| Grady Health System | |
|
80 Jesse Hill Jr Dr Se Box 26019 Atlanta GA 30303-3031 | |
| (404) 616-8880 | |
| (404) 616-9076 |
| Full Name | Grady Health System |
|---|---|
| Speciality | Family Medicine |
| Location | 80 Jesse Hill Jr Dr Se, Atlanta, Georgia |
| Authorized Official Name and Position | Tamara Anne Nilmeier (BILLING MANAGER) |
| Authorized Official Contact | 4046168880 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grady Health System Po Box 935102 Atlanta GA 31193-5102 Ph: (404) 616-5887 | Grady Health System 80 Jesse Hill Jr Dr Se Box 26019 Atlanta GA 30303-3031 Ph: (404) 616-8880 |
| NPI Number | 1114243813 |
|---|---|
| Provider Enumeration Date | 04/20/2010 |
| Last Update Date | 03/18/2024 |
| Medicare PECOS PAC ID | 7517032998 |
|---|---|
| Medicare Enrollment ID | O20100723000311 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114243813 | NPI | - | NPPES |
| Provider Name | Jan K Douglas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942266291 PECOS PAC ID: 6103724398 Enrollment ID: I20031226000026 |
| Provider Name | Diane L Wirth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407969058 PECOS PAC ID: 7214838408 Enrollment ID: I20040120000489 |
| Provider Name | Madge Evans Moon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215917976 PECOS PAC ID: 6305731357 Enrollment ID: I20040218000553 |
| Provider Name | Jennice H Gist |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477526499 PECOS PAC ID: 0749170207 Enrollment ID: I20040318000120 |
| Provider Name | Sheila F Sumpter |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184611931 PECOS PAC ID: 0941294672 Enrollment ID: I20040414000410 |
| Provider Name | Vu Hoang |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1508895137 PECOS PAC ID: 0547256539 Enrollment ID: I20040423001100 |
| Provider Name | Matthew J Noonan |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1215969951 PECOS PAC ID: 7416943428 Enrollment ID: I20040423001200 |
| Provider Name | Elizabeth L Villanueva |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265417968 PECOS PAC ID: 2062402530 Enrollment ID: I20040517000188 |
| Provider Name | Debra E Rhiver |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1861603912 PECOS PAC ID: 8820074768 Enrollment ID: I20040629001413 |
| Provider Name | Juliet A. Gumbs |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003884438 PECOS PAC ID: 4284612474 Enrollment ID: I20040713001014 |
| Provider Name | Estella L Mobley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558320358 PECOS PAC ID: 3375515836 Enrollment ID: I20040806000484 |
| Provider Name | Renee E Corley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972605624 PECOS PAC ID: 9436121118 Enrollment ID: I20040812000296 |
| Provider Name | Richard P Schellman |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1043293426 PECOS PAC ID: 4284601907 Enrollment ID: I20040913001029 |
| Provider Name | Wilma J Thomas |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992788319 PECOS PAC ID: 6608837521 Enrollment ID: I20041025000282 |
| Provider Name | Somsri Williams |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912944026 PECOS PAC ID: 8527969617 Enrollment ID: I20041115000293 |
| Provider Name | Claudia J Vellozzi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285730176 PECOS PAC ID: 4880659697 Enrollment ID: I20041122000242 |
| Provider Name | Tessie Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053417949 PECOS PAC ID: 2365490463 Enrollment ID: I20050105000685 |
| Provider Name | Eugene W Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366551384 PECOS PAC ID: 5698723617 Enrollment ID: I20050106000588 |
| Provider Name | Marcia L Christian |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336102664 PECOS PAC ID: 5294785051 Enrollment ID: I20050128000645 |
| Provider Name | Josian Allan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184680894 PECOS PAC ID: 7618924838 Enrollment ID: I20050331000209 |
| Provider Name | Lynn Vanliew |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1003945098 PECOS PAC ID: 9931140647 Enrollment ID: I20050512000601 |
| Provider Name | Barry A Fioranelli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366415481 PECOS PAC ID: 8527009976 Enrollment ID: I20050517000253 |
| Provider Name | Joyce A Mclendon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841285285 PECOS PAC ID: 9133163215 Enrollment ID: I20050620000581 |
| Provider Name | Raajan R Arulampalam |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1013999887 PECOS PAC ID: 0547299158 Enrollment ID: I20050804000272 |
| Provider Name | Michelle Todd |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912992942 PECOS PAC ID: 1254361322 Enrollment ID: I20050818000106 |
| Provider Name | Felicia C Lane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467670414 PECOS PAC ID: 3072544550 Enrollment ID: I20050824000675 |
| Provider Name | Cynthia Griffith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336108091 PECOS PAC ID: 9032141288 Enrollment ID: I20050908000516 |
| Provider Name | Paula L Pollard Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366518409 PECOS PAC ID: 3870492648 Enrollment ID: I20051007000163 |
| Provider Name | Laura Louise Read |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1861455453 PECOS PAC ID: 3476570649 Enrollment ID: I20051027000148 |
| Provider Name | Melanie Patrice King |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1992865836 PECOS PAC ID: 6901823632 Enrollment ID: I20051101000327 |
| Provider Name | Nitasha Burney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083665491 PECOS PAC ID: 4981654670 Enrollment ID: I20051115000160 |
| Provider Name | Ayanna V Buckner |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1720059462 PECOS PAC ID: 2163444845 Enrollment ID: I20051221000895 |
| Provider Name | Joann Mcgee |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841302239 PECOS PAC ID: 2365400702 Enrollment ID: I20060104000575 |
| Provider Name | Deneese Blanton |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1831255520 PECOS PAC ID: 5092720367 Enrollment ID: I20060208000641 |
| Provider Name | Rinthia L Howard |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457376295 PECOS PAC ID: 5991708711 Enrollment ID: I20060817000287 |
| Provider Name | Asma Khalid |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093702235 PECOS PAC ID: 9638140007 Enrollment ID: I20061120000429 |
| Provider Name | Jean M Armand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770641102 PECOS PAC ID: 9436177540 Enrollment ID: I20070110000240 |
| Provider Name | Bridgette S Patterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861553034 PECOS PAC ID: 6709886997 Enrollment ID: I20070112000070 |
| Provider Name | Ira Rahimpour |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316015514 PECOS PAC ID: 9436151610 Enrollment ID: I20070201000414 |
| Provider Name | Taiye A Olubuyide |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437217932 PECOS PAC ID: 2062516115 Enrollment ID: I20070329000013 |
| Provider Name | Brenda Rebecca Mccune Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851459010 PECOS PAC ID: 4688778731 Enrollment ID: I20070329000018 |
| Provider Name | Xuexin Tang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982712303 PECOS PAC ID: 8022112960 Enrollment ID: I20070402000520 |
| Provider Name | Raymond Tze Kit Tong |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1407916331 PECOS PAC ID: 6002913720 Enrollment ID: I20070515000075 |
| Provider Name | Michael P Rafferty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922104496 PECOS PAC ID: 8325147077 Enrollment ID: I20070621000399 |
| Provider Name | Sue A Brenner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215033758 PECOS PAC ID: 5597864249 Enrollment ID: I20070621000409 |
| Provider Name | Hogai G Nassery |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598860298 PECOS PAC ID: 2365541976 Enrollment ID: I20070622000273 |
| Provider Name | Diana R Senior-crosby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790802015 PECOS PAC ID: 2567561921 Enrollment ID: I20070626000217 |
| Provider Name | Katherine F King |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1164512307 PECOS PAC ID: 9931291390 Enrollment ID: I20070815000690 |
| Provider Name | Marcia M Holstad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063462539 PECOS PAC ID: 1254425978 Enrollment ID: I20070925000531 |
| Provider Name | Margaret M Shiver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326006289 PECOS PAC ID: 4082700422 Enrollment ID: I20071017000560 |
| Provider Name | John Sexton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649345992 PECOS PAC ID: 1557461027 Enrollment ID: I20071018000207 |
| Provider Name | Charles Kervin |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1053395269 PECOS PAC ID: 5395643290 Enrollment ID: I20071210000347 |
| Provider Name | Charles D Wilson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730146309 PECOS PAC ID: 2860385895 Enrollment ID: I20080109000103 |
| Provider Name | Eileen M Maccallum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023121597 PECOS PAC ID: 1052498110 Enrollment ID: I20080414000572 |
| Provider Name | Arlene E Ewart-madhere |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013965557 PECOS PAC ID: 5698844538 Enrollment ID: I20080519000716 |
| Provider Name | Lashawn R Mccarty |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396914255 PECOS PAC ID: 2365511094 Enrollment ID: I20080520000836 |
| Provider Name | Camille T Brockett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902079957 PECOS PAC ID: 0143390674 Enrollment ID: I20080610000226 |
| Provider Name | Alison W Kyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215079132 PECOS PAC ID: 6305916867 Enrollment ID: I20080610000448 |
| Provider Name | Gina Herring |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700835485 PECOS PAC ID: 8729188065 Enrollment ID: I20080723000589 |
| Provider Name | Heather J Buzzetti |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1578726055 PECOS PAC ID: 0840358297 Enrollment ID: I20081029000257 |
| Provider Name | Humaira Syed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518038991 PECOS PAC ID: 4880753151 Enrollment ID: I20081103000019 |
| Provider Name | Linda J Urioste |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326185729 PECOS PAC ID: 5698863553 Enrollment ID: I20081203000413 |
| Provider Name | Tonya M Stoudmire |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376702456 PECOS PAC ID: 3476626110 Enrollment ID: I20090526000360 |
| Provider Name | Christopher S Hayslip |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366696684 PECOS PAC ID: 6608931910 Enrollment ID: I20090602000148 |
| Provider Name | James C Hutchins |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1225361918 PECOS PAC ID: 9638216195 Enrollment ID: I20091102000552 |
| Provider Name | Benjamin L Hatchett |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104845403 PECOS PAC ID: 2466590401 Enrollment ID: I20091111000329 |
| Provider Name | Rivka Neuberger |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1164611505 PECOS PAC ID: 2365580313 Enrollment ID: I20091111000346 |
