| Guthrie Medical Group, P.c. | |
|
412 S Main St Athens PA 18810-1618 | |
| (570) 888-9655 | |
| (570) 888-3842 |
| Full Name | Guthrie Medical Group, P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 412 S Main St, Athens, Pennsylvania |
| Authorized Official Name and Position | Joseph A. Scopelliti (PRESIDENT) |
| Authorized Official Contact | 5708885858 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Guthrie Medical Group, P.c. 1 Guthrie Sq Sayre PA 18840-1625 Ph: (570) 888-9655 | Guthrie Medical Group, P.c. 412 S Main St Athens PA 18810-1618 Ph: (570) 888-9655 |
| NPI Number | 1962451153 |
|---|---|
| Provider Enumeration Date | 05/08/2006 |
| Last Update Date | 02/28/2014 |
| Medicare PECOS PAC ID | 6002728656 |
|---|---|
| Medicare Enrollment ID | O20040301000571 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962451153 | NPI | - | NPPES |
| GU616037 | Other | PA | HIGHMARK BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 291U00000X | Clinical Medical Laboratory | (* (Not Available)) | Secondary |
| Provider Name | Kathy L Galla Elizeus |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023028008 PECOS PAC ID: 6709780844 Enrollment ID: I20031121000004 |
| Provider Name | Phyllis J Sabol |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1730126582 PECOS PAC ID: 0547166035 Enrollment ID: I20031208000237 |
| Provider Name | Pamela J Ennis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174582910 PECOS PAC ID: 9830097237 Enrollment ID: I20031223000074 |
| Provider Name | David J Pelkowski |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1508826819 PECOS PAC ID: 6406758481 Enrollment ID: I20040121000614 |
| Provider Name | Mark V Caliendo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104897123 PECOS PAC ID: 2668366808 Enrollment ID: I20040210000378 |
| Provider Name | Samuel Putnam |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1023066404 PECOS PAC ID: 5991699522 Enrollment ID: I20040212000699 |
| Provider Name | Thomas Wilson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1962478842 PECOS PAC ID: 8426949470 Enrollment ID: I20040322000402 |
| Provider Name | Dermot M Reynolds |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1487627139 PECOS PAC ID: 0547257305 Enrollment ID: I20040426001359 |
| Provider Name | John P. Ford |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1477516318 PECOS PAC ID: 3274424833 Enrollment ID: I20040719000539 |
| Provider Name | Brian S Polesuk |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053309773 PECOS PAC ID: 0345229522 Enrollment ID: I20040720000773 |
| Provider Name | Lorena R Wesneski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265408322 PECOS PAC ID: 8921078684 Enrollment ID: I20040729000558 |
| Provider Name | Lawrence N Sampson |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1053385583 PECOS PAC ID: 7911977699 Enrollment ID: I20040729000732 |
| Provider Name | Sheela Prabhu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750354718 PECOS PAC ID: 7012980683 Enrollment ID: I20040813000150 |
| Provider Name | Cathy D Paige |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1215934252 PECOS PAC ID: 3971576380 Enrollment ID: I20040814000058 |
| Provider Name | Lee C Meyers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194797100 PECOS PAC ID: 7911971312 Enrollment ID: I20040823000313 |
| Provider Name | Nader Boushra |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1568451896 PECOS PAC ID: 1355316100 Enrollment ID: I20040826000732 |
| Provider Name | Voytek Wojciech Sobieraj |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881661833 PECOS PAC ID: 1355312018 Enrollment ID: I20040827000287 |
| Provider Name | David J Piatok |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1700995248 PECOS PAC ID: 2163497686 Enrollment ID: I20040830000016 |
| Provider Name | Elizabeth M Sobieraj |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922075977 PECOS PAC ID: 1850362500 Enrollment ID: I20040902000538 |
| Provider Name | Saeed Anwar |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1518939594 PECOS PAC ID: 7113905985 Enrollment ID: I20040914001003 |
| Provider Name | Dilip Gupta |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1801957279 PECOS PAC ID: 0941277339 Enrollment ID: I20040915000095 |
| Provider Name | Libang Fu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1669436895 PECOS PAC ID: 1052303724 Enrollment ID: I20040922000362 |
| Provider Name | Omar Yumen |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1376596007 PECOS PAC ID: 6103894597 Enrollment ID: I20040923000211 |
| Provider Name | Sally S Lee |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1447221189 PECOS PAC ID: 1557251600 Enrollment ID: I20040923000629 |
| Provider Name | David S Ball |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144278060 PECOS PAC ID: 1557358330 Enrollment ID: I20040929001141 |
| Provider Name | John P Doty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164497004 PECOS PAC ID: 5496714909 Enrollment ID: I20041008000645 |
| Provider Name | Abraham T Appleton |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1912974643 PECOS PAC ID: 5092777490 Enrollment ID: I20041029000482 |
| Provider Name | Philip Lowry |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1518949080 PECOS PAC ID: 6305838442 Enrollment ID: I20041115000591 |
| Provider Name | Maureen Hrishenko |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1275529786 PECOS PAC ID: 4981669652 Enrollment ID: I20041122000688 |
| Provider Name | Phillip K Pellitteri |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1669437943 PECOS PAC ID: 8820054570 Enrollment ID: I20041206000172 |
| Provider Name | Julie M. Parker |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1073582599 PECOS PAC ID: 0547227969 Enrollment ID: I20041217000436 |
| Provider Name | Russell E Rees |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285607143 PECOS PAC ID: 6305804493 Enrollment ID: I20041221000417 |
| Provider Name | Frederick J Bloom |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932174315 PECOS PAC ID: 9032177662 Enrollment ID: I20041229000075 |
| Provider Name | Dawn R Lambert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568437267 PECOS PAC ID: 2668420852 Enrollment ID: I20050104000945 |
| Provider Name | Melinda A Geiger |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174595268 PECOS PAC ID: 4486604006 Enrollment ID: I20050131000852 |
| Provider Name | Antonio Sortino |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1043281181 PECOS PAC ID: 9537050182 Enrollment ID: I20050222000839 |
| Provider Name | Barbara L Wiseman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255398079 PECOS PAC ID: 8426001462 Enrollment ID: I20050302000104 |
| Provider Name | Karen Darlene Berry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013976307 PECOS PAC ID: 9436123858 Enrollment ID: I20050303000143 |
| Provider Name | Thomas A Yaeger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598731549 PECOS PAC ID: 4981658879 Enrollment ID: I20050303000265 |
| Provider Name | Richard R Lubell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366413916 PECOS PAC ID: 7517911316 Enrollment ID: I20050304000027 |
| Provider Name | Richard A Kostick |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073582557 PECOS PAC ID: 4981692399 Enrollment ID: I20050308000026 |
| Provider Name | John J Kirkowski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558476648 PECOS PAC ID: 0345296794 Enrollment ID: I20050329000518 |
| Provider Name | Charles Mancuso |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1477576627 PECOS PAC ID: 3870571599 Enrollment ID: I20050414000576 |
| Provider Name | Vance A Good |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710946686 PECOS PAC ID: 7618916016 Enrollment ID: I20050426000529 |
| Provider Name | Carlo Marte De Luna |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1629028220 PECOS PAC ID: 9032158308 Enrollment ID: I20050426001175 |
| Provider Name | Mary A Romanyshyn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184698532 PECOS PAC ID: 9830138155 Enrollment ID: I20050427000078 |
| Provider Name | Cathleen M Veach |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366420929 PECOS PAC ID: 2567433915 Enrollment ID: I20050428000463 |
| Provider Name | Suzanne Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639266240 PECOS PAC ID: 5991745432 Enrollment ID: I20050504000791 |
| Provider Name | Ram C Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912972597 PECOS PAC ID: 1355381211 Enrollment ID: I20050510000676 |
| Provider Name | Sean T Devine |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1861468944 PECOS PAC ID: 8123069259 Enrollment ID: I20050518000932 |
| Provider Name | James E Perle |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1316967623 PECOS PAC ID: 6002857067 Enrollment ID: I20050519000629 |
| Provider Name | Robert Douenias |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1497720213 PECOS PAC ID: 9739121526 Enrollment ID: I20050523000595 |
| Provider Name | Samuel I Hammerman |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1235135484 PECOS PAC ID: 4486696705 Enrollment ID: I20050526000661 |
| Provider Name | David A Pfisterer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417920398 PECOS PAC ID: 7214989615 Enrollment ID: I20050527000092 |
| Provider Name | Matthew Budway |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1760412100 PECOS PAC ID: 3577506344 Enrollment ID: I20050607000783 |
| Provider Name | Marcelo G Gareca |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1346221959 PECOS PAC ID: 7315982410 Enrollment ID: I20050620000871 |
| Provider Name | Rajamanickam Natarajan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609878479 PECOS PAC ID: 4183652555 Enrollment ID: I20050728000208 |
| Provider Name | Charles Sutton |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1255315032 PECOS PAC ID: 0840220331 Enrollment ID: I20050815000680 |
| Provider Name | Deepa Kuchelan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1811966765 PECOS PAC ID: 4789616855 Enrollment ID: I20050909000308 |
| Provider Name | Burt Cagir |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1467426031 PECOS PAC ID: 0749213395 Enrollment ID: I20050914000462 |
| Provider Name | Thomas Vandermeer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1215903844 PECOS PAC ID: 3779517057 Enrollment ID: I20050926000834 |
| Provider Name | Christopher D Andres |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114999703 PECOS PAC ID: 1557386943 Enrollment ID: I20051014000339 |
| Provider Name | Valerie Drnovsek |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932129525 PECOS PAC ID: 3779487376 Enrollment ID: I20051020000538 |
| Provider Name | Patrick Fiero |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396711974 PECOS PAC ID: 1456378736 Enrollment ID: I20051026000425 |
| Provider Name | Sharon L Delp |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1144302902 PECOS PAC ID: 1951328285 Enrollment ID: I20051026000864 |
