| Gundersen Lutheran Medical Center Inc | |
|
1111 7th St S La Crosse WI 54601-5474 | |
| (608) 782-7300 | |
| Not Available |
| Full Name | Gundersen Lutheran Medical Center Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1111 7th St S, La Crosse, Wisconsin |
| Authorized Official Name and Position | Kari B Adank (VP COMPLIANCE) |
| Authorized Official Contact | 6087758025 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gundersen Lutheran Medical Center Inc 1910 South Ave La Crosse WI 54601-5467 Ph: (608) 782-7300 | Gundersen Lutheran Medical Center Inc 1111 7th St S La Crosse WI 54601-5474 Ph: (608) 782-7300 |
| NPI Number | 1225873458 |
|---|---|
| Provider Enumeration Date | 06/28/2024 |
| Last Update Date | 06/28/2024 |
| Medicare PECOS PAC ID | 2163331414 |
|---|---|
| Medicare Enrollment ID | O20130619000254 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225873458 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Stephen C Copps |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548265804 PECOS PAC ID: 8325942360 Enrollment ID: I20031121000442 |
| Provider Name | James V Bounds |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831162346 PECOS PAC ID: 9335044635 Enrollment ID: I20031201000256 |
| Provider Name | Michael J Ebersold |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1093770752 PECOS PAC ID: 6800791112 Enrollment ID: I20031201000307 |
| Provider Name | Roger W Kwong |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1740286855 PECOS PAC ID: 4082512538 Enrollment ID: I20031222000728 |
| Provider Name | James C Graf |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1316923675 PECOS PAC ID: 2062313430 Enrollment ID: I20040119000170 |
| Provider Name | Emmanuel A Omoba |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346342342 PECOS PAC ID: 7517868938 Enrollment ID: I20040119000403 |
| Provider Name | Lynne M Gaustad |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417952128 PECOS PAC ID: 1153222401 Enrollment ID: I20040119000609 |
| Provider Name | Kurt R Oettel |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1770585051 PECOS PAC ID: 2860393121 Enrollment ID: I20040119000664 |
| Provider Name | Jeannette Gasal Spilde |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437182169 PECOS PAC ID: 4486557949 Enrollment ID: I20040130000890 |
| Provider Name | James E Lean |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003913112 PECOS PAC ID: 6608769179 Enrollment ID: I20040206000834 |
| Provider Name | Aaron M Butler |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1962450775 PECOS PAC ID: 4385543149 Enrollment ID: I20040214000173 |
| Provider Name | Murray S Donovan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598747263 PECOS PAC ID: 9638066236 Enrollment ID: I20040228000458 |
| Provider Name | Gregory E Salton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861502023 PECOS PAC ID: 4688561087 Enrollment ID: I20040301001108 |
| Provider Name | Shekhar S Sane |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740207711 PECOS PAC ID: 9830086248 Enrollment ID: I20040301001145 |
| Provider Name | Uma Suriyanarayanan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841217809 PECOS PAC ID: 9638066053 Enrollment ID: I20040301001222 |
| Provider Name | Daniel C Bloomgarden |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821019639 PECOS PAC ID: 7517854961 Enrollment ID: I20040302000091 |
| Provider Name | Christopher P Born |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1134123805 PECOS PAC ID: 5294622189 Enrollment ID: I20040304000147 |
| Provider Name | Juliana E Wypyszynski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871598102 PECOS PAC ID: 1557250461 Enrollment ID: I20040310001313 |
| Provider Name | Kimberly J Hardy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063485878 PECOS PAC ID: 5193614972 Enrollment ID: I20040311000224 |
| Provider Name | Michael James Dolan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982609186 PECOS PAC ID: 9739098088 Enrollment ID: I20040313000129 |
| Provider Name | Gordon L Johnson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932105061 PECOS PAC ID: 2668361098 Enrollment ID: I20040313000292 |
| Provider Name | Rahul Verma |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1225085582 PECOS PAC ID: 2567352461 Enrollment ID: I20040316000741 |
| Provider Name | Jennifer E Kleven |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275539512 PECOS PAC ID: 9234029604 Enrollment ID: I20040318000911 |
| Provider Name | Julie A Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063493674 PECOS PAC ID: 6800786161 Enrollment ID: I20040318001686 |
| Provider Name | Pieter John Vanderlijn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437188091 PECOS PAC ID: 5698666717 Enrollment ID: I20040320000078 |
| Provider Name | Parnjai J Johnson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912903477 PECOS PAC ID: 5395636120 Enrollment ID: I20040322001700 |
| Provider Name | Paul Kuck |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1801892062 PECOS PAC ID: 4183516008 Enrollment ID: I20040326000109 |
| Provider Name | Daniel F Schraith |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1316941388 PECOS PAC ID: 1759374952 Enrollment ID: I20040405000968 |
| Provider Name | Kristie K Shappell |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1013911981 PECOS PAC ID: 5193719656 Enrollment ID: I20040408001311 |
| Provider Name | Peter M Stanko |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1912932823 PECOS PAC ID: 0749278729 Enrollment ID: I20040506000553 |
| Provider Name | Aleksandra I Stuparic-stancic |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861496655 PECOS PAC ID: 0648166132 Enrollment ID: I20040515000487 |
| Provider Name | Emily D Rae |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659373827 PECOS PAC ID: 5597755736 Enrollment ID: I20040518000582 |
| Provider Name | Kelly A Carothers |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003936857 PECOS PAC ID: 4789665969 Enrollment ID: I20040525000610 |
| Provider Name | Richard Strauss |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891799680 PECOS PAC ID: 4284615972 Enrollment ID: I20040527001212 |
| Provider Name | Kellie A Backman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639171895 PECOS PAC ID: 3476535857 Enrollment ID: I20040601001418 |
| Provider Name | Philip Richard Albert |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073619623 PECOS PAC ID: 1052395647 Enrollment ID: I20040614000081 |
| Provider Name | Jane M Mitley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831193317 PECOS PAC ID: 3678557147 Enrollment ID: I20040614001497 |
| Provider Name | Kenneth S Horth |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1154326684 PECOS PAC ID: 3577548783 Enrollment ID: I20040622000791 |
| Provider Name | Rachel M Hawker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710982350 PECOS PAC ID: 2365428158 Enrollment ID: I20040624000527 |
| Provider Name | Magali Fournier |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1740274323 PECOS PAC ID: 7517943418 Enrollment ID: I20040629001150 |
| Provider Name | Raymond C List |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811976129 PECOS PAC ID: 8325025679 Enrollment ID: I20040702001267 |
| Provider Name | Robb E Kline |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972509222 PECOS PAC ID: 1254318272 Enrollment ID: I20040707000510 |
| Provider Name | Matthew Todd Baker |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700881950 PECOS PAC ID: 5294708087 Enrollment ID: I20040819000084 |
| Provider Name | Steven W Whitford |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1073507075 PECOS PAC ID: 5597739193 Enrollment ID: I20040820000206 |
| Provider Name | Mary L Goodsett |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053316778 PECOS PAC ID: 4789658014 Enrollment ID: I20040823001269 |
| Provider Name | Michael D Redman |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1386648665 PECOS PAC ID: 5092780601 Enrollment ID: I20040827000736 |
| Provider Name | Brigitte L Weymiller |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1669477048 PECOS PAC ID: 0345215380 Enrollment ID: I20040901000718 |
| Provider Name | Joseph Michael Endrizzi |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1417952573 PECOS PAC ID: 8022083062 Enrollment ID: I20040901000759 |
| Provider Name | Laurie J Polubinsky |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285640557 PECOS PAC ID: 6507836582 Enrollment ID: I20040902000638 |
| Provider Name | Raju G Ailiani |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1831192194 PECOS PAC ID: 8426024647 Enrollment ID: I20040908001130 |
| Provider Name | Mary E Kuffel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215933478 PECOS PAC ID: 0042283210 Enrollment ID: I20040909001335 |
| Provider Name | Jacqueline A Proper |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1457353641 PECOS PAC ID: 8123094190 Enrollment ID: I20040909001370 |
| Provider Name | Christopher M Eberlein |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629073739 PECOS PAC ID: 3375510324 Enrollment ID: I20040910000600 |
| Provider Name | Julio J Bird |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1407850381 PECOS PAC ID: 9638088982 Enrollment ID: I20040910001027 |
| Provider Name | Lori Sue Stoey Weber |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235133976 PECOS PAC ID: 8426025362 Enrollment ID: I20040910001289 |
| Provider Name | Balasubramanyan Napa |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1932211406 PECOS PAC ID: 8527047059 Enrollment ID: I20040914000717 |
| Provider Name | Jeffrey E Rodzak |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104828151 PECOS PAC ID: 6103893433 Enrollment ID: I20040915000513 |
| Provider Name | Jennifer L Kirsch |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1194729848 PECOS PAC ID: 3971570227 Enrollment ID: I20040915000628 |
| Provider Name | Benjamin T Jarman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003801580 PECOS PAC ID: 6507834538 Enrollment ID: I20040917000995 |
| Provider Name | Alan D Pratt |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1871595074 PECOS PAC ID: 8921076985 Enrollment ID: I20040917001180 |
| Provider Name | Kimberley E Culp |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1912902149 PECOS PAC ID: 5991773673 Enrollment ID: I20040921000421 |
| Provider Name | Rajah S Sundaram |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1922002724 PECOS PAC ID: 1658349097 Enrollment ID: I20040922001161 |
| Provider Name | Kenneth W Merkitch |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215930888 PECOS PAC ID: 9234117375 Enrollment ID: I20040922001189 |
| Provider Name | Lea Ann Schroeter |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699773887 PECOS PAC ID: 8022917061 Enrollment ID: I20040927001101 |
| Provider Name | Lisa A Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326029935 PECOS PAC ID: 7113996976 Enrollment ID: I20040928001141 |
| Provider Name | Balaji Srinivasan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1467456244 PECOS PAC ID: 9335118058 Enrollment ID: I20040929000895 |
| Provider Name | Kathryn A Baker |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801891056 PECOS PAC ID: 6406825785 Enrollment ID: I20041004000011 |
| Provider Name | Lorri J Lobeck |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1437189602 PECOS PAC ID: 3779543848 Enrollment ID: I20041013000550 |
| Provider Name | Leah L Dietrich |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1578568762 PECOS PAC ID: 4284694944 Enrollment ID: I20041016000135 |
| Provider Name | Edwin M Overholt |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1073515342 PECOS PAC ID: 0648189993 Enrollment ID: I20041016000146 |
| Provider Name | Jennifer S Lahmann |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366448474 PECOS PAC ID: 0042270589 Enrollment ID: I20041019000161 |
| Provider Name | Mary S Alvarado |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962404194 PECOS PAC ID: 8325000672 Enrollment ID: I20041029000580 |
| Provider Name | Stephen J Handrich |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265454003 PECOS PAC ID: 5496717621 Enrollment ID: I20041101000128 |
| Provider Name | Matthew R Runde |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1619979663 PECOS PAC ID: 6507829983 Enrollment ID: I20041106000048 |
| Provider Name | Michael Case |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1497750459 PECOS PAC ID: 3779546155 Enrollment ID: I20041106000055 |
| Provider Name | Thomas A Londergan |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1417953324 PECOS PAC ID: 9133182512 Enrollment ID: I20041106000064 |
| Provider Name | Todd W Walter |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467428433 PECOS PAC ID: 3375519077 Enrollment ID: I20041108000856 |
| Provider Name | Steven R Manson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396748141 PECOS PAC ID: 1658335427 Enrollment ID: I20041112000428 |
| Provider Name | Judy L Klevan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134125479 PECOS PAC ID: 2062476476 Enrollment ID: I20041116000515 |
| Provider Name | Ewa Plagman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548262744 PECOS PAC ID: 4981668985 Enrollment ID: I20041118000925 |
| Provider Name | Steven Schlack Haerer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1568466142 PECOS PAC ID: 1759345663 Enrollment ID: I20041118001148 |
| Provider Name | Karl R Noll |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1972505261 PECOS PAC ID: 1557325461 Enrollment ID: I20041118001166 |
| Provider Name | Wendell D Bell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922102508 PECOS PAC ID: 1355307901 Enrollment ID: I20041206000202 |
| Provider Name | Francisco J Zornosa |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1225070774 PECOS PAC ID: 5698674398 Enrollment ID: I20041207001133 |
| Provider Name | Scott W Rathgaber |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1336141498 PECOS PAC ID: 0749247781 Enrollment ID: I20041211000154 |
| Provider Name | Sara M Heffernan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467457903 PECOS PAC ID: 6709834062 Enrollment ID: I20050104000667 |
| Provider Name | Gregory P Thompson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1174527816 PECOS PAC ID: 3375437262 Enrollment ID: I20050105000672 |
| Provider Name | Brian R Manske |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043213895 PECOS PAC ID: 1557264850 Enrollment ID: I20050106000861 |
| Provider Name | Alcee J Jumonville |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1144226531 PECOS PAC ID: 4486611142 Enrollment ID: I20050111001102 |
| Provider Name | Kurt J Ziegelbein |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1205830809 PECOS PAC ID: 6901709260 Enrollment ID: I20050117000126 |
| Provider Name | Lonnie D Simmons |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851395735 PECOS PAC ID: 2668386707 Enrollment ID: I20050117000212 |
| Provider Name | Stephanie L Carroll |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942205356 PECOS PAC ID: 0345292033 Enrollment ID: I20050210000352 |
| Provider Name | Jerry A Davis |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1760487573 PECOS PAC ID: 0042262313 Enrollment ID: I20050215000394 |
| Provider Name | David E Carney |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174528582 PECOS PAC ID: 3375595655 Enrollment ID: I20050215000427 |
| Provider Name | Sadie J Zebell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679533293 PECOS PAC ID: 4486606241 Enrollment ID: I20050221000271 |
| Provider Name | Paula A Bank |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295808921 PECOS PAC ID: 3476506460 Enrollment ID: I20050302000486 |
| Provider Name | Barbara E Kaufmann |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1598761900 PECOS PAC ID: 9234183948 Enrollment ID: I20050307000046 |
| Provider Name | Joan L Kortbein |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1245236538 PECOS PAC ID: 3577517945 Enrollment ID: I20050309000072 |
| Provider Name | James L Rutherford |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518022268 PECOS PAC ID: 7719932615 Enrollment ID: I20050314000695 |
| Provider Name | Michael L Polito |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1184793432 PECOS PAC ID: 0244204741 Enrollment ID: I20050317000209 |
| Provider Name | Aditya A Sukhwal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104881259 PECOS PAC ID: 8527014570 Enrollment ID: I20050323000822 |
| Provider Name | Kristin A Seaborg |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831166016 PECOS PAC ID: 9638125941 Enrollment ID: I20050329001133 |
| Provider Name | Nancy L Ernst |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1366447435 PECOS PAC ID: 8123074341 Enrollment ID: I20050330000614 |
| Provider Name | Ellen M Ott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710981154 PECOS PAC ID: 0840247615 Enrollment ID: I20050404000858 |
| Provider Name | Steven J Johnson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982600052 PECOS PAC ID: 8820045354 Enrollment ID: I20050406000583 |
| Provider Name | Jennifer A Larson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1851397756 PECOS PAC ID: 0244277242 Enrollment ID: I20050412000285 |
| Provider Name | Christine M Justus |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1104822501 PECOS PAC ID: 6901843879 Enrollment ID: I20050412000896 |
| Provider Name | Jill K Wenthe |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1962407387 PECOS PAC ID: 1658318498 Enrollment ID: I20050413000170 |
| Provider Name | Victoria L Boortz |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1699771592 PECOS PAC ID: 9537106232 Enrollment ID: I20050414000230 |
| Provider Name | Kevin M Jaeger |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1144226697 PECOS PAC ID: 9335186816 Enrollment ID: I20050415000525 |
| Provider Name | Kent D Summerfield |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1609871839 PECOS PAC ID: 7517905631 Enrollment ID: I20050420000218 |
| Provider Name | Ann Budzak Garza |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801890470 PECOS PAC ID: 4486692928 Enrollment ID: I20050425000418 |
| Provider Name | Robert G Clark |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245304823 PECOS PAC ID: 3870531312 Enrollment ID: I20050425000476 |
| Provider Name | Paul M Jacobs |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1588660609 PECOS PAC ID: 8729028600 Enrollment ID: I20050510000859 |
| Provider Name | Crystal L Kirchner |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1871599886 PECOS PAC ID: 8628018462 Enrollment ID: I20050511000138 |
| Provider Name | Jeffrey P Scheidt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932104379 PECOS PAC ID: 7416998950 Enrollment ID: I20050516000412 |
| Provider Name | Dana M Benden |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184628042 PECOS PAC ID: 1557302346 Enrollment ID: I20050523000356 |
| Provider Name | Anwer A Dhala |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1932178407 PECOS PAC ID: 6608760517 Enrollment ID: I20050613001199 |
| Provider Name | Shannan Stephens |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295739084 PECOS PAC ID: 7911941505 Enrollment ID: I20050614001386 |
| Provider Name | Thomas J Trannel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699858811 PECOS PAC ID: 0941244081 Enrollment ID: I20050620000288 |
| Provider Name | Daniel K Short |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1376547257 PECOS PAC ID: 9537112313 Enrollment ID: I20050621000977 |
| Provider Name | Jill P H Mcmullen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740285998 PECOS PAC ID: 9436186673 Enrollment ID: I20050720000264 |
| Provider Name | Laura K Marchiando |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568466183 PECOS PAC ID: 1759282585 Enrollment ID: I20050722000527 |
| Provider Name | Sandeep Sharma |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1639153802 PECOS PAC ID: 0244267003 Enrollment ID: I20050722000703 |
| Provider Name | Kerry Jedele |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1356336754 PECOS PAC ID: 8921080292 Enrollment ID: I20050817000354 |
| Provider Name | Ghazwan Katmeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518945831 PECOS PAC ID: 3375432933 Enrollment ID: I20050829000050 |
| Provider Name | Gordon G Zeng |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1801891460 PECOS PAC ID: 1658304951 Enrollment ID: I20050916000515 |
| Provider Name | Isam Hasan Habib |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1588636435 PECOS PAC ID: 9234164963 Enrollment ID: I20051001000022 |
| Provider Name | Maria C Graf |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033155718 PECOS PAC ID: 3072538388 Enrollment ID: I20051005001230 |
| Provider Name | Joel A Burnet |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427009141 PECOS PAC ID: 3971521436 Enrollment ID: I20051103000675 |
| Provider Name | Robert Dong Kim |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1780620096 PECOS PAC ID: 5597783738 Enrollment ID: I20051107000637 |
| Provider Name | Daniel C Maccharles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205839198 PECOS PAC ID: 2163442625 Enrollment ID: I20051129000462 |
| Provider Name | Wayne A Bottner |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1255335931 PECOS PAC ID: 0042230112 Enrollment ID: I20051205000242 |
| Provider Name | Leah I Metz |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1467404855 PECOS PAC ID: 4385665298 Enrollment ID: I20051207000609 |
| Provider Name | Molly E Willenbring |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225006646 PECOS PAC ID: 4183645856 Enrollment ID: I20051208000903 |
| Provider Name | Teresa A King |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619932639 PECOS PAC ID: 1456373190 Enrollment ID: I20051222000345 |
| Provider Name | Amit P Kulkarni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710939996 PECOS PAC ID: 5698780211 Enrollment ID: I20060217000228 |
| Provider Name | Nancy C Bratanow |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1346230612 PECOS PAC ID: 7810884673 Enrollment ID: I20060228000407 |
| Provider Name | David F Bleidorn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801824461 PECOS PAC ID: 1759391493 Enrollment ID: I20060426000308 |
| Provider Name | Barbara L Knisely |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326083874 PECOS PAC ID: 0749291623 Enrollment ID: I20060505000916 |
| Provider Name | Anna M Myklebust |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114956232 PECOS PAC ID: 5294746178 Enrollment ID: I20060505000926 |
| Provider Name | Mandy Mae Rutta |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1841228509 PECOS PAC ID: 7012920077 Enrollment ID: I20060718000052 |
| Provider Name | Todd J Kowalski |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1790757227 PECOS PAC ID: 4688687544 Enrollment ID: I20060718000112 |
| Provider Name | Casey Dawn Sommerville |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1538131941 PECOS PAC ID: 6204869225 Enrollment ID: I20060719000148 |
| Provider Name | Antoinette M Peters |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184646556 PECOS PAC ID: 8527061183 Enrollment ID: I20060821000373 |
| Provider Name | Kristof T Gehrke |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1396765699 PECOS PAC ID: 3779587894 Enrollment ID: I20060901000367 |
| Provider Name | Mark E Domroese |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1265468680 PECOS PAC ID: 4789688821 Enrollment ID: I20060905000129 |
| Provider Name | John C Porter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568431021 PECOS PAC ID: 1658375795 Enrollment ID: I20060905000168 |
| Provider Name | Omar Ali |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568402188 PECOS PAC ID: 0547283509 Enrollment ID: I20060906000466 |
| Provider Name | James C Nesler |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1255342119 PECOS PAC ID: 9133123912 Enrollment ID: I20060911000063 |
| Provider Name | Carrie L Gerhard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669441556 PECOS PAC ID: 6901800721 Enrollment ID: I20060911000401 |
| Provider Name | Robert S Zink |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730183336 PECOS PAC ID: 7719981430 Enrollment ID: I20060911000414 |
| Provider Name | Brian D Novinska |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1780609818 PECOS PAC ID: 9830194208 Enrollment ID: I20060919000414 |
| Provider Name | Michelle M Masters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538261367 PECOS PAC ID: 3072510460 Enrollment ID: I20061027000050 |
| Provider Name | Ryan Paul Swetkovich |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639155450 PECOS PAC ID: 9830196237 Enrollment ID: I20061027000110 |
| Provider Name | Jacob R Peterson |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1235249442 PECOS PAC ID: 5496752669 Enrollment ID: I20061031000529 |
| Provider Name | Sharon I Barnhart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477647584 PECOS PAC ID: 9830196906 Enrollment ID: I20061102000277 |
| Provider Name | Sharon K Budd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528152626 PECOS PAC ID: 4385641463 Enrollment ID: I20061102000355 |
| Provider Name | Shelly Ann Tully |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629176250 PECOS PAC ID: 3072510858 Enrollment ID: I20061109000228 |
| Provider Name | Rita A Richmond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417037821 PECOS PAC ID: 3971501826 Enrollment ID: I20061201000265 |
| Provider Name | Catherine Elizabeth Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972683134 PECOS PAC ID: 5092714907 Enrollment ID: I20061204000077 |
| Provider Name | Matthew T Sdano |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1376648378 PECOS PAC ID: 9638178478 Enrollment ID: I20061205000603 |
| Provider Name | David G Gerhard |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902861982 PECOS PAC ID: 0749289254 Enrollment ID: I20061211000555 |
| Provider Name | Steven C Borene |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1851345383 PECOS PAC ID: 1153398615 Enrollment ID: I20070125000020 |
| Provider Name | Panna A Codner |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356410898 PECOS PAC ID: 3072539873 Enrollment ID: I20070131000651 |
| Provider Name | Joshua J Potaracke |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1538223409 PECOS PAC ID: 9133121239 Enrollment ID: I20070202000040 |
| Provider Name | Benjamin Wedro |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477557114 PECOS PAC ID: 1052346988 Enrollment ID: I20070216000337 |
| Provider Name | Ahmad S Qureshi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1710962907 PECOS PAC ID: 7416980255 Enrollment ID: I20070223000377 |
| Provider Name | Andrew T Saterbak |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1922002500 PECOS PAC ID: 2668576703 Enrollment ID: I20070330000076 |
| Provider Name | Barbara Assel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407815293 PECOS PAC ID: 2163478454 Enrollment ID: I20070409000121 |