| Provider Name | Jamie M Strauss |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1538358973 PECOS PAC ID: 3678613742 Enrollment ID: I20091222000006 |
| Provider Name | Solomon I Berkowitz |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1396978540 PECOS PAC ID: 1850431958 Enrollment ID: I20091222000208 |
| Provider Name | Eliahu Landman |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1699908525 PECOS PAC ID: 0244225944 Enrollment ID: I20091222000250 |
| Provider Name | Giang Q Nguyen |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1285960898 PECOS PAC ID: 5395885214 Enrollment ID: I20091228000009 |
| Provider Name | Ellen G Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790751394 PECOS PAC ID: 3779625967 Enrollment ID: I20100127000035 |
| Provider Name | Kelli N Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104070457 PECOS PAC ID: 2264567783 Enrollment ID: I20100322000815 |
| Provider Name | Christine L Nell-dybdahl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750476370 PECOS PAC ID: 3779618178 Enrollment ID: I20100323000775 |
| Provider Name | Brittany P Nye |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1508926445 PECOS PAC ID: 3779621685 Enrollment ID: I20100329000164 |
| Provider Name | Monsurat M Adebayo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609065267 PECOS PAC ID: 2961539531 Enrollment ID: I20100430000109 |
| Provider Name | Robbi B Perry |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1487713350 PECOS PAC ID: 6507900610 Enrollment ID: I20100528000619 |
| Provider Name | Frances Ferguson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174750988 PECOS PAC ID: 7113059486 Enrollment ID: I20100722000105 |
| Provider Name | June Lord |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629053467 PECOS PAC ID: 1355365701 Enrollment ID: I20100817000454 |
| Provider Name | Nisha J Ali |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861711749 PECOS PAC ID: 4981728573 Enrollment ID: I20100903000249 |
| Provider Name | Cynthia L Welborn |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1144388786 PECOS PAC ID: 3072647544 Enrollment ID: I20100914000908 |
| Provider Name | Elizabeth T Choate |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124139613 PECOS PAC ID: 1052436730 Enrollment ID: I20100917001027 |
| Provider Name | Kevin M Hall |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1689837775 PECOS PAC ID: 4789668096 Enrollment ID: I20101014000562 |
| Provider Name | Joyce F Koram |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639277049 PECOS PAC ID: 2567655152 Enrollment ID: I20101014001105 |
| Provider Name | Esther I Iwotor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306152871 PECOS PAC ID: 3779779400 Enrollment ID: I20101120000051 |
| Provider Name | Priya Dharshini Ravindran |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1033167333 PECOS PAC ID: 1355371808 Enrollment ID: I20101229000440 |
| Provider Name | Tian Xia |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437357423 PECOS PAC ID: 2961681713 Enrollment ID: I20110125001006 |
| Provider Name | Ryan James Alishio |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1538479274 PECOS PAC ID: 5294914917 Enrollment ID: I20110127000583 |
| Provider Name | Rodney Harris |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1326114125 PECOS PAC ID: 7416138458 Enrollment ID: I20110223000623 |
| Provider Name | Manjushree Ghose |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386644961 PECOS PAC ID: 1052593332 Enrollment ID: I20110308000398 |
| Provider Name | Jacqueline C. Arnett |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811979503 PECOS PAC ID: 2860542792 Enrollment ID: I20110322000399 |
| Provider Name | Brady Jf Banares |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134424948 PECOS PAC ID: 9436332772 Enrollment ID: I20110324000485 |
| Provider Name | Belete Feleke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124235791 PECOS PAC ID: 8527157213 Enrollment ID: I20110428000304 |
| Provider Name | Sujata Bhowmik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366442238 PECOS PAC ID: 9537347414 Enrollment ID: I20110623000358 |
| Provider Name | Charles L Johnson |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1710108204 PECOS PAC ID: 9436328747 Enrollment ID: I20110802000801 |
| Provider Name | Anthony Rozier |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1073798138 PECOS PAC ID: 5890964100 Enrollment ID: I20110802000809 |
| Provider Name | Cordelia B Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881835718 PECOS PAC ID: 6103095005 Enrollment ID: I20110810000536 |
| Provider Name | Aerica S Summers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669630299 PECOS PAC ID: 8527237452 Enrollment ID: I20110811000112 |
| Provider Name | David Reznik |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1356556740 PECOS PAC ID: 0244409712 Enrollment ID: I20110818000247 |
| Provider Name | Meghan R. Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245533850 PECOS PAC ID: 2769652171 Enrollment ID: I20110823000140 |
| Provider Name | Emily C Bradburn |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1548558398 PECOS PAC ID: 8325218449 Enrollment ID: I20110829000485 |
| Provider Name | Qiuyang Li |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255515136 PECOS PAC ID: 2668643297 Enrollment ID: I20110912000433 |
| Provider Name | Janine Randall |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1033260898 PECOS PAC ID: 8426229055 Enrollment ID: I20110912000505 |
| Provider Name | Shamamah Niazi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548262843 PECOS PAC ID: 1052393360 Enrollment ID: I20110913000542 |
| Provider Name | Kathryn Farrell |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1457634222 PECOS PAC ID: 2466625199 Enrollment ID: I20111025000652 |
| Provider Name | Monika Mohiuddin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780846907 PECOS PAC ID: 5294908703 Enrollment ID: I20111028000215 |
| Provider Name | Roxanne E Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396942256 PECOS PAC ID: 9133215361 Enrollment ID: I20111031000162 |
| Provider Name | John Weiser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790779973 PECOS PAC ID: 4486633690 Enrollment ID: I20111116000422 |
| Provider Name | Eric S Curtright |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1124249032 PECOS PAC ID: 9234255753 Enrollment ID: I20111118000301 |
| Provider Name | Robert Williams |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1023171253 PECOS PAC ID: 4183758451 Enrollment ID: I20111122000438 |
| Provider Name | Sheryl C Chiariello |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1871675496 PECOS PAC ID: 6608930748 Enrollment ID: I20111130000917 |
| Provider Name | Alicia Hopkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558457952 PECOS PAC ID: 2769489756 Enrollment ID: I20111205000547 |
| Provider Name | Andrew W Offutt |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1598826869 PECOS PAC ID: 4385778620 Enrollment ID: I20111229000384 |
| Provider Name | Charles Bai |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1275694556 PECOS PAC ID: 7517081821 Enrollment ID: I20120105000038 |
| Provider Name | Debra M Wilson |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1184852188 PECOS PAC ID: 2668649641 Enrollment ID: I20120113000518 |
| Provider Name | Esohe G Idusuyi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992080436 PECOS PAC ID: 6709053267 Enrollment ID: I20120124000589 |
| Provider Name | Lauren A Marzolf |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1295013902 PECOS PAC ID: 4880865559 Enrollment ID: I20120126000069 |
| Provider Name | John P Sansone |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1922386788 PECOS PAC ID: 6800067588 Enrollment ID: I20120126000681 |
| Provider Name | Samuel Gebreyonas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285919985 PECOS PAC ID: 8820255979 Enrollment ID: I20120201000857 |
| Provider Name | Vivienne P Parris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952674418 PECOS PAC ID: 6406014901 Enrollment ID: I20120229000442 |
| Provider Name | Kristan Langdon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366561417 PECOS PAC ID: 9335279538 Enrollment ID: I20120306000940 |
| Provider Name | Julie M Canada |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609149012 PECOS PAC ID: 5092975615 Enrollment ID: I20120319000753 |
| Provider Name | Christie Mcghee Person |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1225220734 PECOS PAC ID: 3678733193 Enrollment ID: I20120321000094 |
| Provider Name | Joyce Ann Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720352677 PECOS PAC ID: 1456512011 Enrollment ID: I20120409000614 |
| Provider Name | Rhonda T Cartagena |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407125867 PECOS PAC ID: 4880855683 Enrollment ID: I20120420000399 |
| Provider Name | Philip V Tobia |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1366738288 PECOS PAC ID: 8022270677 Enrollment ID: I20120427000361 |
| Provider Name | James K Knight |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1477523652 PECOS PAC ID: 4789739723 Enrollment ID: I20120530000168 |
| Provider Name | Chrystal D Hawkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245501592 PECOS PAC ID: 1456515469 Enrollment ID: I20120601000505 |
| Provider Name | Latoya Leigh Wise |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831456284 PECOS PAC ID: 3577727031 Enrollment ID: I20120613000166 |
| Provider Name | Brandi W Quinn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932475639 PECOS PAC ID: 7214193465 Enrollment ID: I20120717000034 |
| Provider Name | Lizzette Hernaiz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669773669 PECOS PAC ID: 0749446888 Enrollment ID: I20120718000388 |
| Provider Name | Sameia Mohammed Udoji |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114285509 PECOS PAC ID: 8729234034 Enrollment ID: I20120801000737 |
| Provider Name | Alexis T Frederick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093079477 PECOS PAC ID: 3375790645 Enrollment ID: I20120822000442 |
| Provider Name | Vivian Robinson-womack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528378577 PECOS PAC ID: 6901053685 Enrollment ID: I20120831000344 |
| Provider Name | Barbara H Hartsfield |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1619118296 PECOS PAC ID: 6406004860 Enrollment ID: I20120911000080 |
| Provider Name | Myrlande Jules-villefranche |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598012098 PECOS PAC ID: 7416105796 Enrollment ID: I20120911000382 |
| Provider Name | Michael Scarborough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942569736 PECOS PAC ID: 7315196847 Enrollment ID: I20120927000318 |
| Provider Name | Katherine M Al-haroun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669729158 PECOS PAC ID: 4981853256 Enrollment ID: I20121001000405 |
| Provider Name | Deborah Marie Drake |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326146549 PECOS PAC ID: 0446299358 Enrollment ID: I20121029000675 |
| Provider Name | Crystal P Beddard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295090801 PECOS PAC ID: 1951552355 Enrollment ID: I20121113000078 |
| Provider Name | Nathan R Thompson |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1376890715 PECOS PAC ID: 2062663099 Enrollment ID: I20121121000181 |