| Provider Name | Lori L Perry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316910318 PECOS PAC ID: 8325067903 Enrollment ID: I20051114000057 |
| Provider Name | Thomas J Gergel |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1255309944 PECOS PAC ID: 9335115393 Enrollment ID: I20051213000398 |
| Provider Name | Anas Wardeh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295705598 PECOS PAC ID: 0345219341 Enrollment ID: I20060201000297 |
| Provider Name | Rachel Duane Lee |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1013981059 PECOS PAC ID: 5193731917 Enrollment ID: I20060302000293 |
| Provider Name | Deryck W Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972577385 PECOS PAC ID: 4284641689 Enrollment ID: I20060309000342 |
| Provider Name | John T Sommer |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1467414920 PECOS PAC ID: 0941217004 Enrollment ID: I20060314000630 |
| Provider Name | John W Paulish |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114922663 PECOS PAC ID: 3870500721 Enrollment ID: I20060317000051 |
| Provider Name | Wanda E Foote |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548229974 PECOS PAC ID: 9133137649 Enrollment ID: I20060324000475 |
| Provider Name | Robert M Shedlowski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427022193 PECOS PAC ID: 1658385919 Enrollment ID: I20060327000111 |
| Provider Name | Jay K Mehta |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396896627 PECOS PAC ID: 2466440516 Enrollment ID: I20060330000052 |
| Provider Name | Venugopal Thirumurti |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1073688040 PECOS PAC ID: 5092723114 Enrollment ID: I20060331000424 |
| Provider Name | Mary M Weisbrod |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1265486377 PECOS PAC ID: 1951310424 Enrollment ID: I20060411000435 |
| Provider Name | Sandra D Brewer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386613552 PECOS PAC ID: 7719995950 Enrollment ID: I20060426000264 |
| Provider Name | Burdett R Porter |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1194798819 PECOS PAC ID: 7618987835 Enrollment ID: I20060502000388 |
| Provider Name | Apurv Khanna |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1497744916 PECOS PAC ID: 1759276124 Enrollment ID: I20060613000289 |
| Provider Name | Frederick Leroy Teribury |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982635124 PECOS PAC ID: 1658374384 Enrollment ID: I20060817000436 |
| Provider Name | Brent S Ingerick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669440707 PECOS PAC ID: 0244205375 Enrollment ID: I20060824000084 |
| Provider Name | Joseph A Ronsivalle |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1346210879 PECOS PAC ID: 4981617883 Enrollment ID: I20060919000306 |
| Provider Name | Farokh Samimi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1386699239 PECOS PAC ID: 4385649037 Enrollment ID: I20061002000289 |
| Provider Name | Mohammed Firdos Ziauddin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407866205 PECOS PAC ID: 9739184367 Enrollment ID: I20061003000403 |
| Provider Name | Matthew R Quigley |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1568463859 PECOS PAC ID: 3274530241 Enrollment ID: I20061106000010 |
| Provider Name | Paul Jason Granet |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992785497 PECOS PAC ID: 8527083377 Enrollment ID: I20061106000188 |
| Provider Name | Giampaolo Talamo |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1073540332 PECOS PAC ID: 4284679044 Enrollment ID: I20070201000219 |
| Provider Name | Alla G Chapman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558335174 PECOS PAC ID: 8022084268 Enrollment ID: I20070226000263 |
| Provider Name | David Martin Connuck |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356385306 PECOS PAC ID: 8820192743 Enrollment ID: I20070403000346 |
| Provider Name | Patricia Ann Fogelman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841294808 PECOS PAC ID: 0840394672 Enrollment ID: I20070403000499 |
| Provider Name | Timothy Dennen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225033772 PECOS PAC ID: 6002911294 Enrollment ID: I20070417000369 |
| Provider Name | Sreedhar Rama |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346464849 PECOS PAC ID: 6103922422 Enrollment ID: I20070503000221 |
| Provider Name | Muhammad J Akhtar |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1558307967 PECOS PAC ID: 5395703508 Enrollment ID: I20070626000219 |
| Provider Name | Lisa Emily Ceraolo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326264383 PECOS PAC ID: 8820197155 Enrollment ID: I20070627000114 |
| Provider Name | Mark J Corey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629042585 PECOS PAC ID: 2365457546 Enrollment ID: I20070717000506 |
| Provider Name | Lisa M Esolen |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1578692513 PECOS PAC ID: 6103927074 Enrollment ID: I20070723000033 |
| Provider Name | Kari S Wood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093843906 PECOS PAC ID: 0446341234 Enrollment ID: I20070808000563 |
| Provider Name | Anthony J Grippo |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1235351222 PECOS PAC ID: 6901997709 Enrollment ID: I20070808000640 |
| Provider Name | Kerri A Kissell |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1043354483 PECOS PAC ID: 8426149972 Enrollment ID: I20070813000355 |
| Provider Name | Carlos A Garcia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598731150 PECOS PAC ID: 8224019559 Enrollment ID: I20070920000021 |
| Provider Name | Elizabeth Joan Hotaling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326232893 PECOS PAC ID: 7911091772 Enrollment ID: I20070924000653 |
| Provider Name | Rajeev Kumar Garg |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1265562359 PECOS PAC ID: 8820182546 Enrollment ID: I20070925000511 |
| Provider Name | Jerry W Terwilliger |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598730376 PECOS PAC ID: 8729172457 Enrollment ID: I20070925000606 |
| Provider Name | Xiujie Wang |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1215135496 PECOS PAC ID: 8426143314 Enrollment ID: I20071008000282 |
| Provider Name | Barry C Esrig |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1326019787 PECOS PAC ID: 5597733725 Enrollment ID: I20071011000058 |
| Provider Name | Stephanie Marble |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1619036175 PECOS PAC ID: 3577662790 Enrollment ID: I20071012000257 |
| Provider Name | Lisa F Braund |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578617106 PECOS PAC ID: 3971575705 Enrollment ID: I20071126000205 |
| Provider Name | Donald Harrison Bucher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396945176 PECOS PAC ID: 6103915434 Enrollment ID: I20071210000106 |
| Provider Name | Karen C Cerinetti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508836495 PECOS PAC ID: 6901996073 Enrollment ID: I20071213000590 |
| Provider Name | Bakhti J Sinor |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1477540177 PECOS PAC ID: 6608956628 Enrollment ID: I20080103000464 |
| Provider Name | Charles Moore |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760677827 PECOS PAC ID: 8628159563 Enrollment ID: I20080116000532 |
| Provider Name | Larry Joe Maturani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750597019 PECOS PAC ID: 9436231735 Enrollment ID: I20080125000144 |
| Provider Name | Ralph R Barnard |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891761839 PECOS PAC ID: 3779667746 Enrollment ID: I20080229000009 |
| Provider Name | Paul R Webb |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225004302 PECOS PAC ID: 2860576741 Enrollment ID: I20080303000120 |
| Provider Name | Albert B Lichtenstein |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659342145 PECOS PAC ID: 1254415144 Enrollment ID: I20080303000256 |
| Provider Name | Elise J Nelsen |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1982627485 PECOS PAC ID: 4486664471 Enrollment ID: I20080304000358 |
| Provider Name | David J Bertsch |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1740255405 PECOS PAC ID: 8921184276 Enrollment ID: I20080326000802 |
| Provider Name | John L Frodel |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1598732562 PECOS PAC ID: 8628156635 Enrollment ID: I20080416000280 |
| Provider Name | Matthew J Novak |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1871775122 PECOS PAC ID: 0941374110 Enrollment ID: I20080806000289 |
| Provider Name | Lizeth Diaz Ledesma |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700085784 PECOS PAC ID: 0042385684 Enrollment ID: I20080818000191 |
| Provider Name | Mark D Kovacs |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891947552 PECOS PAC ID: 1052487246 Enrollment ID: I20080912000229 |
| Provider Name | John V Pamula |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154514701 PECOS PAC ID: 3678640422 Enrollment ID: I20080922000215 |
| Provider Name | Lonnie Stethers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881669000 PECOS PAC ID: 3274601703 Enrollment ID: I20081009000751 |
| Provider Name | Cynthia M Perry-keaty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619124708 PECOS PAC ID: 3274692967 Enrollment ID: I20081111000010 |
| Provider Name | Steven W Neeley |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1861443830 PECOS PAC ID: 2769472422 Enrollment ID: I20081124000472 |
| Provider Name | Jeffrey S Lutton |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1427216787 PECOS PAC ID: 9335202902 Enrollment ID: I20090107000570 |
| Provider Name | Silviu C Marica |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1366408254 PECOS PAC ID: 8527001700 Enrollment ID: I20090114000025 |
| Provider Name | Shelley R Boecker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578708673 PECOS PAC ID: 5890850101 Enrollment ID: I20090220000407 |
| Provider Name | Catherine E Dailey |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1710173158 PECOS PAC ID: 6709942279 Enrollment ID: I20090309000076 |
| Provider Name | Muhammad Jalaluddin |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1386894814 PECOS PAC ID: 5395802524 Enrollment ID: I20090316000162 |
| Provider Name | Krista Drislane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528212800 PECOS PAC ID: 0648337444 Enrollment ID: I20090323000409 |
| Provider Name | Karol H White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578644498 PECOS PAC ID: 9830132042 Enrollment ID: I20090501000359 |
| Provider Name | Andy Goberdhan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1386823425 PECOS PAC ID: 4082762760 Enrollment ID: I20090507000259 |
| Provider Name | Bradley W Lash |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1801069356 PECOS PAC ID: 7911055488 Enrollment ID: I20090512000017 |
| Provider Name | Joseph Lahoda |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083641005 PECOS PAC ID: 6406935931 Enrollment ID: I20090701000268 |
| Provider Name | Jennifer L Bau |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790908069 PECOS PAC ID: 4183775117 Enrollment ID: I20090701000624 |