| Provider Name | Douglas G Gold |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1063492957 PECOS PAC ID: 5395716054 Enrollment ID: I20070419000063 |
| Provider Name | Susan Berger Baker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467404954 PECOS PAC ID: 4486674835 Enrollment ID: I20070419000205 |
| Provider Name | Michael J Henry |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1366447815 PECOS PAC ID: 0345346755 Enrollment ID: I20070501000662 |
| Provider Name | Bryan W Reed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235357088 PECOS PAC ID: 3678670148 Enrollment ID: I20070517000211 |
| Provider Name | John Farnen |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1467457432 PECOS PAC ID: 3274631080 Enrollment ID: I20070601000236 |
| Provider Name | Keith E Baynes |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1598842742 PECOS PAC ID: 8224136734 Enrollment ID: I20070607000087 |
| Provider Name | Kelly J Fehrenbacher |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1831157114 PECOS PAC ID: 9537267976 Enrollment ID: I20070607000424 |
| Provider Name | Genci P Babameto |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1841264702 PECOS PAC ID: 0749388130 Enrollment ID: I20070608000095 |
| Provider Name | Gregory M Rice |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285699363 PECOS PAC ID: 6608976394 Enrollment ID: I20070710000933 |
| Provider Name | Angela M Connely |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1356544423 PECOS PAC ID: 8224138755 Enrollment ID: I20070712000230 |
| Provider Name | Jon D Rawling |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912907403 PECOS PAC ID: 9537269915 Enrollment ID: I20070713000731 |
| Provider Name | Rebecca A Haefner |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1538109467 PECOS PAC ID: 1153422597 Enrollment ID: I20070730000034 |
| Provider Name | Angela R Bentley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053501866 PECOS PAC ID: 5193817369 Enrollment ID: I20070816000896 |
| Provider Name | Deborah A Simon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487619524 PECOS PAC ID: 3274625314 Enrollment ID: I20070822000374 |
| Provider Name | Julie R Gerig |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306046636 PECOS PAC ID: 5496847543 Enrollment ID: I20070822000425 |
| Provider Name | Paul T Klas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316942444 PECOS PAC ID: 7517059512 Enrollment ID: I20070822001017 |
| Provider Name | Jennifer Lynn Drexler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750594461 PECOS PAC ID: 4789776303 Enrollment ID: I20070827000594 |
| Provider Name | Jack T Lund |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1710028600 PECOS PAC ID: 5799877361 Enrollment ID: I20070828000137 |
| Provider Name | Lisa M Miller Schinke |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1407047525 PECOS PAC ID: 9638262785 Enrollment ID: I20070905000419 |
| Provider Name | Micca K Donohue |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629288048 PECOS PAC ID: 9234223371 Enrollment ID: I20070919000776 |
| Provider Name | Sophie Dojacques |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669406542 PECOS PAC ID: 2961477229 Enrollment ID: I20070921000780 |
| Provider Name | Evan K Sandok |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750491957 PECOS PAC ID: 6507950458 Enrollment ID: I20070921000820 |
| Provider Name | Angela S Manke |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1265440606 PECOS PAC ID: 5395740864 Enrollment ID: I20071005000611 |
| Provider Name | Jennifer J Gregas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578759122 PECOS PAC ID: 3870680374 Enrollment ID: I20071031000193 |
| Provider Name | Pamela J Mattie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558557108 PECOS PAC ID: 1456448984 Enrollment ID: I20071031000438 |
| Provider Name | John R Houskamp |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023063732 PECOS PAC ID: 6709880966 Enrollment ID: I20071031000465 |
| Provider Name | Janet L Bahr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619163276 PECOS PAC ID: 4587751979 Enrollment ID: I20071101000253 |
| Provider Name | Brett S Whyte |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730198896 PECOS PAC ID: 4587648035 Enrollment ID: I20071109000477 |
| Provider Name | Barbara J Vandreese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588851406 PECOS PAC ID: 0749378537 Enrollment ID: I20071112000558 |
| Provider Name | Andrea Rae Maliszewski |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1124218995 PECOS PAC ID: 5597853101 Enrollment ID: I20071115000300 |
| Provider Name | James Rider |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568525988 PECOS PAC ID: 4082651278 Enrollment ID: I20071115000459 |
| Provider Name | Richard E Long |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215933122 PECOS PAC ID: 4587745880 Enrollment ID: I20080111000736 |
| Provider Name | John F Merchlewitz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609886100 PECOS PAC ID: 3870674195 Enrollment ID: I20080112000150 |
| Provider Name | Donna L Hoffman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932104452 PECOS PAC ID: 3971684689 Enrollment ID: I20080121000001 |
| Provider Name | Jayne M Laylan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457532988 PECOS PAC ID: 0547342776 Enrollment ID: I20080128000369 |
| Provider Name | Smita Y Rajasekaran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154367662 PECOS PAC ID: 8820053440 Enrollment ID: I20080204000693 |
| Provider Name | Allen C Foster |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1043261399 PECOS PAC ID: 7517040637 Enrollment ID: I20080213000342 |
| Provider Name | John C Ralphe |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811962921 PECOS PAC ID: 6608853056 Enrollment ID: I20080227000658 |
| Provider Name | Paul T Abicht |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528061843 PECOS PAC ID: 0648355172 Enrollment ID: I20080308000025 |
| Provider Name | Chi Seng Lam |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1013913136 PECOS PAC ID: 5991880908 Enrollment ID: I20080313000654 |
| Provider Name | Iyad Saleh |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1205831641 PECOS PAC ID: 7810990678 Enrollment ID: I20080313000668 |
| Provider Name | Robert J Stupi |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1891790267 PECOS PAC ID: 7416032420 Enrollment ID: I20080313000681 |
| Provider Name | Kristen F Brinks |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619971371 PECOS PAC ID: 7911082946 Enrollment ID: I20080314000065 |
| Provider Name | James J Schuh |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487713533 PECOS PAC ID: 7214998475 Enrollment ID: I20080321000209 |
| Provider Name | Jennifer L Mueller |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629011697 PECOS PAC ID: 0446337422 Enrollment ID: I20080402000350 |
| Provider Name | Peter Frosio Nichol |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245320852 PECOS PAC ID: 3476531146 Enrollment ID: I20080404000661 |
| Provider Name | Karen R Amann |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396915575 PECOS PAC ID: 9133028541 Enrollment ID: I20080408000863 |
| Provider Name | Mat Johnson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508862640 PECOS PAC ID: 3779660964 Enrollment ID: I20080412000022 |
| Provider Name | Mary G Dudley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558366658 PECOS PAC ID: 8022195213 Enrollment ID: I20080412000034 |
| Provider Name | Eric Bjerke |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588668362 PECOS PAC ID: 5193802387 Enrollment ID: I20080412000039 |
| Provider Name | Mary C Nofftz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104820638 PECOS PAC ID: 2365529559 Enrollment ID: I20080412000051 |
| Provider Name | Gina M Mason |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649274192 PECOS PAC ID: 8527145721 Enrollment ID: I20080412000057 |
| Provider Name | Connie Huggett |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508862038 PECOS PAC ID: 5597842799 Enrollment ID: I20080412000063 |
| Provider Name | Belinda C Hickey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578568051 PECOS PAC ID: 4587741780 Enrollment ID: I20080412000072 |
| Provider Name | Kim W Dowat |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1043215247 PECOS PAC ID: 6204913403 Enrollment ID: I20080412000083 |
| Provider Name | Linn M Duga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396921391 PECOS PAC ID: 4880773068 Enrollment ID: I20080430000299 |
| Provider Name | Ibrahim M Al-sanouri |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1356452833 PECOS PAC ID: 2668361239 Enrollment ID: I20080527000265 |
| Provider Name | Rick Alan Erdman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952306011 PECOS PAC ID: 8224108535 Enrollment ID: I20080529000355 |
| Provider Name | Charles W Schauberger |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1740284322 PECOS PAC ID: 2264405430 Enrollment ID: I20080530000085 |
| Provider Name | John Michael Murphy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780686006 PECOS PAC ID: 4880764646 Enrollment ID: I20080605000172 |
| Provider Name | Indrajit Choudhuri |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1467621110 PECOS PAC ID: 9931270899 Enrollment ID: I20080619000712 |
| Provider Name | Michael D Jefferies |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982750519 PECOS PAC ID: 8325110307 Enrollment ID: I20080708000600 |
| Provider Name | Chris A Hofland |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1457322422 PECOS PAC ID: 7911079900 Enrollment ID: I20080708000658 |
| Provider Name | Chad M Thurman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801890660 PECOS PAC ID: 6901978725 Enrollment ID: I20080710000286 |
| Provider Name | Mariana K Vosika |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730184615 PECOS PAC ID: 5698847416 Enrollment ID: I20080710000311 |
| Provider Name | Charles E Clark |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689713018 PECOS PAC ID: 7214009943 Enrollment ID: I20080711000430 |
| Provider Name | Maryanne C Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982685954 PECOS PAC ID: 9931091899 Enrollment ID: I20080717000331 |
| Provider Name | Elizabeth R Hansen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568631059 PECOS PAC ID: 9638242092 Enrollment ID: I20080717000384 |
| Provider Name | Collin D Driscoll |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1538254925 PECOS PAC ID: 4688747546 Enrollment ID: I20080725000143 |
| Provider Name | Jody M Riherd |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922041623 PECOS PAC ID: 1052484888 Enrollment ID: I20080726000008 |
| Provider Name | Angela M Schlack Haerer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1194986646 PECOS PAC ID: 7517031701 Enrollment ID: I20080806000461 |
| Provider Name | Nandkishore B Raghuram |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841293164 PECOS PAC ID: 9335165638 Enrollment ID: I20080808000532 |
| Provider Name | Brandon T Grover |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861584682 PECOS PAC ID: 5092880971 Enrollment ID: I20080813000191 |
| Provider Name | Mohammad K Khedr |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1427051705 PECOS PAC ID: 5496731341 Enrollment ID: I20080826000562 |
| Provider Name | Holly B Burrichter |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1114115250 PECOS PAC ID: 6901994516 Enrollment ID: I20080902000164 |
| Provider Name | Gabriela Dumitran |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831393164 PECOS PAC ID: 8123194800 Enrollment ID: I20080903000444 |
| Provider Name | Joel D. Erickson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225023997 PECOS PAC ID: 5890862924 Enrollment ID: I20080916000137 |
| Provider Name | Shawn D Sedgwick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679559298 PECOS PAC ID: 3072595677 Enrollment ID: I20080916000266 |
| Provider Name | Brandi Christine Strong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508862475 PECOS PAC ID: 9931003019 Enrollment ID: I20080924000300 |
| Provider Name | Margaret M Fitts |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275687329 PECOS PAC ID: 9931277811 Enrollment ID: I20081006000079 |
| Provider Name | Rebecca V Cripe |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1053567909 PECOS PAC ID: 9739257023 Enrollment ID: I20081014000686 |
| Provider Name | Jeffrey B Trohkimoinen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1003029141 PECOS PAC ID: 2769572817 Enrollment ID: I20081022000471 |
| Provider Name | Grace S Damrow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194972711 PECOS PAC ID: 9638237134 Enrollment ID: I20081028000616 |
| Provider Name | Quinn H Holzheimer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497700769 PECOS PAC ID: 0648283283 Enrollment ID: I20081108000044 |
| Provider Name | Daniel Storzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689824583 PECOS PAC ID: 4880756964 Enrollment ID: I20081224000313 |
| Provider Name | Janice L Schroeder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831344134 PECOS PAC ID: 8628131729 Enrollment ID: I20090115000718 |
| Provider Name | Tracy L Jessogne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578718490 PECOS PAC ID: 6305909367 Enrollment ID: I20090116000443 |
| Provider Name | Allison K Harbour |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316973167 PECOS PAC ID: 3274616636 Enrollment ID: I20090212000155 |
| Provider Name | Richard Antonio Cayasso |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073648440 PECOS PAC ID: 0143386763 Enrollment ID: I20090306000150 |
| Provider Name | Michael A Witcik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568625713 PECOS PAC ID: 3072679372 Enrollment ID: I20090312000174 |
| Provider Name | Hrissanthi Ikonomidou |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104063692 PECOS PAC ID: 6608933882 Enrollment ID: I20090316000635 |
| Provider Name | Thomas J Ryan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1104894443 PECOS PAC ID: 8729985270 Enrollment ID: I20090318000134 |
| Provider Name | Blake A Jones |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1659370930 PECOS PAC ID: 7618970682 Enrollment ID: I20090326000254 |
| Provider Name | Kathryn J Lynn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922102037 PECOS PAC ID: 3476610916 Enrollment ID: I20090327000021 |
| Provider Name | Lara S Head |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730328329 PECOS PAC ID: 9133286453 Enrollment ID: I20090331000413 |
| Provider Name | Patricia A Wickert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508005760 PECOS PAC ID: 0648337923 Enrollment ID: I20090401000340 |
| Provider Name | Peter H Strauss |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1407993512 PECOS PAC ID: 7012064645 Enrollment ID: I20090416000325 |
| Provider Name | Brian M Sieck |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1427052307 PECOS PAC ID: 9436116373 Enrollment ID: I20090428000504 |
| Provider Name | Joni L Nalli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922002435 PECOS PAC ID: 9234287301 Enrollment ID: I20090429000100 |
| Provider Name | Kathryn M Moen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215915970 PECOS PAC ID: 1052460862 Enrollment ID: I20090604000482 |
| Provider Name | Benny Kusuma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073734133 PECOS PAC ID: 5698825883 Enrollment ID: I20090610000023 |
| Provider Name | Harvey S Block |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1821101205 PECOS PAC ID: 7315044880 Enrollment ID: I20090616000602 |
| Provider Name | Sarah R Pendley |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1922063239 PECOS PAC ID: 8820149438 Enrollment ID: I20090622000332 |
| Provider Name | Daren G Tobert |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1962406728 PECOS PAC ID: 9739171521 Enrollment ID: I20090630000614 |
| Provider Name | Arnold A Asp |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1700888922 PECOS PAC ID: 2961554290 Enrollment ID: I20090717000427 |
| Provider Name | Barbara M Rugen Rendler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124023551 PECOS PAC ID: 6507918729 Enrollment ID: I20090720000416 |
| Provider Name | Carl William Decker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154421279 PECOS PAC ID: 3375592975 Enrollment ID: I20090724000137 |
| Provider Name | Kimberly M Coyne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689694465 PECOS PAC ID: 3375697964 Enrollment ID: I20090817000369 |
| Provider Name | Linda M Barbour |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1063642791 PECOS PAC ID: 0042364580 Enrollment ID: I20090818000659 |
| Provider Name | Suzanne M Falkenberry |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1780730390 PECOS PAC ID: 5890868269 Enrollment ID: I20090820000347 |
| Provider Name | Kazi Zahir Rayhan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508060229 PECOS PAC ID: 1456405679 Enrollment ID: I20090821000239 |
| Provider Name | Jacqueline M Muhammad |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669690210 PECOS PAC ID: 2668527094 Enrollment ID: I20090908000417 |
| Provider Name | Douglas W White |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1316964836 PECOS PAC ID: 5597761023 Enrollment ID: I20090909000675 |
| Provider Name | Steven Klein |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1316982390 PECOS PAC ID: 0648344309 Enrollment ID: I20090918000375 |
| Provider Name | Justin Boge |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1427037423 PECOS PAC ID: 1254385297 Enrollment ID: I20090918000543 |
| Provider Name | Julie A Marthaler |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1699907089 PECOS PAC ID: 9234275819 Enrollment ID: I20091013000312 |
| Provider Name | Michael A Leone |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275794109 PECOS PAC ID: 9133292576 Enrollment ID: I20091021000075 |
| Provider Name | Mary B Balder Schroeder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407850472 PECOS PAC ID: 1052450673 Enrollment ID: I20091120000127 |
| Provider Name | Linda C Groon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548265101 PECOS PAC ID: 1759420896 Enrollment ID: I20091202000281 |
| Provider Name | John J Conzemius |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568467827 PECOS PAC ID: 1557400611 Enrollment ID: I20091202000422 |
| Provider Name | David A Momont |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1649272964 PECOS PAC ID: 3476692534 Enrollment ID: I20091202000512 |
| Provider Name | Corrina Kettner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174756753 PECOS PAC ID: 2567509367 Enrollment ID: I20091229000284 |
| Provider Name | Christopher J Christian |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821261272 PECOS PAC ID: 5597806612 Enrollment ID: I20100111000549 |
| Provider Name | Amy L Strain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598713950 PECOS PAC ID: 9830231703 Enrollment ID: I20100115000520 |
| Provider Name | Efrain M Cancel |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1972619419 PECOS PAC ID: 7315089190 Enrollment ID: I20100115000653 |
| Provider Name | Darin Dean Damstra |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558503102 PECOS PAC ID: 6901943679 Enrollment ID: I20100116000285 |
| Provider Name | Karl O Borge |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831193507 PECOS PAC ID: 2163565813 Enrollment ID: I20100203000873 |
| Provider Name | Edward H Riley |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1962404921 PECOS PAC ID: 6507909256 Enrollment ID: I20100203000894 |
| Provider Name | Ricky J Waniger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366446098 PECOS PAC ID: 0143116970 Enrollment ID: I20100206000205 |
| Provider Name | Aaron J Hanesworth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790780302 PECOS PAC ID: 6002908498 Enrollment ID: I20100216000391 |
| Provider Name | Kristine A Brink |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407076599 PECOS PAC ID: 7214037399 Enrollment ID: I20100303000972 |
| Provider Name | Joan E Filla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851396741 PECOS PAC ID: 8022153659 Enrollment ID: I20100306000029 |
| Provider Name | Traci A Moe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669701744 PECOS PAC ID: 6507901147 Enrollment ID: I20100306000122 |
| Provider Name | James R Kauphusman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396741708 PECOS PAC ID: 6608911904 Enrollment ID: I20100310000633 |
| Provider Name | Sheila L Momont |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285636506 PECOS PAC ID: 3870638174 Enrollment ID: I20100310000644 |
| Provider Name | Arjang Djamali |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1528035250 PECOS PAC ID: 6002941382 Enrollment ID: I20100312000340 |
| Provider Name | Paul T Stanton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528092160 PECOS PAC ID: 1951436146 Enrollment ID: I20100312000509 |
| Provider Name | Cynthia Bayer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407818164 PECOS PAC ID: 6204809296 Enrollment ID: I20100317000846 |
| Provider Name | Elizabeth Cogbill |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1174628689 PECOS PAC ID: 3072649623 Enrollment ID: I20100407000444 |
| Provider Name | Pragyan Patro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457307092 PECOS PAC ID: 5698802569 Enrollment ID: I20100423000886 |
| Provider Name | Lisa A Veglahn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710140959 PECOS PAC ID: 8325176779 Enrollment ID: I20100506000055 |
| Provider Name | Amanda Strosahl |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063416857 PECOS PAC ID: 6305974205 Enrollment ID: I20100513001019 |
| Provider Name | William Allan Agger |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1982607263 PECOS PAC ID: 4183533433 Enrollment ID: I20100526001034 |
| Provider Name | Daniel S Landdeck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760451165 PECOS PAC ID: 4587762687 Enrollment ID: I20100601000176 |
| Provider Name | Rajiv M Naik |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902808215 PECOS PAC ID: 8123157088 Enrollment ID: I20100602000552 |
| Provider Name | Nicholas Vonbergen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1124229406 PECOS PAC ID: 6002986619 Enrollment ID: I20100603000634 |
| Provider Name | Timothy A Harbst |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1225033830 PECOS PAC ID: 8022092592 Enrollment ID: I20100604000770 |
| Provider Name | Richard A Olson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1023010378 PECOS PAC ID: 6709916539 Enrollment ID: I20100604000811 |
| Provider Name | Venki Paramesh |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1962404210 PECOS PAC ID: 6305976135 Enrollment ID: I20100604000858 |
| Provider Name | Brian M Mulrennan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073515391 PECOS PAC ID: 1850442286 Enrollment ID: I20100604001150 |
| Provider Name | Richard L Ellis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447255500 PECOS PAC ID: 6305749706 Enrollment ID: I20100607000650 |
| Provider Name | Luis A Fernandez |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497711196 PECOS PAC ID: 1951431493 Enrollment ID: I20100610000384 |
| Provider Name | Kimberly M Lansing |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720084858 PECOS PAC ID: 3577693837 Enrollment ID: I20100611000851 |
| Provider Name | Sarah T Trane |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1902846744 PECOS PAC ID: 7517097637 Enrollment ID: I20100615000808 |
| Provider Name | Rodney A Erickson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528058021 PECOS PAC ID: 1850421785 Enrollment ID: I20100618000764 |
| Provider Name | Joseph B Binegar |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1053315929 PECOS PAC ID: 9537299474 Enrollment ID: I20100618000841 |
| Provider Name | James H Munn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417959735 PECOS PAC ID: 3173653011 Enrollment ID: I20100618000845 |
| Provider Name | Charles H Hayden |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1699770230 PECOS PAC ID: 8527198464 Enrollment ID: I20100618000850 |
| Provider Name | Sarah S Naik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891797106 PECOS PAC ID: 4981734829 Enrollment ID: I20100618000858 |
| Provider Name | Cheng Her |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356346803 PECOS PAC ID: 8426188368 Enrollment ID: I20100618000863 |
| Provider Name | Mary A Zaky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265437610 PECOS PAC ID: 1153451091 Enrollment ID: I20100618000866 |
| Provider Name | Kevin M Rumball |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1477553519 PECOS PAC ID: 6608906540 Enrollment ID: I20100618000873 |
| Provider Name | John L Sterling |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1992700355 PECOS PAC ID: 5991836827 Enrollment ID: I20100622000015 |
| Provider Name | Padmavathi Mali |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1043483936 PECOS PAC ID: 7719054071 Enrollment ID: I20100622000090 |
| Provider Name | Justin O Wilson |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1962492405 PECOS PAC ID: 7315078060 Enrollment ID: I20100624000805 |
| Provider Name | Kyla R Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841296837 PECOS PAC ID: 4486785938 Enrollment ID: I20100626000409 |
| Provider Name | Patrick D Conway |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1841295102 PECOS PAC ID: 4284765736 Enrollment ID: I20100626000435 |
| Provider Name | Margaret E Webster |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679577316 PECOS PAC ID: 1254462377 Enrollment ID: I20100706000148 |
| Provider Name | Robyn A Borge |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528062296 PECOS PAC ID: 5698806743 Enrollment ID: I20100706000584 |
| Provider Name | Michelle M Hauck |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801091269 PECOS PAC ID: 0840322871 Enrollment ID: I20100709000460 |
| Provider Name | Melissa J Stein |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538374608 PECOS PAC ID: 2365414158 Enrollment ID: I20100720000206 |
| Provider Name | Sigurd Bjarne Gundersen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720084973 PECOS PAC ID: 7810806163 Enrollment ID: I20100722000356 |
| Provider Name | Christine D Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366445934 PECOS PAC ID: 8628100914 Enrollment ID: I20100722000378 |
| Provider Name | Scott Escher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700881877 PECOS PAC ID: 1254463540 Enrollment ID: I20100722000392 |
| Provider Name | Virginia G Wintersteen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1497759146 PECOS PAC ID: 0244362531 Enrollment ID: I20100722000403 |
| Provider Name | Kurt K Mueller |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1083616304 PECOS PAC ID: 2163554809 Enrollment ID: I20100727000328 |
| Provider Name | Bradley Fowler |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1316942246 PECOS PAC ID: 4385777440 Enrollment ID: I20100727000545 |
| Provider Name | Gregory M Knorr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053317305 PECOS PAC ID: 6002949161 Enrollment ID: I20100727000564 |