| Provider Name | Adebayo K Akinsola |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407086879 PECOS PAC ID: 4486806890 Enrollment ID: I20121211000539 |
| Provider Name | Patrick L Register |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1336494335 PECOS PAC ID: 6507018868 Enrollment ID: I20121212000554 |
| Provider Name | Bibiana Essienumoh |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1497000442 PECOS PAC ID: 5092967083 Enrollment ID: I20121221000319 |
| Provider Name | Cassandra Goss |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1679828263 PECOS PAC ID: 1254584246 Enrollment ID: I20121221000353 |
| Provider Name | Jacob W Goergen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699019604 PECOS PAC ID: 7416100789 Enrollment ID: I20130117000273 |
| Provider Name | Folasade A Sharif |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740201813 PECOS PAC ID: 4183628977 Enrollment ID: I20130130000082 |
| Provider Name | Jennifer M Shlesinger |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740528736 PECOS PAC ID: 0042465692 Enrollment ID: I20130305000136 |
| Provider Name | D'jara A Ekeoma |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326385097 PECOS PAC ID: 5597910877 Enrollment ID: I20130313000290 |
| Provider Name | Jamil Eman Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376882191 PECOS PAC ID: 3274778568 Enrollment ID: I20130313000553 |
| Provider Name | Vernessa S Cunningham |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841405958 PECOS PAC ID: 2163667296 Enrollment ID: I20130320000686 |
| Provider Name | Josephine O Adibe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629239280 PECOS PAC ID: 0244475374 Enrollment ID: I20130320000694 |
| Provider Name | Tamika S Carr |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1265784458 PECOS PAC ID: 6800031527 Enrollment ID: I20130401000322 |
| Provider Name | Susan Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992046007 PECOS PAC ID: 5799921441 Enrollment ID: I20130424001007 |
| Provider Name | Sanjay P Patel |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1235484163 PECOS PAC ID: 9931359916 Enrollment ID: I20130425000075 |
| Provider Name | Kristen E Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265786511 PECOS PAC ID: 0345487559 Enrollment ID: I20130507000635 |
| Provider Name | Kathleen K Sanon |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1326322918 PECOS PAC ID: 2860665361 Enrollment ID: I20130617000314 |
| Provider Name | Radwan Sabbagh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568425205 PECOS PAC ID: 2961682117 Enrollment ID: I20130618000682 |
| Provider Name | Tyler J Blomquist |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275875858 PECOS PAC ID: 4183865892 Enrollment ID: I20130723000431 |
| Provider Name | Ceretha Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124061791 PECOS PAC ID: 1951482900 Enrollment ID: I20130725000876 |
| Provider Name | Eric Anderson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1588808034 PECOS PAC ID: 1557504826 Enrollment ID: I20130905000741 |
| Provider Name | Bridget Naaokailey Randolph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972805133 PECOS PAC ID: 1850567017 Enrollment ID: I20130909000081 |
| Provider Name | Wilhelmina M Prinssen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477870111 PECOS PAC ID: 3678707411 Enrollment ID: I20131009001339 |
| Provider Name | Kathleen M Jarboe |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1851443303 PECOS PAC ID: 1456585074 Enrollment ID: I20131014000991 |
| Provider Name | Sarah T Fisher |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1730512559 PECOS PAC ID: 6709011851 Enrollment ID: I20131028001110 |
| Provider Name | Maloma A Greene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598107500 PECOS PAC ID: 1850526807 Enrollment ID: I20131028001514 |
| Provider Name | Wanjiku K Mureithi |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104268481 PECOS PAC ID: 4587808001 Enrollment ID: I20131029001560 |
| Provider Name | Christina N Jenkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417381153 PECOS PAC ID: 9234364142 Enrollment ID: I20131031000809 |
| Provider Name | Renee A Wheeler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285746867 PECOS PAC ID: 9537196456 Enrollment ID: I20131112001259 |
| Provider Name | Archana Vijaya Chander |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285825695 PECOS PAC ID: 1254477516 Enrollment ID: I20131112001921 |
| Provider Name | Jessica M Gilliam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588975098 PECOS PAC ID: 7517194079 Enrollment ID: I20131209001243 |
| Provider Name | Michael P Grossman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760810857 PECOS PAC ID: 5799912812 Enrollment ID: I20131217001832 |
| Provider Name | Mohammed Waris |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265497812 PECOS PAC ID: 5395713952 Enrollment ID: I20140123000748 |
| Provider Name | Jaime B King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427484302 PECOS PAC ID: 2567691058 Enrollment ID: I20140203000852 |
| Provider Name | Lorna Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114276300 PECOS PAC ID: 1456581107 Enrollment ID: I20140226000522 |
| Provider Name | Jamie Lee |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1538339122 PECOS PAC ID: 2860622172 Enrollment ID: I20140306001869 |
| Provider Name | Anna R Anderson |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1376707984 PECOS PAC ID: 0345386249 Enrollment ID: I20140509002111 |
| Provider Name | Deshawnda N Garnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417373531 PECOS PAC ID: 8628291903 Enrollment ID: I20140514002357 |
| Provider Name | Antron J Palmer |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1962844001 PECOS PAC ID: 1456587237 Enrollment ID: I20140617000804 |
| Provider Name | Koreen Brenda Joy Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932535275 PECOS PAC ID: 2860618790 Enrollment ID: I20140729001715 |
| Provider Name | Yvonne Holali Hotor |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396172953 PECOS PAC ID: 4486871860 Enrollment ID: I20140807002224 |
| Provider Name | Lauren H Randall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396039020 PECOS PAC ID: 4789801127 Enrollment ID: I20140808001126 |
| Provider Name | Meleia Sue Ramseur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346672581 PECOS PAC ID: 1951536754 Enrollment ID: I20140814002613 |
| Provider Name | Nurani Madhani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639583966 PECOS PAC ID: 9739308701 Enrollment ID: I20140924001529 |
| Provider Name | Saira Iqbal Alimohamed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942527684 PECOS PAC ID: 4284853250 Enrollment ID: I20140924001539 |
| Provider Name | Wallace Ajakaiye |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235421769 PECOS PAC ID: 2163642547 Enrollment ID: I20141007001342 |
| Provider Name | David R Powell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366863532 PECOS PAC ID: 2466671573 Enrollment ID: I20141201001829 |
| Provider Name | Lauren E Kasper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093116972 PECOS PAC ID: 4486977832 Enrollment ID: I20141216001834 |
| Provider Name | Marlon Lee Bonner |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1225442734 PECOS PAC ID: 6507189859 Enrollment ID: I20141218000268 |
| Provider Name | Veronica R Applewhite |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063783363 PECOS PAC ID: 2163689191 Enrollment ID: I20150109001896 |
| Provider Name | Megan E Stern |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1487998662 PECOS PAC ID: 4688811854 Enrollment ID: I20150317001537 |
| Provider Name | Michael Courtney Windham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861697740 PECOS PAC ID: 2668668393 Enrollment ID: I20150331000979 |
| Provider Name | Andrew S Matey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023409836 PECOS PAC ID: 9537487392 Enrollment ID: I20150408000981 |
| Provider Name | Obiageli Np Okonkwo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669885901 PECOS PAC ID: 4082932702 Enrollment ID: I20150409000754 |
| Provider Name | Steven T Releford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194124677 PECOS PAC ID: 0941528566 Enrollment ID: I20150410002069 |
| Provider Name | Shawn Parquet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962806885 PECOS PAC ID: 7719205863 Enrollment ID: I20150421001923 |
| Provider Name | Tricia Salmon-anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194120956 PECOS PAC ID: 0547588634 Enrollment ID: I20150422000803 |
| Provider Name | Christopher L Barnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629485826 PECOS PAC ID: 0648598664 Enrollment ID: I20150422002038 |
| Provider Name | Udeme J Efik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356766281 PECOS PAC ID: 9335468255 Enrollment ID: I20150427002259 |
| Provider Name | Kimberly R Fitzgerald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558765974 PECOS PAC ID: 8628397304 Enrollment ID: I20150430001082 |
| Provider Name | Brandon L Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417358482 PECOS PAC ID: 9032438734 Enrollment ID: I20150430002065 |
| Provider Name | Camille S Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841619814 PECOS PAC ID: 3476872730 Enrollment ID: I20150507002064 |
| Provider Name | Karen Pugmire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881852416 PECOS PAC ID: 1153552708 Enrollment ID: I20150605001250 |
| Provider Name | Epris Pittman Cooper |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568842201 PECOS PAC ID: 9739491390 Enrollment ID: I20150710000066 |
| Provider Name | Chantal Navalah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144608654 PECOS PAC ID: 2365756616 Enrollment ID: I20150731014711 |
| Provider Name | Jessica L Malmad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720353881 PECOS PAC ID: 0941514178 Enrollment ID: I20150801017310 |
| Provider Name | Tiffany L Hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144617010 PECOS PAC ID: 8022324516 Enrollment ID: I20150828001198 |
| Provider Name | Erica Moore |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518356922 PECOS PAC ID: 8729395108 Enrollment ID: I20150917000439 |
| Provider Name | Jacob E Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659753200 PECOS PAC ID: 5799092854 Enrollment ID: I20150922002176 |
| Provider Name | Payal Shah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679994693 PECOS PAC ID: 0345558615 Enrollment ID: I20151006002638 |
| Provider Name | Patricia S Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750701934 PECOS PAC ID: 1658680731 Enrollment ID: I20151013001208 |
| Provider Name | Melissa Pauline |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770959660 PECOS PAC ID: 0244549277 Enrollment ID: I20151014001518 |
| Provider Name | Jennifer Schauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518363167 PECOS PAC ID: 0042529976 Enrollment ID: I20151015002118 |
| Provider Name | Shara D Mayberry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811163728 PECOS PAC ID: 1254478662 Enrollment ID: I20151026002599 |