| Provider Name | Joseph Mwesige |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952546038 PECOS PAC ID: 9436203627 Enrollment ID: I20090824000086 |
| Provider Name | Kuiran Jiao |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1962625483 PECOS PAC ID: 0042365447 Enrollment ID: I20090909000282 |
| Provider Name | Joseph Y Choi |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1457526022 PECOS PAC ID: 7810061579 Enrollment ID: I20090923000081 |
| Provider Name | Eric G St. Clair |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1063603017 PECOS PAC ID: 4082760640 Enrollment ID: I20090923000258 |
| Provider Name | John T Andrianos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881884336 PECOS PAC ID: 2860551157 Enrollment ID: I20091001000622 |
| Provider Name | Kathryn A Henfling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962634311 PECOS PAC ID: 4587700422 Enrollment ID: I20091007000589 |
| Provider Name | Dennis I Eneanya |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1699751230 PECOS PAC ID: 1850437336 Enrollment ID: I20091014000393 |
| Provider Name | Daniel E Britton |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699702878 PECOS PAC ID: 2961456827 Enrollment ID: I20091020000124 |
| Provider Name | Shuping Ge |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811077167 PECOS PAC ID: 1557323474 Enrollment ID: I20091112000509 |
| Provider Name | David A Prager |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1508817636 PECOS PAC ID: 5294769428 Enrollment ID: I20100111000446 |
| Provider Name | James G Freeman |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1104862986 PECOS PAC ID: 4981786555 Enrollment ID: I20100220000197 |
| Provider Name | Manuel Alejandro Guerrero |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548380488 PECOS PAC ID: 7719032465 Enrollment ID: I20100308000350 |
| Provider Name | Ferrol J Lee |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1356312151 PECOS PAC ID: 8224034558 Enrollment ID: I20100315000127 |
| Provider Name | Ahmed Fawzy |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1700861358 PECOS PAC ID: 2365423472 Enrollment ID: I20100315000259 |
| Provider Name | Lawrence G Lareau |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174522999 PECOS PAC ID: 8224193149 Enrollment ID: I20100318000264 |
| Provider Name | Shereef Ramadan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619980224 PECOS PAC ID: 7719928373 Enrollment ID: I20100323000571 |
| Provider Name | Scott E Woodring |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1053387001 PECOS PAC ID: 9133015035 Enrollment ID: I20100423000709 |
| Provider Name | Debra Ryan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912971276 PECOS PAC ID: 1254469174 Enrollment ID: I20100513000076 |
| Provider Name | Gurvan E Blackman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215099833 PECOS PAC ID: 0446312615 Enrollment ID: I20100513000465 |
| Provider Name | Mark Gifeisman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1740225234 PECOS PAC ID: 4284524653 Enrollment ID: I20100513000489 |
| Provider Name | Lester J Mcdonald |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1275504615 PECOS PAC ID: 2466364054 Enrollment ID: I20100521000775 |
| Provider Name | Mal R Homan |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1215905898 PECOS PAC ID: 6901936277 Enrollment ID: I20100612000016 |
| Provider Name | Christine M Mccarty |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1972561181 PECOS PAC ID: 2466445507 Enrollment ID: I20100804000679 |
| Provider Name | John W Lockard |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1811960560 PECOS PAC ID: 3971514621 Enrollment ID: I20100913000403 |
| Provider Name | Thomas J Mcdonald |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1609848696 PECOS PAC ID: 7911022074 Enrollment ID: I20100913000601 |
| Provider Name | Michael M Mikhail |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1043384035 PECOS PAC ID: 6507982592 Enrollment ID: I20100928000306 |
| Provider Name | Shirah Shore |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1154391019 PECOS PAC ID: 2264432590 Enrollment ID: I20101004000133 |
| Provider Name | Joseph B Blood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013980770 PECOS PAC ID: 1658563101 Enrollment ID: I20101004000164 |
| Provider Name | Richard Martines |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1700857257 PECOS PAC ID: 9638361595 Enrollment ID: I20101011000310 |
| Provider Name | Gregory Suslow |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1417962176 PECOS PAC ID: 4688867906 Enrollment ID: I20101019001298 |
| Provider Name | Sucharita Raman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730163213 PECOS PAC ID: 4385837079 Enrollment ID: I20101026001334 |
| Provider Name | James J. Walsh |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1790751089 PECOS PAC ID: 9032303631 Enrollment ID: I20101027001266 |
| Provider Name | Ashit B Sarker |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1124282892 PECOS PAC ID: 2769676287 Enrollment ID: I20101028001151 |
| Provider Name | Matthew R Estill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487629622 PECOS PAC ID: 1658563069 Enrollment ID: I20101029000441 |
| Provider Name | Eric V.a. Macapinlac |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1306819701 PECOS PAC ID: 7517159551 Enrollment ID: I20101029000940 |
| Provider Name | Nan K Walsh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376519900 PECOS PAC ID: 7719172931 Enrollment ID: I20101115000127 |
| Provider Name | Jackie Clowes |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1588861496 PECOS PAC ID: 2062500200 Enrollment ID: I20101115000398 |
| Provider Name | Nicholas Evertsen |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1881846897 PECOS PAC ID: 1153516109 Enrollment ID: I20101116000644 |
| Provider Name | Nicole L Witman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073848024 PECOS PAC ID: 0840486528 Enrollment ID: I20101119000751 |
| Provider Name | Chitra Sivasankar |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013248632 PECOS PAC ID: 3274729421 Enrollment ID: I20101130000508 |
| Provider Name | Emily M Wales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851619472 PECOS PAC ID: 4082800271 Enrollment ID: I20101130001041 |
| Provider Name | Panit Srivatana |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1134194632 PECOS PAC ID: 4880881721 Enrollment ID: I20101206000117 |
| Provider Name | Barry P Skeist |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447225008 PECOS PAC ID: 4385546373 Enrollment ID: I20101206000177 |
| Provider Name | David K Austin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1275506503 PECOS PAC ID: 4688694862 Enrollment ID: I20101206000239 |
| Provider Name | Michael J Hudock |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1275501157 PECOS PAC ID: 0648464636 Enrollment ID: I20101206000318 |
| Provider Name | Jean K. Stromick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841265063 PECOS PAC ID: 2961699830 Enrollment ID: I20101206000391 |
| Provider Name | Lee J. Herbst |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821065137 PECOS PAC ID: 7012104854 Enrollment ID: I20101207000102 |
| Provider Name | Stephen A Hudock |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1790753374 PECOS PAC ID: 1254525132 Enrollment ID: I20101207000165 |
| Provider Name | Lee A Witherow |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205802253 PECOS PAC ID: 0042407892 Enrollment ID: I20101207000220 |
| Provider Name | Christine T Keeney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487613956 PECOS PAC ID: 6507053287 Enrollment ID: I20101207000735 |
| Provider Name | Avril E Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851360028 PECOS PAC ID: 2264629955 Enrollment ID: I20101207000822 |
| Provider Name | Gregory Jon Nadolski |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1215127337 PECOS PAC ID: 0547457053 Enrollment ID: I20101209001306 |
| Provider Name | Stephen F Wawrose |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1013942564 PECOS PAC ID: 6305033580 Enrollment ID: I20101214000804 |
| Provider Name | Monica F Giganti |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1174796890 PECOS PAC ID: 5395816953 Enrollment ID: I20101214000874 |
| Provider Name | Shelli Ripic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790758365 PECOS PAC ID: 3678761756 Enrollment ID: I20101216000771 |
| Provider Name | Annamaria Sangiorgi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1033183579 PECOS PAC ID: 1254529233 Enrollment ID: I20101216000851 |
| Provider Name | Donald Phykitt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295709970 PECOS PAC ID: 3779526371 Enrollment ID: I20101216000947 |
| Provider Name | Larry Lorenzo Mccullough |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275540411 PECOS PAC ID: 0042108169 Enrollment ID: I20101217000029 |
| Provider Name | Ukorn Srivatana |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1396710893 PECOS PAC ID: 2567482060 Enrollment ID: I20101221000773 |
| Provider Name | Emmanuel C Uddoh |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1245206861 PECOS PAC ID: 2264411677 Enrollment ID: I20101222000033 |
| Provider Name | John Clark Venable |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1679563043 PECOS PAC ID: 4880882562 Enrollment ID: I20101222000161 |
| Provider Name | Han S. Koh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720057326 PECOS PAC ID: 4486790524 Enrollment ID: I20101229001062 |
| Provider Name | Vandana Chivate |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1467426999 PECOS PAC ID: 2769678143 Enrollment ID: I20101229001112 |
| Provider Name | Helen C. Harshbarger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356300966 PECOS PAC ID: 7416935192 Enrollment ID: I20101230000782 |
| Provider Name | Bruce D Askey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477522308 PECOS PAC ID: 6800080359 Enrollment ID: I20110105000089 |
| Provider Name | William O Bauman |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1649243833 PECOS PAC ID: 6305030834 Enrollment ID: I20110105000246 |
| Provider Name | Felice L. Reitknecht |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1952374704 PECOS PAC ID: 5092904110 Enrollment ID: I20110105000602 |
| Provider Name | Glen C Johnson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1548239395 PECOS PAC ID: 0941499081 Enrollment ID: I20110105000808 |
| Provider Name | Theodore Them |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1497720270 PECOS PAC ID: 4587853627 Enrollment ID: I20110105000813 |
| Provider Name | Joseph Armine Scopelliti |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144295726 PECOS PAC ID: 8123042694 Enrollment ID: I20110105000867 |
| Provider Name | Erik M. Gregorie |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1902872955 PECOS PAC ID: 4789878752 Enrollment ID: I20110105000961 |
| Provider Name | David Scopelliti |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1487628152 PECOS PAC ID: 1052317385 Enrollment ID: I20110105000997 |