| Provider Name | David M Dawson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1285639427 PECOS PAC ID: 0143374538 Enrollment ID: I20100729000765 |
| Provider Name | John S Purdue |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1467456830 PECOS PAC ID: 5597898957 Enrollment ID: I20100805000418 |
| Provider Name | Kathleen L Germain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639400641 PECOS PAC ID: 5092848333 Enrollment ID: I20100806000194 |
| Provider Name | James L Tomlin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376548768 PECOS PAC ID: 5799818969 Enrollment ID: I20100809000987 |
| Provider Name | Eugene E Kolaczkowski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265438535 PECOS PAC ID: 3678607652 Enrollment ID: I20100812000392 |
| Provider Name | Thomas M Edwards |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1417952524 PECOS PAC ID: 0749314771 Enrollment ID: I20100812000947 |
| Provider Name | Daniel J Ecklund |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356346464 PECOS PAC ID: 4183758113 Enrollment ID: I20100812000968 |
| Provider Name | Gregory G Fischer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295730190 PECOS PAC ID: 2163556192 Enrollment ID: I20100812000989 |
| Provider Name | Stephen B Shapiro |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114921087 PECOS PAC ID: 2264576776 Enrollment ID: I20100812001012 |
| Provider Name | Ward M Brown |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1720082381 PECOS PAC ID: 5991774879 Enrollment ID: I20100813001017 |
| Provider Name | John F Herath |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740286913 PECOS PAC ID: 4981738804 Enrollment ID: I20100813001028 |
| Provider Name | Elizabeth A Ault Brinker |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1528060738 PECOS PAC ID: 7416081336 Enrollment ID: I20100813001047 |
| Provider Name | Michael L Bottcher |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1922002609 PECOS PAC ID: 1052445970 Enrollment ID: I20100813001053 |
| Provider Name | Sylvia A Moser |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1952306854 PECOS PAC ID: 7618976010 Enrollment ID: I20100813001078 |
| Provider Name | Laurence Clifford Berg |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1437153392 PECOS PAC ID: 5597864561 Enrollment ID: I20100816001043 |
| Provider Name | Scott D Brunk |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497759062 PECOS PAC ID: 8426182106 Enrollment ID: I20100817000723 |
| Provider Name | Ross M Cerniglia |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1578640793 PECOS PAC ID: 6507990215 Enrollment ID: I20100817001001 |
| Provider Name | Todd A Verdon |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1770588170 PECOS PAC ID: 6608857644 Enrollment ID: I20100818000082 |
| Provider Name | Jonathan A Zlabek |
|---|---|
| Provider Type | Practitioner - Peripheral Vascular Disease |
| Provider Identifiers | NPI Number: 1881698496 PECOS PAC ID: 3577614908 Enrollment ID: I20100818000135 |
| Provider Name | Richard D Hutter |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1588660013 PECOS PAC ID: 6800920471 Enrollment ID: I20100818000325 |
| Provider Name | William C Bucknam |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548206360 PECOS PAC ID: 7012921943 Enrollment ID: I20100820001127 |
| Provider Name | David A Hsu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740252972 PECOS PAC ID: 4082738364 Enrollment ID: I20100824001038 |
| Provider Name | Catherine L Ford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154326080 PECOS PAC ID: 2466515655 Enrollment ID: I20100908000857 |
| Provider Name | Lucas P Readinger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598714933 PECOS PAC ID: 7214947357 Enrollment ID: I20100909000519 |
| Provider Name | Jedadiah J Schaller |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790964773 PECOS PAC ID: 9234263070 Enrollment ID: I20100914001159 |
| Provider Name | Filomena C Larson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1215933395 PECOS PAC ID: 8820113707 Enrollment ID: I20100915000840 |
| Provider Name | Tiffany H Calteaux |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386959807 PECOS PAC ID: 5395860183 Enrollment ID: I20100916001046 |
| Provider Name | Aaron T Olson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316156227 PECOS PAC ID: 7315019718 Enrollment ID: I20100918000112 |
| Provider Name | Frank J Aberger |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1396748711 PECOS PAC ID: 8628018678 Enrollment ID: I20100921000162 |
| Provider Name | Stephen C Wissink |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114921863 PECOS PAC ID: 3971628496 Enrollment ID: I20100921000196 |
| Provider Name | Clark A Davis |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1316942121 PECOS PAC ID: 9133244650 Enrollment ID: I20100921000215 |
| Provider Name | Mary L Simon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962407320 PECOS PAC ID: 1254463094 Enrollment ID: I20100925000307 |
| Provider Name | Abigail K Deyo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447461025 PECOS PAC ID: 0345366480 Enrollment ID: I20100927000975 |
| Provider Name | Eric W Voter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558365288 PECOS PAC ID: 2567494701 Enrollment ID: I20100928000504 |
| Provider Name | Denyse Olson Dorff |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1386648723 PECOS PAC ID: 4284826504 Enrollment ID: I20101005000966 |
| Provider Name | Stephen E Carlisle |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1114921715 PECOS PAC ID: 1254524572 Enrollment ID: I20101019001374 |
| Provider Name | Joan Matey Romeyn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588667174 PECOS PAC ID: 1153514492 Enrollment ID: I20101019001556 |
| Provider Name | James L Groskreutz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1548265127 PECOS PAC ID: 9234184243 Enrollment ID: I20101020001437 |
| Provider Name | Joseph C Benacci |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1295739142 PECOS PAC ID: 6800089921 Enrollment ID: I20101021000995 |
| Provider Name | Todd A Mahr |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1659374411 PECOS PAC ID: 5193782878 Enrollment ID: I20101026000800 |
| Provider Name | David J Morrison |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1548262868 PECOS PAC ID: 5597958256 Enrollment ID: I20101026000871 |
| Provider Name | Zoran Stancic |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1538163316 PECOS PAC ID: 3476746132 Enrollment ID: I20101026000908 |
| Provider Name | Forrest J Krause |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831195031 PECOS PAC ID: 1153514823 Enrollment ID: I20101026001118 |
| Provider Name | Steven B Pearson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356343693 PECOS PAC ID: 7113110891 Enrollment ID: I20101026001181 |
| Provider Name | Daniel P Wolbrink |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700041274 PECOS PAC ID: 6507910460 Enrollment ID: I20101102001463 |
| Provider Name | Monica B Stanek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033114491 PECOS PAC ID: 0547454571 Enrollment ID: I20101103000489 |
| Provider Name | Carleen Poellinger |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1780688143 PECOS PAC ID: 5597959320 Enrollment ID: I20101104001655 |
| Provider Name | Prem Rabindranauth |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1538161724 PECOS PAC ID: 1052506870 Enrollment ID: I20101105001111 |
| Provider Name | Ann E Van Atta |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629073028 PECOS PAC ID: 1153516596 Enrollment ID: I20101111000713 |
| Provider Name | Julie S Zink |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669476263 PECOS PAC ID: 9133314487 Enrollment ID: I20101111001042 |
| Provider Name | Matthew H Guzzo |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1669440376 PECOS PAC ID: 9133024565 Enrollment ID: I20101111001318 |
| Provider Name | Kim H Squires |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467420620 PECOS PAC ID: 7315132560 Enrollment ID: I20101112000783 |
| Provider Name | Kristen A Olson Baines |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649498387 PECOS PAC ID: 7214122498 Enrollment ID: I20101112001079 |
| Provider Name | Milton J Schmida |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1669477006 PECOS PAC ID: 4789740697 Enrollment ID: I20101112001197 |
| Provider Name | Teresa Mangin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144385352 PECOS PAC ID: 9032284104 Enrollment ID: I20101115001382 |
| Provider Name | Jill Holz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497978621 PECOS PAC ID: 3274729173 Enrollment ID: I20101117001415 |
| Provider Name | James C Baumgaertner |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1942204839 PECOS PAC ID: 9830156512 Enrollment ID: I20101119001098 |
| Provider Name | Daniel M Sutton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649439951 PECOS PAC ID: 7012104086 Enrollment ID: I20101203000552 |
| Provider Name | David P Larsen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1417953308 PECOS PAC ID: 3870780133 Enrollment ID: I20101213000500 |
| Provider Name | Shanu Nikhil Kothari |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063418366 PECOS PAC ID: 7618165648 Enrollment ID: I20101217000291 |
| Provider Name | Susan G Maclellan-tobert |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952304834 PECOS PAC ID: 0941498984 Enrollment ID: I20101217000352 |
| Provider Name | Margaret J Myhre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851395248 PECOS PAC ID: 2466640420 Enrollment ID: I20101217000687 |
| Provider Name | Kelley A Bahr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366441297 PECOS PAC ID: 4880882851 Enrollment ID: I20101217000747 |
| Provider Name | Leanna M Duerst |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1104131796 PECOS PAC ID: 1557559275 Enrollment ID: I20101222000593 |
| Provider Name | Jeffrey D Hillesland |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730184219 PECOS PAC ID: 5395933881 Enrollment ID: I20101228000574 |
| Provider Name | Robert R Groshek |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1003811688 PECOS PAC ID: 3577751072 Enrollment ID: I20101228000708 |
| Provider Name | Erin Maslowski |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1235285834 PECOS PAC ID: 7911050752 Enrollment ID: I20110103000032 |
| Provider Name | Catherine R Ryan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164424115 PECOS PAC ID: 8729277843 Enrollment ID: I20110105000590 |
| Provider Name | Janine B Engen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477863207 PECOS PAC ID: 2860681848 Enrollment ID: I20110106000171 |
| Provider Name | John D Larson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1013913912 PECOS PAC ID: 8123217189 Enrollment ID: I20110106001061 |
| Provider Name | Steven L Overholt |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1275535528 PECOS PAC ID: 0042406860 Enrollment ID: I20110113000752 |
| Provider Name | Richard J Wittchow |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1477557122 PECOS PAC ID: 8022114669 Enrollment ID: I20110117000173 |
| Provider Name | David J Lofgren |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346247236 PECOS PAC ID: 0446220602 Enrollment ID: I20110118000219 |
| Provider Name | Ngozi Nduka |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902137201 PECOS PAC ID: 3476682246 Enrollment ID: I20110124000786 |
| Provider Name | Diane C Perrone |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1326042771 PECOS PAC ID: 2466648498 Enrollment ID: I20110125000874 |
| Provider Name | Rhonda Heun |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306840988 PECOS PAC ID: 4082893706 Enrollment ID: I20110127000615 |
| Provider Name | William R Scorby |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1972507804 PECOS PAC ID: 1658352505 Enrollment ID: I20110128000507 |
| Provider Name | Milan E Folkers |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1619064094 PECOS PAC ID: 2365449626 Enrollment ID: I20110201000151 |
| Provider Name | Kelly E Hodgson Kline |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508862699 PECOS PAC ID: 1658551999 Enrollment ID: I20110203000854 |
| Provider Name | Gregory D Prichett |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588668958 PECOS PAC ID: 4183804313 Enrollment ID: I20110204000920 |
| Provider Name | John C Burelbach |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1316941982 PECOS PAC ID: 0840470738 Enrollment ID: I20110209001013 |
| Provider Name | John Peter Temple |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518961366 PECOS PAC ID: 1456531003 Enrollment ID: I20110214000849 |
| Provider Name | Kay M Crosby Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770589806 PECOS PAC ID: 6901086552 Enrollment ID: I20110214000855 |
| Provider Name | Matthew D Haberl |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366693285 PECOS PAC ID: 8426238932 Enrollment ID: I20110215000620 |
| Provider Name | Rhonda J Madsen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790789311 PECOS PAC ID: 3072793595 Enrollment ID: I20110215000739 |
| Provider Name | Jacqueline S Redmer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831393958 PECOS PAC ID: 9638350150 Enrollment ID: I20110216000804 |
| Provider Name | David R Mcnamara |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1760455232 PECOS PAC ID: 2365425964 Enrollment ID: I20110224000632 |
| Provider Name | Sumaiya Siddiqi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1679607709 PECOS PAC ID: 9931206638 Enrollment ID: I20110311000315 |
| Provider Name | Harvey A Weinberg |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811992498 PECOS PAC ID: 1153503073 Enrollment ID: I20110314000224 |
| Provider Name | Carrie L Lapham |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1821094905 PECOS PAC ID: 6204842206 Enrollment ID: I20110315000918 |
| Provider Name | Kimberly R Hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952606493 PECOS PAC ID: 7517140155 Enrollment ID: I20110321000221 |
| Provider Name | James G Kleven |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1205832540 PECOS PAC ID: 6406039890 Enrollment ID: I20110322001007 |
| Provider Name | Corey L Pomranke |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1952604670 PECOS PAC ID: 7113101940 Enrollment ID: I20110401000792 |
| Provider Name | Ragasri Kumar Merkes |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699930594 PECOS PAC ID: 5799969523 Enrollment ID: I20110401000867 |
| Provider Name | Kelly J Nest |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720160492 PECOS PAC ID: 7113102401 Enrollment ID: I20110502000403 |
| Provider Name | Marcus A Crosby |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1689803579 PECOS PAC ID: 8729264544 Enrollment ID: I20110512000198 |
| Provider Name | Amandeep Singh Kalra |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1043463185 PECOS PAC ID: 8022294354 Enrollment ID: I20110520000225 |
| Provider Name | Kathleen E Marquart |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851563837 PECOS PAC ID: 8123206208 Enrollment ID: I20110620000126 |
| Provider Name | Mark S Topolski |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1386618916 PECOS PAC ID: 0941497762 Enrollment ID: I20110621000574 |
| Provider Name | Mason G Fisher |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1245452549 PECOS PAC ID: 1658559265 Enrollment ID: I20110630000463 |
| Provider Name | Jerald F Tabbert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497807796 PECOS PAC ID: 7810175221 Enrollment ID: I20110706000354 |
| Provider Name | Amy E Harter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366685356 PECOS PAC ID: 4880872282 Enrollment ID: I20110708000053 |
| Provider Name | Alexis Norelle |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1699709774 PECOS PAC ID: 6709778483 Enrollment ID: I20110720000577 |
| Provider Name | Nicole M Hennessy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851552418 PECOS PAC ID: 1254509912 Enrollment ID: I20110722000701 |
| Provider Name | Stephanie R Niec |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619141785 PECOS PAC ID: 2860661261 Enrollment ID: I20110801000428 |
| Provider Name | Michael O Ojelabi |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1760699003 PECOS PAC ID: 8820267248 Enrollment ID: I20110801000625 |
| Provider Name | Emily M Farmer |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1871684100 PECOS PAC ID: 1951293810 Enrollment ID: I20110803000466 |
| Provider Name | William A Bishop |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487819223 PECOS PAC ID: 3072790740 Enrollment ID: I20110808000571 |
| Provider Name | Andrew Weiss |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356509384 PECOS PAC ID: 3375671449 Enrollment ID: I20110808000594 |
| Provider Name | Gabriel L Marsh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114182045 PECOS PAC ID: 9234308297 Enrollment ID: I20110808000615 |
| Provider Name | Melissa L Schulze |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861786865 PECOS PAC ID: 7810166543 Enrollment ID: I20110812000550 |
| Provider Name | Melanie M Solum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740443977 PECOS PAC ID: 3971772641 Enrollment ID: I20110815000393 |
| Provider Name | Mateen Fatima Abidi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730333980 PECOS PAC ID: 9830369073 Enrollment ID: I20110826000242 |
| Provider Name | Eric M Jakubowski |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326266867 PECOS PAC ID: 5890965032 Enrollment ID: I20110826000300 |
| Provider Name | Jared H Linebarger |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1912164393 PECOS PAC ID: 6305024076 Enrollment ID: I20110830000484 |
| Provider Name | Andrea J Van Wyk |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396902631 PECOS PAC ID: 3173794674 Enrollment ID: I20110913000630 |
| Provider Name | Justin K Shurts |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225291420 PECOS PAC ID: 6608047915 Enrollment ID: I20110919000127 |
| Provider Name | Casandra L Grube |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033319694 PECOS PAC ID: 8527251214 Enrollment ID: I20110928000339 |
| Provider Name | Sajjad H Rizvi |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1851386676 PECOS PAC ID: 4880650050 Enrollment ID: I20111003000757 |
| Provider Name | Benjamin J Boardman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487749396 PECOS PAC ID: 6103098033 Enrollment ID: I20111018000742 |
| Provider Name | John A Zernia |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124022728 PECOS PAC ID: 5496889420 Enrollment ID: I20111019000845 |
| Provider Name | Gary Lenth |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1710983705 PECOS PAC ID: 4880651868 Enrollment ID: I20111027000735 |
| Provider Name | Benjamin S Orozco |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407017833 PECOS PAC ID: 5890963136 Enrollment ID: I20111102000057 |
| Provider Name | Bradley Abicht |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1962632166 PECOS PAC ID: 5799958765 Enrollment ID: I20111108000402 |
| Provider Name | Deidre M Rippl |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598949026 PECOS PAC ID: 0345412011 Enrollment ID: I20111117000117 |
| Provider Name | Sarah A Clements |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1245515543 PECOS PAC ID: 3779758453 Enrollment ID: I20111207000708 |
| Provider Name | Sumit N Ringwala |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316089154 PECOS PAC ID: 4082889613 Enrollment ID: I20111209000754 |
| Provider Name | Jacqueline M Pierce |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1730296039 PECOS PAC ID: 1951576297 Enrollment ID: I20111214000776 |
| Provider Name | Erin E Connolly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568739787 PECOS PAC ID: 0547427577 Enrollment ID: I20120202000847 |
| Provider Name | Robyn J Davis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063786101 PECOS PAC ID: 6608036348 Enrollment ID: I20120404000507 |
| Provider Name | Katrine K Sorum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205072535 PECOS PAC ID: 2668633751 Enrollment ID: I20120417000603 |
| Provider Name | Kara J Tower |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801978648 PECOS PAC ID: 6608043476 Enrollment ID: I20120507000410 |
| Provider Name | Graig Md Aders |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265758734 PECOS PAC ID: 3971766049 Enrollment ID: I20120530000266 |
| Provider Name | Todd L Ebbert |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366641383 PECOS PAC ID: 5395911754 Enrollment ID: I20120627000426 |
| Provider Name | Jonathan O Shoopman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1477712677 PECOS PAC ID: 0547313173 Enrollment ID: I20120710000121 |
| Provider Name | Joshua R Johnston |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1962477075 PECOS PAC ID: 7012173230 Enrollment ID: I20120716000348 |
| Provider Name | Vijay Bandhakavi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1184887473 PECOS PAC ID: 1951557859 Enrollment ID: I20120808000880 |
| Provider Name | Jessica L Kuester |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134392566 PECOS PAC ID: 9133375074 Enrollment ID: I20120809000237 |
| Provider Name | James R Baumgart |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932334216 PECOS PAC ID: 6305092842 Enrollment ID: I20120815000792 |
| Provider Name | Christine M Brose |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1518118975 PECOS PAC ID: 7214183623 Enrollment ID: I20120816000875 |
| Provider Name | Mary I Morris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356313332 PECOS PAC ID: 2860529740 Enrollment ID: I20120816000963 |
| Provider Name | Leah Rose Moellers Thompson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053547562 PECOS PAC ID: 1951570530 Enrollment ID: I20120820000655 |
| Provider Name | Heather J Wichman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043471972 PECOS PAC ID: 7618124090 Enrollment ID: I20120821000401 |
| Provider Name | Michael W Herde |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1619238722 PECOS PAC ID: 8820246689 Enrollment ID: I20120919000815 |
| Provider Name | Eric R Christensen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801152186 PECOS PAC ID: 4082863410 Enrollment ID: I20120928000640 |
| Provider Name | Stephanie A Neuman |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1063617157 PECOS PAC ID: 4183791361 Enrollment ID: I20121001000461 |
| Provider Name | Irina Shakhnovich |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881806529 PECOS PAC ID: 2860641909 Enrollment ID: I20121004000239 |
| Provider Name | Matthew Nelson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720030422 PECOS PAC ID: 7214969039 Enrollment ID: I20121011000925 |
| Provider Name | Michael Alan Zimmer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477712750 PECOS PAC ID: 2860670841 Enrollment ID: I20121012000817 |
| Provider Name | Brian T Jubeck |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285852889 PECOS PAC ID: 2961651641 Enrollment ID: I20121012000831 |
| Provider Name | Lucas J Hammell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528252764 PECOS PAC ID: 7315020641 Enrollment ID: I20121022000515 |
| Provider Name | Sarah A Long |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629359898 PECOS PAC ID: 0547410862 Enrollment ID: I20121023000485 |
| Provider Name | Anne E Gisvold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093065401 PECOS PAC ID: 3971753161 Enrollment ID: I20121024000599 |
| Provider Name | Kelly D Howell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841426277 PECOS PAC ID: 0446400568 Enrollment ID: I20121026000464 |
| Provider Name | Lindsey L Olson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609126671 PECOS PAC ID: 0244480234 Enrollment ID: I20121029000624 |
| Provider Name | Deborah Jahnke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972852622 PECOS PAC ID: 8325299076 Enrollment ID: I20121106000625 |
| Provider Name | Erin L Beinborn |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790099497 PECOS PAC ID: 0749431351 Enrollment ID: I20121107000662 |
| Provider Name | Neil J Brahmbhatt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306136346 PECOS PAC ID: 6901057546 Enrollment ID: I20121108000270 |
| Provider Name | Sarah A Harter |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1851641120 PECOS PAC ID: 1153572250 Enrollment ID: I20121120000242 |
| Provider Name | Joshua J Whitson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437441730 PECOS PAC ID: 6002068079 Enrollment ID: I20121221000076 |
| Provider Name | Alexander Macario Villareal |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1609094457 PECOS PAC ID: 1658462445 Enrollment ID: I20130123000568 |
| Provider Name | Naomi Summer Whitaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750635157 PECOS PAC ID: 9830343961 Enrollment ID: I20130125000163 |
| Provider Name | Jill Cruise Obrien |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568420248 PECOS PAC ID: 6800976390 Enrollment ID: I20130201000349 |
| Provider Name | Justin C Bohrer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114155041 PECOS PAC ID: 7113163478 Enrollment ID: I20130411000588 |
| Provider Name | Asma Arayan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245551977 PECOS PAC ID: 7012155484 Enrollment ID: I20130523000539 |
| Provider Name | Cynthia G Meisner |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1053659359 PECOS PAC ID: 8426296807 Enrollment ID: I20130523000606 |
| Provider Name | Charles M Leys |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1073660940 PECOS PAC ID: 6800933987 Enrollment ID: I20130618000674 |
| Provider Name | Theresa D Cirone-hornickel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144668112 PECOS PAC ID: 3577702679 Enrollment ID: I20130621000244 |
| Provider Name | Marcia A Dunn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811978851 PECOS PAC ID: 7416141007 Enrollment ID: I20130709000390 |
| Provider Name | Mary J Crissler Belanger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366493439 PECOS PAC ID: 4688669328 Enrollment ID: I20130710000404 |
| Provider Name | Tiffany Marinier |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144343161 PECOS PAC ID: 6901992981 Enrollment ID: I20130806000114 |
| Provider Name | Aaron J Zivney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174834568 PECOS PAC ID: 7315189222 Enrollment ID: I20130806000189 |
| Provider Name | Eric T Moore |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417156142 PECOS PAC ID: 9638210339 Enrollment ID: I20130808000119 |
| Provider Name | Victor Essien Uko |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639348832 PECOS PAC ID: 0547424376 Enrollment ID: I20130812000743 |
| Provider Name | Joshua D Pfeiffer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1962658336 PECOS PAC ID: 7113169590 Enrollment ID: I20130814000638 |
| Provider Name | Jason Robert Darrah |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1447577176 PECOS PAC ID: 7719129196 Enrollment ID: I20130814000681 |