| Provider Name | Wanda S Gumbs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679831226 PECOS PAC ID: 8820307143 Enrollment ID: I20151027001538 |
| Provider Name | Velair Walton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851611214 PECOS PAC ID: 4385863646 Enrollment ID: I20151103001849 |
| Provider Name | Dana J Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992175871 PECOS PAC ID: 5799085981 Enrollment ID: I20151119000851 |
| Provider Name | Shayla Raines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588042535 PECOS PAC ID: 4981905437 Enrollment ID: I20151229000903 |
| Provider Name | Maureen Njoku |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700258506 PECOS PAC ID: 2466755590 Enrollment ID: I20160125001351 |
| Provider Name | Immaculata C Okere |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124490438 PECOS PAC ID: 2264736586 Enrollment ID: I20160208000896 |
| Provider Name | Jessica Michael Bowers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427415959 PECOS PAC ID: 9335443126 Enrollment ID: I20160216000368 |
| Provider Name | Stephen I Feldman |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1639547888 PECOS PAC ID: 2860797172 Enrollment ID: I20160224002449 |
| Provider Name | Kathy M Hawkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750774592 PECOS PAC ID: 1355646589 Enrollment ID: I20160225000430 |
| Provider Name | Byron Anderson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780052704 PECOS PAC ID: 5294044707 Enrollment ID: I20160225000526 |
| Provider Name | Lisa Valdez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265679328 PECOS PAC ID: 7012213739 Enrollment ID: I20160308000309 |
| Provider Name | Jolina M Klein |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1265833735 PECOS PAC ID: 9931422052 Enrollment ID: I20160315000674 |
| Provider Name | Alison Kelley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700256575 PECOS PAC ID: 5799082301 Enrollment ID: I20160328000294 |
| Provider Name | Brianna Elston |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1891156451 PECOS PAC ID: 1759688070 Enrollment ID: I20160330002694 |
| Provider Name | Jennifer Francois |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245597699 PECOS PAC ID: 5991003584 Enrollment ID: I20160414002013 |
| Provider Name | Martin L Magnaye |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1932518925 PECOS PAC ID: 3779801121 Enrollment ID: I20160422001911 |
| Provider Name | Jennifer L Finney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922467943 PECOS PAC ID: 9133410301 Enrollment ID: I20160617001005 |
| Provider Name | Fernanda Costa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609236553 PECOS PAC ID: 0749571388 Enrollment ID: I20160629000213 |
| Provider Name | Joel L Bond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386005700 PECOS PAC ID: 9931492923 Enrollment ID: I20160728001363 |
| Provider Name | Daisy T Tambe Jean-pierre |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174937320 PECOS PAC ID: 8123240074 Enrollment ID: I20160802001699 |
| Provider Name | Bonnie A Grullon-cooper |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902267974 PECOS PAC ID: 4183918568 Enrollment ID: I20160808001646 |
| Provider Name | Tiffanie N Pollard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447613054 PECOS PAC ID: 1759675085 Enrollment ID: I20160810000768 |
| Provider Name | Andrea R Gayden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053723676 PECOS PAC ID: 8729372867 Enrollment ID: I20160811001724 |
| Provider Name | Jared L Smith |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1043694805 PECOS PAC ID: 4789978677 Enrollment ID: I20160816001896 |
| Provider Name | Delma D Gomez-adisa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861753816 PECOS PAC ID: 4880989219 Enrollment ID: I20160824002954 |
| Provider Name | Amy Octavia Bick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346690989 PECOS PAC ID: 7315233186 Enrollment ID: I20160902000102 |
| Provider Name | Nathalie Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558712679 PECOS PAC ID: 8325334105 Enrollment ID: I20160902000447 |
| Provider Name | Patricia Warren |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497135131 PECOS PAC ID: 1850687484 Enrollment ID: I20160908001397 |
| Provider Name | Latifat B Asemota |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275918781 PECOS PAC ID: 3476840562 Enrollment ID: I20160916001079 |
| Provider Name | Peter M Rhee |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1033278304 PECOS PAC ID: 4082700034 Enrollment ID: I20160916001444 |
| Provider Name | Jeiran Razavi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770949869 PECOS PAC ID: 0941504815 Enrollment ID: I20160921001790 |
| Provider Name | Samantha Wagner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053756890 PECOS PAC ID: 0345542528 Enrollment ID: I20161003000797 |
| Provider Name | Rachel Elaine Durso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982057014 PECOS PAC ID: 6204123474 Enrollment ID: I20161003001565 |
| Provider Name | Rebecca Marder |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063969434 PECOS PAC ID: 5991093155 Enrollment ID: I20161004002323 |
| Provider Name | Rashida Avery |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033555263 PECOS PAC ID: 3476855693 Enrollment ID: I20161011002830 |
| Provider Name | Ziaieh Jafari |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1164977740 PECOS PAC ID: 3577851245 Enrollment ID: I20161012001649 |
| Provider Name | Jazmine Frye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770957276 PECOS PAC ID: 7911295514 Enrollment ID: I20161014000739 |
| Provider Name | Edward John Mcgrath |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245533710 PECOS PAC ID: 9537345608 Enrollment ID: I20161028000730 |
| Provider Name | Kimmarie James-ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184094625 PECOS PAC ID: 1153600259 Enrollment ID: I20161114000307 |
| Provider Name | Nyasha Bonner |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1578633954 PECOS PAC ID: 8123307238 Enrollment ID: I20161114000477 |
| Provider Name | Nekelisha Prayor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467816298 PECOS PAC ID: 5597044529 Enrollment ID: I20161116000284 |
| Provider Name | Cori Bruce |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1194176008 PECOS PAC ID: 0143509091 Enrollment ID: I20161116001610 |
| Provider Name | Dipika Sharma |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982982799 PECOS PAC ID: 9032498605 Enrollment ID: I20161122002498 |
| Provider Name | Ngozi D Nwaise |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649622952 PECOS PAC ID: 4486934882 Enrollment ID: I20161130002035 |
| Provider Name | Niambi M Vantress |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548616667 PECOS PAC ID: 2365722733 Enrollment ID: I20161201001744 |
| Provider Name | Charlie S Adderley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588023378 PECOS PAC ID: 2567769573 Enrollment ID: I20161207000482 |
| Provider Name | Andrea D Cafarelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063961498 PECOS PAC ID: 4082994173 Enrollment ID: I20161207000607 |
| Provider Name | Judith Lauren Marder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356891220 PECOS PAC ID: 5991085607 Enrollment ID: I20161214001282 |
| Provider Name | Sherese Stepney Hullaby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992240428 PECOS PAC ID: 4082995188 Enrollment ID: I20170104000821 |
| Provider Name | Alisha Virani |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1992255574 PECOS PAC ID: 8224310883 Enrollment ID: I20170117001203 |
| Provider Name | Angela Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275078529 PECOS PAC ID: 1052695731 Enrollment ID: I20170223002051 |
| Provider Name | Tonya Becks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538618962 PECOS PAC ID: 9638454598 Enrollment ID: I20170316001543 |
| Provider Name | John C Ohanu |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487196705 PECOS PAC ID: 5193000883 Enrollment ID: I20170320002072 |
| Provider Name | Ainsley B Freshour |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487711685 PECOS PAC ID: 7810141439 Enrollment ID: I20170322001082 |
| Provider Name | Lionel Brown |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972049377 PECOS PAC ID: 6608152194 Enrollment ID: I20170418001356 |
| Provider Name | Faith E Works-fleming |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023552882 PECOS PAC ID: 6800172115 Enrollment ID: I20170420000953 |
| Provider Name | Colette R Hemmings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336681782 PECOS PAC ID: 0143506469 Enrollment ID: I20170420001469 |
| Provider Name | Michelle Harper Allen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255697256 PECOS PAC ID: 2062799828 Enrollment ID: I20170503001575 |
| Provider Name | Richard Celestine |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124403845 PECOS PAC ID: 2769790799 Enrollment ID: I20170522000652 |
| Provider Name | Emily Tong |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1861935603 PECOS PAC ID: 6406124726 Enrollment ID: I20170609001079 |
| Provider Name | Jennifer L Reaves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821536012 PECOS PAC ID: 3870861107 Enrollment ID: I20170609001497 |
| Provider Name | Roshondra L Hambrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912375171 PECOS PAC ID: 2860760139 Enrollment ID: I20170612000329 |
| Provider Name | Ida S Curtis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447799531 PECOS PAC ID: 8325316128 Enrollment ID: I20170620002313 |
| Provider Name | Wayne K Paul Bazil |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588743991 PECOS PAC ID: 3870668999 Enrollment ID: I20170622000894 |
| Provider Name | Shangrila Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801328158 PECOS PAC ID: 2567733140 Enrollment ID: I20170731002387 |
| Provider Name | Rosalyn A Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609209519 PECOS PAC ID: 6709042526 Enrollment ID: I20170802001448 |
| Provider Name | Marla O Coleman |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1386639284 PECOS PAC ID: 1951685452 Enrollment ID: I20170814000637 |
| Provider Name | Nassaratou Diaby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154784551 PECOS PAC ID: 1355613977 Enrollment ID: I20170816004369 |
| Provider Name | Janet Nwabugo Igwebuike |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205225141 PECOS PAC ID: 3870899602 Enrollment ID: I20170817004181 |
| Provider Name | Kelley Walk Carroll |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477582062 PECOS PAC ID: 5597700039 Enrollment ID: I20170822003507 |
| Provider Name | Katherine Kolkowski |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1891225553 PECOS PAC ID: 0345514931 Enrollment ID: I20170920002569 |
| Provider Name | Kekeecha Rutledge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881122349 PECOS PAC ID: 8123392727 Enrollment ID: I20170920002764 |
| Provider Name | Kailehia Binns |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1063662724 PECOS PAC ID: 2769756378 Enrollment ID: I20170920003254 |