| Provider Name | Robert A Mangano |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1265493712 PECOS PAC ID: 8426247065 Enrollment ID: I20110112000629 |
| Provider Name | Paul Adrien Suarez |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1649245861 PECOS PAC ID: 2961691407 Enrollment ID: I20110113000934 |
| Provider Name | Paul E Buckthal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1609840271 PECOS PAC ID: 8820287378 Enrollment ID: I20110113000993 |
| Provider Name | Michael D Beredo |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033188990 PECOS PAC ID: 3870501034 Enrollment ID: I20110118000608 |
| Provider Name | Casine A. Cummings |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780994632 PECOS PAC ID: 5395934657 Enrollment ID: I20110118001057 |
| Provider Name | Richard P. Bradstreet |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1710950423 PECOS PAC ID: 8123217411 Enrollment ID: I20110119000045 |
| Provider Name | Jennifer L Hughey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891754388 PECOS PAC ID: 7810176971 Enrollment ID: I20110121000848 |
| Provider Name | Michael J Georgetson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1689640823 PECOS PAC ID: 5395924351 Enrollment ID: I20110121000971 |
| Provider Name | Daniel P Sporn |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1871568923 PECOS PAC ID: 3375455967 Enrollment ID: I20110121001029 |
| Provider Name | Daniel J Brown |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1427022839 PECOS PAC ID: 8729100276 Enrollment ID: I20110121001040 |
| Provider Name | Lisa Lynelle Harpst |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699742387 PECOS PAC ID: 7517146582 Enrollment ID: I20110121001047 |
| Provider Name | Diane M Hackman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639138662 PECOS PAC ID: 1355520107 Enrollment ID: I20110125000965 |
| Provider Name | Pramod M. Deshmukh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1548235484 PECOS PAC ID: 1254431208 Enrollment ID: I20110128000238 |
| Provider Name | Joseph A Bifano |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578536876 PECOS PAC ID: 4385545557 Enrollment ID: I20110128000407 |
| Provider Name | Christopher R Joy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255300208 PECOS PAC ID: 8426950098 Enrollment ID: I20110203000522 |
| Provider Name | Samim Chalabi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083619530 PECOS PAC ID: 6507046703 Enrollment ID: I20110204000600 |
| Provider Name | Margot E. Clasquin |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1710963905 PECOS PAC ID: 4688670201 Enrollment ID: I20110204000772 |
| Provider Name | Vinaya K Chakradeo |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1528259777 PECOS PAC ID: 6406992718 Enrollment ID: I20110215000433 |
| Provider Name | Zeshan Anwar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033386065 PECOS PAC ID: 4981885324 Enrollment ID: I20110218000223 |
| Provider Name | Thomas C Spalla |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1174732200 PECOS PAC ID: 3173653250 Enrollment ID: I20110304000139 |
| Provider Name | Sudhakar Sattur |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1508877242 PECOS PAC ID: 5092719369 Enrollment ID: I20110418000202 |
| Provider Name | Barbara J Gordon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023077526 PECOS PAC ID: 0042495863 Enrollment ID: I20110421000058 |
| Provider Name | Carolyn J Snyder-sherman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811295363 PECOS PAC ID: 1951586981 Enrollment ID: I20110506000112 |
| Provider Name | Mark W Mauer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720059298 PECOS PAC ID: 1951327261 Enrollment ID: I20110510000566 |
| Provider Name | Bonnie E Osterwald |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053377119 PECOS PAC ID: 1355352436 Enrollment ID: I20110516000090 |
| Provider Name | Hayan Dayoub |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1740322544 PECOS PAC ID: 3870779424 Enrollment ID: I20110516000325 |
| Provider Name | William J Henry |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1316021827 PECOS PAC ID: 1850293069 Enrollment ID: I20110526000647 |
| Provider Name | Joan E O'connor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588636567 PECOS PAC ID: 6002093143 Enrollment ID: I20110527000032 |
| Provider Name | Ricky E Hartman |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1770549586 PECOS PAC ID: 6305023367 Enrollment ID: I20110601000079 |
| Provider Name | Anne Lihau-n'kanza |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730127788 PECOS PAC ID: 9133149966 Enrollment ID: I20110601000491 |
| Provider Name | Richard B Evans |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1881707602 PECOS PAC ID: 4082678818 Enrollment ID: I20110601000912 |
| Provider Name | Catherine M Barrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841269230 PECOS PAC ID: 5294912812 Enrollment ID: I20110608000574 |
| Provider Name | Hal I Sussman |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1194790923 PECOS PAC ID: 8729990312 Enrollment ID: I20110614000486 |
| Provider Name | John W Ingle |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1508905548 PECOS PAC ID: 8426236654 Enrollment ID: I20110617000052 |
| Provider Name | Leona E Westbrook Chilcott |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689767451 PECOS PAC ID: 3476650144 Enrollment ID: I20110712000426 |
| Provider Name | Christopher J Bennett |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770511495 PECOS PAC ID: 4183795933 Enrollment ID: I20110804000249 |
| Provider Name | Michelle A Mcfarlane |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1669469789 PECOS PAC ID: 8921990300 Enrollment ID: I20110823000370 |
| Provider Name | Joseph Owen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689952624 PECOS PAC ID: 7517137771 Enrollment ID: I20110825000049 |
| Provider Name | Mary E Fleming |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982851689 PECOS PAC ID: 7911178751 Enrollment ID: I20110927000506 |
| Provider Name | Boyd Taylor Hehn |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1134212129 PECOS PAC ID: 2961466347 Enrollment ID: I20110928000665 |
| Provider Name | Mason S Stilwell |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1275797060 PECOS PAC ID: 3476677485 Enrollment ID: I20111004000629 |
| Provider Name | Richard M Zwirko |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881793537 PECOS PAC ID: 7719158757 Enrollment ID: I20111005000430 |
| Provider Name | Frank L Galizia |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1770552242 PECOS PAC ID: 0143413849 Enrollment ID: I20111019000258 |
| Provider Name | Michael L Benyo |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1407825490 PECOS PAC ID: 5597959551 Enrollment ID: I20111019000435 |
| Provider Name | Mary C Cotton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427337922 PECOS PAC ID: 1759554173 Enrollment ID: I20111101000046 |
| Provider Name | Mohammed Abdu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275856221 PECOS PAC ID: 8729251665 Enrollment ID: I20111109000405 |
| Provider Name | Christin M Spatz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780882969 PECOS PAC ID: 6709050263 Enrollment ID: I20111117000700 |
| Provider Name | Steven R Bonebrake |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1013150887 PECOS PAC ID: 7517131907 Enrollment ID: I20111121000870 |
| Provider Name | Amr E. Elsisi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063487296 PECOS PAC ID: 6103012596 Enrollment ID: I20111122000362 |
| Provider Name | Avnit Golten |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316955156 PECOS PAC ID: 5294896825 Enrollment ID: I20120106000653 |
| Provider Name | Megan C Shangraw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982972238 PECOS PAC ID: 0446427207 Enrollment ID: I20120118000722 |
| Provider Name | Karen Lurito |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1245223312 PECOS PAC ID: 4880675651 Enrollment ID: I20120119000468 |
| Provider Name | Anne S Pamula |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245467224 PECOS PAC ID: 3971761982 Enrollment ID: I20120222000645 |
| Provider Name | Jennifer Pryor |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1649363714 PECOS PAC ID: 3971761420 Enrollment ID: I20120301000041 |
| Provider Name | Brian K Clark |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1821059403 PECOS PAC ID: 1658360441 Enrollment ID: I20120515000497 |
| Provider Name | Shing Chin |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1366478364 PECOS PAC ID: 3476560632 Enrollment ID: I20120621000559 |
| Provider Name | Cristina E Aguilar |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1578856175 PECOS PAC ID: 6800051012 Enrollment ID: I20120712000617 |
| Provider Name | Robert W Meikle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306986021 PECOS PAC ID: 5799824546 Enrollment ID: I20120713000112 |
| Provider Name | Ravi Agrawal |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1396973178 PECOS PAC ID: 0547426256 Enrollment ID: I20120725000296 |
| Provider Name | Robert W. Armstrong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679545651 PECOS PAC ID: 8022203306 Enrollment ID: I20120823000333 |
| Provider Name | Kristen J Lanphear |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891050027 PECOS PAC ID: 1153578919 Enrollment ID: I20120829000762 |
| Provider Name | Jason E Mina |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396078812 PECOS PAC ID: 6800074287 Enrollment ID: I20120830000301 |
| Provider Name | Maximos N Attia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376792671 PECOS PAC ID: 2163693482 Enrollment ID: I20121011000510 |
| Provider Name | Jennifer M Altieri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023369725 PECOS PAC ID: 9133379985 Enrollment ID: I20121101000388 |
| Provider Name | Robert D Fanelli |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578551610 PECOS PAC ID: 7719949395 Enrollment ID: I20121129000205 |
| Provider Name | Edo Kaluski |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1245321249 PECOS PAC ID: 3072514173 Enrollment ID: I20121204000204 |
| Provider Name | Violeta Zeykan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144596271 PECOS PAC ID: 3072765445 Enrollment ID: I20121211000154 |
| Provider Name | Niral A Shah |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1053563072 PECOS PAC ID: 9537328869 Enrollment ID: I20121219000206 |
| Provider Name | Stephanie M Rogers |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871847681 PECOS PAC ID: 1951553049 Enrollment ID: I20121219000207 |
| Provider Name | Matthew J Conquest |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1184696874 PECOS PAC ID: 8426200460 Enrollment ID: I20121220000229 |
| Provider Name | Gabriel A Mantz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649521386 PECOS PAC ID: 8921251596 Enrollment ID: I20130109000698 |
| Provider Name | Laura A Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326397787 PECOS PAC ID: 5496906158 Enrollment ID: I20130130000091 |