| Provider Name | Travis Jon Smith |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1740443803 PECOS PAC ID: 5799941506 Enrollment ID: I20130814000735 |
| Provider Name | Hjalti Gudmundsson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164632980 PECOS PAC ID: 1759415672 Enrollment ID: I20130816000402 |
| Provider Name | Connie S Mccullick |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1013358787 PECOS PAC ID: 9436391687 Enrollment ID: I20130816000880 |
| Provider Name | Bryan J Kolberg |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669812293 PECOS PAC ID: 6709029762 Enrollment ID: I20130823000956 |
| Provider Name | Ezana Muluneh Azene |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073715975 PECOS PAC ID: 3476708322 Enrollment ID: I20130823001105 |
| Provider Name | Julia M Kasprzak |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1023247442 PECOS PAC ID: 6507009248 Enrollment ID: I20130919000574 |
| Provider Name | Mary C Bassing |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1629395355 PECOS PAC ID: 5193969608 Enrollment ID: I20130924000634 |
| Provider Name | Rachel C Johnson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1063856250 PECOS PAC ID: 7719121045 Enrollment ID: I20130926000245 |
| Provider Name | David Edward Marinier |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1851412555 PECOS PAC ID: 0042444358 Enrollment ID: I20130927000430 |
| Provider Name | Ryan M Manz |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1407028459 PECOS PAC ID: 7416108550 Enrollment ID: I20131007000788 |
| Provider Name | Scott R Bassuener |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1639337397 PECOS PAC ID: 2567619232 Enrollment ID: I20131009000126 |
| Provider Name | Lisa Pisney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215981758 PECOS PAC ID: 0547456279 Enrollment ID: I20131017001710 |
| Provider Name | Christy D Short |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659699833 PECOS PAC ID: 5799910055 Enrollment ID: I20131023000730 |
| Provider Name | Janet Torkelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093149627 PECOS PAC ID: 5092941120 Enrollment ID: I20131120001436 |
| Provider Name | Meggan Mary Baudek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912333287 PECOS PAC ID: 2668608597 Enrollment ID: I20131122001032 |
| Provider Name | Jennifer H Mcgeorge |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1366878886 PECOS PAC ID: 9234365818 Enrollment ID: I20131204001573 |
| Provider Name | Jason K Waddell |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1437474392 PECOS PAC ID: 6406083948 Enrollment ID: I20131209000694 |
| Provider Name | Barbara J Omit-dorshorst |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902235559 PECOS PAC ID: 4486881927 Enrollment ID: I20131209000748 |
| Provider Name | Hailey A Schneider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033546528 PECOS PAC ID: 6406083625 Enrollment ID: I20131216000225 |
| Provider Name | Anna J Jackson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902122138 PECOS PAC ID: 7911134135 Enrollment ID: I20131216000314 |
| Provider Name | Larissa L Niedfeldt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649608225 PECOS PAC ID: 6507093671 Enrollment ID: I20131217000373 |
| Provider Name | Douglas G Hughes |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1811019409 PECOS PAC ID: 8325288442 Enrollment ID: I20131219000620 |
| Provider Name | Carol K Powell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487634283 PECOS PAC ID: 7012815277 Enrollment ID: I20131220000535 |
| Provider Name | Anneliese K Wilhelm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417386871 PECOS PAC ID: 9335376144 Enrollment ID: I20131223001300 |
| Provider Name | Brehn N Pagel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447505938 PECOS PAC ID: 4880845825 Enrollment ID: I20131224000010 |
| Provider Name | Kevin L Schoepel |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1841211067 PECOS PAC ID: 6800861105 Enrollment ID: I20140122001325 |
| Provider Name | Marissa S Lowenthal |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1205059847 PECOS PAC ID: 8628131141 Enrollment ID: I20140310001713 |
| Provider Name | David I Baumann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003182205 PECOS PAC ID: 7012144827 Enrollment ID: I20140327000848 |
| Provider Name | Amy J Belling-dunn |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1376968156 PECOS PAC ID: 7113159153 Enrollment ID: I20140407000656 |
| Provider Name | Erica R Neumeister |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225118698 PECOS PAC ID: 3274434105 Enrollment ID: I20140409000032 |
| Provider Name | Michael P Sytsma |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164525036 PECOS PAC ID: 4385661008 Enrollment ID: I20140411000881 |
| Provider Name | Maria Mayorga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558457127 PECOS PAC ID: 4880730977 Enrollment ID: I20140412000000 |
| Provider Name | Jamie Hosmer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841452927 PECOS PAC ID: 8527209386 Enrollment ID: I20140507001005 |
| Provider Name | Stephen J Randall |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326243593 PECOS PAC ID: 0941473904 Enrollment ID: I20140516000595 |
| Provider Name | Aderemi Jaiyeola |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467426940 PECOS PAC ID: 9032180567 Enrollment ID: I20140523001174 |
| Provider Name | Danielle M Berdahl |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003026493 PECOS PAC ID: 2668545708 Enrollment ID: I20140528002182 |
| Provider Name | Christen Chamberland |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1194984716 PECOS PAC ID: 7416171624 Enrollment ID: I20140610000049 |
| Provider Name | Paul A Bergl |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1306152129 PECOS PAC ID: 2466694567 Enrollment ID: I20140610000196 |
| Provider Name | C. Nathan Vannatta |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699186528 PECOS PAC ID: 5799900965 Enrollment ID: I20140701001509 |
| Provider Name | Jessica A Pierzina |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871668384 PECOS PAC ID: 9638394273 Enrollment ID: I20140715001711 |
| Provider Name | Nathaniel L Stepp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942491030 PECOS PAC ID: 0244492262 Enrollment ID: I20140729002887 |
| Provider Name | Angeline M Finch |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1104128719 PECOS PAC ID: 9335309095 Enrollment ID: I20140730000218 |
| Provider Name | Jennifer M Lamps |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295056588 PECOS PAC ID: 4688890569 Enrollment ID: I20140730000267 |
| Provider Name | Charles A Czeczok |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1770808404 PECOS PAC ID: 0244463404 Enrollment ID: I20140804001706 |
| Provider Name | San Y Thida |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1063643195 PECOS PAC ID: 2365675816 Enrollment ID: I20140808000395 |
| Provider Name | Evan R Kemp |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639457856 PECOS PAC ID: 7214160753 Enrollment ID: I20140808000778 |
| Provider Name | Jodi L Priebe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720254089 PECOS PAC ID: 2567531957 Enrollment ID: I20140808001403 |
| Provider Name | Yongxue D Yao |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1952629701 PECOS PAC ID: 2769622521 Enrollment ID: I20140811001728 |
| Provider Name | Andrew A Lehman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1437391539 PECOS PAC ID: 4981871563 Enrollment ID: I20140820002194 |
| Provider Name | Rachel L Mckenney |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1033349246 PECOS PAC ID: 1557594009 Enrollment ID: I20140821002219 |
| Provider Name | Elizabeth A Przybylski |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1295807139 PECOS PAC ID: 8921107509 Enrollment ID: I20140822000274 |
| Provider Name | Heather L Bartlett |
|---|---|
| Provider Type | Practitioner - Adult Congenital Heart Disease (achd) |
| Provider Identifiers | NPI Number: 1487649323 PECOS PAC ID: 9133146012 Enrollment ID: I20140828001997 |
| Provider Name | Patrick J Noonan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1972892958 PECOS PAC ID: 7719106459 Enrollment ID: I20140911002037 |
| Provider Name | Lori J Rosenstein |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1760568794 PECOS PAC ID: 3072666866 Enrollment ID: I20140917001922 |
| Provider Name | Jennifer S Karnowski |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528386554 PECOS PAC ID: 0648402974 Enrollment ID: I20140919000025 |
| Provider Name | Emily N Carroll-pagel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447669536 PECOS PAC ID: 0345460036 Enrollment ID: I20140930003172 |
| Provider Name | Christine J Waller |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1588826705 PECOS PAC ID: 0840432415 Enrollment ID: I20141001001346 |
| Provider Name | David Peter Megremis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982606620 PECOS PAC ID: 2163493396 Enrollment ID: I20141006002402 |
| Provider Name | Daniel J Hensgen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053729491 PECOS PAC ID: 9133340805 Enrollment ID: I20141021002944 |
| Provider Name | Monica Sharma |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1528208436 PECOS PAC ID: 0749417715 Enrollment ID: I20141105001850 |
| Provider Name | Benjamin Parsons |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1164688834 PECOS PAC ID: 0547494098 Enrollment ID: I20141108000026 |
| Provider Name | Heather M Behn |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1477956894 PECOS PAC ID: 7113149998 Enrollment ID: I20141111001378 |
| Provider Name | Jennifer M Orozco |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316110463 PECOS PAC ID: 2163644824 Enrollment ID: I20141112002100 |
| Provider Name | Luke Peterson |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1467689109 PECOS PAC ID: 8921220690 Enrollment ID: I20141112002402 |
| Provider Name | Lisa Belling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619377207 PECOS PAC ID: 8426270919 Enrollment ID: I20141118001881 |
| Provider Name | Courtney M Van Auken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649674672 PECOS PAC ID: 5395967756 Enrollment ID: I20141119001804 |
| Provider Name | Sarah Holthe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518360619 PECOS PAC ID: 9436471596 Enrollment ID: I20141201001731 |
| Provider Name | Carl J Drago |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1205831302 PECOS PAC ID: 2264754928 Enrollment ID: I20141208001293 |
| Provider Name | Julie A Gorski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215330840 PECOS PAC ID: 7012239478 Enrollment ID: I20141215000663 |
| Provider Name | Christopher M Lowry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730445008 PECOS PAC ID: 5294963112 Enrollment ID: I20150102000836 |
| Provider Name | Devin C Simonson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1760749626 PECOS PAC ID: 1153643580 Enrollment ID: I20150109002029 |
| Provider Name | Rebecca Jo Stetzer |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1295064871 PECOS PAC ID: 5294059572 Enrollment ID: I20150114001588 |
| Provider Name | Brea C Veldboom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811322878 PECOS PAC ID: 6507091337 Enrollment ID: I20150115000965 |
| Provider Name | Vicki R Monk |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1508094582 PECOS PAC ID: 6204151087 Enrollment ID: I20150219001561 |
| Provider Name | Inbar Saporta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821434267 PECOS PAC ID: 4587892906 Enrollment ID: I20150302001455 |
| Provider Name | Tara K Deigmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013312123 PECOS PAC ID: 9739406984 Enrollment ID: I20150326001674 |
| Provider Name | Shawn Pritchard |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245676683 PECOS PAC ID: 2567690985 Enrollment ID: I20150402000664 |
| Provider Name | Sherri L Reutlinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851780993 PECOS PAC ID: 8426376245 Enrollment ID: I20150407001897 |
| Provider Name | Ryan Anthony Vaca |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700222148 PECOS PAC ID: 8224266648 Enrollment ID: I20150408001547 |
| Provider Name | Stacie K Strong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003205386 PECOS PAC ID: 3375861073 Enrollment ID: I20150408002818 |
| Provider Name | Yazhini Vallatharasu |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1508207895 PECOS PAC ID: 4385872712 Enrollment ID: I20150409001197 |
| Provider Name | Ryan L Waterbury |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902299282 PECOS PAC ID: 6204154495 Enrollment ID: I20150420001542 |
| Provider Name | Russell J Norris |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1669488144 PECOS PAC ID: 6800964818 Enrollment ID: I20150512002855 |
| Provider Name | Jordan Perry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033441019 PECOS PAC ID: 9638363583 Enrollment ID: I20150513001227 |
| Provider Name | Tanya F Waterbury |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972934180 PECOS PAC ID: 8426281049 Enrollment ID: I20150522000656 |
| Provider Name | Esosa G Odigie-okon |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1588815914 PECOS PAC ID: 0446573240 Enrollment ID: I20150603001080 |
| Provider Name | Jasmine A Hudnall |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1770927857 PECOS PAC ID: 0042531436 Enrollment ID: I20150610002630 |
| Provider Name | Jessica L Hamilton |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1427242296 PECOS PAC ID: 0244307783 Enrollment ID: I20150618002693 |
| Provider Name | Swapnil Sunil Lanjewar |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1003170671 PECOS PAC ID: 6507177201 Enrollment ID: I20150622002719 |
| Provider Name | Emily J Mahutga |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1417338666 PECOS PAC ID: 9830400431 Enrollment ID: I20150624000302 |
| Provider Name | Sunil A Mutgi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225358906 PECOS PAC ID: 8729228226 Enrollment ID: I20150706002556 |
| Provider Name | Kara Hoppe |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063677920 PECOS PAC ID: 8224292396 Enrollment ID: I20150709000272 |
| Provider Name | Travis Schamber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891061990 PECOS PAC ID: 1557674074 Enrollment ID: I20150713002143 |
| Provider Name | John M Reynen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1669750774 PECOS PAC ID: 3476786807 Enrollment ID: I20150721000484 |
| Provider Name | Andrew C Colburn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639420888 PECOS PAC ID: 5890008825 Enrollment ID: I20150721000533 |
| Provider Name | Christina R Wiedenhoeft |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1760771661 PECOS PAC ID: 7416261425 Enrollment ID: I20150805006406 |
| Provider Name | Zachary R Clements |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689933434 PECOS PAC ID: 3072828763 Enrollment ID: I20150810001439 |
| Provider Name | Jared M Gorsuch |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013208347 PECOS PAC ID: 2860707379 Enrollment ID: I20150812008979 |
| Provider Name | Kylie E Berger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861874067 PECOS PAC ID: 3274848692 Enrollment ID: I20150813012293 |
| Provider Name | Manny Noah Rehman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1487846903 PECOS PAC ID: 6002946936 Enrollment ID: I20150813012413 |
| Provider Name | Jonathan E Kohler |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1134231293 PECOS PAC ID: 8325353659 Enrollment ID: I20150817000795 |
| Provider Name | Lindsey A Query |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548528466 PECOS PAC ID: 0042526766 Enrollment ID: I20150826000924 |
| Provider Name | Kristen M Reierson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1073992194 PECOS PAC ID: 2062728660 Enrollment ID: I20150827001020 |
| Provider Name | Carla Grogan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144586405 PECOS PAC ID: 3971731076 Enrollment ID: I20150828001617 |
| Provider Name | Brad W Collins |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1609242155 PECOS PAC ID: 4688980089 Enrollment ID: I20150831002471 |
| Provider Name | Pratima Kamada |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1801113790 PECOS PAC ID: 6901112010 Enrollment ID: I20150904000394 |
| Provider Name | Ashley K Stehl |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1669857678 PECOS PAC ID: 5092021931 Enrollment ID: I20150908002665 |
| Provider Name | Andrew M Nevitt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386011229 PECOS PAC ID: 0941517858 Enrollment ID: I20150909002410 |
| Provider Name | Diana Johnson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1821470022 PECOS PAC ID: 6901113778 Enrollment ID: I20150911001597 |
| Provider Name | Ashley J Woychik |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1912373374 PECOS PAC ID: 3274840905 Enrollment ID: I20150914001298 |
| Provider Name | Jennifer C Peterson |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1154586071 PECOS PAC ID: 0648497347 Enrollment ID: I20150914001407 |
| Provider Name | Teague A Martis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700131000 PECOS PAC ID: 2860709359 Enrollment ID: I20150916000826 |
| Provider Name | Andrew Elliott |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1801232335 PECOS PAC ID: 9931416385 Enrollment ID: I20150916003230 |
| Provider Name | Christine E Jacobsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467614289 PECOS PAC ID: 0143543884 Enrollment ID: I20150922000627 |
| Provider Name | Afton Koball |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235577404 PECOS PAC ID: 5890929483 Enrollment ID: I20150922001712 |
| Provider Name | Peter K Jantz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396112165 PECOS PAC ID: 5799092763 Enrollment ID: I20150923003233 |
| Provider Name | Ricardo A Rivera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609243906 PECOS PAC ID: 4880902824 Enrollment ID: I20150924002462 |
| Provider Name | Allison L Allmon Dixson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891194155 PECOS PAC ID: 7719295237 Enrollment ID: I20151002001974 |
| Provider Name | Rachel A Biemiller |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790927390 PECOS PAC ID: 0042453680 Enrollment ID: I20151002002623 |
| Provider Name | Cayla J Dittmer |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1669857660 PECOS PAC ID: 4587972658 Enrollment ID: I20151009001256 |
| Provider Name | Lisa A Horstman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437528114 PECOS PAC ID: 6800833807 Enrollment ID: I20151023000787 |
| Provider Name | Hau Dang Le |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871774752 PECOS PAC ID: 7719054022 Enrollment ID: I20151026000017 |
| Provider Name | Jason K Klipsic |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386055812 PECOS PAC ID: 2365437316 Enrollment ID: I20151029002833 |
| Provider Name | Craig D Destree |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154732063 PECOS PAC ID: 2062722895 Enrollment ID: I20151106002246 |
| Provider Name | Stephen Wade Rieke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780054015 PECOS PAC ID: 0042520587 Enrollment ID: I20151112001221 |
| Provider Name | Julie A Sonsalla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003285511 PECOS PAC ID: 2365742376 Enrollment ID: I20151124000621 |
| Provider Name | Shareene M Berti |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205208832 PECOS PAC ID: 6103126917 Enrollment ID: I20151201001251 |
| Provider Name | Kelley Zhovtis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093054074 PECOS PAC ID: 2062713118 Enrollment ID: I20151215002495 |
| Provider Name | Teresa M Susmaras |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710357017 PECOS PAC ID: 1355643578 Enrollment ID: I20160105002529 |
| Provider Name | Debra L Wade |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689673212 PECOS PAC ID: 9830169135 Enrollment ID: I20160107001777 |
| Provider Name | Angela K Darveaux |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1194735118 PECOS PAC ID: 0042215014 Enrollment ID: I20160114002063 |
| Provider Name | Maggie J Luers |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1992174551 PECOS PAC ID: 3971807454 Enrollment ID: I20160203000917 |
| Provider Name | Fatemeh S Jannati |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1174878706 PECOS PAC ID: 8729204789 Enrollment ID: I20160216002415 |
| Provider Name | Halley A Molstad |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1235522699 PECOS PAC ID: 5890090963 Enrollment ID: I20160226002019 |
| Provider Name | Carol L Young |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1407853328 PECOS PAC ID: 4183755267 Enrollment ID: I20160331001801 |
| Provider Name | Muneer Naji Hassan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205129590 PECOS PAC ID: 8022255470 Enrollment ID: I20160401001196 |
| Provider Name | Eric M Blaschke |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386957678 PECOS PAC ID: 0941515365 Enrollment ID: I20160513000825 |
| Provider Name | Rebecca S Krambeer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023472966 PECOS PAC ID: 8022307768 Enrollment ID: I20160518002632 |
| Provider Name | Carolina Q See |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831135201 PECOS PAC ID: 4284630195 Enrollment ID: I20160519001442 |
| Provider Name | April L Farrell |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1144386335 PECOS PAC ID: 5193731339 Enrollment ID: I20160608000378 |
| Provider Name | Julie A Vircks |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790048494 PECOS PAC ID: 4880990571 Enrollment ID: I20160608001341 |
| Provider Name | Tara R Lang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366414328 PECOS PAC ID: 0446278675 Enrollment ID: I20160610001757 |
| Provider Name | Cole R Marschke |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265775191 PECOS PAC ID: 4688978802 Enrollment ID: I20160623002098 |
| Provider Name | Jacob R Peschman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396060679 PECOS PAC ID: 7517279615 Enrollment ID: I20160708000987 |
| Provider Name | David L Nash |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1306135231 PECOS PAC ID: 1456664762 Enrollment ID: I20160720002568 |
| Provider Name | Christopher Cogbill |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1326141599 PECOS PAC ID: 8921248121 Enrollment ID: I20160725002277 |
| Provider Name | Michitaka Kawata |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1417186859 PECOS PAC ID: 7810178134 Enrollment ID: I20160727001346 |
| Provider Name | Grzegorz T Gurda |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1255652061 PECOS PAC ID: 8820249618 Enrollment ID: I20160802001116 |
| Provider Name | Amy L Wentland |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1285999797 PECOS PAC ID: 4183943053 Enrollment ID: I20160803001613 |
| Provider Name | John Renelt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861465478 PECOS PAC ID: 6103736145 Enrollment ID: I20160804000359 |
| Provider Name | Jacob Pederson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932441318 PECOS PAC ID: 3577857184 Enrollment ID: I20160804001087 |
| Provider Name | Cary M Effertz |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1962794206 PECOS PAC ID: 8921255092 Enrollment ID: I20160805000989 |
| Provider Name | Martin E Sievert |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225392665 PECOS PAC ID: 5799913604 Enrollment ID: I20160809002071 |
| Provider Name | Emanuel E Nearing |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1346564390 PECOS PAC ID: 4486890308 Enrollment ID: I20160810000796 |
| Provider Name | Trixie L Murphy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174976203 PECOS PAC ID: 3870887995 Enrollment ID: I20160811001224 |
| Provider Name | Allison Derrick |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1851520100 PECOS PAC ID: 0244478733 Enrollment ID: I20160812000307 |
| Provider Name | Devin S Wenrich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073953972 PECOS PAC ID: 4789818303 Enrollment ID: I20160812000764 |
| Provider Name | Abigail L Taub |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1417222605 PECOS PAC ID: 6608090972 Enrollment ID: I20160815001287 |
| Provider Name | Alaina J Webb |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1851623227 PECOS PAC ID: 9234371055 Enrollment ID: I20160817001698 |
| Provider Name | Margaret Mary Greco |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760686414 PECOS PAC ID: 9739251703 Enrollment ID: I20160817003183 |
| Provider Name | Mark N Griffith |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1710912399 PECOS PAC ID: 9234190109 Enrollment ID: I20160818002448 |
| Provider Name | Atif Ahmed |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1437396116 PECOS PAC ID: 2668692005 Enrollment ID: I20160818002700 |
| Provider Name | Jamie L Prather |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1023270469 PECOS PAC ID: 0749597367 Enrollment ID: I20160825000549 |
| Provider Name | Patrick W Dixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417308313 PECOS PAC ID: 2961798996 Enrollment ID: I20160831000541 |
| Provider Name | David E Ludden |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1073773834 PECOS PAC ID: 5698899607 Enrollment ID: I20160907001913 |
| Provider Name | Kathryn J Frie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912288762 PECOS PAC ID: 6204003296 Enrollment ID: I20160907002327 |
| Provider Name | Andrew D Prather |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790947943 PECOS PAC ID: 9133415615 Enrollment ID: I20160912001700 |
| Provider Name | Jennifer L Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073915146 PECOS PAC ID: 0749576080 Enrollment ID: I20160913000373 |
| Provider Name | L.dorine Day |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184627549 PECOS PAC ID: 9739192683 Enrollment ID: I20160913001997 |
| Provider Name | Thomas C Leece |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497987168 PECOS PAC ID: 2264697085 Enrollment ID: I20160914001551 |
| Provider Name | Rachel B Kang |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1124439872 PECOS PAC ID: 7012203110 Enrollment ID: I20160915000508 |
| Provider Name | Amanda Celest Roof Larson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1336464544 PECOS PAC ID: 0749506889 Enrollment ID: I20160916001142 |
| Provider Name | Thomas M Ledoux |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255693115 PECOS PAC ID: 8325335185 Enrollment ID: I20160921002008 |
| Provider Name | Martha Higginbotham Aldridge |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487749768 PECOS PAC ID: 3870684236 Enrollment ID: I20160927001522 |
| Provider Name | David L Semple |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609146877 PECOS PAC ID: 1951561166 Enrollment ID: I20160927002203 |
| Provider Name | Michael J Sanders |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023566379 PECOS PAC ID: 1951403849 Enrollment ID: I20160929000322 |