| Provider Name | Tamiko Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609225473 PECOS PAC ID: 5193099711 Enrollment ID: I20170920003984 |
| Provider Name | Tannisa D Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649520800 PECOS PAC ID: 1254605702 Enrollment ID: I20170921001437 |
| Provider Name | Lauren Swain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356871529 PECOS PAC ID: 4587938733 Enrollment ID: I20170927000283 |
| Provider Name | Cleo Stafford |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1962765321 PECOS PAC ID: 1355646191 Enrollment ID: I20171004002536 |
| Provider Name | Lauren Settle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952820177 PECOS PAC ID: 1153697834 Enrollment ID: I20171024003658 |
| Provider Name | Yva Gauthier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811417132 PECOS PAC ID: 4082970967 Enrollment ID: I20171108003810 |
| Provider Name | Tanya Renee Harrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619323482 PECOS PAC ID: 3779840756 Enrollment ID: I20171129001866 |
| Provider Name | Tracey J Eng |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1235652793 PECOS PAC ID: 1456619998 Enrollment ID: I20171211001833 |
| Provider Name | Omokayode M Thomas |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1134646391 PECOS PAC ID: 0749548295 Enrollment ID: I20171211002274 |
| Provider Name | Robin Kandl Spierer |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1699292235 PECOS PAC ID: 9335407881 Enrollment ID: I20171211002563 |
| Provider Name | Kenya Askale Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902279680 PECOS PAC ID: 7719246792 Enrollment ID: I20180119001784 |
| Provider Name | Manuel Vargas |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1982126090 PECOS PAC ID: 2860751633 Enrollment ID: I20180124001745 |
| Provider Name | Joseph Carlson |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1619499779 PECOS PAC ID: 1557620333 Enrollment ID: I20180124002447 |
| Provider Name | Thomas E Brenner |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1295265585 PECOS PAC ID: 2365701141 Enrollment ID: I20180124002533 |
| Provider Name | Janice Abraham |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1508389933 PECOS PAC ID: 5991064776 Enrollment ID: I20180124002608 |
| Provider Name | Emily Gantt |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1295252021 PECOS PAC ID: 9830458629 Enrollment ID: I20180124002936 |
| Provider Name | Lucas William Johnston |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1366972473 PECOS PAC ID: 4486913282 Enrollment ID: I20180124003376 |
| Provider Name | Patrice Kimone Frederick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588193288 PECOS PAC ID: 2860752847 Enrollment ID: I20180213000539 |
| Provider Name | Morgan E Larango |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1083123152 PECOS PAC ID: 2365705118 Enrollment ID: I20180410001098 |
| Provider Name | Joana Florez |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1588181549 PECOS PAC ID: 6800150178 Enrollment ID: I20180514002807 |
| Provider Name | Nicole Stubbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790273290 PECOS PAC ID: 0042575052 Enrollment ID: I20180522002354 |
| Provider Name | Karen D Sutton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386934909 PECOS PAC ID: 7911262654 Enrollment ID: I20180529002864 |
| Provider Name | Chidimma Nzoiwu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396262812 PECOS PAC ID: 4587929906 Enrollment ID: I20180605002063 |
| Provider Name | Christine E Bell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255759460 PECOS PAC ID: 1355606732 Enrollment ID: I20180606001450 |
| Provider Name | Wendy Sherie Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215306071 PECOS PAC ID: 7012262256 Enrollment ID: I20180612002106 |
| Provider Name | Nkemakolem Obaze-adegbite |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306368634 PECOS PAC ID: 0547515900 Enrollment ID: I20180626002709 |
| Provider Name | Harrison Gunn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750899738 PECOS PAC ID: 0143576827 Enrollment ID: I20180711001046 |
| Provider Name | Beatrice-maudie Ransom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477069805 PECOS PAC ID: 9436405008 Enrollment ID: I20180712000741 |
| Provider Name | Andres F Hernandez |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1790206381 PECOS PAC ID: 6709133168 Enrollment ID: I20180717003285 |
| Provider Name | Caleb C Magistro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366976987 PECOS PAC ID: 0042567133 Enrollment ID: I20180720000273 |
| Provider Name | Kristin Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245738384 PECOS PAC ID: 0547517302 Enrollment ID: I20180725000551 |
| Provider Name | Jeffrey D Remaklus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497113120 PECOS PAC ID: 5991095515 Enrollment ID: I20180730002756 |
| Provider Name | Pamela Weizel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679526404 PECOS PAC ID: 0446384119 Enrollment ID: I20180730002945 |
| Provider Name | Melody Nicole Resto-burton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992204275 PECOS PAC ID: 5193074557 Enrollment ID: I20180817000656 |
| Provider Name | Malcolm N Aikens |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649768920 PECOS PAC ID: 0941559181 Enrollment ID: I20180821001301 |
| Provider Name | Emma Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922516244 PECOS PAC ID: 7012267453 Enrollment ID: I20180906001300 |
| Provider Name | Lisa Caiafa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144719485 PECOS PAC ID: 3072863265 Enrollment ID: I20180910001896 |
| Provider Name | Diana Paulus |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750818886 PECOS PAC ID: 0840545364 Enrollment ID: I20180917000183 |
| Provider Name | Jessica A Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356860670 PECOS PAC ID: 5092066951 Enrollment ID: I20180917001695 |
| Provider Name | Claudia Ayodele Davies Hodge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275071714 PECOS PAC ID: 4385995828 Enrollment ID: I20180924001179 |
| Provider Name | Catherine Lynn Postema |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992246557 PECOS PAC ID: 2163794934 Enrollment ID: I20180924001901 |
| Provider Name | Aurora Hoyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124527809 PECOS PAC ID: 0941551352 Enrollment ID: I20180925001037 |
| Provider Name | Anke Fien Mbapeh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386135663 PECOS PAC ID: 2365793585 Enrollment ID: I20180926002603 |
| Provider Name | Amanda Pyatt Knowles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548778988 PECOS PAC ID: 5496006413 Enrollment ID: I20181001001921 |
| Provider Name | Yolanda H Wimberly |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396745279 PECOS PAC ID: 8820340862 Enrollment ID: I20181002003639 |
| Provider Name | Augustine Emmanuel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043555667 PECOS PAC ID: 2163738634 Enrollment ID: I20181008003520 |
| Provider Name | Julie-ann Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134626385 PECOS PAC ID: 8325390073 Enrollment ID: I20181009000928 |
| Provider Name | Megan Mclinden |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1821584319 PECOS PAC ID: 1759633209 Enrollment ID: I20181010002578 |
| Provider Name | Betsy E Cuenca |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1831607142 PECOS PAC ID: 9537411863 Enrollment ID: I20181015000731 |
| Provider Name | Frazier Keitt |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1063830743 PECOS PAC ID: 2961724729 Enrollment ID: I20181015000993 |
| Provider Name | Neha Amin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1699107698 PECOS PAC ID: 1456604404 Enrollment ID: I20181022002573 |
| Provider Name | Damarius Ondieki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477048767 PECOS PAC ID: 1355694241 Enrollment ID: I20181023000822 |
| Provider Name | Michelle Ruth Orovitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871095919 PECOS PAC ID: 7618221524 Enrollment ID: I20181113000921 |
| Provider Name | Carlita Clark |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942784897 PECOS PAC ID: 6507110285 Enrollment ID: I20181115001743 |
| Provider Name | Un Cindy Ehret |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1114335494 PECOS PAC ID: 4284957721 Enrollment ID: I20181115003127 |
| Provider Name | Dale Bowers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659865715 PECOS PAC ID: 2062766611 Enrollment ID: I20181116001740 |
| Provider Name | Terrica Harris |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326533415 PECOS PAC ID: 6406190602 Enrollment ID: I20181130001098 |
| Provider Name | Shayle Means Glover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700366895 PECOS PAC ID: 0042554875 Enrollment ID: I20181205003375 |
| Provider Name | Andrew Hawthorne Jenkins |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1346735602 PECOS PAC ID: 8527303122 Enrollment ID: I20190102000384 |
| Provider Name | Sharal Ozim |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952805905 PECOS PAC ID: 0547508160 Enrollment ID: I20190206002054 |
| Provider Name | Caryl Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346792983 PECOS PAC ID: 1658651443 Enrollment ID: I20190206003277 |
| Provider Name | Meghan L. Hepler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790255172 PECOS PAC ID: 1850639600 Enrollment ID: I20190220002782 |
| Provider Name | Alexis Robinson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1548730179 PECOS PAC ID: 4486993185 Enrollment ID: I20190304002894 |
| Provider Name | Abbey Holley Meyer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922576586 PECOS PAC ID: 8325388168 Enrollment ID: I20190314001128 |
| Provider Name | Jared Allen Reichard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811425853 PECOS PAC ID: 7315287059 Enrollment ID: I20190316000094 |
| Provider Name | Haytham Alrayah Hussein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912165853 PECOS PAC ID: 8527220730 Enrollment ID: I20190318002088 |
| Provider Name | Carrie Beth Solodky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902801236 PECOS PAC ID: 7113951682 Enrollment ID: I20190321002695 |
| Provider Name | Sepideh Zohreh |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1053880500 PECOS PAC ID: 4284975988 Enrollment ID: I20190408000078 |
| Provider Name | Kaitlyn C Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871050492 PECOS PAC ID: 1254673213 Enrollment ID: I20190424000476 |
| Provider Name | Robert Emmanuel Benjamin |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1992763395 PECOS PAC ID: 9537248562 Enrollment ID: I20190615000086 |
| Provider Name | Cedric Miller |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1952872707 PECOS PAC ID: 6002140654 Enrollment ID: I20190702000255 |
| Provider Name | Alice Fagin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1194995837 PECOS PAC ID: 0446383863 Enrollment ID: I20190801001552 |
| Provider Name | Sandra Y Goldring |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922411636 PECOS PAC ID: 0042500548 Enrollment ID: I20190806003966 |
| Provider Name | Christine Aisha Castater |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1306264601 PECOS PAC ID: 4385923119 Enrollment ID: I20190808002226 |