| Provider Name | Jaime Molina-marinez |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1184640773 PECOS PAC ID: 8325118458 Enrollment ID: I20130216000067 |
| Provider Name | Parveen Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558522003 PECOS PAC ID: 0143498550 Enrollment ID: I20130308000372 |
| Provider Name | Vincent S Ladelia |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205938263 PECOS PAC ID: 5395734206 Enrollment ID: I20130528000441 |
| Provider Name | Abdul Waheed |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1386755478 PECOS PAC ID: 5395734214 Enrollment ID: I20130528000483 |
| Provider Name | Najeeb U Rehman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1376645838 PECOS PAC ID: 6204825128 Enrollment ID: I20130611000676 |
| Provider Name | Scott T Terwilliger |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1033464334 PECOS PAC ID: 6204078207 Enrollment ID: I20130803000085 |
| Provider Name | Sukhdip Singh |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1598993636 PECOS PAC ID: 4183866197 Enrollment ID: I20130803000115 |
| Provider Name | Andre L Hylton |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1851658991 PECOS PAC ID: 3375785645 Enrollment ID: I20130815000742 |
| Provider Name | Verlyn O F Warrington |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962594457 PECOS PAC ID: 8628266210 Enrollment ID: I20130816000610 |
| Provider Name | Karim W Sadik |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1144437120 PECOS PAC ID: 4688827702 Enrollment ID: I20130824000027 |
| Provider Name | Karen Chunguhn Kim |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1639385479 PECOS PAC ID: 6204005234 Enrollment ID: I20130910000345 |
| Provider Name | Praneeth Madabhushi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1154564995 PECOS PAC ID: 4981838794 Enrollment ID: I20131010001161 |
| Provider Name | Geneva R Ballard |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144475401 PECOS PAC ID: 8628105269 Enrollment ID: I20131010001717 |
| Provider Name | Luke J Ballard |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316158892 PECOS PAC ID: 5698845261 Enrollment ID: I20131011001466 |
| Provider Name | Angela F Crisp |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1376547273 PECOS PAC ID: 3678585973 Enrollment ID: I20131024001402 |
| Provider Name | Veronica J Williamson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538501374 PECOS PAC ID: 6507092897 Enrollment ID: I20131114001306 |
| Provider Name | Rachel E Grove |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760814537 PECOS PAC ID: 6800022633 Enrollment ID: I20131126000649 |
| Provider Name | Steven R Casos |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1609849959 PECOS PAC ID: 3173417656 Enrollment ID: I20131127000630 |
| Provider Name | Su Ann Ng |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336183482 PECOS PAC ID: 6002916285 Enrollment ID: I20131209001064 |
| Provider Name | Brenda Stack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164851259 PECOS PAC ID: 1254568975 Enrollment ID: I20131228000175 |
| Provider Name | Malyher C Mian |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871921502 PECOS PAC ID: 2668600289 Enrollment ID: I20140106000145 |
| Provider Name | Faraz A Siddiqui |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1326354374 PECOS PAC ID: 2668600172 Enrollment ID: I20140108000454 |
| Provider Name | Christine M Pesesky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386795334 PECOS PAC ID: 4082739420 Enrollment ID: I20140111000096 |
| Provider Name | Aswini Mandhadi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083849970 PECOS PAC ID: 5799913810 Enrollment ID: I20140118000030 |
| Provider Name | Christine Peoples |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1003063348 PECOS PAC ID: 8123178084 Enrollment ID: I20140205001010 |
| Provider Name | Jodi L Bates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578652756 PECOS PAC ID: 9335225861 Enrollment ID: I20140217001006 |
| Provider Name | Nancy J Tompkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972853364 PECOS PAC ID: 2860645942 Enrollment ID: I20140218001344 |
| Provider Name | Daniel D Goldberg |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265520076 PECOS PAC ID: 3577793355 Enrollment ID: I20140221001060 |
| Provider Name | Peter H Parken |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396719985 PECOS PAC ID: 5496940025 Enrollment ID: I20140227001939 |
| Provider Name | Jayant G Chivate |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730153255 PECOS PAC ID: 3870752348 Enrollment ID: I20140310000731 |
| Provider Name | Joel Mcclurg |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1194914812 PECOS PAC ID: 4688855745 Enrollment ID: I20140407000938 |
| Provider Name | Crystal D Sadik |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1669676631 PECOS PAC ID: 2163671884 Enrollment ID: I20140416000715 |
| Provider Name | Elizabeth A Werner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366657512 PECOS PAC ID: 2062609530 Enrollment ID: I20140508001902 |
| Provider Name | Kyle L Shoenberger |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1316197569 PECOS PAC ID: 4688897416 Enrollment ID: I20140624000438 |
| Provider Name | Christopher B Yelverton |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1093997686 PECOS PAC ID: 2062689201 Enrollment ID: I20140710000068 |
| Provider Name | Joshua William Rampton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184885543 PECOS PAC ID: 9931253598 Enrollment ID: I20140717001357 |
| Provider Name | Michael F Gillan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225337892 PECOS PAC ID: 7618193137 Enrollment ID: I20140718000921 |
| Provider Name | Julia Catherine Stevenson |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1285835488 PECOS PAC ID: 2062638372 Enrollment ID: I20140723000365 |
| Provider Name | Robert J Behm |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1629242623 PECOS PAC ID: 7517107154 Enrollment ID: I20140723000605 |
| Provider Name | Dana I Lavanture |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720278302 PECOS PAC ID: 3678790649 Enrollment ID: I20140814002088 |
| Provider Name | Jeffrey T Alwine |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1750536686 PECOS PAC ID: 0042451247 Enrollment ID: I20140821000089 |
| Provider Name | Abu M Koroma |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841616745 PECOS PAC ID: 4486872066 Enrollment ID: I20140822001393 |
| Provider Name | Abistanand Ankam |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1912231903 PECOS PAC ID: 7911141247 Enrollment ID: I20140825000505 |
| Provider Name | Victor O Kolade |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073558409 PECOS PAC ID: 4183670581 Enrollment ID: I20140825001776 |
| Provider Name | Michael J Grover |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1063648541 PECOS PAC ID: 5890922769 Enrollment ID: I20140826000652 |
| Provider Name | Jagmeet Singh |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1902179666 PECOS PAC ID: 6608094784 Enrollment ID: I20140903000719 |
| Provider Name | Kristine M Tofts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669769907 PECOS PAC ID: 1153567656 Enrollment ID: I20140919000222 |
| Provider Name | Karen E Rampton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689889594 PECOS PAC ID: 5799867529 Enrollment ID: I20141002001952 |
| Provider Name | Sarah J Mason |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1104226968 PECOS PAC ID: 7113147372 Enrollment ID: I20141014001770 |
| Provider Name | Michael H Simons |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063830792 PECOS PAC ID: 8224252853 Enrollment ID: I20141016002511 |
| Provider Name | Chris Wentzel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710072574 PECOS PAC ID: 5092817205 Enrollment ID: I20141024001223 |
| Provider Name | Koryn A Johnston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003107442 PECOS PAC ID: 6507087889 Enrollment ID: I20141030001130 |
| Provider Name | Benjamin R Mcclintic |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316063639 PECOS PAC ID: 2062545932 Enrollment ID: I20141103001998 |
| Provider Name | Melina Irizarry-acosta |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1659589547 PECOS PAC ID: 0840450094 Enrollment ID: I20141107001035 |
| Provider Name | Jody E Howell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992107767 PECOS PAC ID: 7416279666 Enrollment ID: I20141125001897 |
| Provider Name | Leslie R Cohen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821087750 PECOS PAC ID: 4587635396 Enrollment ID: I20141126001316 |
| Provider Name | Amy A Campbell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1821491689 PECOS PAC ID: 1951625433 Enrollment ID: I20150112001506 |
| Provider Name | Stacey Coon-walsh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376949941 PECOS PAC ID: 6709100076 Enrollment ID: I20150114000900 |
| Provider Name | Tina M Route |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407297633 PECOS PAC ID: 8123342128 Enrollment ID: I20150122001301 |
| Provider Name | Joelle S Sabatine |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609274323 PECOS PAC ID: 2769707637 Enrollment ID: I20150217001786 |
| Provider Name | Jessica E Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225430234 PECOS PAC ID: 5890017297 Enrollment ID: I20150223001165 |
| Provider Name | Joseph H Herman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104224823 PECOS PAC ID: 3274859574 Enrollment ID: I20150304001060 |
| Provider Name | Nassir Hm Monim Mansour |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1790923951 PECOS PAC ID: 1355666736 Enrollment ID: I20150305000388 |
| Provider Name | Christopher M Minello |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538422738 PECOS PAC ID: 5193042828 Enrollment ID: I20150318000199 |
| Provider Name | Caryn L Henderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669861142 PECOS PAC ID: 9830416759 Enrollment ID: I20150402000326 |
| Provider Name | Seyed A Beheshti Shirazi |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1205053113 PECOS PAC ID: 1153568373 Enrollment ID: I20150415001514 |
| Provider Name | Paul S Soccio |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1629170329 PECOS PAC ID: 7911909544 Enrollment ID: I20150511000380 |
| Provider Name | Michael G. Castello |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1578728507 PECOS PAC ID: 4183895147 Enrollment ID: I20150526000910 |
| Provider Name | Jehad Haggiagi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1437420072 PECOS PAC ID: 1658502091 Enrollment ID: I20150528000415 |
| Provider Name | Kerri E Lisi |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1437489382 PECOS PAC ID: 8527195908 Enrollment ID: I20150602001157 |
| Provider Name | Keyur B Thakar |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1992038251 PECOS PAC ID: 0143541060 Enrollment ID: I20150604000402 |
| Provider Name | Nitin Chopra |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1225334295 PECOS PAC ID: 4183870041 Enrollment ID: I20150609001860 |