| Provider Name | Jordan E Ellis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720534696 PECOS PAC ID: 4880982909 Enrollment ID: I20161005001689 |
| Provider Name | Justin Mitchell |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1154649267 PECOS PAC ID: 4183868037 Enrollment ID: I20161005001913 |
| Provider Name | Caitlin C Hill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205270246 PECOS PAC ID: 0749593796 Enrollment ID: I20161006001727 |
| Provider Name | Erin L Sterenson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891950598 PECOS PAC ID: 9537207816 Enrollment ID: I20161011002317 |
| Provider Name | Stephanie K Jakusz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780138982 PECOS PAC ID: 4284922626 Enrollment ID: I20161018000686 |
| Provider Name | Anita Marie Lauria |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184171084 PECOS PAC ID: 9739467556 Enrollment ID: I20161031000531 |
| Provider Name | Scott David Loberg |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1093265969 PECOS PAC ID: 7618255357 Enrollment ID: I20161031001431 |
| Provider Name | Mary Katherine Youngblood |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1376734731 PECOS PAC ID: 5193718773 Enrollment ID: I20161103001154 |
| Provider Name | Alacia M Pierce |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1962957712 PECOS PAC ID: 3971881467 Enrollment ID: I20161103002478 |
| Provider Name | Arun Singh Chhabra |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922398726 PECOS PAC ID: 6507150174 Enrollment ID: I20161109002276 |
| Provider Name | Lori Elizabeth Weinberg |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326204942 PECOS PAC ID: 6800088642 Enrollment ID: I20161117002204 |
| Provider Name | Dzifaa Kofi Lotsu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1770739211 PECOS PAC ID: 1355582354 Enrollment ID: I20161118001934 |
| Provider Name | Jacob Stephen Feldman |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1104137710 PECOS PAC ID: 5799918876 Enrollment ID: I20161202002020 |
| Provider Name | Rachel L Strasser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588107544 PECOS PAC ID: 1658652763 Enrollment ID: I20170104001144 |
| Provider Name | Isaac B Annan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336112234 PECOS PAC ID: 1456311307 Enrollment ID: I20170112002025 |
| Provider Name | Vanessa A Bablitch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336534213 PECOS PAC ID: 5698057040 Enrollment ID: I20170120000678 |
| Provider Name | Brendon Groen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750831293 PECOS PAC ID: 3971885955 Enrollment ID: I20170127000519 |
| Provider Name | Robert Lauria |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427401983 PECOS PAC ID: 1850685025 Enrollment ID: I20170209001720 |
| Provider Name | Kelly M Lay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629513783 PECOS PAC ID: 1355624792 Enrollment ID: I20170210000269 |
| Provider Name | Nathan Fleming |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679864912 PECOS PAC ID: 0446498133 Enrollment ID: I20170224001837 |
| Provider Name | Adam Zorn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073795761 PECOS PAC ID: 1759516651 Enrollment ID: I20170313001820 |
| Provider Name | Leroy J Trombetta |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1639142474 PECOS PAC ID: 9638216294 Enrollment ID: I20170316002150 |
| Provider Name | David R Alderman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790186161 PECOS PAC ID: 6002136074 Enrollment ID: I20170414000131 |
| Provider Name | Andrew T Knox |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568752665 PECOS PAC ID: 1658658000 Enrollment ID: I20170511002688 |
| Provider Name | Laurence P Skendzel |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1124019252 PECOS PAC ID: 4385748631 Enrollment ID: I20170601000529 |
| Provider Name | Michelle J Freedman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194734400 PECOS PAC ID: 7214205723 Enrollment ID: I20170623001694 |
| Provider Name | Beth Vanderwielen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1447593462 PECOS PAC ID: 3678842770 Enrollment ID: I20170705002596 |
| Provider Name | Lisa L Roepke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548701543 PECOS PAC ID: 5294004149 Enrollment ID: I20170707002700 |
| Provider Name | Ashley K Loken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629599147 PECOS PAC ID: 7416227277 Enrollment ID: I20170727000233 |
| Provider Name | Srinivas Bhadriraju |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1790796084 PECOS PAC ID: 1759363989 Enrollment ID: I20170727003000 |
| Provider Name | Alejandro Castro |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114338274 PECOS PAC ID: 9032415252 Enrollment ID: I20170727004068 |
| Provider Name | Adam D Wallace |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386969079 PECOS PAC ID: 2264744945 Enrollment ID: I20170804002869 |
| Provider Name | Edward Rodenkirch |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326458951 PECOS PAC ID: 0143513556 Enrollment ID: I20170807002174 |
| Provider Name | Kara K Petrashek |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750724357 PECOS PAC ID: 5890015721 Enrollment ID: I20170808000499 |
| Provider Name | Michael K Wempe |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1780900647 PECOS PAC ID: 9436454287 Enrollment ID: I20170817003244 |
| Provider Name | Deb K Mojumder |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396023818 PECOS PAC ID: 4183928849 Enrollment ID: I20170818001936 |
| Provider Name | Niket Sonpal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1023347770 PECOS PAC ID: 8426329814 Enrollment ID: I20170823003578 |
| Provider Name | Easwaran P Variyam |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1750370995 PECOS PAC ID: 2668523549 Enrollment ID: I20170830000455 |
| Provider Name | George Niforos Bouras |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1881129120 PECOS PAC ID: 7810269222 Enrollment ID: I20170831003477 |
| Provider Name | Mark Ringstrom |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1134486756 PECOS PAC ID: 3375851975 Enrollment ID: I20170901000558 |
| Provider Name | Adam Scott Brinkman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427212455 PECOS PAC ID: 3870726318 Enrollment ID: I20170906000800 |
| Provider Name | Peter J Hordyk |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1538555073 PECOS PAC ID: 9032402532 Enrollment ID: I20170918002418 |
| Provider Name | Brent A Fuerbringer |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1831586239 PECOS PAC ID: 3173816543 Enrollment ID: I20170918003661 |
| Provider Name | Christine Bruno |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1982770707 PECOS PAC ID: 4688612120 Enrollment ID: I20170922000654 |
| Provider Name | Dalia M Nashed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689085383 PECOS PAC ID: 2961790464 Enrollment ID: I20170922001713 |
| Provider Name | John A Intravia |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1487611588 PECOS PAC ID: 5991697039 Enrollment ID: I20170922002241 |
| Provider Name | John Leo Schomburg |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1396003323 PECOS PAC ID: 8628374147 Enrollment ID: I20170926000136 |
| Provider Name | Carli Paletta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225558877 PECOS PAC ID: 5799050696 Enrollment ID: I20171003005356 |
| Provider Name | Paras H Shah |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1548528185 PECOS PAC ID: 2163709643 Enrollment ID: I20171010001652 |
| Provider Name | Amanda S Remus |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407223381 PECOS PAC ID: 6406121870 Enrollment ID: I20171011001371 |
| Provider Name | Morgan Ann Grabinoski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477801728 PECOS PAC ID: 4486929866 Enrollment ID: I20171011001464 |
| Provider Name | Frederick William Green |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629451588 PECOS PAC ID: 4880969294 Enrollment ID: I20171011002656 |
| Provider Name | Melissa M Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477073252 PECOS PAC ID: 0941575104 Enrollment ID: I20171013002557 |
| Provider Name | Jeanette Pitts |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1871578344 PECOS PAC ID: 7012959125 Enrollment ID: I20171020000654 |
| Provider Name | Isidora S Luther |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376068254 PECOS PAC ID: 2365718111 Enrollment ID: I20171023000648 |
| Provider Name | Joseph J Holger |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184143968 PECOS PAC ID: 7416223904 Enrollment ID: I20171027002484 |
| Provider Name | Kristin Gail Ferguson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972022622 PECOS PAC ID: 3779859103 Enrollment ID: I20171030001786 |
| Provider Name | Anne M Funk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609385970 PECOS PAC ID: 9638435290 Enrollment ID: I20171114003494 |
| Provider Name | Karmen Lenore Wielunski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750700738 PECOS PAC ID: 2961768528 Enrollment ID: I20171114003694 |
| Provider Name | Lisa Pagel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1194816116 PECOS PAC ID: 7113917402 Enrollment ID: I20171120000002 |
| Provider Name | Megan Marie Daveau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356851992 PECOS PAC ID: 7214294651 Enrollment ID: I20171120002575 |
| Provider Name | Deena Athas |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1457526170 PECOS PAC ID: 9032287537 Enrollment ID: I20171122001518 |
| Provider Name | Jimmy Viet Ninh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104088939 PECOS PAC ID: 6608913835 Enrollment ID: I20171127002601 |
| Provider Name | Kenneth Scott Yew |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396717419 PECOS PAC ID: 7810185626 Enrollment ID: I20171213001264 |
| Provider Name | Harry F Farb |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194888685 PECOS PAC ID: 2365346798 Enrollment ID: I20180108000308 |
| Provider Name | Jeffrey A Drexler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538145966 PECOS PAC ID: 3173600772 Enrollment ID: I20180116001336 |
| Provider Name | Loucresie Nichelle Rupert |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295056471 PECOS PAC ID: 5597913194 Enrollment ID: I20180228001659 |
| Provider Name | Donna Jean Kettner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619158151 PECOS PAC ID: 1456614254 Enrollment ID: I20180409001471 |
| Provider Name | Mary A Stockus |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1639176852 PECOS PAC ID: 4385682640 Enrollment ID: I20180413000694 |
| Provider Name | Sharada Kamalanatha Chaitra |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1629165899 PECOS PAC ID: 9133289051 Enrollment ID: I20180413001234 |
| Provider Name | Janel Lanae Ward |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285885087 PECOS PAC ID: 8527255603 Enrollment ID: I20180418000817 |
| Provider Name | Joseph S Freeman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396251625 PECOS PAC ID: 2567725989 Enrollment ID: I20180418001358 |
| Provider Name | Kunal M Shah |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1730504150 PECOS PAC ID: 8123381209 Enrollment ID: I20180425000021 |
| Provider Name | Christina Arostegui |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770086712 PECOS PAC ID: 1254695232 Enrollment ID: I20180426002293 |
| Provider Name | Amanda S Delaney |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1154778942 PECOS PAC ID: 8123311222 Enrollment ID: I20180509000599 |
| Provider Name | Marcus W Bickford |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285070722 PECOS PAC ID: 7810125945 Enrollment ID: I20180531001920 |
| Provider Name | James Alexander Morrison |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1093062028 PECOS PAC ID: 8123270089 Enrollment ID: I20180608000049 |
| Provider Name | Adam Kevin Kney |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043586480 PECOS PAC ID: 4688929870 Enrollment ID: I20180612000092 |
| Provider Name | Savannah M. Whitemarsh |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780122739 PECOS PAC ID: 9830444678 Enrollment ID: I20180619000628 |
| Provider Name | Joshua Michal Kucharski |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1881972974 PECOS PAC ID: 3072887413 Enrollment ID: I20180625000841 |
| Provider Name | David T Nowakowski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588153514 PECOS PAC ID: 1759636228 Enrollment ID: I20180625002037 |
| Provider Name | Marguerite F Costigan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831633775 PECOS PAC ID: 4385999853 Enrollment ID: I20180625002122 |
| Provider Name | Joseph D Verzwyvelt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801186127 PECOS PAC ID: 6800036914 Enrollment ID: I20180711000966 |
| Provider Name | Steven Robert Hofacker |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1629565668 PECOS PAC ID: 5698021236 Enrollment ID: I20180711003594 |
| Provider Name | John M Billings |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235495524 PECOS PAC ID: 6901033935 Enrollment ID: I20180719000983 |
| Provider Name | David Sosa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760801799 PECOS PAC ID: 8022237858 Enrollment ID: I20180731002634 |
| Provider Name | Emily M Bresette |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013302173 PECOS PAC ID: 4082907498 Enrollment ID: I20180731003924 |
| Provider Name | Eric Michael Schauberger |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780959924 PECOS PAC ID: 6901154244 Enrollment ID: I20180802003641 |
| Provider Name | Hafiz Fakih |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1730434119 PECOS PAC ID: 2062727480 Enrollment ID: I20180803001767 |
| Provider Name | Anthony P Zbacnik |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346508033 PECOS PAC ID: 2163705922 Enrollment ID: I20180809006071 |
| Provider Name | Erin Marie Gutowski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447670963 PECOS PAC ID: 7719283936 Enrollment ID: I20180810003109 |
| Provider Name | Stephanie A Hendrickson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134578503 PECOS PAC ID: 0648529396 Enrollment ID: I20180814002392 |
| Provider Name | Tripurari Mishra |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1609213230 PECOS PAC ID: 5092013763 Enrollment ID: I20180814003059 |
| Provider Name | Maude L Kettenmann |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760611057 PECOS PAC ID: 5991922494 Enrollment ID: I20180815001448 |
| Provider Name | Arick P Sabin |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1700143229 PECOS PAC ID: 9830494483 Enrollment ID: I20180818000111 |
| Provider Name | Heather Douthitt Stief |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730507310 PECOS PAC ID: 7618265109 Enrollment ID: I20180820000478 |
| Provider Name | Jessica Anne Schwarz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750644175 PECOS PAC ID: 7416193271 Enrollment ID: I20180821002212 |
| Provider Name | Chaithanya Bhaskar |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1306193925 PECOS PAC ID: 2163730631 Enrollment ID: I20180823003117 |
| Provider Name | Laura B Zitelman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1023420106 PECOS PAC ID: 3274750583 Enrollment ID: I20180824000352 |
| Provider Name | Jennifer M Kwon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851306450 PECOS PAC ID: 8729139480 Enrollment ID: I20180904001238 |
| Provider Name | Heidi Racquel Werner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467848077 PECOS PAC ID: 0941516512 Enrollment ID: I20180907001169 |
| Provider Name | Kelly Lynne Ferroni |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659799914 PECOS PAC ID: 3274883418 Enrollment ID: I20180907002674 |
| Provider Name | Karyn H Laursen |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1255543419 PECOS PAC ID: 1153631791 Enrollment ID: I20180911000006 |
| Provider Name | Anna Marie Batterson |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1346660339 PECOS PAC ID: 3870710874 Enrollment ID: I20180911001471 |
| Provider Name | Claire A Piepkorn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851877278 PECOS PAC ID: 4688924756 Enrollment ID: I20180911002647 |
| Provider Name | Daniel W Puls |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1790185502 PECOS PAC ID: 9931459047 Enrollment ID: I20180912000005 |
| Provider Name | Matthew C Ferroni |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1700171675 PECOS PAC ID: 4587931167 Enrollment ID: I20180913000351 |
| Provider Name | Anna Cromer Kelly |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1679799209 PECOS PAC ID: 2567587074 Enrollment ID: I20180917001582 |
| Provider Name | Victoria Anne Sparks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275996076 PECOS PAC ID: 8123313509 Enrollment ID: I20180918000529 |
| Provider Name | Martin Williamson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1740778646 PECOS PAC ID: 2567719768 Enrollment ID: I20180920000262 |
| Provider Name | Abdallah Sanaani |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1689919144 PECOS PAC ID: 8628328580 Enrollment ID: I20180924000228 |
| Provider Name | Ramunas Rolius |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1598101933 PECOS PAC ID: 5496983827 Enrollment ID: I20180924000642 |
| Provider Name | Kristine L Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023498441 PECOS PAC ID: 3971861311 Enrollment ID: I20180924001866 |
| Provider Name | Heather B Riese |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417375783 PECOS PAC ID: 1850510439 Enrollment ID: I20180925004246 |
| Provider Name | Winnie Cheung |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679955090 PECOS PAC ID: 3072827229 Enrollment ID: I20181008000203 |
| Provider Name | Mark Magnus |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1710340724 PECOS PAC ID: 2264729128 Enrollment ID: I20181015002148 |
| Provider Name | Dennis Charles Spano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033195656 PECOS PAC ID: 2860486834 Enrollment ID: I20181019000023 |
| Provider Name | Alyssa Marie Mckeeth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255810800 PECOS PAC ID: 9739432717 Enrollment ID: I20181020000340 |
| Provider Name | Candace Elizabeth Hoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457841884 PECOS PAC ID: 8921351933 Enrollment ID: I20181022000441 |
| Provider Name | Krista Jane Kirchner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710469051 PECOS PAC ID: 8820341712 Enrollment ID: I20181023000677 |
| Provider Name | Sarah Carter |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487889796 PECOS PAC ID: 6204053416 Enrollment ID: I20181023002841 |
| Provider Name | Jada Ciara Langer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396288296 PECOS PAC ID: 9830442672 Enrollment ID: I20181025000775 |
| Provider Name | Noran Barry |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467763300 PECOS PAC ID: 3678851326 Enrollment ID: I20181027000147 |
| Provider Name | Joy Hughes |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477817567 PECOS PAC ID: 0547403479 Enrollment ID: I20181112000036 |
| Provider Name | Jeffrey J. Du Bois |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114079910 PECOS PAC ID: 4284821448 Enrollment ID: I20181120000873 |
| Provider Name | Raja Thotakura |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1578794491 PECOS PAC ID: 9436440526 Enrollment ID: I20181127003396 |
| Provider Name | Jolene E Boldt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841775004 PECOS PAC ID: 9234473414 Enrollment ID: I20181128001939 |
| Provider Name | Reggie M Thomes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457713448 PECOS PAC ID: 0042506743 Enrollment ID: I20181204002373 |
| Provider Name | Suren Ravuri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104063536 PECOS PAC ID: 2860647682 Enrollment ID: I20181210001581 |
| Provider Name | Angel L. Solla-latorre |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497043681 PECOS PAC ID: 7810214681 Enrollment ID: I20181213001555 |
| Provider Name | Jordan Matthew Thompson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1780940155 PECOS PAC ID: 9537460001 Enrollment ID: I20181215000043 |
| Provider Name | Ralph G. Althouse |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477636405 PECOS PAC ID: 3678463387 Enrollment ID: I20181217000605 |
| Provider Name | Gregory A Hutcheson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1841340379 PECOS PAC ID: 9537405931 Enrollment ID: I20190107000013 |
| Provider Name | Lindsay K Steinberg |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1699240283 PECOS PAC ID: 6305182064 Enrollment ID: I20190116003976 |
| Provider Name | Robyn Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861962920 PECOS PAC ID: 8123365616 Enrollment ID: I20190122001976 |
| Provider Name | Christopher Tookey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912439639 PECOS PAC ID: 7315291572 Enrollment ID: I20190131001722 |
| Provider Name | Ramona Mullinax |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447694930 PECOS PAC ID: 2062650864 Enrollment ID: I20190206000842 |
| Provider Name | Jordan L Ludwigson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538693783 PECOS PAC ID: 6002186772 Enrollment ID: I20190212000071 |
| Provider Name | Aaron D Christians |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376077578 PECOS PAC ID: 5294004875 Enrollment ID: I20190213001167 |
| Provider Name | Ashok V Kondru |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1629054382 PECOS PAC ID: 4587682539 Enrollment ID: I20190222000781 |
| Provider Name | Arti Muralidhara |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245496678 PECOS PAC ID: 1951536333 Enrollment ID: I20190222001252 |
| Provider Name | Cathryn A Robinson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346240975 PECOS PAC ID: 9739178880 Enrollment ID: I20190305000713 |
| Provider Name | Sencan S Unal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326019985 PECOS PAC ID: 8325023526 Enrollment ID: I20190314001156 |
| Provider Name | Wesley D Fox |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659734697 PECOS PAC ID: 8729371422 Enrollment ID: I20190325002726 |
| Provider Name | Mihaella Biserova Bozadjieva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427530799 PECOS PAC ID: 4486905452 Enrollment ID: I20190326001118 |
| Provider Name | Gary S Meredith |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1659383503 PECOS PAC ID: 2466631775 Enrollment ID: I20190411000466 |
| Provider Name | Jessica A. Steine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720565674 PECOS PAC ID: 2769723030 Enrollment ID: I20190415001323 |
| Provider Name | Shawn Patrick Gallagher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710903281 PECOS PAC ID: 8224305552 Enrollment ID: I20190415002150 |
| Provider Name | Sarah M Ashbrook |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1972073302 PECOS PAC ID: 8729329891 Enrollment ID: I20190418001320 |
| Provider Name | Andrew M Jacobson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821522210 PECOS PAC ID: 6507136116 Enrollment ID: I20190430000038 |
| Provider Name | Yince N Loh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720020894 PECOS PAC ID: 0547293417 Enrollment ID: I20190430001717 |
| Provider Name | Melanie Bratcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245791144 PECOS PAC ID: 0840533923 Enrollment ID: I20190513000170 |
| Provider Name | Lindsay Fairfax |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1952512980 PECOS PAC ID: 7113157124 Enrollment ID: I20190514000008 |
| Provider Name | Itay Keshet |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053675207 PECOS PAC ID: 1355693771 Enrollment ID: I20190515000153 |
| Provider Name | Robert B Strait |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386922318 PECOS PAC ID: 5597998047 Enrollment ID: I20190515002036 |
| Provider Name | Onyekachi Sunny Onyeabor |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1467864694 PECOS PAC ID: 3779859996 Enrollment ID: I20190521000349 |
| Provider Name | Grace Elizabeth Barthel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689135170 PECOS PAC ID: 9537402052 Enrollment ID: I20190523001128 |
| Provider Name | Lenny M Cohen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1730397878 PECOS PAC ID: 2769576230 Enrollment ID: I20190524002006 |
| Provider Name | Daniel L Cox |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417319112 PECOS PAC ID: 3375836497 Enrollment ID: I20190610001077 |
| Provider Name | Maria Samuel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1417274218 PECOS PAC ID: 7012241433 Enrollment ID: I20190618003414 |
| Provider Name | Jasmine J Han |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1801865373 PECOS PAC ID: 1557588365 Enrollment ID: I20190620001393 |
| Provider Name | Brianne Herlitzke |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1992268551 PECOS PAC ID: 8022342229 Enrollment ID: I20190621001269 |
| Provider Name | Lindsay Marie Hoffman |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1700444791 PECOS PAC ID: 8426382110 Enrollment ID: I20190701000611 |
| Provider Name | Sudheer Reddy Muduganti |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1538335948 PECOS PAC ID: 6507990249 Enrollment ID: I20190712000685 |
| Provider Name | Kevin Hanson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164885406 PECOS PAC ID: 1355635640 Enrollment ID: I20190715000666 |
| Provider Name | Michael D Smith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003167909 PECOS PAC ID: 8022343953 Enrollment ID: I20190715000728 |
| Provider Name | Jeffrey Aaron Kenny |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1316019946 PECOS PAC ID: 4183729064 Enrollment ID: I20190716002707 |
| Provider Name | Andrew Jesson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114371713 PECOS PAC ID: 2163775024 Enrollment ID: I20190717002457 |
| Provider Name | Warangkana Chokesuwattanaskul |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306030481 PECOS PAC ID: 4789717034 Enrollment ID: I20190723002551 |
| Provider Name | Nida Faheem |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952744732 PECOS PAC ID: 2062710775 Enrollment ID: I20190723003034 |
| Provider Name | Justin B Otis |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1962817619 PECOS PAC ID: 6800141060 Enrollment ID: I20190725000018 |
| Provider Name | Katelyn Mellion |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356752828 PECOS PAC ID: 7719213958 Enrollment ID: I20190725003887 |
| Provider Name | Angadbir S Parmar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700234721 PECOS PAC ID: 4688965254 Enrollment ID: I20190731002005 |
| Provider Name | Michelle R Felan Palmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851798805 PECOS PAC ID: 6305146820 Enrollment ID: I20190813000589 |
| Provider Name | Paul Vincent Letendre |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1801158852 PECOS PAC ID: 0446493423 Enrollment ID: I20190813002461 |
| Provider Name | Mark D Rostad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093160806 PECOS PAC ID: 2769777903 Enrollment ID: I20190813003150 |