| Provider Name | Maria Willis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669030052 PECOS PAC ID: 6901135276 Enrollment ID: I20190911002819 |
| Provider Name | April Anita Bright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194207126 PECOS PAC ID: 4880925106 Enrollment ID: I20191016003716 |
| Provider Name | Carley Jennifer Shulman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801371042 PECOS PAC ID: 5092147785 Enrollment ID: I20191119000726 |
| Provider Name | Anisa K Bullock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598235590 PECOS PAC ID: 7113350901 Enrollment ID: I20191209003012 |
| Provider Name | Kelvin Dremont Turks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962045773 PECOS PAC ID: 9537593736 Enrollment ID: I20191220002268 |
| Provider Name | Ogemdi O Madu |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477025112 PECOS PAC ID: 3274967245 Enrollment ID: I20191227001435 |
| Provider Name | Tarannum Rupani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083171235 PECOS PAC ID: 0244664217 Enrollment ID: I20191227001563 |
| Provider Name | Semhar S Abraha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871156414 PECOS PAC ID: 3072947068 Enrollment ID: I20191228000091 |
| Provider Name | Bryan D Vo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477903961 PECOS PAC ID: 6406105436 Enrollment ID: I20200107003599 |
| Provider Name | Tracie Theresa Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104486711 PECOS PAC ID: 4284069386 Enrollment ID: I20200117002394 |
| Provider Name | Pierre David Villain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255812731 PECOS PAC ID: 5193150928 Enrollment ID: I20200123002954 |
| Provider Name | Andrew R Clementz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689171621 PECOS PAC ID: 5193074920 Enrollment ID: I20200206002993 |
| Provider Name | Terri Marie Cowan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922640960 PECOS PAC ID: 2062848039 Enrollment ID: I20200211001578 |
| Provider Name | Mustapha T Olorunnimbe |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801368352 PECOS PAC ID: 5991031494 Enrollment ID: I20200401001612 |
| Provider Name | Mary Parker Forbus |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1265068480 PECOS PAC ID: 3072942333 Enrollment ID: I20200407003906 |
| Provider Name | Catherine Laura Brandenburg |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1346874179 PECOS PAC ID: 0143659409 Enrollment ID: I20200407003978 |
| Provider Name | Anna Strano |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1366908907 PECOS PAC ID: 2860821121 Enrollment ID: I20200407004051 |
| Provider Name | Gwendolyn Elaine Montgomery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629635859 PECOS PAC ID: 6305275538 Enrollment ID: I20200408004679 |
| Provider Name | Frantoria Welch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285262865 PECOS PAC ID: 1850721812 Enrollment ID: I20200415003066 |
| Provider Name | Ayana Aqila Thornton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891285243 PECOS PAC ID: 6901237510 Enrollment ID: I20200515000718 |
| Provider Name | Jordan Tyler Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275164436 PECOS PAC ID: 5799106076 Enrollment ID: I20200522002397 |
| Provider Name | Wesley L Quarles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639540768 PECOS PAC ID: 1557654571 Enrollment ID: I20200526003059 |
| Provider Name | Amber Dale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831695170 PECOS PAC ID: 5890116602 Enrollment ID: I20200603002373 |
| Provider Name | Janel Schneider |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720002694 PECOS PAC ID: 3072547082 Enrollment ID: I20200615001172 |
| Provider Name | Erica Renee Eaddy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659807410 PECOS PAC ID: 5597010785 Enrollment ID: I20200626002079 |
| Provider Name | Yhaneek N Douglas-mattis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033750781 PECOS PAC ID: 0143643247 Enrollment ID: I20200708001802 |
| Provider Name | Ajoke S James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982180469 PECOS PAC ID: 9032533450 Enrollment ID: I20200717002806 |
| Provider Name | Colin Thomas Mathews |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407474372 PECOS PAC ID: 8921422148 Enrollment ID: I20200721003486 |
| Provider Name | Caletha Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073149134 PECOS PAC ID: 5092139212 Enrollment ID: I20200722002459 |
| Provider Name | Joslyn Nicole Witherspoon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215269873 PECOS PAC ID: 8628224367 Enrollment ID: I20200723003319 |
| Provider Name | Emily Anne Culbreth |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407406259 PECOS PAC ID: 7113342866 Enrollment ID: I20200729001098 |
| Provider Name | Gabrielle Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518493899 PECOS PAC ID: 9931479805 Enrollment ID: I20200731001403 |
| Provider Name | Lewis Olaoluwa |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659924355 PECOS PAC ID: 9931524352 Enrollment ID: I20200803000715 |
| Provider Name | Ashley Pier |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1720343767 PECOS PAC ID: 4486079357 Enrollment ID: I20200810001340 |
| Provider Name | Grace M Blackwood |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1104071133 PECOS PAC ID: 9830514678 Enrollment ID: I20200810003592 |
| Provider Name | Lateshia Colette Thomas-seaton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295252369 PECOS PAC ID: 7214352095 Enrollment ID: I20200811001037 |
| Provider Name | Kathryn Gretchen Dirks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821581612 PECOS PAC ID: 0446584015 Enrollment ID: I20200811003527 |
| Provider Name | Chika Ngozi Ezenekwe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629538509 PECOS PAC ID: 6406272038 Enrollment ID: I20200813001573 |
| Provider Name | Crystal Grayson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760007322 PECOS PAC ID: 9436575800 Enrollment ID: I20200814002660 |
| Provider Name | Messeret Yohannes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023664232 PECOS PAC ID: 4981020252 Enrollment ID: I20200817003737 |
| Provider Name | Whitney Parks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447893938 PECOS PAC ID: 7315363611 Enrollment ID: I20200818000458 |
| Provider Name | Cheryl Moreton |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1548814791 PECOS PAC ID: 4284050584 Enrollment ID: I20200818000605 |
| Provider Name | Norianne Martinez Pimentel-piatt |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841646981 PECOS PAC ID: 6901149061 Enrollment ID: I20200821002497 |
| Provider Name | Ashley Mose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801333281 PECOS PAC ID: 5597049635 Enrollment ID: I20200827000316 |
| Provider Name | Alicia Camille Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871113209 PECOS PAC ID: 1850718131 Enrollment ID: I20200901001964 |
| Provider Name | Cameron Story |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1528586088 PECOS PAC ID: 9830451491 Enrollment ID: I20200902001067 |
| Provider Name | Lashonda S Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861960676 PECOS PAC ID: 8820337157 Enrollment ID: I20201001000659 |
| Provider Name | Farhat Shireen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346656253 PECOS PAC ID: 6406163484 Enrollment ID: I20201006000576 |
| Provider Name | Mariam Nematalla Antonios |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164885901 PECOS PAC ID: 1254751274 Enrollment ID: I20201013002562 |
| Provider Name | Patricia Francis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1144641044 PECOS PAC ID: 5597088732 Enrollment ID: I20201014001214 |
| Provider Name | Chaltu Raba |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639782832 PECOS PAC ID: 9133549785 Enrollment ID: I20201020001745 |
| Provider Name | Samual Todd |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1104858281 PECOS PAC ID: 2668477902 Enrollment ID: I20201021001737 |
| Provider Name | Jolly Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376914184 PECOS PAC ID: 4082909635 Enrollment ID: I20201022002189 |
| Provider Name | Ashley A Bostic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790397172 PECOS PAC ID: 6002236312 Enrollment ID: I20201026000992 |
| Provider Name | Alisha Patel |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1609486513 PECOS PAC ID: 4183044423 Enrollment ID: I20201026002088 |
| Provider Name | Mercedes Ladonna Madu |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1881231801 PECOS PAC ID: 4789004037 Enrollment ID: I20201026002890 |
| Provider Name | Mrinali Sharma |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1710597620 PECOS PAC ID: 4789004078 Enrollment ID: I20201027001093 |
| Provider Name | Shannah Pinkston |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871051615 PECOS PAC ID: 1759791858 Enrollment ID: I20201030001633 |
| Provider Name | Laura Mcrae |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972075497 PECOS PAC ID: 6800206798 Enrollment ID: I20201104001311 |
| Provider Name | Caroline N/a Guan |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1639784119 PECOS PAC ID: 5294146486 Enrollment ID: I20201119000145 |
| Provider Name | Nebiyu D Muleta |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538775473 PECOS PAC ID: 8426469156 Enrollment ID: I20201201001173 |
| Provider Name | Etoyus Daniels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861961989 PECOS PAC ID: 2466863949 Enrollment ID: I20201205000264 |
| Provider Name | Shannon Twanita Lindsay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194183475 PECOS PAC ID: 7214232982 Enrollment ID: I20201210000361 |
| Provider Name | Lynzee Marie Lawyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760039697 PECOS PAC ID: 2163834292 Enrollment ID: I20201215001671 |
| Provider Name | Karishma Dayani |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1588273676 PECOS PAC ID: 3678985611 Enrollment ID: I20201215002245 |
| Provider Name | Adrienne Laquinn Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720634199 PECOS PAC ID: 4284046251 Enrollment ID: I20201215003403 |
| Provider Name | Rikita D Patel |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1952915431 PECOS PAC ID: 2365854999 Enrollment ID: I20201223001207 |
| Provider Name | Panaporn Ann Aphivantrakul |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1083224992 PECOS PAC ID: 3577976109 Enrollment ID: I20201228002244 |
| Provider Name | Charles Edge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568986313 PECOS PAC ID: 6709299381 Enrollment ID: I20201229001963 |
| Provider Name | Zoe Ar Hardaway |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1144830928 PECOS PAC ID: 7719390244 Enrollment ID: I20201230001405 |
| Provider Name | Lanika Patterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437683133 PECOS PAC ID: 5092128496 Enrollment ID: I20210104000254 |
| Provider Name | Abiel Berhane |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1962029785 PECOS PAC ID: 4789097197 Enrollment ID: I20210104000816 |
| Provider Name | Abigail Walker Murray |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245830579 PECOS PAC ID: 2365855798 Enrollment ID: I20210104001570 |