| Provider Name | Gerald J Shovlin |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1982979704 PECOS PAC ID: 4486965670 Enrollment ID: I20150615000924 |
| Provider Name | Mark A Mingos |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275698243 PECOS PAC ID: 2668783218 Enrollment ID: I20150623002060 |
| Provider Name | Robert Willis |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1225033434 PECOS PAC ID: 5991705618 Enrollment ID: I20150717000819 |
| Provider Name | Vineet Agrawal |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1932540218 PECOS PAC ID: 8820301997 Enrollment ID: I20150717001861 |
| Provider Name | Kim L Rickert |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1235296591 PECOS PAC ID: 1355413261 Enrollment ID: I20150810000405 |
| Provider Name | Lee Jacob Neubert |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1174841084 PECOS PAC ID: 1254646805 Enrollment ID: I20150812006843 |
| Provider Name | Venkata N Jasti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134486145 PECOS PAC ID: 2466767561 Enrollment ID: I20150819006993 |
| Provider Name | Daniel B Golden |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1225262900 PECOS PAC ID: 9931326121 Enrollment ID: I20150819009162 |
| Provider Name | David Romig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205210069 PECOS PAC ID: 3971819475 Enrollment ID: I20150828001458 |
| Provider Name | Yoon Jae Choi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1821229584 PECOS PAC ID: 3971742958 Enrollment ID: I20150828002078 |
| Provider Name | Benjamin L Park |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1205121639 PECOS PAC ID: 1557595477 Enrollment ID: I20150902002184 |
| Provider Name | Katherine J Moeller |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1710247119 PECOS PAC ID: 2466768510 Enrollment ID: I20150903001345 |
| Provider Name | Andrew M Brown |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1629064951 PECOS PAC ID: 7113824582 Enrollment ID: I20150915002209 |
| Provider Name | Michelle A Nanda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255434619 PECOS PAC ID: 0941293641 Enrollment ID: I20150923001992 |
| Provider Name | Melissa R Fox |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003194606 PECOS PAC ID: 6507173556 Enrollment ID: I20150923002475 |
| Provider Name | Ram N Bishnoi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972759157 PECOS PAC ID: 1456669480 Enrollment ID: I20150924001967 |
| Provider Name | Songoli Umeh |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1356635163 PECOS PAC ID: 6709194541 Enrollment ID: I20150929001024 |
| Provider Name | James V Wagner |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942681788 PECOS PAC ID: 4688982325 Enrollment ID: I20150930001319 |
| Provider Name | Maninder Singh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1659500452 PECOS PAC ID: 0840509956 Enrollment ID: I20151012000950 |
| Provider Name | Mustafa W Aman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497083968 PECOS PAC ID: 4284853235 Enrollment ID: I20151014001215 |
| Provider Name | Hani Hojjati |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1508153537 PECOS PAC ID: 1254640220 Enrollment ID: I20151014002786 |
| Provider Name | Ekaterina Latycheva |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326301367 PECOS PAC ID: 3577870468 Enrollment ID: I20151015000072 |
| Provider Name | Jondi Kakuberi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1871641126 PECOS PAC ID: 1355350323 Enrollment ID: I20151029000480 |
| Provider Name | Rowena Grumbine |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922046010 PECOS PAC ID: 0244540888 Enrollment ID: I20151110002205 |
| Provider Name | Christopher J Perkins |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255708897 PECOS PAC ID: 6507176187 Enrollment ID: I20151111001067 |
| Provider Name | Michelle Daryanani |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1346479813 PECOS PAC ID: 6800036435 Enrollment ID: I20151112001786 |
| Provider Name | Heather S Norman |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1922332196 PECOS PAC ID: 7517267719 Enrollment ID: I20151119001208 |
| Provider Name | Sherif Nasr |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1306814900 PECOS PAC ID: 5698761112 Enrollment ID: I20151123000170 |
| Provider Name | Joseph R Johnson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841669504 PECOS PAC ID: 5890096275 Enrollment ID: I20151209002424 |
| Provider Name | Courtney E Dickey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679949069 PECOS PAC ID: 4587965884 Enrollment ID: I20151210000787 |
| Provider Name | Ali Ao Mohamed |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1144489287 PECOS PAC ID: 2860621240 Enrollment ID: I20151216001717 |
| Provider Name | Jeffrey E Jacobson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841452919 PECOS PAC ID: 5991952269 Enrollment ID: I20160111002237 |
| Provider Name | Christopher C Canestaro |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033582739 PECOS PAC ID: 0840592549 Enrollment ID: I20160113000344 |
| Provider Name | Sheila L Butler |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1841435401 PECOS PAC ID: 6406159821 Enrollment ID: I20160119002133 |
| Provider Name | Amanda M Cotton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598139651 PECOS PAC ID: 3870896038 Enrollment ID: I20160121000987 |
| Provider Name | Josephine A Fanelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407221245 PECOS PAC ID: 6305140088 Enrollment ID: I20160201002987 |
| Provider Name | Patrick L Dyer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861628612 PECOS PAC ID: 0648574913 Enrollment ID: I20160205001888 |
| Provider Name | Melinda Jo Edger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871959049 PECOS PAC ID: 0446556906 Enrollment ID: I20160309000630 |
| Provider Name | Maxim I Novikov |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982807467 PECOS PAC ID: 8426142191 Enrollment ID: I20160412002751 |
| Provider Name | T Eric Schackow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467435115 PECOS PAC ID: 3173522422 Enrollment ID: I20160428002248 |
| Provider Name | Mackenzie E Sullivan |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1801250147 PECOS PAC ID: 0244529071 Enrollment ID: I20160518001826 |
| Provider Name | Jessica Moskovitz |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1821382433 PECOS PAC ID: 2668762832 Enrollment ID: I20160531000723 |
| Provider Name | Jon Michael Chan |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1053577924 PECOS PAC ID: 3274760541 Enrollment ID: I20160531001806 |
| Provider Name | James D Hayes |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1730161621 PECOS PAC ID: 9739128299 Enrollment ID: I20160630001449 |
| Provider Name | Anthony V Caggiano |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1790797421 PECOS PAC ID: 7911993852 Enrollment ID: I20160721000363 |
| Provider Name | Marcelle George Haleem Meseeha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689013021 PECOS PAC ID: 6709185234 Enrollment ID: I20160728002436 |
| Provider Name | Shri Jai Kirshan Ravi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1730505264 PECOS PAC ID: 3678866548 Enrollment ID: I20160729001402 |
| Provider Name | Mariya H Apostolova |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1649408477 PECOS PAC ID: 3870886682 Enrollment ID: I20160801000542 |
| Provider Name | Barbara Mols Kowalczewski |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1649321977 PECOS PAC ID: 4183669351 Enrollment ID: I20160802002016 |
| Provider Name | Matthew W Jackson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497014351 PECOS PAC ID: 7012201718 Enrollment ID: I20160809000203 |
| Provider Name | Navin Kumar K Subrayappa |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1639403447 PECOS PAC ID: 6103073390 Enrollment ID: I20160812001614 |
| Provider Name | Darshan Lal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043617830 PECOS PAC ID: 2769777895 Enrollment ID: I20160829000340 |
| Provider Name | Poovendran Saththasivam |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1528347788 PECOS PAC ID: 6709172489 Enrollment ID: I20160906002063 |
| Provider Name | Umashankar Ballehaninna |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1578721767 PECOS PAC ID: 2365760972 Enrollment ID: I20160908000450 |
| Provider Name | Ananth K Ravi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184856478 PECOS PAC ID: 6608186341 Enrollment ID: I20160913000111 |
| Provider Name | Nathan R Gomes |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255642625 PECOS PAC ID: 2769788835 Enrollment ID: I20160914000370 |
| Provider Name | Daniel L Tayag |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1992023071 PECOS PAC ID: 4688892938 Enrollment ID: I20160914002107 |
| Provider Name | Jedediah I Mcclintic |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1689977720 PECOS PAC ID: 4385863158 Enrollment ID: I20160915000170 |
| Provider Name | Elysa A Mcclintic |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1619287596 PECOS PAC ID: 7911125786 Enrollment ID: I20160926001350 |
| Provider Name | Corina Peri Marshall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578903258 PECOS PAC ID: 0143529099 Enrollment ID: I20160926001967 |
| Provider Name | Steven A Barrows |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104263169 PECOS PAC ID: 6709026651 Enrollment ID: I20160927000033 |
| Provider Name | Nathaniel Mcelhaney |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1588845028 PECOS PAC ID: 0446406490 Enrollment ID: I20160927001497 |
| Provider Name | Rajbabu Krishnamoorthy |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1972955565 PECOS PAC ID: 1254628597 Enrollment ID: I20160929001830 |
| Provider Name | Kelly S Friend |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538408331 PECOS PAC ID: 4880982388 Enrollment ID: I20161017001759 |
| Provider Name | Amber Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235572876 PECOS PAC ID: 4789986480 Enrollment ID: I20161019001658 |
| Provider Name | Brett Auerbach |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1386956563 PECOS PAC ID: 7719293059 Enrollment ID: I20161019001929 |
| Provider Name | Meredith M Aaron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699121764 PECOS PAC ID: 1052609328 Enrollment ID: I20161019002378 |
| Provider Name | Gabriel F Santiago |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1851608954 PECOS PAC ID: 5294023651 Enrollment ID: I20161024000061 |
| Provider Name | Philip J Mcphail |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1538325394 PECOS PAC ID: 4284912452 Enrollment ID: I20161024001857 |
| Provider Name | Sabrina N Campbell |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1801023510 PECOS PAC ID: 0840426383 Enrollment ID: I20161027001914 |
| Provider Name | Basit Achakzai |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1780903278 PECOS PAC ID: 0244528297 Enrollment ID: I20161108001215 |