| Provider Name | Barbara P Eisenmenger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457729709 PECOS PAC ID: 9638407117 Enrollment ID: I20190821002940 |
| Provider Name | Hilary Anne Conn |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1679126890 PECOS PAC ID: 0244568632 Enrollment ID: I20190822003415 |
| Provider Name | Megan Heinlein |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720473663 PECOS PAC ID: 9931437332 Enrollment ID: I20190822003597 |
| Provider Name | Siegfried Yu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1386842565 PECOS PAC ID: 4486788262 Enrollment ID: I20190822004203 |
| Provider Name | Torey L Hilt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356791230 PECOS PAC ID: 8224322623 Enrollment ID: I20190823001159 |
| Provider Name | Samantha Mae Knox |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659613263 PECOS PAC ID: 4385871664 Enrollment ID: I20190823002294 |
| Provider Name | Kaylyn D Sinicrope |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316350762 PECOS PAC ID: 1153638374 Enrollment ID: I20190828002520 |
| Provider Name | Michael David Gillins |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1528323102 PECOS PAC ID: 0345578324 Enrollment ID: I20190829001011 |
| Provider Name | Gil E Harmon |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1104265339 PECOS PAC ID: 2860633625 Enrollment ID: I20190903002093 |
| Provider Name | Mitchell J Thompson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1568996692 PECOS PAC ID: 2961775127 Enrollment ID: I20190910001557 |
| Provider Name | Wah Wah Htun |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1083943179 PECOS PAC ID: 9032412465 Enrollment ID: I20190913000771 |
| Provider Name | Robert Emmanuel Benjamin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992763395 PECOS PAC ID: 9537248562 Enrollment ID: I20190917001251 |
| Provider Name | Lisa M Hayes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851702112 PECOS PAC ID: 8022326164 Enrollment ID: I20190919001508 |
| Provider Name | Adam W Shen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720345572 PECOS PAC ID: 5496027526 Enrollment ID: I20190920001107 |
| Provider Name | Abigail L Ho |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1124413794 PECOS PAC ID: 5698068849 Enrollment ID: I20190923002911 |
| Provider Name | Crystal F Buesking |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952560633 PECOS PAC ID: 4880752435 Enrollment ID: I20191003001609 |
| Provider Name | Candice Ann Hobbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740595552 PECOS PAC ID: 3173717287 Enrollment ID: I20191014000108 |
| Provider Name | Amanda Noel Pickar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174173215 PECOS PAC ID: 5698006286 Enrollment ID: I20191014000169 |
| Provider Name | Stephanie Dawn Baka Grove |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871141929 PECOS PAC ID: 3375874993 Enrollment ID: I20191014001282 |
| Provider Name | Christian Kildahl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386291151 PECOS PAC ID: 2365773819 Enrollment ID: I20191014002889 |
| Provider Name | Lindsey L Boucher |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1700428562 PECOS PAC ID: 4385976372 Enrollment ID: I20191024000002 |
| Provider Name | Danya Kay Dravis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003457896 PECOS PAC ID: 3577895283 Enrollment ID: I20191030001515 |
| Provider Name | Heidi L Hodgins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497092225 PECOS PAC ID: 6507001963 Enrollment ID: I20191105000833 |
| Provider Name | Michelle M Speicher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164966206 PECOS PAC ID: 1557693959 Enrollment ID: I20191105001568 |
| Provider Name | Samir S Hadi |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1861746935 PECOS PAC ID: 9830335629 Enrollment ID: I20191108002884 |
| Provider Name | Brookelyn Kruger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336791862 PECOS PAC ID: 9931531191 Enrollment ID: I20191111000327 |
| Provider Name | Abhishek Sharma |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1811276587 PECOS PAC ID: 3274806823 Enrollment ID: I20191112001445 |
| Provider Name | James K Smith |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1295832004 PECOS PAC ID: 6103711783 Enrollment ID: I20191118003027 |
| Provider Name | Anika Nina Watson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073776126 PECOS PAC ID: 2062668064 Enrollment ID: I20191204001269 |
| Provider Name | Carly Gerardy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457908790 PECOS PAC ID: 1153754163 Enrollment ID: I20191205001575 |
| Provider Name | Renata Chalfin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043637143 PECOS PAC ID: 4486988383 Enrollment ID: I20191218002634 |
| Provider Name | Jonathan B Peterson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1245491182 PECOS PAC ID: 5092936542 Enrollment ID: I20200102000715 |
| Provider Name | Sandra Ann Sieck |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528609039 PECOS PAC ID: 1658706148 Enrollment ID: I20200109002618 |
| Provider Name | Abdrahim N Aloud |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1699179556 PECOS PAC ID: 5991097602 Enrollment ID: I20200115000596 |
| Provider Name | Rhianon M Groom |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871724302 PECOS PAC ID: 7810240553 Enrollment ID: I20200115000968 |
| Provider Name | Christine R Fishel |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1730435710 PECOS PAC ID: 2567697642 Enrollment ID: I20200117001731 |
| Provider Name | Victor A Thonn |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1972674299 PECOS PAC ID: 0244247799 Enrollment ID: I20200121001426 |
| Provider Name | Vivian R Rider |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134160492 PECOS PAC ID: 0749580595 Enrollment ID: I20200122001532 |
| Provider Name | Scott Raymond |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194080010 PECOS PAC ID: 9436386448 Enrollment ID: I20200130002051 |
| Provider Name | Richard Sellman |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1487837563 PECOS PAC ID: 6204870348 Enrollment ID: I20200206001113 |
| Provider Name | Emily Catherine Dolan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043716350 PECOS PAC ID: 7810244001 Enrollment ID: I20200212002857 |
| Provider Name | Tareq Kass-hout |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144513359 PECOS PAC ID: 4880910512 Enrollment ID: I20200214001550 |
| Provider Name | Alec W Schindler |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154969210 PECOS PAC ID: 5799112355 Enrollment ID: I20200221000353 |
| Provider Name | Ekaterina Sikorskaya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275823866 PECOS PAC ID: 3173847241 Enrollment ID: I20200221000467 |
| Provider Name | Anne K Piper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801251285 PECOS PAC ID: 8527364033 Enrollment ID: I20200320000220 |
| Provider Name | Kelsey S Ellis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679026942 PECOS PAC ID: 5395173462 Enrollment ID: I20200324001373 |
| Provider Name | Melissa K Johnson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1265489181 PECOS PAC ID: 1254335862 Enrollment ID: I20200326001963 |
| Provider Name | Matthew Gene Kopp Baker |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1114550985 PECOS PAC ID: 8921437559 Enrollment ID: I20200402003277 |
| Provider Name | James R Gebhart |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1447221882 PECOS PAC ID: 1759321334 Enrollment ID: I20200413000896 |
| Provider Name | Ann L Lapacinski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750850871 PECOS PAC ID: 1850631979 Enrollment ID: I20200413003704 |
| Provider Name | Andrew C Bland |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1467582775 PECOS PAC ID: 7416946009 Enrollment ID: I20200414001371 |
| Provider Name | Alison Ann Boone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508426248 PECOS PAC ID: 9133457492 Enrollment ID: I20200416000672 |
| Provider Name | Daniel Dunbar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174020986 PECOS PAC ID: 5092044149 Enrollment ID: I20200501002175 |
| Provider Name | David F Burke |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1346513587 PECOS PAC ID: 5395177901 Enrollment ID: I20200508000268 |
| Provider Name | Jason A Davies |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568969715 PECOS PAC ID: 5092062299 Enrollment ID: I20200518001291 |
| Provider Name | Elizabeth L Abbas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932588100 PECOS PAC ID: 2466760244 Enrollment ID: I20200518003080 |
| Provider Name | Abdurahman Said Elkhetali |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1023495413 PECOS PAC ID: 3577844216 Enrollment ID: I20200521001719 |
| Provider Name | Sonya April Good |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780234773 PECOS PAC ID: 5799106977 Enrollment ID: I20200526000166 |
| Provider Name | Nolan Michael Kleinjan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386131100 PECOS PAC ID: 9931456159 Enrollment ID: I20200526000626 |
| Provider Name | Corinne Billet |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871115485 PECOS PAC ID: 7214358332 Enrollment ID: I20200528000279 |
| Provider Name | Anna S Kitzmann |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1780661116 PECOS PAC ID: 1951372549 Enrollment ID: I20200528002495 |
| Provider Name | Laura A. Vose |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366432965 PECOS PAC ID: 7012953664 Enrollment ID: I20200601000050 |
| Provider Name | Dylan Allen Hartley |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1124491998 PECOS PAC ID: 7113223793 Enrollment ID: I20200601001136 |
| Provider Name | Randall Nall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831696772 PECOS PAC ID: 0749537827 Enrollment ID: I20200619000430 |
| Provider Name | Andrew C Radtke |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1710305123 PECOS PAC ID: 2466731476 Enrollment ID: I20200630001028 |
| Provider Name | Jeffrey Jj Addison |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295268571 PECOS PAC ID: 4486925898 Enrollment ID: I20200701001331 |
| Provider Name | Christopher Martin Laylan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629574769 PECOS PAC ID: 8325395429 Enrollment ID: I20200717000832 |
| Provider Name | Yasser Samra |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518288638 PECOS PAC ID: 2769623925 Enrollment ID: I20200720000979 |
| Provider Name | Megan Marie Hafner |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1477182079 PECOS PAC ID: 4284057514 Enrollment ID: I20200720001929 |
| Provider Name | Aaron T Thornburg |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1669425245 PECOS PAC ID: 3375502685 Enrollment ID: I20200721003525 |
| Provider Name | Brendon M Esquibel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821483355 PECOS PAC ID: 5294023313 Enrollment ID: I20200723003823 |
| Provider Name | Micah Caleb Mcclung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861020406 PECOS PAC ID: 3476978990 Enrollment ID: I20200730003846 |
| Provider Name | Stefan M Brettfeld |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1154718005 PECOS PAC ID: 2668786583 Enrollment ID: I20200806001022 |
| Provider Name | Adam J Haggerty |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043741507 PECOS PAC ID: 7214278647 Enrollment ID: I20200812002229 |
| Provider Name | Benjamin D Andrew |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083000863 PECOS PAC ID: 2264741552 Enrollment ID: I20200812003463 |
| Provider Name | Sheikh Faheem |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104251321 PECOS PAC ID: 0840556882 Enrollment ID: I20200813001793 |
| Provider Name | Janelle M Francksen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1598182149 PECOS PAC ID: 4385997006 Enrollment ID: I20200813002337 |
| Provider Name | Ryan S Stever |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417488958 PECOS PAC ID: 9739429184 Enrollment ID: I20200813002352 |
| Provider Name | David C Tomich |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1205271764 PECOS PAC ID: 3678999232 Enrollment ID: I20200813002645 |
| Provider Name | Yacki Hayashi-tanner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487031894 PECOS PAC ID: 1153691761 Enrollment ID: I20200818003138 |
| Provider Name | Carlos Roberto Astorga |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1154784114 PECOS PAC ID: 8628494846 Enrollment ID: I20200819001369 |
| Provider Name | Huseyin Tore |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538504303 PECOS PAC ID: 5799080925 Enrollment ID: I20200826001168 |
| Provider Name | Luke Wenzel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669823571 PECOS PAC ID: 8123313285 Enrollment ID: I20200827000526 |
| Provider Name | Taeha Kim |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1457762205 PECOS PAC ID: 4486922671 Enrollment ID: I20200901003313 |
| Provider Name | George N Ntui-ayuk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760796775 PECOS PAC ID: 7719134386 Enrollment ID: I20200902002810 |
| Provider Name | Kelli Pasch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760008874 PECOS PAC ID: 5395162432 Enrollment ID: I20200903001015 |
| Provider Name | Kara Ann Kamps-schmitt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841725173 PECOS PAC ID: 0840541215 Enrollment ID: I20200908000997 |
| Provider Name | Patrick A Self |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1225458300 PECOS PAC ID: 3375848435 Enrollment ID: I20200909001319 |
| Provider Name | David Willaim Nelms |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1386088565 PECOS PAC ID: 6800012758 Enrollment ID: I20200910001348 |
| Provider Name | Michael Yang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265826762 PECOS PAC ID: 9032452685 Enrollment ID: I20200914001440 |
| Provider Name | David S Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760916845 PECOS PAC ID: 5698045201 Enrollment ID: I20200916000278 |
| Provider Name | Erica L Mitchell |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1417044462 PECOS PAC ID: 7113911082 Enrollment ID: I20200916000901 |
| Provider Name | Kale Meyer Manuel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447606025 PECOS PAC ID: 5991096679 Enrollment ID: I20200921002550 |
| Provider Name | Paul Spanel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1134387798 PECOS PAC ID: 3971865080 Enrollment ID: I20200923000216 |
| Provider Name | Saumitra Biswas |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1699861740 PECOS PAC ID: 7810999133 Enrollment ID: I20200925000870 |
| Provider Name | Kathryn Mcgonigle |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1417042854 PECOS PAC ID: 1850332081 Enrollment ID: I20200930001672 |
| Provider Name | Laura Lee Jacobson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083148472 PECOS PAC ID: 1153691837 Enrollment ID: I20201002000044 |
| Provider Name | Caressa A Eckley |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1659718377 PECOS PAC ID: 6002125663 Enrollment ID: I20201002001156 |
| Provider Name | Makay Bryant Neilson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1124303276 PECOS PAC ID: 5395164008 Enrollment ID: I20201007000432 |
| Provider Name | Taj Kattapuram |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699902569 PECOS PAC ID: 3375702418 Enrollment ID: I20201007001736 |
| Provider Name | Darren J Knox |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558892869 PECOS PAC ID: 8921379884 Enrollment ID: I20201008000603 |
| Provider Name | Sarah E Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124553474 PECOS PAC ID: 8022388891 Enrollment ID: I20201012000982 |
| Provider Name | Munish Kaushik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801327390 PECOS PAC ID: 0143579870 Enrollment ID: I20201015000316 |
| Provider Name | Justin C Dyer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962666271 PECOS PAC ID: 8426228941 Enrollment ID: I20201015000835 |
| Provider Name | Ellen Compton |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1861099590 PECOS PAC ID: 1557781267 Enrollment ID: I20201019003080 |
| Provider Name | Mark C Wickre |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063830628 PECOS PAC ID: 9436454451 Enrollment ID: I20201105000580 |
| Provider Name | Brooke E Matheus |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336602937 PECOS PAC ID: 5799195434 Enrollment ID: I20201107000053 |
| Provider Name | Thomas K Ceballos |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215975719 PECOS PAC ID: 7719089242 Enrollment ID: I20201117000723 |
| Provider Name | Jessica M Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336621440 PECOS PAC ID: 5597003426 Enrollment ID: I20201119000392 |
| Provider Name | Jatinder Ahluwalia |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1447249800 PECOS PAC ID: 4981639317 Enrollment ID: I20201207000110 |
| Provider Name | Ian J Stock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326544537 PECOS PAC ID: 3173870284 Enrollment ID: I20201210001257 |
| Provider Name | Lisa Elizabeth Knudtson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801402193 PECOS PAC ID: 5890107015 Enrollment ID: I20201212000063 |
| Provider Name | Sandra Milena Suarez Hoyos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750813150 PECOS PAC ID: 7315359478 Enrollment ID: I20201214001729 |
| Provider Name | Mei Li M Kwong |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1770863268 PECOS PAC ID: 7416369376 Enrollment ID: I20201217000845 |
| Provider Name | Michael Doerrler |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699017129 PECOS PAC ID: 6305147968 Enrollment ID: I20201218002474 |
| Provider Name | Albert C Wu |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982050852 PECOS PAC ID: 3870889280 Enrollment ID: I20201221001842 |
| Provider Name | Samantha L Stark |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962866343 PECOS PAC ID: 2567744857 Enrollment ID: I20201230000188 |
| Provider Name | Laura C Birkel |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1568992584 PECOS PAC ID: 1850704271 Enrollment ID: I20210104000960 |
| Provider Name | Stephen F Israel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376539700 PECOS PAC ID: 8628045176 Enrollment ID: I20210107001265 |
| Provider Name | Jacob D Ball |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346747177 PECOS PAC ID: 8426305012 Enrollment ID: I20210112000685 |
| Provider Name | David E Dahl |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1841516937 PECOS PAC ID: 2264674985 Enrollment ID: I20210113000149 |
| Provider Name | Wendy Kathleen Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780286369 PECOS PAC ID: 2769896398 Enrollment ID: I20210122000383 |
| Provider Name | Heidi Allred |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790122018 PECOS PAC ID: 5991098188 Enrollment ID: I20210125001999 |
| Provider Name | Nancy Gupta |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1629404975 PECOS PAC ID: 9931491669 Enrollment ID: I20210126001713 |
| Provider Name | Matthew J Allred |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548521719 PECOS PAC ID: 9537573928 Enrollment ID: I20210126001873 |
| Provider Name | Carol A Ogea |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013918051 PECOS PAC ID: 1557793353 Enrollment ID: I20210127002212 |
| Provider Name | Rhoda Leichter |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1548286958 PECOS PAC ID: 5799794103 Enrollment ID: I20210208002675 |
| Provider Name | Andrea Cifaldi |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1053817379 PECOS PAC ID: 3476800442 Enrollment ID: I20210215000215 |
| Provider Name | Ellen Cynthia Barton |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1699263996 PECOS PAC ID: 1153736681 Enrollment ID: I20210216001566 |
| Provider Name | Gilda Boroumand |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326363102 PECOS PAC ID: 3375766348 Enrollment ID: I20210216001803 |
| Provider Name | Stephanie Wickre |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598150385 PECOS PAC ID: 4183938442 Enrollment ID: I20210216002505 |
| Provider Name | Mathew Scott Schober |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205435096 PECOS PAC ID: 8325453756 Enrollment ID: I20210217002503 |
| Provider Name | Megan Elise Harwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184924466 PECOS PAC ID: 1456766575 Enrollment ID: I20210223000052 |
| Provider Name | Kim M Almodovar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1831160316 PECOS PAC ID: 7618031782 Enrollment ID: I20210223001666 |
| Provider Name | Daniel Bade |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376631077 PECOS PAC ID: 3173548450 Enrollment ID: I20210223002210 |
| Provider Name | Brittany Lange |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1154840221 PECOS PAC ID: 7012275845 Enrollment ID: I20210302002217 |
| Provider Name | Shivani Gupta |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1326481466 PECOS PAC ID: 0840532081 Enrollment ID: I20210304002539 |
| Provider Name | Katherine M Munson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457942252 PECOS PAC ID: 3375959802 Enrollment ID: I20210309000968 |
| Provider Name | Margaret A Clutch |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1669920641 PECOS PAC ID: 9830433655 Enrollment ID: I20210309003365 |
| Provider Name | Rose Lynn Marks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437741378 PECOS PAC ID: 3971910936 Enrollment ID: I20210318002997 |
| Provider Name | Nefertiti C Dupont |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326105511 PECOS PAC ID: 4385724707 Enrollment ID: I20210325000071 |
| Provider Name | Thomas E Dudley |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1174727093 PECOS PAC ID: 6002908068 Enrollment ID: I20210326001202 |
| Provider Name | Barry Stahl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295217636 PECOS PAC ID: 5698028702 Enrollment ID: I20210401001292 |
| Provider Name | Malory Larson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255951166 PECOS PAC ID: 0143651786 Enrollment ID: I20210414000117 |
| Provider Name | Lori A Fisher |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043290364 PECOS PAC ID: 8123060225 Enrollment ID: I20210414000169 |
| Provider Name | Banke Agarwal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1134137011 PECOS PAC ID: 4284779539 Enrollment ID: I20210428001977 |
| Provider Name | Piyush Das |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265639140 PECOS PAC ID: 7214060763 Enrollment ID: I20210511000378 |
| Provider Name | Andrew Lane Mccasland |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326602251 PECOS PAC ID: 0749514289 Enrollment ID: I20210511000496 |
| Provider Name | Toni-denise Espina |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1962829994 PECOS PAC ID: 6204130594 Enrollment ID: I20210520000279 |
| Provider Name | Francis J Kaszuba |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710940275 PECOS PAC ID: 2264431311 Enrollment ID: I20210520001393 |
| Provider Name | David L Samani |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1497851547 PECOS PAC ID: 8325008824 Enrollment ID: I20210601001895 |
| Provider Name | Luke C Helland |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457617193 PECOS PAC ID: 3678898558 Enrollment ID: I20210607001062 |
| Provider Name | Patricio C Gargollo |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1982661781 PECOS PAC ID: 6305854357 Enrollment ID: I20210609000121 |
| Provider Name | Jeannie W Ribbel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588245609 PECOS PAC ID: 2567862832 Enrollment ID: I20210609000746 |
| Provider Name | Syeda Hafsa Shahid |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801215538 PECOS PAC ID: 1759628878 Enrollment ID: I20210610000383 |
| Provider Name | Katherine Kelley |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1770926131 PECOS PAC ID: 8921308990 Enrollment ID: I20210611000919 |
| Provider Name | Darlene Marie Dochnahl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750964516 PECOS PAC ID: 7315347358 Enrollment ID: I20210614002179 |
| Provider Name | Stephen J Bloechl |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1316181795 PECOS PAC ID: 8022231943 Enrollment ID: I20210615001681 |
| Provider Name | Katie M Lesyinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902431166 PECOS PAC ID: 4284048778 Enrollment ID: I20210616003159 |
| Provider Name | Peter Lee |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1306873021 PECOS PAC ID: 7911068242 Enrollment ID: I20210618000188 |
| Provider Name | Joshua Westbrook |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851773204 PECOS PAC ID: 4981006525 Enrollment ID: I20210706001729 |
| Provider Name | Joseph Gary Mueller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942863188 PECOS PAC ID: 5294069837 Enrollment ID: I20210713000632 |
| Provider Name | Molly C Kalmoe |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619328754 PECOS PAC ID: 2264766799 Enrollment ID: I20210716000105 |
| Provider Name | Whitney L Gervelis |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346653284 PECOS PAC ID: 7012131998 Enrollment ID: I20210716002775 |
| Provider Name | Kevin M Riggle |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669747853 PECOS PAC ID: 6507156064 Enrollment ID: I20210726000840 |
| Provider Name | Melinda A Beyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326535485 PECOS PAC ID: 4082962402 Enrollment ID: I20210728000303 |
| Provider Name | Moe Zafarani |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1548582547 PECOS PAC ID: 0244496149 Enrollment ID: I20210806000793 |
| Provider Name | Vikas S.r Koppurapu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235512922 PECOS PAC ID: 3678880580 Enrollment ID: I20210809000818 |
| Provider Name | Jared Richard Miller |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1093196552 PECOS PAC ID: 3274837901 Enrollment ID: I20210809003770 |
| Provider Name | Travis Wright |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164911442 PECOS PAC ID: 3678977907 Enrollment ID: I20210810000417 |
| Provider Name | Richard Otto |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1487913513 PECOS PAC ID: 4981998788 Enrollment ID: I20210811002250 |
| Provider Name | Michael Ermolaos Dinos |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1780632182 PECOS PAC ID: 0345644324 Enrollment ID: I20210812003547 |
| Provider Name | Marc Atzenhoefer |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1740676956 PECOS PAC ID: 4183900525 Enrollment ID: I20210814000343 |
| Provider Name | Ana C Thormann |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1053989848 PECOS PAC ID: 5890190730 Enrollment ID: I20210816003173 |
| Provider Name | Michaela A Miller- Evenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538738380 PECOS PAC ID: 9830594050 Enrollment ID: I20210825002717 |
| Provider Name | Jean Jasienski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003894833 PECOS PAC ID: 3971588328 Enrollment ID: I20210901003195 |
| Provider Name | Melisa Carrasco Mccaul |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336567833 PECOS PAC ID: 4789973520 Enrollment ID: I20210913000313 |