| Provider Name | Jessica Beaver |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1326658337 PECOS PAC ID: 5597178954 Enrollment ID: I20210105000533 |
| Provider Name | Sebah Abdulaziz |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1245726645 PECOS PAC ID: 7618211210 Enrollment ID: I20210119000921 |
| Provider Name | Nailah Newkirk |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1164044921 PECOS PAC ID: 8325468580 Enrollment ID: I20210202001416 |
| Provider Name | Vanessa Okolie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811404593 PECOS PAC ID: 3678834371 Enrollment ID: I20210210002109 |
| Provider Name | Jillian Nykole Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558907634 PECOS PAC ID: 0648685024 Enrollment ID: I20210217000349 |
| Provider Name | Alexis Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356851406 PECOS PAC ID: 3072873512 Enrollment ID: I20210222002312 |
| Provider Name | Kenya Corbitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063008928 PECOS PAC ID: 7810302825 Enrollment ID: I20210224001037 |
| Provider Name | April Alicia Harvey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730778606 PECOS PAC ID: 2860807880 Enrollment ID: I20210224001292 |
| Provider Name | Lindsey Beauboeuf |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023547346 PECOS PAC ID: 9931436169 Enrollment ID: I20210302002582 |
| Provider Name | Gabriele Mira Naumann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831442821 PECOS PAC ID: 4082020706 Enrollment ID: I20210304000569 |
| Provider Name | Jyes Annemarie Querubin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154688604 PECOS PAC ID: 6901179662 Enrollment ID: I20210312001573 |
| Provider Name | Brian Andrew Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699361105 PECOS PAC ID: 0648687541 Enrollment ID: I20210319001430 |
| Provider Name | Reneka Polk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154845535 PECOS PAC ID: 5496020935 Enrollment ID: I20210319001697 |
| Provider Name | Ngassa Nchapada Menga-faith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265059299 PECOS PAC ID: 4587072566 Enrollment ID: I20210412000773 |
| Provider Name | Malcolm N Aikens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649768920 PECOS PAC ID: 0941559181 Enrollment ID: I20210521001449 |
| Provider Name | Selena Kim |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1013562883 PECOS PAC ID: 9234553256 Enrollment ID: I20210603000395 |
| Provider Name | India Missinne |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083114094 PECOS PAC ID: 0648516492 Enrollment ID: I20210604001136 |
| Provider Name | Patrice Munsel Henry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053965855 PECOS PAC ID: 7517366982 Enrollment ID: I20210604002330 |
| Provider Name | Patrick Murray |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1902451883 PECOS PAC ID: 8123441086 Enrollment ID: I20210610000670 |
| Provider Name | Kendall Sentimore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538464631 PECOS PAC ID: 0345640280 Enrollment ID: I20210615000668 |
| Provider Name | Shankeria Walker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598331720 PECOS PAC ID: 3577963198 Enrollment ID: I20210617002601 |
| Provider Name | Randall Tyler Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205428083 PECOS PAC ID: 8527469063 Enrollment ID: I20210622002118 |
| Provider Name | Christie Sams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649887118 PECOS PAC ID: 5092117515 Enrollment ID: I20210707000661 |
| Provider Name | Ann-gelle Carter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952807166 PECOS PAC ID: 2769710722 Enrollment ID: I20210805001414 |
| Provider Name | Ashley Perez |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285009407 PECOS PAC ID: 1153627484 Enrollment ID: I20210806001000 |
| Provider Name | Marisa B Schor |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1023638772 PECOS PAC ID: 1759786478 Enrollment ID: I20210818003010 |
| Provider Name | Alexander Lee |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1346703758 PECOS PAC ID: 3173956729 Enrollment ID: I20210818003942 |
| Provider Name | Natasha A Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639784788 PECOS PAC ID: 6800291444 Enrollment ID: I20210820000616 |
| Provider Name | Jason George Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962883249 PECOS PAC ID: 1951662154 Enrollment ID: I20210824002175 |
| Provider Name | Miranda Nicole Mcnear |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790282358 PECOS PAC ID: 4284039249 Enrollment ID: I20210830001177 |
| Provider Name | Francisco Averhoff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760660443 PECOS PAC ID: 6406253772 Enrollment ID: I20210929001680 |
| Provider Name | Melissa Beltran |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164090817 PECOS PAC ID: 2567860828 Enrollment ID: I20211018001778 |
| Provider Name | Hai Le |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1225603293 PECOS PAC ID: 8729476932 Enrollment ID: I20211020002114 |
| Provider Name | Samantha Lee |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1801560453 PECOS PAC ID: 2163810284 Enrollment ID: I20211022000497 |
| Provider Name | Preston Maness |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1164006888 PECOS PAC ID: 7517355639 Enrollment ID: I20211022000520 |
| Provider Name | Arshawn Sami |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1447926878 PECOS PAC ID: 8527456508 Enrollment ID: I20211025000436 |
| Provider Name | Stephen Franklin Weir |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144899147 PECOS PAC ID: 0648668673 Enrollment ID: I20211025002496 |
| Provider Name | Vanessa S. Faryen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255897211 PECOS PAC ID: 2668861923 Enrollment ID: I20211109000203 |
| Provider Name | Amy Renee Hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083157788 PECOS PAC ID: 5496037236 Enrollment ID: I20211109002228 |
| Provider Name | Diana Layce Carbone Peck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184253387 PECOS PAC ID: 7517356710 Enrollment ID: I20211109002494 |
| Provider Name | Kayin Jeffers |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1710397104 PECOS PAC ID: 4587882329 Enrollment ID: I20211112000782 |
| Provider Name | Nada Awdi |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1750054607 PECOS PAC ID: 3072910470 Enrollment ID: I20211116001267 |
| Provider Name | Kori Vaughn |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1629658349 PECOS PAC ID: 1355746298 Enrollment ID: I20211116002485 |
| Provider Name | Christen M Seguin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366884876 PECOS PAC ID: 9931422698 Enrollment ID: I20211203000994 |
| Provider Name | Sarah Michelle Freer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821645623 PECOS PAC ID: 1850782244 Enrollment ID: I20211219000020 |
| Provider Name | Bradley Henrie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609396118 PECOS PAC ID: 1355762931 Enrollment ID: I20211221001069 |
| Provider Name | Emerald Renee Glass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952071235 PECOS PAC ID: 6507851490 Enrollment ID: I20211221001468 |
| Provider Name | Stephen Parker Fulton |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548209257 PECOS PAC ID: 5698773943 Enrollment ID: I20211227000819 |
| Provider Name | Sonia A Olumba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326704891 PECOS PAC ID: 3274924220 Enrollment ID: I20211229001691 |
| Provider Name | Saleem Javaid |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1679240451 PECOS PAC ID: 4587056882 Enrollment ID: I20220118002769 |
| Provider Name | Melissa L Cirillo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952564015 PECOS PAC ID: 0648311308 Enrollment ID: I20220214001595 |
| Provider Name | Yei Tokpah |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1013580927 PECOS PAC ID: 3870987241 Enrollment ID: I20220301000482 |
| Provider Name | Darrius Darrell James Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982360376 PECOS PAC ID: 0941694285 Enrollment ID: I20220302000711 |
| Provider Name | Titannia T Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316602220 PECOS PAC ID: 0143614222 Enrollment ID: I20220307001620 |
| Provider Name | Haley Mucci |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083386577 PECOS PAC ID: 7012304066 Enrollment ID: I20220422000168 |
| Provider Name | Jeremy Keith Crouch |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538464086 PECOS PAC ID: 9234307018 Enrollment ID: I20220427001501 |
| Provider Name | Rodarline Gerard |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295498178 PECOS PAC ID: 9638566979 Enrollment ID: I20220504002863 |
| Provider Name | Chiemela O Fleurinor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083966485 PECOS PAC ID: 7618355298 Enrollment ID: I20220610000588 |
| Provider Name | Nicole Ashley Williamson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942886676 PECOS PAC ID: 1951789452 Enrollment ID: I20220610001654 |
| Provider Name | Alexandria Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023762937 PECOS PAC ID: 7113305699 Enrollment ID: I20220613001461 |
| Provider Name | Patience Asigri Obasuyi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417573924 PECOS PAC ID: 8224417662 Enrollment ID: I20220615001907 |
| Provider Name | Angenette Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760081871 PECOS PAC ID: 7517373947 Enrollment ID: I20220620001339 |
| Provider Name | Renaldo Vincent Mili |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861861189 PECOS PAC ID: 7810377496 Enrollment ID: I20220629003120 |
| Provider Name | Hannah Marie Kriske |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851047195 PECOS PAC ID: 9830579093 Enrollment ID: I20220706000209 |
| Provider Name | Christine M Hansen |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1235584111 PECOS PAC ID: 5799165817 Enrollment ID: I20220707001676 |
| Provider Name | David Anthony Brown |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1801560958 PECOS PAC ID: 7517348170 Enrollment ID: I20220714000705 |
| Provider Name | Joshua Shane Fountain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831855865 PECOS PAC ID: 6709267511 Enrollment ID: I20220725001969 |
| Provider Name | Shenika Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043340169 PECOS PAC ID: 9537541891 Enrollment ID: I20220802004148 |
| Provider Name | Kimberly Walker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376289926 PECOS PAC ID: 9335521350 Enrollment ID: I20220807000111 |
| Provider Name | Coreyonna Durayne Whitehead |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760111660 PECOS PAC ID: 1658755988 Enrollment ID: I20220906000002 |
| Provider Name | Brittany Foster |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417615519 PECOS PAC ID: 6204211683 Enrollment ID: I20220921001956 |
| Provider Name | Michael Zane Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134847817 PECOS PAC ID: 4183090624 Enrollment ID: I20221025000387 |
| Provider Name | Daline Derival |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093235319 PECOS PAC ID: 5395089676 Enrollment ID: I20221025001178 |