| Provider Name | Kathleen M Harden |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811443377 PECOS PAC ID: 9638450703 Enrollment ID: I20170103001647 |
| Provider Name | Rodney Chan |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1700964103 PECOS PAC ID: 1658391230 Enrollment ID: I20170104001950 |
| Provider Name | Sima Banerjee |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1912140724 PECOS PAC ID: 3971826611 Enrollment ID: I20170202002194 |
| Provider Name | Eric Nash |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1538124250 PECOS PAC ID: 3971583626 Enrollment ID: I20170207000168 |
| Provider Name | Karen L Casselbury |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528519428 PECOS PAC ID: 3870876170 Enrollment ID: I20170213000331 |
| Provider Name | Michael A Meyer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518933498 PECOS PAC ID: 3779553300 Enrollment ID: I20170215002204 |
| Provider Name | Ann M Klinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750691655 PECOS PAC ID: 4486937141 Enrollment ID: I20170302002163 |
| Provider Name | Egede J Aitsebaomo |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1376620682 PECOS PAC ID: 4880618552 Enrollment ID: I20170307000697 |
| Provider Name | Angela S Flynn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518409143 PECOS PAC ID: 7214211275 Enrollment ID: I20170313000120 |
| Provider Name | Stefani L Tsirigotis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346785052 PECOS PAC ID: 2163707720 Enrollment ID: I20170321002751 |
| Provider Name | Beth A Shortridge |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194907550 PECOS PAC ID: 8123316270 Enrollment ID: I20170328000065 |
| Provider Name | Steven R Bialkin |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1497757769 PECOS PAC ID: 3971600743 Enrollment ID: I20170424001714 |
| Provider Name | Whittney D Lynch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912443987 PECOS PAC ID: 7012293269 Enrollment ID: I20170424002008 |
| Provider Name | Sukriti Kamboj |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134475650 PECOS PAC ID: 5698088813 Enrollment ID: I20170425003001 |
| Provider Name | Mary Theresa Ann Lewis |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1023215969 PECOS PAC ID: 2668620600 Enrollment ID: I20170427001650 |
| Provider Name | Frederick L Hilliker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770023657 PECOS PAC ID: 7810274644 Enrollment ID: I20170504001767 |
| Provider Name | Richard Arnold |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437132131 PECOS PAC ID: 7315934411 Enrollment ID: I20170510000249 |
| Provider Name | Justin D Loomis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043763576 PECOS PAC ID: 8022385327 Enrollment ID: I20170516002487 |
| Provider Name | David Mevorach |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1386614253 PECOS PAC ID: 4082512116 Enrollment ID: I20170605002414 |
| Provider Name | Michelle M Boulas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306092986 PECOS PAC ID: 2567539828 Enrollment ID: I20170614001264 |
| Provider Name | Teresea G Leary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053646232 PECOS PAC ID: 2062553894 Enrollment ID: I20170615000990 |
| Provider Name | Andrew Collins |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023011830 PECOS PAC ID: 9436145950 Enrollment ID: I20170629001274 |
| Provider Name | Jean F Miner |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1952515892 PECOS PAC ID: 8426959560 Enrollment ID: I20170731002116 |
| Provider Name | Sudhaker Kinthala |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1235549981 PECOS PAC ID: 8820369267 Enrollment ID: I20170803002611 |
| Provider Name | Shilpkumar Arora |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699194365 PECOS PAC ID: 8921379264 Enrollment ID: I20170804003041 |
| Provider Name | Tuhina Raman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760680318 PECOS PAC ID: 3375628712 Enrollment ID: I20170807000977 |
| Provider Name | Marion E Tamesis |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1821022344 PECOS PAC ID: 0749218139 Enrollment ID: I20170815001286 |
| Provider Name | Leigh A Dries |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518349547 PECOS PAC ID: 2668777913 Enrollment ID: I20170815003425 |
| Provider Name | Sarel Gaur |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1952690349 PECOS PAC ID: 3678845963 Enrollment ID: I20170822000616 |
| Provider Name | Niraj Agarwalla |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1023374204 PECOS PAC ID: 6901107770 Enrollment ID: I20170822003442 |
| Provider Name | Matthew J Lincoln |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1841496361 PECOS PAC ID: 7618132416 Enrollment ID: I20170824003178 |
| Provider Name | Gabriel A Garcia Ryan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609295476 PECOS PAC ID: 7719254168 Enrollment ID: I20170829000732 |
| Provider Name | Yu Yu Thar |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1083045793 PECOS PAC ID: 8527331933 Enrollment ID: I20170907000548 |
| Provider Name | Lindsay S Michael |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851706949 PECOS PAC ID: 7315164522 Enrollment ID: I20170911002156 |
| Provider Name | Saurabh Sharma |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316177058 PECOS PAC ID: 0143476291 Enrollment ID: I20170913003305 |
| Provider Name | Katherine A Lincoln |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669538963 PECOS PAC ID: 5294835039 Enrollment ID: I20170915000295 |
| Provider Name | Ravi Kumar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649660655 PECOS PAC ID: 5799050852 Enrollment ID: I20170929001522 |
| Provider Name | Jessica A Scarfone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962932814 PECOS PAC ID: 4981979051 Enrollment ID: I20170929002000 |
| Provider Name | Anna P Stout |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1477081610 PECOS PAC ID: 9739454547 Enrollment ID: I20171004002234 |
| Provider Name | Amanda E Mcneil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760912067 PECOS PAC ID: 6800161225 Enrollment ID: I20171010002453 |
| Provider Name | Hannah Yoon |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1255560603 PECOS PAC ID: 4688997190 Enrollment ID: I20171016000404 |
| Provider Name | Arvinder S Uppal |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1760498620 PECOS PAC ID: 6204981459 Enrollment ID: I20171027000211 |
| Provider Name | Laura J Leonard |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669409249 PECOS PAC ID: 9537302278 Enrollment ID: I20171027000968 |
| Provider Name | Timothy J. Flurschutz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487183661 PECOS PAC ID: 7911263884 Enrollment ID: I20171108003160 |
| Provider Name | Laurie B Porter |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1386664902 PECOS PAC ID: 5496758633 Enrollment ID: I20171115001663 |
| Provider Name | Danielle L Terry |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003107459 PECOS PAC ID: 4880951292 Enrollment ID: I20171120001403 |
| Provider Name | Radhika Bompalli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679975429 PECOS PAC ID: 4789941089 Enrollment ID: I20171121002481 |
| Provider Name | Tassneem Rifaat Ahmed Abdel Karim |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477971703 PECOS PAC ID: 1658677091 Enrollment ID: I20171208002000 |
| Provider Name | Ashley Eldredge Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316466220 PECOS PAC ID: 7719245745 Enrollment ID: I20171221001738 |
| Provider Name | Kimberly Bissel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386163376 PECOS PAC ID: 2961760848 Enrollment ID: I20171226000390 |
| Provider Name | Melissa M Cantellops |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467970780 PECOS PAC ID: 3577822931 Enrollment ID: I20180111000868 |
| Provider Name | Satisha M Minello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447789607 PECOS PAC ID: 2860751039 Enrollment ID: I20180116000311 |
| Provider Name | Annette G Folgueras |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1215976600 PECOS PAC ID: 0648340588 Enrollment ID: I20180122001963 |
| Provider Name | Ronald V Hublall |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740329242 PECOS PAC ID: 5890776207 Enrollment ID: I20180123001432 |
| Provider Name | Wei En Charlene Ng |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285147967 PECOS PAC ID: 6800156431 Enrollment ID: I20180130002648 |
| Provider Name | Kim M Simmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083147946 PECOS PAC ID: 3870853203 Enrollment ID: I20180205000358 |
| Provider Name | Yusef Imani |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1114246543 PECOS PAC ID: 6901179381 Enrollment ID: I20180205001423 |
| Provider Name | Timothy R Shady |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619406873 PECOS PAC ID: 6901834449 Enrollment ID: I20180207000430 |
| Provider Name | Donald T Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326550385 PECOS PAC ID: 5294095683 Enrollment ID: I20180207001648 |
| Provider Name | Robert Aranson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1407894728 PECOS PAC ID: 4486613551 Enrollment ID: I20180221001758 |
| Provider Name | Nisar Alvi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124124565 PECOS PAC ID: 1658320429 Enrollment ID: I20180221002997 |
| Provider Name | Robin S Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578081329 PECOS PAC ID: 9931460805 Enrollment ID: I20180312000318 |
| Provider Name | Thomas F Mazzoni |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1629192463 PECOS PAC ID: 3870689797 Enrollment ID: I20180312002109 |
| Provider Name | Bryan N Tolle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275878894 PECOS PAC ID: 8628294394 Enrollment ID: I20180329001143 |
| Provider Name | Dawn P Sharpe |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1851840631 PECOS PAC ID: 8426311481 Enrollment ID: I20180405000141 |
| Provider Name | Diana M Robbins-smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013416460 PECOS PAC ID: 0042573396 Enrollment ID: I20180419000162 |
| Provider Name | Karoline Kies |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063923589 PECOS PAC ID: 4587928460 Enrollment ID: I20180430002020 |
| Provider Name | Anwarul Haq |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1437131042 PECOS PAC ID: 3870650252 Enrollment ID: I20180502000210 |
| Provider Name | Jennifer L Schecter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427306364 PECOS PAC ID: 3274782164 Enrollment ID: I20180510000612 |
| Provider Name | James P Murphy |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1962633073 PECOS PAC ID: 7416211701 Enrollment ID: I20180515000498 |
| Provider Name | Michael W Barrett |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245203991 PECOS PAC ID: 2062319676 Enrollment ID: I20180521001362 |
| Provider Name | Michael J Depersis |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1013215896 PECOS PAC ID: 2466771241 Enrollment ID: I20180604000373 |