| Provider Name | Blaine G Stott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780180612 PECOS PAC ID: 1355777293 Enrollment ID: I20210914000190 |
| Provider Name | Kim Thi Truong |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932528387 PECOS PAC ID: 7810393196 Enrollment ID: I20210914001947 |
| Provider Name | Luke Pesonen |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1689092652 PECOS PAC ID: 0749406080 Enrollment ID: I20210920002783 |
| Provider Name | Laura Klingbeil |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1003293713 PECOS PAC ID: 9931444155 Enrollment ID: I20210923000946 |
| Provider Name | Eric Chen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1346668480 PECOS PAC ID: 6709005655 Enrollment ID: I20210923003826 |
| Provider Name | Christopher Raymund Diroff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982132288 PECOS PAC ID: 8325319270 Enrollment ID: I20210928000112 |
| Provider Name | Laura Peterson |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1881853307 PECOS PAC ID: 6204077837 Enrollment ID: I20210928000939 |
| Provider Name | Christopher J Whalen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1780070557 PECOS PAC ID: 1658682364 Enrollment ID: I20210930002856 |
| Provider Name | Sarah C Deyoung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780252759 PECOS PAC ID: 3173921137 Enrollment ID: I20211006002011 |
| Provider Name | Thanh Pham |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992237770 PECOS PAC ID: 6002157377 Enrollment ID: I20211007002945 |
| Provider Name | Matthew R Huspeni |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467993022 PECOS PAC ID: 6608140157 Enrollment ID: I20211011001843 |
| Provider Name | Meagan Janelle Tucker |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1205415270 PECOS PAC ID: 4082012802 Enrollment ID: I20211013001406 |
| Provider Name | Ma. Theresa Corpuz Fredrickson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760157234 PECOS PAC ID: 1557769023 Enrollment ID: I20211013003248 |
| Provider Name | Randy Folker |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1649296914 PECOS PAC ID: 2365431848 Enrollment ID: I20211016000037 |
| Provider Name | Scott Carrington |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1366885485 PECOS PAC ID: 2466743588 Enrollment ID: I20211018001796 |
| Provider Name | Dana Marie Mccall |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265101513 PECOS PAC ID: 3274921267 Enrollment ID: I20211025000888 |
| Provider Name | Naomi Muthoni Ruiru |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003366733 PECOS PAC ID: 3678961182 Enrollment ID: I20211102000798 |
| Provider Name | Stephen W Jackson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1386609808 PECOS PAC ID: 5799801700 Enrollment ID: I20211104001020 |
| Provider Name | Mikel Headford |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1316326234 PECOS PAC ID: 4385068899 Enrollment ID: I20211104001172 |
| Provider Name | Nicholas Sample |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1205236031 PECOS PAC ID: 4284023607 Enrollment ID: I20211105000090 |
| Provider Name | Megan Redman |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1942962238 PECOS PAC ID: 7618366055 Enrollment ID: I20211105000961 |
| Provider Name | Lauren Scott |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114210572 PECOS PAC ID: 3870806979 Enrollment ID: I20211109001015 |
| Provider Name | Rachel Lindsey Warner |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1154903953 PECOS PAC ID: 7214326339 Enrollment ID: I20211111000807 |
| Provider Name | April Jean Pluym |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396417143 PECOS PAC ID: 9234528134 Enrollment ID: I20211116000062 |
| Provider Name | Kevin Rossiter |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1093784332 PECOS PAC ID: 4880669993 Enrollment ID: I20211116003086 |
| Provider Name | Jessica R Bumgarner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033887286 PECOS PAC ID: 1456740968 Enrollment ID: I20211122001438 |
| Provider Name | Paige Zimmerman |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1467118232 PECOS PAC ID: 2062801541 Enrollment ID: I20211123001174 |
| Provider Name | Alexander Ralph Tokarski |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1700349719 PECOS PAC ID: 7315271855 Enrollment ID: I20211124001346 |
| Provider Name | Amanda Hartzell Middendorf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558027052 PECOS PAC ID: 0749670818 Enrollment ID: I20211203000738 |
| Provider Name | Mariah A. Wittenberg |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1114689874 PECOS PAC ID: 9234529280 Enrollment ID: I20211206001304 |
| Provider Name | Zacharia Razavi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245893528 PECOS PAC ID: 8224363445 Enrollment ID: I20211207000669 |
| Provider Name | Patricia Fronk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396380572 PECOS PAC ID: 8921498809 Enrollment ID: I20211208001744 |
| Provider Name | Martin Erlandson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639732555 PECOS PAC ID: 9931437647 Enrollment ID: I20211210002379 |
| Provider Name | Tara Lynn Ostromencki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801550397 PECOS PAC ID: 5890186407 Enrollment ID: I20211215000923 |
| Provider Name | Matthew Wilson Mcgee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932637675 PECOS PAC ID: 7810266590 Enrollment ID: I20211217000312 |
| Provider Name | Jenna Beardslee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669981288 PECOS PAC ID: 7113285636 Enrollment ID: I20211222000622 |
| Provider Name | Natalie E Schmit |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1578144358 PECOS PAC ID: 9032500210 Enrollment ID: I20211222002587 |
| Provider Name | Narong Kulvatunyou |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1740258094 PECOS PAC ID: 9133144249 Enrollment ID: I20220106002287 |
| Provider Name | Thomas Luers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104270354 PECOS PAC ID: 3678865805 Enrollment ID: I20220111002271 |
| Provider Name | Luminita Crisan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194934273 PECOS PAC ID: 2668537945 Enrollment ID: I20220124000414 |
| Provider Name | Poojitha Beravol |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1073749396 PECOS PAC ID: 3072828201 Enrollment ID: I20220126001554 |
| Provider Name | Melissa Fuhrmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851843155 PECOS PAC ID: 8628350071 Enrollment ID: I20220126002962 |
| Provider Name | Matthew Sieloff |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1902369952 PECOS PAC ID: 0749515278 Enrollment ID: I20220210001483 |
| Provider Name | James Rowe |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1144273038 PECOS PAC ID: 5092032227 Enrollment ID: I20220214001310 |
| Provider Name | Jennifer L Lietzau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649403395 PECOS PAC ID: 7618360728 Enrollment ID: I20220214002111 |
| Provider Name | Anna Margaret Dang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104192459 PECOS PAC ID: 6800190349 Enrollment ID: I20220215002308 |
| Provider Name | Jeremiah R Kakes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710507918 PECOS PAC ID: 7810310174 Enrollment ID: I20220218000703 |
| Provider Name | Martha Kirie Straub |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780789354 PECOS PAC ID: 6709808850 Enrollment ID: I20220224001235 |
| Provider Name | Paul E Straub |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497702856 PECOS PAC ID: 0749244549 Enrollment ID: I20220225001652 |
| Provider Name | Candice Rae Hogden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780806539 PECOS PAC ID: 9739574732 Enrollment ID: I20220309001594 |
| Provider Name | Abdo Saad |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1518149830 PECOS PAC ID: 6800038977 Enrollment ID: I20220310001693 |
| Provider Name | Chinou Vang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982268124 PECOS PAC ID: 7719211259 Enrollment ID: I20220310001941 |
| Provider Name | Erin Elizabeth Mcclendon |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1467106393 PECOS PAC ID: 4183019011 Enrollment ID: I20220311000909 |
| Provider Name | Stella Bulengo |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1194717447 PECOS PAC ID: 3274426051 Enrollment ID: I20220316001097 |
| Provider Name | Molly Mason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902177876 PECOS PAC ID: 5698927119 Enrollment ID: I20220317002197 |
| Provider Name | Ananth K Ravi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184856478 PECOS PAC ID: 6608186341 Enrollment ID: I20220408001834 |
| Provider Name | Melinda J Rankins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891314845 PECOS PAC ID: 4385030865 Enrollment ID: I20220409000200 |
| Provider Name | Phillip P Schwend |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821068826 PECOS PAC ID: 6901817592 Enrollment ID: I20220411001165 |
| Provider Name | David P Quelle |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467879312 PECOS PAC ID: 7911318399 Enrollment ID: I20220413002629 |
| Provider Name | Milton C Johnson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1811907306 PECOS PAC ID: 9133280795 Enrollment ID: I20220419002611 |
| Provider Name | Christopher W Grant |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114212040 PECOS PAC ID: 9931409265 Enrollment ID: I20220426003023 |
| Provider Name | Ivica Vucic |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871779371 PECOS PAC ID: 5395872857 Enrollment ID: I20220428002090 |
| Provider Name | Brandee James Paulino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881345429 PECOS PAC ID: 7315324449 Enrollment ID: I20220511001410 |
| Provider Name | Margaret J Ebert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871234070 PECOS PAC ID: 0547647539 Enrollment ID: I20220512001432 |
| Provider Name | Suzette L Reilley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275281693 PECOS PAC ID: 0446637284 Enrollment ID: I20220516002398 |
| Provider Name | Brianna Dorriss Farley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104579846 PECOS PAC ID: 6305223918 Enrollment ID: I20220520001726 |
| Provider Name | Megan M Norris |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245466424 PECOS PAC ID: 1456508563 Enrollment ID: I20220523000401 |
| Provider Name | Timothy M Haffey |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1871751412 PECOS PAC ID: 6901124486 Enrollment ID: I20220601001328 |
| Provider Name | Kelly R Hemmer-rondestvedt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669751079 PECOS PAC ID: 7719152628 Enrollment ID: I20220613002766 |
| Provider Name | Derek Hupp |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033606215 PECOS PAC ID: 3870842321 Enrollment ID: I20220712002845 |
| Provider Name | Tiffany Bee |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811953607 PECOS PAC ID: 8628102001 Enrollment ID: I20220715001193 |
| Provider Name | Brian Christopher Sowka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659834810 PECOS PAC ID: 0446584981 Enrollment ID: I20220715001385 |
| Provider Name | Marc A Kayson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235579889 PECOS PAC ID: 1254712623 Enrollment ID: I20220715001589 |
| Provider Name | Albena Bozadzhieva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568109569 PECOS PAC ID: 8820479298 Enrollment ID: I20220715001897 |
| Provider Name | Patrick Kim |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1942463401 PECOS PAC ID: 2264680883 Enrollment ID: I20220715001931 |
| Provider Name | Clarence W. Brown |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1386654390 PECOS PAC ID: 8820134398 Enrollment ID: I20220719000796 |
| Provider Name | Neelakanta Atkuri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902213424 PECOS PAC ID: 6406102961 Enrollment ID: I20220719002193 |
| Provider Name | Kristin Disori |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871869966 PECOS PAC ID: 3678893443 Enrollment ID: I20220719004045 |
| Provider Name | Brandon Smith |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1376074658 PECOS PAC ID: 5395127187 Enrollment ID: I20220726001968 |
| Provider Name | Jessica Mcilrath |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447577424 PECOS PAC ID: 0648400473 Enrollment ID: I20220802002818 |
| Provider Name | Paul W Stevenson |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1386021970 PECOS PAC ID: 4981910528 Enrollment ID: I20220803003627 |
| Provider Name | Adam Leland Carlson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871927608 PECOS PAC ID: 7911389150 Enrollment ID: I20220803003934 |
| Provider Name | James Rauschnot |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417375239 PECOS PAC ID: 7315237179 Enrollment ID: I20220805000824 |
| Provider Name | Jared Metropulos |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245737592 PECOS PAC ID: 0547683609 Enrollment ID: I20220808003301 |
| Provider Name | Tsarina R Vanwieren |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851896153 PECOS PAC ID: 7810322989 Enrollment ID: I20220815001276 |
| Provider Name | Kjersten Renae Folstad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033868369 PECOS PAC ID: 2860872504 Enrollment ID: I20220816001891 |
| Provider Name | Robert O Funk |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1356845614 PECOS PAC ID: 8224387303 Enrollment ID: I20220817001595 |
| Provider Name | Jamal Janjua |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366894370 PECOS PAC ID: 3274821426 Enrollment ID: I20220817002094 |
| Provider Name | Benjamin S Mixis |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932635935 PECOS PAC ID: 3173893393 Enrollment ID: I20220818003783 |
| Provider Name | Dana James Irrer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063771228 PECOS PAC ID: 9931406774 Enrollment ID: I20220823003131 |
| Provider Name | Abigail L Strong |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316442437 PECOS PAC ID: 1557784709 Enrollment ID: I20220824002134 |
| Provider Name | Todd J Korthals |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1598296451 PECOS PAC ID: 1951634898 Enrollment ID: I20220826000674 |
| Provider Name | Shannon Foster |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1699755496 PECOS PAC ID: 9931150570 Enrollment ID: I20220826001109 |
| Provider Name | Aiman Riaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992157903 PECOS PAC ID: 2961799176 Enrollment ID: I20220907002638 |
| Provider Name | Jennie Marie Tomlinson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1568103711 PECOS PAC ID: 0345624052 Enrollment ID: I20220909000668 |
| Provider Name | Markus A Eckstein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174083612 PECOS PAC ID: 2961737945 Enrollment ID: I20220909001633 |
| Provider Name | Abolade Oduyemi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1588306641 PECOS PAC ID: 4688058373 Enrollment ID: I20220909002442 |
| Provider Name | Kelsey L Clemens |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740742949 PECOS PAC ID: 7315322369 Enrollment ID: I20220912003733 |
| Provider Name | Nolan J Rudder |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356704290 PECOS PAC ID: 8325330715 Enrollment ID: I20220915002510 |
| Provider Name | Jennifer Zweifel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376270215 PECOS PAC ID: 8628453313 Enrollment ID: I20220915003829 |
| Provider Name | Kaytie M Curtis |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013414929 PECOS PAC ID: 1254681067 Enrollment ID: I20220918000032 |
| Provider Name | Sarah Kathryn Wendland |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407587108 PECOS PAC ID: 6204211881 Enrollment ID: I20220918000035 |
| Provider Name | Brooke Joppru |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497487987 PECOS PAC ID: 0941685523 Enrollment ID: I20220919000312 |
| Provider Name | Jill Irene Wagoner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942928114 PECOS PAC ID: 8527443142 Enrollment ID: I20220919001954 |
| Provider Name | Maheedhar Gedela |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104231216 PECOS PAC ID: 1658598651 Enrollment ID: I20220919002213 |
| Provider Name | Ituriel Ruben Palafox Lopez |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1417684861 PECOS PAC ID: 1850776352 Enrollment ID: I20220920001856 |
| Provider Name | Thomas Gessert |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1518311752 PECOS PAC ID: 9335431352 Enrollment ID: I20220920003084 |
| Provider Name | Amanda Hynek |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1497475339 PECOS PAC ID: 2961887310 Enrollment ID: I20220921000845 |
| Provider Name | Susan L Lundberg |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881738508 PECOS PAC ID: 4587747415 Enrollment ID: I20220921002061 |
| Provider Name | Hope Margaret Guzzo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295186401 PECOS PAC ID: 1456643634 Enrollment ID: I20220922001591 |
| Provider Name | Nathan Oehrlein |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1922399583 PECOS PAC ID: 4688961733 Enrollment ID: I20220922001778 |
| Provider Name | Hari Vigneswaran |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1811359425 PECOS PAC ID: 9234426198 Enrollment ID: I20220923000469 |
| Provider Name | Lacey J Schrader |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1093165656 PECOS PAC ID: 5092137737 Enrollment ID: I20220927002312 |
| Provider Name | Evan Michael Dolan |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1841927282 PECOS PAC ID: 0648656785 Enrollment ID: I20220927003524 |
| Provider Name | Matar Goumbala |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902343684 PECOS PAC ID: 2567745557 Enrollment ID: I20221004002331 |
| Provider Name | Sreekanth Chintamaneni |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1427118280 PECOS PAC ID: 5597801639 Enrollment ID: I20221004003418 |
| Provider Name | Alexa Lowry |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902303639 PECOS PAC ID: 7517214125 Enrollment ID: I20221013000302 |
| Provider Name | Sara J Venzke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952021008 PECOS PAC ID: 2062888290 Enrollment ID: I20221013000755 |
| Provider Name | Stephanie L Wyrostek |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1821521402 PECOS PAC ID: 2769858927 Enrollment ID: I20221013001791 |
| Provider Name | Laurel Vaughan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1740662170 PECOS PAC ID: 1254644727 Enrollment ID: I20221017003125 |
| Provider Name | Donna Marie Hecker |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1164863064 PECOS PAC ID: 0446232615 Enrollment ID: I20221024002660 |
| Provider Name | Lindsay T Johnson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1538897228 PECOS PAC ID: 5395112726 Enrollment ID: I20221027002149 |
| Provider Name | Mikki T Seagren |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1770789885 PECOS PAC ID: 3779738018 Enrollment ID: I20221101003310 |
| Provider Name | Jia Jian Tin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417536814 PECOS PAC ID: 5698142586 Enrollment ID: I20221107000764 |
| Provider Name | Mary Kathryn George |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861056012 PECOS PAC ID: 6305175407 Enrollment ID: I20221110002979 |
| Provider Name | Abigail Margaret Jumbeck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730801143 PECOS PAC ID: 4789051269 Enrollment ID: I20221114001476 |
| Provider Name | Bente Y Hoegsberg |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760427041 PECOS PAC ID: 9133266935 Enrollment ID: I20221115001507 |
| Provider Name | Rebecca J Wuensch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528548443 PECOS PAC ID: 7315270816 Enrollment ID: I20221118001737 |
| Provider Name | Courtney M Steichen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1467986570 PECOS PAC ID: 5890066948 Enrollment ID: I20221118001933 |
| Provider Name | Gabriel Nicole Hansen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366115578 PECOS PAC ID: 1557739513 Enrollment ID: I20221122002231 |
| Provider Name | Michaela Eckstein |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1699483412 PECOS PAC ID: 3577931369 Enrollment ID: I20221129001984 |
| Provider Name | Angela R Williams |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588843700 PECOS PAC ID: 0749347847 Enrollment ID: I20221130002096 |
| Provider Name | Erin K Davis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396088787 PECOS PAC ID: 1557663093 Enrollment ID: I20221212000567 |
| Provider Name | Laura L Kelley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730804592 PECOS PAC ID: 6103295266 Enrollment ID: I20221212002094 |
| Provider Name | Syed Shah |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1932348034 PECOS PAC ID: 4082870365 Enrollment ID: I20221212002230 |
| Provider Name | Jenna Brinkman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497479166 PECOS PAC ID: 6709255896 Enrollment ID: I20221213000050 |
| Provider Name | Jeni L Polk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144625385 PECOS PAC ID: 5698144780 Enrollment ID: I20221213000120 |
| Provider Name | Jade R Eaton |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1225749872 PECOS PAC ID: 4587033493 Enrollment ID: I20221216000452 |
| Provider Name | Alison Neal Glowacki |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255999413 PECOS PAC ID: 9234508060 Enrollment ID: I20221216001746 |
| Provider Name | Maria Frances Dahlke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255049235 PECOS PAC ID: 7012387707 Enrollment ID: I20221220002847 |
| Provider Name | Nicholas Samuel Guzzo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457024960 PECOS PAC ID: 0042617474 Enrollment ID: I20221227001643 |
| Provider Name | Benjamin A Strand |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922504075 PECOS PAC ID: 0547505091 Enrollment ID: I20221228002159 |
| Provider Name | Marissa Pederson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447865142 PECOS PAC ID: 4981074259 Enrollment ID: I20221230002037 |
| Provider Name | Heidi Renae Huber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871200725 PECOS PAC ID: 7416327796 Enrollment ID: I20230102000183 |
| Provider Name | Keri L Denstad |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1790440816 PECOS PAC ID: 0446640585 Enrollment ID: I20230103002353 |
| Provider Name | Magdalena Budziakowska |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1609166313 PECOS PAC ID: 9234358664 Enrollment ID: I20230111002321 |
| Provider Name | Sreekanth Chintamaneni |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1427118280 PECOS PAC ID: 5597801639 Enrollment ID: I20230112000908 |
| Provider Name | Taylan Scheel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699482117 PECOS PAC ID: 5294105052 Enrollment ID: I20230112001099 |
| Provider Name | Clara Marie Wiencek Williams |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1063125979 PECOS PAC ID: 7315318870 Enrollment ID: I20230119001375 |
| Provider Name | Flavio D Manela |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1548337595 PECOS PAC ID: 2860464666 Enrollment ID: I20230124000844 |
| Provider Name | Anthy Demestihas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649363532 PECOS PAC ID: 8123002565 Enrollment ID: I20230124001021 |
| Provider Name | Molly Mason |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902177876 PECOS PAC ID: 5698927119 Enrollment ID: I20230125002667 |
| Provider Name | Andrew J Riggle |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1093008617 PECOS PAC ID: 8527352475 Enrollment ID: I20230127000094 |
| Provider Name | Jacob Timothy Wagner |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1790304442 PECOS PAC ID: 2961827795 Enrollment ID: I20230127002045 |
| Provider Name | Theodore Toerne |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902814502 PECOS PAC ID: 0345231403 Enrollment ID: I20230131000898 |
| Provider Name | Caroline Marie Muzic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235858101 PECOS PAC ID: 5294106167 Enrollment ID: I20230201001261 |
| Provider Name | Deborah K Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790769990 PECOS PAC ID: 3476680190 Enrollment ID: I20230208001919 |
| Provider Name | Katrina A Evason |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1518677970 PECOS PAC ID: 5496127953 Enrollment ID: I20230209000555 |
| Provider Name | Megan E Tillema |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1972218303 PECOS PAC ID: 7315319506 Enrollment ID: I20230216001950 |
| Provider Name | Anne Marie Yered |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336317635 PECOS PAC ID: 6002979499 Enrollment ID: I20230220001856 |
| Provider Name | Shailer Brett Martin |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1043849367 PECOS PAC ID: 2365866076 Enrollment ID: I20230301001489 |
| Provider Name | Eric James Gerhardt |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1922712330 PECOS PAC ID: 0244603538 Enrollment ID: I20230308000293 |
| Provider Name | Karl T Schroeder |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1003097114 PECOS PAC ID: 9133367279 Enrollment ID: I20230313001384 |
| Provider Name | Lee Her Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356049381 PECOS PAC ID: 3476927559 Enrollment ID: I20230314000902 |
| Provider Name | Angela Marie Onsgard |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1013263466 PECOS PAC ID: 1456725332 Enrollment ID: I20230315002026 |
| Provider Name | Brett Macleod |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831770759 PECOS PAC ID: 2567865173 Enrollment ID: I20230322002219 |
| Provider Name | Rebecca S Deloria |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982224598 PECOS PAC ID: 4981073160 Enrollment ID: I20230328000358 |
| Provider Name | Swapna Ravi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124403787 PECOS PAC ID: 9032408109 Enrollment ID: I20230329001017 |
| Provider Name | Jordan H-michael Kemppainen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952001109 PECOS PAC ID: 2961877618 Enrollment ID: I20230411000798 |
| Provider Name | Arun Ranganath |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1720224223 PECOS PAC ID: 5092851329 Enrollment ID: I20230412001751 |
| Provider Name | Shawn P Stallings |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184616369 PECOS PAC ID: 1850421223 Enrollment ID: I20230418001872 |
| Provider Name | Nicole Barbee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881037927 PECOS PAC ID: 7618293838 Enrollment ID: I20230502000910 |
| Provider Name | Anne C Regenstein |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487732087 PECOS PAC ID: 0042405201 Enrollment ID: I20230502002667 |
| Provider Name | Courtney Rose Wirtanen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215516661 PECOS PAC ID: 7810391208 Enrollment ID: I20230505001238 |
| Provider Name | Allison Andreas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972007250 PECOS PAC ID: 3779846944 Enrollment ID: I20230511002385 |
| Provider Name | Ashley Herde |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1033473343 PECOS PAC ID: 3779733522 Enrollment ID: I20230515001651 |
