PAC ID: 4981071453 Enrollment ID: I20221114001314 |
| Provider Name | Nisha Sarna |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992358808 PECOS PAC ID: 6800123811 Enrollment ID: I20221117002665 |
| Provider Name | Caleb D Branch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891417887 PECOS PAC ID: 3274903893 Enrollment ID: I20221222002433 |
| Provider Name | Katy Bigelow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588385215 PECOS PAC ID: 8527438977 Enrollment ID: I20221230000582 |
| Provider Name | Kaitlynn Rose Flikkema |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861988867 PECOS PAC ID: 3173871167 Enrollment ID: I20230126001147 |
| Provider Name | Melanie R Janulewicz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730895095 PECOS PAC ID: 6406220474 Enrollment ID: I20230315001447 |
| Provider Name | Kevin H Frodey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114450251 PECOS PAC ID: 3779820071 Enrollment ID: I20230418000623 |
| Provider Name | Dawei David D Wang |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326400177 PECOS PAC ID: 8820335243 Enrollment ID: I20230530001738 |
| Provider Name | Devinderpal Singh Randhawa |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1225072648 PECOS PAC ID: 8325045792 Enrollment ID: I20230615003008 |
| Provider Name | Katlyn M Beiring |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790472462 PECOS PAC ID: 2062870108 Enrollment ID: I20230621002063 |
| Provider Name | Steven S Rood |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881087542 PECOS PAC ID: 6103151337 Enrollment ID: I20230717000449 |
| Provider Name | Mary Kate Frauenheim |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891257705 PECOS PAC ID: 3577890896 Enrollment ID: I20230717002265 |
| Provider Name | Jane K James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104468040 PECOS PAC ID: 4688034937 Enrollment ID: I20230718002079 |
| Provider Name | Thomas E Hargest |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093373185 PECOS PAC ID: 3870820087 Enrollment ID: I20230718002669 |
| Provider Name | Aneesha Thobani |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1356882583 PECOS PAC ID: 7911278643 Enrollment ID: I20230720000340 |
| Provider Name | Nicole Boyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225713993 PECOS PAC ID: 5294197133 Enrollment ID: I20230809003344 |
| Provider Name | Lalchand Goyal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154328805 PECOS PAC ID: 9032021381 Enrollment ID: I20230816003032 |
| Provider Name | Jaspinderpal S Bhullar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487275749 PECOS PAC ID: 2961865811 Enrollment ID: I20230825001103 |
| Provider Name | Allison Hausberger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558048579 PECOS PAC ID: 3577926310 Enrollment ID: I20230828002136 |
| Provider Name | Vaibhaviben Solanki |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063025641 PECOS PAC ID: 9830552017 Enrollment ID: I20230906001426 |
| Provider Name | Elenor S Zaccaria |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760160386 PECOS PAC ID: 3173986353 Enrollment ID: I20230906001592 |
| Provider Name | Todd M Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811676646 PECOS PAC ID: 0941610992 Enrollment ID: I20230913001968 |
| Provider Name | Ramandeep Kaur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598283228 PECOS PAC ID: 5395019533 Enrollment ID: I20231023002730 |
| Provider Name | Ellen R Kahle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689006009 PECOS PAC ID: 2163871856 Enrollment ID: I20231206002377 |
| Provider Name | Rakhi Shah Barkowski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043458367 PECOS PAC ID: 6305985706 Enrollment ID: I20231212001073 |
| Provider Name | Jennifer Ann Pangelinan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831571223 PECOS PAC ID: 0749632701 Enrollment ID: I20240116002209 |
| Provider Name | April Marie Kane Ayoub |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881468957 PECOS PAC ID: 7214389824 Enrollment ID: I20240119000559 |
| Provider Name | Megan James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902688443 PECOS PAC ID: 6800248345 Enrollment ID: I20240119002044 |
| Provider Name | Daniella Andrea Sawma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295490282 PECOS PAC ID: 5092159988 Enrollment ID: I20240219003718 |
| Provider Name | Keith Balram Shankar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225657364 PECOS PAC ID: 3173968450 Enrollment ID: I20240226003695 |
| Provider Name | Dakota Rose Coles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326664335 PECOS PAC ID: 0648618660 Enrollment ID: I20240409004102 |
| Provider Name | Alyssa Marie Hourihan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770270787 PECOS PAC ID: 9335589233 Enrollment ID: I20240425001512 |
| Provider Name | Stephen J Weidner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235848524 PECOS PAC ID: 5193268472 Enrollment ID: I20240614001082 |
Tat Sum Lee, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3898 Vineyard Dr, Dunkirk, NY 14048 Phone: 716-363-1515 Fax: 716-363-7677 | |
Chautauqua Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 75 E 3rd St, Dunkirk, NY 14048 Phone: 716-363-6050 Fax: 716-363-6333 | |
C & S Medical Bldg. Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 19 Lake Shore Dr W, Dunkirk, NY 14048 Phone: 716-363-6377 |