| Provider Name | Cansery Kathomi Mwangi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447983960 PECOS PAC ID: 4981070331 Enrollment ID: I20221026001820 |
| Provider Name | Linu Stephen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114568953 PECOS PAC ID: 9032545967 Enrollment ID: I20221026003158 |
| Provider Name | Manuel Garcia-toca |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1437377280 PECOS PAC ID: 2062605751 Enrollment ID: I20221027000404 |
| Provider Name | Gwendolyn Gabey |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1336813211 PECOS PAC ID: 5395123459 Enrollment ID: I20221028000681 |
| Provider Name | Benjamin Franklin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1629389127 PECOS PAC ID: 4082081385 Enrollment ID: I20221028002123 |
| Provider Name | Kierra Henry |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1386307460 PECOS PAC ID: 9133596059 Enrollment ID: I20221107001876 |
| Provider Name | Evelyn Edna Laduke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629605183 PECOS PAC ID: 6103293725 Enrollment ID: I20221110000706 |
| Provider Name | Angela Denise Dixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407136641 PECOS PAC ID: 0648647180 Enrollment ID: I20221113000060 |
| Provider Name | Jovielle Dawn Maire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407347925 PECOS PAC ID: 9436548088 Enrollment ID: I20221116003100 |
| Provider Name | Margit Sample |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1578272894 PECOS PAC ID: 1456729458 Enrollment ID: I20221123000581 |
| Provider Name | Jean Sun |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265759716 PECOS PAC ID: 3577879535 Enrollment ID: I20221205001824 |
| Provider Name | Antigone M Constantine |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912579608 PECOS PAC ID: 3476926023 Enrollment ID: I20230301000651 |
| Provider Name | Mallory Breanna Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124663331 PECOS PAC ID: 5799150686 Enrollment ID: I20230406000897 |
| Provider Name | Regina Fredua-agyeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114392495 PECOS PAC ID: 9335445477 Enrollment ID: I20230406001295 |
| Provider Name | Yuk Ming Liu |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1730341553 PECOS PAC ID: 0648499236 Enrollment ID: I20230410001505 |
| Provider Name | Crystal Ekeoma Nwaopara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225738412 PECOS PAC ID: 5395110944 Enrollment ID: I20230412002117 |
| Provider Name | Marissa Jean Maule |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1366138380 PECOS PAC ID: 5496110421 Enrollment ID: I20230427000085 |
| Provider Name | George Derefaka |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386074474 PECOS PAC ID: 2769612274 Enrollment ID: I20230509001956 |
| Provider Name | Julliette Finda Gbanga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356062095 PECOS PAC ID: 2668839788 Enrollment ID: I20230606000753 |
| Provider Name | Jen Ji Eun Chung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518602952 PECOS PAC ID: 7810354750 Enrollment ID: I20230607002347 |
| Provider Name | Liberty Odinamadu Ubani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386226173 PECOS PAC ID: 2163880451 Enrollment ID: I20230619000983 |
| Provider Name | Nadirah A Abdul-mateen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932806072 PECOS PAC ID: 6901266220 Enrollment ID: I20230719000269 |
| Provider Name | John Dalton Schumacher |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235750944 PECOS PAC ID: 4183016330 Enrollment ID: I20230808000790 |
| Provider Name | Jameka Shavone Dorsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093465874 PECOS PAC ID: 1850750639 Enrollment ID: I20230808001093 |
| Provider Name | Cole Sarembock |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1942912464 PECOS PAC ID: 2466814462 Enrollment ID: I20230808001710 |
| Provider Name | Shundreka Jujuan Barkley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386341410 PECOS PAC ID: 1456713064 Enrollment ID: I20230815000123 |
| Provider Name | Daiysha Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588167340 PECOS PAC ID: 1153670427 Enrollment ID: I20230823001920 |
| Provider Name | Courtney Ann Muller |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255778775 PECOS PAC ID: 0042673378 Enrollment ID: I20230901003233 |
| Provider Name | Kecia Marshall Berry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578153235 PECOS PAC ID: 5092178228 Enrollment ID: I20230905003699 |
| Provider Name | Hannah Kathleen Bender |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336826189 PECOS PAC ID: 9436513629 Enrollment ID: I20230906002099 |
| Provider Name | Sharmaine K Beverly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831805274 PECOS PAC ID: 7618331380 Enrollment ID: I20230913003071 |
| Provider Name | Pamela Viola Seales-mathieson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811622558 PECOS PAC ID: 3678769684 Enrollment ID: I20231003001544 |
| Provider Name | Aline M Pereira |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720607278 PECOS PAC ID: 4587083506 Enrollment ID: I20231010003684 |
| Provider Name | Sanoma Abada Erutere |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447881321 PECOS PAC ID: 6800242181 Enrollment ID: I20231023001567 |
| Provider Name | Daniel Shmakov |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1114640638 PECOS PAC ID: 7810367091 Enrollment ID: I20231031003147 |
| Provider Name | Gwendolyn Bodkin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285163717 PECOS PAC ID: 6103195359 Enrollment ID: I20231203000153 |
| Provider Name | Kimeka Renay Vayens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992484646 PECOS PAC ID: 3870942303 Enrollment ID: I20231209000478 |
| Provider Name | Erin Caddell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1598147068 PECOS PAC ID: 4183924749 Enrollment ID: I20231213001604 |
| Provider Name | Hongbo Dai |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093406399 PECOS PAC ID: 4183074941 Enrollment ID: I20231220002523 |
| Provider Name | Myla White |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639699283 PECOS PAC ID: 9335556216 Enrollment ID: I20231221000003 |
| Provider Name | Brandon Taylor Schwartz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144723842 PECOS PAC ID: 8820405285 Enrollment ID: I20231221000410 |
| Provider Name | Erica Lynn Robertson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326683426 PECOS PAC ID: 5294187076 Enrollment ID: I20240117002260 |
| Provider Name | Nicole Mills |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699130831 PECOS PAC ID: 4385088897 Enrollment ID: I20240222003093 |
| Provider Name | Malochee Joseph |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558676023 PECOS PAC ID: 7113145020 Enrollment ID: I20240227000090 |
| Provider Name | Simon Paulos Yohannes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740819846 PECOS PAC ID: 2365868494 Enrollment ID: I20240320001510 |
| Provider Name | Jodian Kedoya Douglas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417603598 PECOS PAC ID: 1951749464 Enrollment ID: I20240403001815 |
| Provider Name | Xavier L Spann |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841639606 PECOS PAC ID: 0941649875 Enrollment ID: I20240411003314 |
| Provider Name | Ryan Jonik |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1447860028 PECOS PAC ID: 2961812482 Enrollment ID: I20240415001555 |
| Provider Name | Stephanie Jayne Henke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205291408 PECOS PAC ID: 9931548575 Enrollment ID: I20240416002546 |
| Provider Name | Patricia Wesley Brown-irby |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255087847 PECOS PAC ID: 9931548435 Enrollment ID: I20240417000531 |
| Provider Name | Conchata S Richards |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326411596 PECOS PAC ID: 4880033208 Enrollment ID: I20240418001754 |
| Provider Name | Christopher P. Andrews |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679884712 PECOS PAC ID: 7315386562 Enrollment ID: I20240419002896 |
| Provider Name | Keisha H Johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407125834 PECOS PAC ID: 3779922935 Enrollment ID: I20240419003305 |
| Provider Name | Shiyanbola Ajao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790363653 PECOS PAC ID: 8729427927 Enrollment ID: I20240422000691 |
| Provider Name | Lauren Morgan Danzi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083218788 PECOS PAC ID: 4789023813 Enrollment ID: I20240422002163 |
| Provider Name | Johnnie Lee Jenkins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104830819 PECOS PAC ID: 2163861188 Enrollment ID: I20240423002622 |
| Provider Name | Nancy Zamora-miller |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386678316 PECOS PAC ID: 9830538826 Enrollment ID: I20240424000887 |
| Provider Name | Joi Bythwood |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134673197 PECOS PAC ID: 5890135826 Enrollment ID: I20240424002860 |
| Provider Name | Amanda Nesbitt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588208979 PECOS PAC ID: 7012357056 Enrollment ID: I20240424003062 |
| Provider Name | Adrienne Stephens |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689073231 PECOS PAC ID: 3173963980 Enrollment ID: I20240426002061 |
| Provider Name | Albert B Fisher |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023361219 PECOS PAC ID: 3678913142 Enrollment ID: I20240501000757 |
| Provider Name | Denita Dunn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285374322 PECOS PAC ID: 4082055561 Enrollment ID: I20240515001472 |
| Provider Name | Lynda Cokuslu |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730549916 PECOS PAC ID: 0941641203 Enrollment ID: I20240517000156 |
| Provider Name | Soo Hyun Kim |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982191201 PECOS PAC ID: 2264874072 Enrollment ID: I20240524001747 |
| Provider Name | Tomias Mathis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215620901 PECOS PAC ID: 9830531243 Enrollment ID: I20240530000656 |
Extreme Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2484 Briarcliff Rd Ne, Suite 22-353, Atlanta, GA 30329 Phone: 678-237-6363 | |
Saint Joseph's Mercy Care - Mary Hall Freedom House Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Hannover Park Rd Ste 100, Atlanta, GA 30350 Phone: 678-843-8500 Fax: 678-843-8601 | |
Physicians Care Centers Of Atlanta, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 285 Boulevard Ne, Suite 435, Atlanta, GA 30312 Phone: 561-385-0731 | |
Tis (to Inspire Strong) African Children Fund, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2233 Peachtree Rd Ne Ste 206a, Atlanta, GA 30309 Phone: 202-872-8333 | |
Comfort Medical Center Phoenix Blvd, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1903 Phoenix Blvd Ste 125, Atlanta, GA 30349 Phone: 404-982-4228 Fax: 404-275-0676 | |
Aylo Health, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3333 Riverwood Pkwy Se Ste 250, Atlanta, GA 30339 Phone: 770-914-0116 Fax: 770-914-7703 | |
Cardiac Disease Specialists, Pc- Sheffield Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1938 Peachtree Rd Nw, Ste 412, Atlanta, GA 30309 Phone: 404-351-3231 Fax: 404-351-3167 |