| Provider Name | Jeremiah F Haines |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598296832 PECOS PAC ID: 3476810458 Enrollment ID: I20230519000884 |
| Provider Name | Matthieu Mayer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528564861 PECOS PAC ID: 5991052078 Enrollment ID: I20230522001330 |
| Provider Name | Imran Sayed |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922365899 PECOS PAC ID: 7618283474 Enrollment ID: I20230523000655 |
| Provider Name | William Patrick Klein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922628916 PECOS PAC ID: 5092139790 Enrollment ID: I20230613003344 |
| Provider Name | Priscille Donate |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316329931 PECOS PAC ID: 6103284625 Enrollment ID: I20230615000932 |
| Provider Name | Yuelei Dong |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598030645 PECOS PAC ID: 0648578955 Enrollment ID: I20230620002743 |
| Provider Name | Thea Cornwell |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1508599358 PECOS PAC ID: 5698156545 Enrollment ID: I20230712002415 |
| Provider Name | Ksenia V Strobel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558050047 PECOS PAC ID: 9537529045 Enrollment ID: I20230715000606 |
| Provider Name | Madison Werner |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1477247062 PECOS PAC ID: 1951761105 Enrollment ID: I20230719001910 |
| Provider Name | Ardy Fenando |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1609362508 PECOS PAC ID: 9133522337 Enrollment ID: I20230720000781 |
| Provider Name | Joseph Jay Walbridge |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427677269 PECOS PAC ID: 8527484377 Enrollment ID: I20230731000487 |
| Provider Name | Karim Adel Ahmed Mohamed Doughem |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1407342413 PECOS PAC ID: 7719348291 Enrollment ID: I20230731003308 |
| Provider Name | Blake Charles Weber |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1932660867 PECOS PAC ID: 2860726395 Enrollment ID: I20230804002042 |
| Provider Name | Moonkyung Schubert |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1235359050 PECOS PAC ID: 0446334858 Enrollment ID: I20230804003072 |
| Provider Name | Rebecca L Jacobson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487310108 PECOS PAC ID: 5991166936 Enrollment ID: I20230807002535 |
| Provider Name | Ikram Ul Haque |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811486970 PECOS PAC ID: 0345602231 Enrollment ID: I20230809001083 |
| Provider Name | Chad Roline |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710153986 PECOS PAC ID: 9335271709 Enrollment ID: I20230810002861 |
| Provider Name | David R Vavra |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1154813210 PECOS PAC ID: 1052744570 Enrollment ID: I20230814001446 |
| Provider Name | Nathaniel J Lucey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659996221 PECOS PAC ID: 5496179327 Enrollment ID: I20230816001635 |
| Provider Name | Lindsay Morris |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1447747431 PECOS PAC ID: 0749537355 Enrollment ID: I20230817001953 |
| Provider Name | Ivan Kaspruk |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649890195 PECOS PAC ID: 1355703588 Enrollment ID: I20230818002468 |
| Provider Name | Matthew B Gerrelts |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1245891225 PECOS PAC ID: 8628401056 Enrollment ID: I20230828001647 |
| Provider Name | Laura Jean Keatley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972214591 PECOS PAC ID: 3870956584 Enrollment ID: I20230829001870 |
| Provider Name | Xiangyun John Duan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083121941 PECOS PAC ID: 7810310851 Enrollment ID: I20230830000540 |
| Provider Name | Laura M Thies |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043996028 PECOS PAC ID: 4082077581 Enrollment ID: I20230831001329 |
| Provider Name | Alexandra Sharp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821442534 PECOS PAC ID: 4981985363 Enrollment ID: I20230831003391 |
| Provider Name | Samuel K Soda |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1194411850 PECOS PAC ID: 9335502970 Enrollment ID: I20230908000862 |
| Provider Name | Blake Donald Jordan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043899248 PECOS PAC ID: 6608279179 Enrollment ID: I20230908002849 |
| Provider Name | Collin Coffield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881367399 PECOS PAC ID: 5294132817 Enrollment ID: I20230913001559 |
| Provider Name | Abigail R Breitbach |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1932984390 PECOS PAC ID: 3476917162 Enrollment ID: I20230913003833 |
| Provider Name | David Markenson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093781726 PECOS PAC ID: 9133167836 Enrollment ID: I20230915003434 |
| Provider Name | Emily Wangen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1851089296 PECOS PAC ID: 7113381161 Enrollment ID: I20230918003937 |
| Provider Name | Allison C Taylor |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1154827996 PECOS PAC ID: 5991134504 Enrollment ID: I20230919002930 |
| Provider Name | Amier Ahmad |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1689061897 PECOS PAC ID: 8224359807 Enrollment ID: I20230921000790 |
| Provider Name | Danica Ann Kocimski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245911890 PECOS PAC ID: 0143674259 Enrollment ID: I20230922003054 |
| Provider Name | Mark Richard Wittchow |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1083175087 PECOS PAC ID: 4486008190 Enrollment ID: I20230929000482 |
| Provider Name | Nicholas J Kuntz |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1104147362 PECOS PAC ID: 4587091178 Enrollment ID: I20230929000678 |
| Provider Name | Brady Austin Nelson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821627381 PECOS PAC ID: 7810311156 Enrollment ID: I20231003000457 |
| Provider Name | Michelle Marie Cancel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1093245581 PECOS PAC ID: 8224307095 Enrollment ID: I20231005000631 |
| Provider Name | Jerome Aul |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1053349985 PECOS PAC ID: 6406864883 Enrollment ID: I20231006002736 |
| Provider Name | Jordan G Bruce |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1700306347 PECOS PAC ID: 3375998461 Enrollment ID: I20231010000995 |
| Provider Name | Ryan M Pritham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457973737 PECOS PAC ID: 5092134478 Enrollment ID: I20231012000455 |
| Provider Name | Syed Ather |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821034307 PECOS PAC ID: 4981609120 Enrollment ID: I20231012001304 |
| Provider Name | Laura Felley |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1811481211 PECOS PAC ID: 5597011593 Enrollment ID: I20231012001681 |
| Provider Name | Allicen Marie Waxlax |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841879244 PECOS PAC ID: 7810391471 Enrollment ID: I20231012002686 |
| Provider Name | Pierre Moeser |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1063452787 PECOS PAC ID: 6002999653 Enrollment ID: I20231017000421 |
| Provider Name | Brooke Catherine Gardner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245708502 PECOS PAC ID: 2365898640 Enrollment ID: I20231023001473 |
| Provider Name | Timothy Whitehead |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1871752428 PECOS PAC ID: 6800011636 Enrollment ID: I20231027001431 |
| Provider Name | Louis Aviles |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1265492730 PECOS PAC ID: 6305810771 Enrollment ID: I20231101000248 |
| Provider Name | Kayla Michelle Roland |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1326530213 PECOS PAC ID: 7113278003 Enrollment ID: I20231102003215 |
| Provider Name | Ashley E Spacek |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1679152672 PECOS PAC ID: 3779986195 Enrollment ID: I20231107000576 |
| Provider Name | Rasleen Kanwal Saluja |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1821477829 PECOS PAC ID: 8921402884 Enrollment ID: I20231108000581 |
| Provider Name | Connor Anthony Pluym |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174300065 PECOS PAC ID: 6305293416 Enrollment ID: I20231111000125 |
| Provider Name | Marcella Jo Tatarka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902473630 PECOS PAC ID: 7517342918 Enrollment ID: I20231127001850 |
| Provider Name | Molly Senn Sygulla |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619597606 PECOS PAC ID: 0042635807 Enrollment ID: I20231201001062 |
| Provider Name | Nicholas Morin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629367909 PECOS PAC ID: 3779882501 Enrollment ID: I20231205001024 |
| Provider Name | Marla Jean Voss |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902054463 PECOS PAC ID: 8123376571 Enrollment ID: I20231205003158 |
| Provider Name | Aquino Anthony Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316407943 PECOS PAC ID: 3971992470 Enrollment ID: I20231206001945 |
| Provider Name | Signe M Midelfort-hector |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073203642 PECOS PAC ID: 1254792955 Enrollment ID: I20231214000983 |
| Provider Name | Felicia Balzano |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1467830711 PECOS PAC ID: 4688952328 Enrollment ID: I20231215000246 |
| Provider Name | Jake Anthony Deviley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164162475 PECOS PAC ID: 5496137333 Enrollment ID: I20231221003691 |
| Provider Name | Katherine S Edsall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063091445 PECOS PAC ID: 2163826710 Enrollment ID: I20231222001211 |
| Provider Name | Elizabeth Lynn Aschenbrenner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548896004 PECOS PAC ID: 6406206432 Enrollment ID: I20240103000965 |
| Provider Name | Jennifer M Amann |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295057438 PECOS PAC ID: 7113377151 Enrollment ID: I20240103001043 |
| Provider Name | Alexa V Becherer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194305318 PECOS PAC ID: 3779933718 Enrollment ID: I20240103001330 |
| Provider Name | Angelica M Williams |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871060434 PECOS PAC ID: 0941650980 Enrollment ID: I20240103001369 |
| Provider Name | Margaret Rose Riedl |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023509528 PECOS PAC ID: 7719337765 Enrollment ID: I20240103001568 |
| Provider Name | Angela Marie Barnes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447432927 PECOS PAC ID: 7517317563 Enrollment ID: I20240103001643 |
| Provider Name | Joseph J Bodnar |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154582062 PECOS PAC ID: 3779933726 Enrollment ID: I20240103001882 |
| Provider Name | Scott A Klaeser |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720089105 PECOS PAC ID: 5496106452 Enrollment ID: I20240104000771 |
| Provider Name | Staci M Glynn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265801641 PECOS PAC ID: 4981055860 Enrollment ID: I20240104001848 |
| Provider Name | Catherine J Steingraeber |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801100102 PECOS PAC ID: 9133351844 Enrollment ID: I20240104003001 |
| Provider Name | Donna Jean Kettner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619158151 PECOS PAC ID: 1456614254 Enrollment ID: I20240104003045 |
| Provider Name | Kellie Sue Oldenburg |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427568559 PECOS PAC ID: 7517318439 Enrollment ID: I20240104003399 |
| Provider Name | Katerri Jean Sanford |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528495231 PECOS PAC ID: 6507217437 Enrollment ID: I20240104003934 |
| Provider Name | Michael John Sersch |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356743496 PECOS PAC ID: 8921459876 Enrollment ID: I20240104004497 |
| Provider Name | Christopher G. Schmid |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669718763 PECOS PAC ID: 7517318330 Enrollment ID: I20240105002513 |
| Provider Name | Molly C Skinner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780152603 PECOS PAC ID: 2668823246 Enrollment ID: I20240108005339 |
| Provider Name | Harold Bivins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841239753 PECOS PAC ID: 7517992803 Enrollment ID: I20240112001534 |
| Provider Name | Olivia Lowdermilk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841968773 PECOS PAC ID: 2668836214 Enrollment ID: I20240112003771 |
| Provider Name | Kyle Anderson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205580313 PECOS PAC ID: 1052706082 Enrollment ID: I20240113000671 |
| Provider Name | Jacquelyn M Tock |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194037275 PECOS PAC ID: 9133571078 Enrollment ID: I20240117000358 |
| Provider Name | Amber L Halada |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366800302 PECOS PAC ID: 3678925534 Enrollment ID: I20240117001148 |
| Provider Name | Karen M White |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932242104 PECOS PAC ID: 1456703248 Enrollment ID: I20240117002348 |
| Provider Name | Ann L Weidenheim |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225306400 PECOS PAC ID: 8224480017 Enrollment ID: I20240117002470 |
| Provider Name | Travis A Krahn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770976771 PECOS PAC ID: 7911359732 Enrollment ID: I20240117003280 |
| Provider Name | Allison Christie |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1972573418 PECOS PAC ID: 7911937271 Enrollment ID: I20240118001166 |
| Provider Name | Jacquelyn A Hancock |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598334088 PECOS PAC ID: 9830541366 Enrollment ID: I20240119001702 |
| Provider Name | Mandy M Hess |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811157290 PECOS PAC ID: 6103278650 Enrollment ID: I20240119002451 |
| Provider Name | Jon W Dickson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043211550 PECOS PAC ID: 6709238181 Enrollment ID: I20240122002606 |
| Provider Name | Holly Lynn Walters |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053465914 PECOS PAC ID: 6800248147 Enrollment ID: I20240123000242 |
| Provider Name | Marsha A Lukasek |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467453985 PECOS PAC ID: 9032560875 Enrollment ID: I20240124002033 |
| Provider Name | Angela Ellen Mckee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649892324 PECOS PAC ID: 6608260377 Enrollment ID: I20240201001936 |
| Provider Name | Tara Lynn Allert |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063982197 PECOS PAC ID: 9436502804 Enrollment ID: I20240201002201 |
| Provider Name | Frances Darlene Dickerson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902325004 PECOS PAC ID: 0345515953 Enrollment ID: I20240206002179 |
| Provider Name | Tammy June Stricker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740578939 PECOS PAC ID: 0042481749 Enrollment ID: I20240206002841 |
| Provider Name | Megan E Barber |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1407274533 PECOS PAC ID: 6002118890 Enrollment ID: I20240213000615 |
| Provider Name | Chalen Yang |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1497334155 PECOS PAC ID: 8628471091 Enrollment ID: I20240213003654 |
| Provider Name | Marie Gernes |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1326819863 PECOS PAC ID: 1951745066 Enrollment ID: I20240216001996 |
| Provider Name | Eduardo J Carlin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700080538 PECOS PAC ID: 8628211893 Enrollment ID: I20240216003881 |
| Provider Name | Jennifer Erin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912423245 PECOS PAC ID: 3072879956 Enrollment ID: I20240226000477 |
| Provider Name | Gregory E Head |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932394996 PECOS PAC ID: 4688019094 Enrollment ID: I20240226001135 |
| Provider Name | Jeffrey P Reiland |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073519575 PECOS PAC ID: 7719322130 Enrollment ID: I20240226001328 |
| Provider Name | Mary B Watts |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649276791 PECOS PAC ID: 1850736281 Enrollment ID: I20240226001529 |
| Provider Name | Sarah S Keyeski |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174524557 PECOS PAC ID: 6800231234 Enrollment ID: I20240226001702 |
| Provider Name | Ian B Young |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669769162 PECOS PAC ID: 0840446571 Enrollment ID: I20240302000012 |
| Provider Name | Jillian A Niemyjski |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538650031 PECOS PAC ID: 7113362765 Enrollment ID: I20240305002239 |
| Provider Name | Tneshia J. Sweat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023317971 PECOS PAC ID: 4587889373 Enrollment ID: I20240306003168 |
| Provider Name | Ashley Delores Holen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831759638 PECOS PAC ID: 7416393913 Enrollment ID: I20240306003733 |
| Provider Name | Meggan Lynn Scanlan |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1154109155 PECOS PAC ID: 5193161941 Enrollment ID: I20240314002934 |
| Provider Name | Gretchen M Reinders |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316266836 PECOS PAC ID: 3375989163 Enrollment ID: I20240315000335 |
| Provider Name | Taylor Mckenzie Pamperin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437924545 PECOS PAC ID: 2365880812 Enrollment ID: I20240403003276 |
| Provider Name | Safiya Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518324532 PECOS PAC ID: 7911256342 Enrollment ID: I20240411000913 |
| Provider Name | Za Chang |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023575297 PECOS PAC ID: 7517371131 Enrollment ID: I20240415002700 |
| Provider Name | Myriah Zeien-tarantelli |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1568728467 PECOS PAC ID: 7113276676 Enrollment ID: I20240416003480 |
| Provider Name | Michelle Lynn Bond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780340489 PECOS PAC ID: 1658761762 Enrollment ID: I20240423000656 |
| Provider Name | Ann M Lorenz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104681907 PECOS PAC ID: 1759721632 Enrollment ID: I20240425000914 |
| Provider Name | Amber Lockie Ferguson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881161917 PECOS PAC ID: 4082054739 Enrollment ID: I20240430000069 |
| Provider Name | Omar F Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457702318 PECOS PAC ID: 7810309275 Enrollment ID: I20240514000574 |
| Provider Name | Devon Stevens |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891133823 PECOS PAC ID: 4284970781 Enrollment ID: I20240522000370 |
| Provider Name | Diane M Oines |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356684336 PECOS PAC ID: 5698117364 Enrollment ID: I20240527000089 |
| Provider Name | Lanaya Marie Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467195610 PECOS PAC ID: 9537601760 Enrollment ID: I20240604000621 |
| Provider Name | Micheal A Ellerman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1235661117 PECOS PAC ID: 8325311038 Enrollment ID: I20240605002025 |
| Provider Name | Katherine Frances Peters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386497667 PECOS PAC ID: 9638611106 Enrollment ID: I20240612001184 |
| Provider Name | Seymour Marcus Weaver |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1225126956 PECOS PAC ID: 3779572870 Enrollment ID: I20240628000245 |
| Provider Name | Alexander Ivanov |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1356873657 PECOS PAC ID: 5698194314 Enrollment ID: I20240719001074 |
| Provider Name | Baher S Foad |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1821077926 PECOS PAC ID: 3971571415 Enrollment ID: I20240720000258 |
| Provider Name | Nicholas Jay Stoyles |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1689298564 PECOS PAC ID: 3072936517 Enrollment ID: I20240723001441 |
| Provider Name | Nadia Teale |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346540358 PECOS PAC ID: 3274079553 Enrollment ID: I20240723001719 |
| Provider Name | Bradley Emmerich |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801475447 PECOS PAC ID: 9133520364 Enrollment ID: I20240723002997 |
| Provider Name | Joshua W Monson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285085514 PECOS PAC ID: 7517403512 Enrollment ID: I20240726000337 |
| Provider Name | Cassandra Lynn Knott |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063090504 PECOS PAC ID: 7810396967 Enrollment ID: I20240728000051 |
| Provider Name | Marc Granata |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508162207 PECOS PAC ID: 3779715446 Enrollment ID: I20240801002354 |
| Provider Name | Nancy Leitch |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1437215613 PECOS PAC ID: 5496641110 Enrollment ID: I20240805000717 |
| Provider Name | Genya G Turgul |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1225666936 PECOS PAC ID: 5991129371 Enrollment ID: I20240820004241 |
| Provider Name | Abigail Bailey Krueger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598228140 PECOS PAC ID: 3375877079 Enrollment ID: I20240821000568 |
| Provider Name | Jessica Elaine Underkofler |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659118982 PECOS PAC ID: 4587103395 Enrollment ID: I20240826000147 |
| Provider Name | Shawn P Wayne |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1295266443 PECOS PAC ID: 7315218369 Enrollment ID: I20240828000709 |
| Provider Name | Abigail M Chilsen Byrd |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1932635034 PECOS PAC ID: 6608278734 Enrollment ID: I20240830003478 |
| Provider Name | Sean Zadeh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649774563 PECOS PAC ID: 0143577577 Enrollment ID: I20240903001821 |
| Provider Name | Mitchell T Voter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477139210 PECOS PAC ID: 2466999107 Enrollment ID: I20240903001912 |
| Provider Name | Samuel Thomas Klinker |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1023571148 PECOS PAC ID: 1153656368 Enrollment ID: I20240909001621 |
| Provider Name | Erin Flynn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447525514 PECOS PAC ID: 9830489541 Enrollment ID: I20240910001241 |
| Provider Name | Kelsey M Fischer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316527740 PECOS PAC ID: 1850794322 Enrollment ID: I20240912002954 |
| Provider Name | Paul C Nystrom |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164445052 PECOS PAC ID: 4587742416 Enrollment ID: I20240917000670 |
| Provider Name | Olivia Paige Adamson |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1619707106 PECOS PAC ID: 4981145661 Enrollment ID: I20240920003305 |
| Provider Name | Kylynn Rose Falck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912737529 PECOS PAC ID: 0244761476 Enrollment ID: I20240930000851 |
| Provider Name | Brittany E Splittgerber |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518220474 PECOS PAC ID: 0648580290 Enrollment ID: I20241001003296 |
| Provider Name | Courtney B Tipton |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1336630268 PECOS PAC ID: 2961755665 Enrollment ID: I20241001003383 |
| Provider Name | Jacob David Bentley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720668692 PECOS PAC ID: 8527462175 Enrollment ID: I20241002001673 |
| Provider Name | Joshua A Rezkalla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740711829 PECOS PAC ID: 2365874583 Enrollment ID: I20241004000749 |
| Provider Name | Michael Stitgen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1275030462 PECOS PAC ID: 2062769334 Enrollment ID: I20241004002523 |
| Provider Name | Nora Bea Schultz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154155265 PECOS PAC ID: 2466983143 Enrollment ID: I20241004002721 |
| Provider Name | Kaitlyn N Kiel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912742909 PECOS PAC ID: 1658802004 Enrollment ID: I20241009001996 |
| Provider Name | Nana Merabova |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265010144 PECOS PAC ID: 1759790983 Enrollment ID: I20241016000105 |
| Provider Name | Mariah Lynn Mack |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992447692 PECOS PAC ID: 4183005317 Enrollment ID: I20241016000242 |
| Provider Name | Karena Malluege |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1437903713 PECOS PAC ID: 3971035908 Enrollment ID: I20241016000707 |
| Provider Name | Sara A Habte |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538801121 PECOS PAC ID: 2668854530 Enrollment ID: I20241016004251 |
| Provider Name | Wonhee Lee |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053872515 PECOS PAC ID: 2860726536 Enrollment ID: I20241017000846 |
| Provider Name | Jingqi Jia |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1245979657 PECOS PAC ID: 7315328473 Enrollment ID: I20241023003537 |
| Provider Name | Madison E Jones |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1497589659 PECOS PAC ID: 6204369457 Enrollment ID: I20241028001335 |
| Provider Name | Michael Lehner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326500190 PECOS PAC ID: 6204217706 Enrollment ID: I20241029001771 |
| Provider Name | Ian G Latham |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1003436296 PECOS PAC ID: 2365832011 Enrollment ID: I20241105001947 |
| Provider Name | Conor M Lane |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1982119277 PECOS PAC ID: 0143578955 Enrollment ID: I20241118000414 |
| Provider Name | Derrick J Sanderson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043577448 PECOS PAC ID: 6901190313 Enrollment ID: I20241118002276 |
| Provider Name | Ella Webster |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1942367982 PECOS PAC ID: 3173426590 Enrollment ID: I20241119001538 |
| Provider Name | Rachel K Mckuras |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1932953205 PECOS PAC ID: 5294260972 Enrollment ID: I20241119002517 |
| Provider Name | Ta Her |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710723531 PECOS PAC ID: 6406381870 Enrollment ID: I20241121002602 |
| Provider Name | Marie Callay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831894542 PECOS PAC ID: 0244691970 Enrollment ID: I20241204000549 |
| Provider Name | Sydney E Markworth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962107375 PECOS PAC ID: 0446610489 Enrollment ID: I20241204002665 |
| Provider Name | Meredith Dara Hink |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1922821958 PECOS PAC ID: 1557897337 Enrollment ID: I20241204002683 |
| Provider Name | Mastaneh Nikravesh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508429143 PECOS PAC ID: 2961863881 Enrollment ID: I20241205002015 |
| Provider Name | Sulman R Hasan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164871927 PECOS PAC ID: 3577891886 Enrollment ID: I20241206001824 |
| Provider Name | Rhonda L Mattingly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235191602 PECOS PAC ID: 8820191737 Enrollment ID: I20241209001647 |
Premise Health Of Wisconsin Medical, S.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2222 Kwik Trip Way, La Crosse, WI 54603 Phone: 608-781-4460 Fax: 608-781-5587 | |
Durtsche Chiropractic Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2045 32nd St S, La Crosse, WI 54601 Phone: 608-788-1170 | |