| Provider Name | Shantanu Solanki |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245615707 PECOS PAC ID: 8224384482 Enrollment ID: I20180702002481 |
| Provider Name | John F Olmstead |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1912979576 PECOS PAC ID: 5496654907 Enrollment ID: I20180718003071 |
| Provider Name | Allison C Malley |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1245658368 PECOS PAC ID: 7911205620 Enrollment ID: I20180718003802 |
| Provider Name | Jordan T Cook |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1306335856 PECOS PAC ID: 8123376431 Enrollment ID: I20180802002143 |
| Provider Name | Apurwa Karki |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1629467105 PECOS PAC ID: 1951673003 Enrollment ID: I20180809000035 |
| Provider Name | Kyle P Conrad |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1588156764 PECOS PAC ID: 7315296902 Enrollment ID: I20180815000338 |
| Provider Name | Kelcie Lyn Sprentall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891182960 PECOS PAC ID: 4587968813 Enrollment ID: I20180817001739 |
| Provider Name | Christopher G Paramore |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1194726216 PECOS PAC ID: 5991764979 Enrollment ID: I20180822001003 |
| Provider Name | Raja R Chand |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437531282 PECOS PAC ID: 6709135510 Enrollment ID: I20180827002947 |
| Provider Name | Juan Manuel Arreguin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346234200 PECOS PAC ID: 5294800918 Enrollment ID: I20180829003265 |
| Provider Name | Gabrielle C Wasser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730696972 PECOS PAC ID: 8820349467 Enrollment ID: I20180921000073 |
| Provider Name | Adam J Pascoe |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1972846723 PECOS PAC ID: 9638432958 Enrollment ID: I20180924001092 |
| Provider Name | Ashley B Cipriano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326427063 PECOS PAC ID: 3072818442 Enrollment ID: I20180924001176 |
| Provider Name | Swapna Ravi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124403787 PECOS PAC ID: 9032408109 Enrollment ID: I20180925000710 |
| Provider Name | Samuel Saleeb |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750341574 PECOS PAC ID: 1951202548 Enrollment ID: I20181003003514 |
| Provider Name | Osman Amin |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1457748766 PECOS PAC ID: 7618229295 Enrollment ID: I20181009002892 |
| Provider Name | Teresa D Williams |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1306827399 PECOS PAC ID: 3779765409 Enrollment ID: I20181010001236 |
| Provider Name | Louise Knudson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538551080 PECOS PAC ID: 1052630621 Enrollment ID: I20181106000493 |
| Provider Name | Zainab Kakakhel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861835100 PECOS PAC ID: 6800021452 Enrollment ID: I20181106003012 |
| Provider Name | Jason Yi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699180992 PECOS PAC ID: 4789954207 Enrollment ID: I20181128003316 |
| Provider Name | Julie L Richards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700360674 PECOS PAC ID: 9032453196 Enrollment ID: I20181130002065 |
| Provider Name | Lynn M Schutt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073094272 PECOS PAC ID: 7315281037 Enrollment ID: I20181207000163 |
| Provider Name | Vincent M Deninis |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1730660846 PECOS PAC ID: 4587908934 Enrollment ID: I20181212000178 |
| Provider Name | Daniel L Stevens |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871915405 PECOS PAC ID: 1254563075 Enrollment ID: I20181218000566 |
| Provider Name | Carina Aileen Sorenson |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1386933547 PECOS PAC ID: 0244508794 Enrollment ID: I20181221001858 |
| Provider Name | Robin L Fuller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104309319 PECOS PAC ID: 3274878087 Enrollment ID: I20181226001727 |
| Provider Name | Debra Lynn Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750630497 PECOS PAC ID: 4082864525 Enrollment ID: I20181226002328 |
| Provider Name | Sisay T Akalu |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1457776395 PECOS PAC ID: 5193019370 Enrollment ID: I20181231000119 |
| Provider Name | Melissa Slaght |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1467891242 PECOS PAC ID: 4789824319 Enrollment ID: I20190103001378 |
| Provider Name | Mohammed A Aziz |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1992780456 PECOS PAC ID: 2163496530 Enrollment ID: I20190103002958 |
| Provider Name | Erin Ann Bilbrough |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336612225 PECOS PAC ID: 1355680786 Enrollment ID: I20190304000140 |
| Provider Name | Satre Stuelke |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114244837 PECOS PAC ID: 2264747807 Enrollment ID: I20190305003368 |
| Provider Name | Rahul Gosain |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1932455391 PECOS PAC ID: 8022246313 Enrollment ID: I20190306000352 |
| Provider Name | Andreea Coca |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1093868960 PECOS PAC ID: 1759484595 Enrollment ID: I20190321000302 |
| Provider Name | Juan Castro-gonzalez |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1578525630 PECOS PAC ID: 3577628148 Enrollment ID: I20190401000018 |
| Provider Name | Stephanie Lawson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225507296 PECOS PAC ID: 2163763129 Enrollment ID: I20190401002521 |
| Provider Name | Christine M Harju |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528338977 PECOS PAC ID: 2062679798 Enrollment ID: I20190405000266 |
| Provider Name | Ian Snider |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326262031 PECOS PAC ID: 8123188646 Enrollment ID: I20190502000205 |
| Provider Name | Mohammed A Ojodu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881866762 PECOS PAC ID: 5092865840 Enrollment ID: I20190529000942 |
| Provider Name | Ruifeng Zhou |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1376816736 PECOS PAC ID: 4082864871 Enrollment ID: I20190621000698 |
| Provider Name | Hafiz Khan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1699117754 PECOS PAC ID: 7517291230 Enrollment ID: I20190709001590 |
| Provider Name | Tarek Hassouna |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508312851 PECOS PAC ID: 3375839699 Enrollment ID: I20190719002747 |
| Provider Name | Subash Ghimire |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083066179 PECOS PAC ID: 2961798509 Enrollment ID: I20190722000369 |
| Provider Name | Deborah S Marsden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831754357 PECOS PAC ID: 7012243520 Enrollment ID: I20190722001739 |
| Provider Name | Muneer Khan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629421334 PECOS PAC ID: 0244566719 Enrollment ID: I20190723000775 |
| Provider Name | Lauren R Donnelly |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1669034245 PECOS PAC ID: 7012243033 Enrollment ID: I20190730001084 |
| Provider Name | Raja C Chakinala |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023460714 PECOS PAC ID: 3173859873 Enrollment ID: I20190801000740 |
| Provider Name | Kofi Osei Owusu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1790171403 PECOS PAC ID: 6204119308 Enrollment ID: I20190807000428 |
| Provider Name | Zachary O. Masi |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1396092979 PECOS PAC ID: 2264760545 Enrollment ID: I20190823002668 |
| Provider Name | Joyson Poulose |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1134561632 PECOS PAC ID: 3274776711 Enrollment ID: I20190830000617 |
| Provider Name | Sadid Askarian |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457611188 PECOS PAC ID: 3870822737 Enrollment ID: I20190903001322 |
| Provider Name | Jennifer Renee Coben |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1639580798 PECOS PAC ID: 4688982515 Enrollment ID: I20190903001782 |
| Provider Name | Melissa A Colarossi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528610334 PECOS PAC ID: 1951630763 Enrollment ID: I20190904000870 |
| Provider Name | Theresa E Yurkonis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164876306 PECOS PAC ID: 8224323233 Enrollment ID: I20190911000083 |
| Provider Name | Jessica M Miller |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1982250742 PECOS PAC ID: 7911236245 Enrollment ID: I20190911001245 |
| Provider Name | Haley C Sorber |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1457848269 PECOS PAC ID: 3274862495 Enrollment ID: I20190912001467 |
| Provider Name | Gerald B Kolski |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1588700777 PECOS PAC ID: 4587850706 Enrollment ID: I20190925003358 |
| Provider Name | Asad Shafiq |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1245662428 PECOS PAC ID: 6709185804 Enrollment ID: I20190927002353 |
| Provider Name | Stefanie A Smith |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1497188544 PECOS PAC ID: 4981935079 Enrollment ID: I20191003000951 |
| Provider Name | Nancy D Georgetson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699016683 PECOS PAC ID: 7810228863 Enrollment ID: I20191007001259 |
| Provider Name | Mary K Zerby |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558910356 PECOS PAC ID: 5698006591 Enrollment ID: I20191008000228 |
| Provider Name | Carole L Hegedty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326694175 PECOS PAC ID: 4183056435 Enrollment ID: I20191107001776 |
| Provider Name | Erica Shatara |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386059525 PECOS PAC ID: 5799902946 Enrollment ID: I20191107001888 |
| Provider Name | Dawn L Carpenter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366416968 PECOS PAC ID: 4981598935 Enrollment ID: I20191111000686 |
| Provider Name | Jessica M Dolde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053969584 PECOS PAC ID: 2769814342 Enrollment ID: I20191120001153 |
| Provider Name | Akhila Yarramneni |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1679657605 PECOS PAC ID: 1254524580 Enrollment ID: I20191126003020 |
| Provider Name | Shraddha Jatwani |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1063641017 PECOS PAC ID: 7618198508 Enrollment ID: I20191212002549 |
| Provider Name | John P Sessoms |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841849643 PECOS PAC ID: 7315371697 Enrollment ID: I20191219000018 |
| Provider Name | Donna Jo Brigham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508407180 PECOS PAC ID: 6507290616 Enrollment ID: I20191226001081 |
| Provider Name | Angela Maude-beverly Powell |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1215005699 PECOS PAC ID: 7012282015 Enrollment ID: I20200103002321 |
| Provider Name | Ramneek K Nakai |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1083992960 PECOS PAC ID: 5698082162 Enrollment ID: I20200113001206 |
| Provider Name | Melissa J Traub |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841777521 PECOS PAC ID: 8325338270 Enrollment ID: I20200114000989 |
| Provider Name | Courtney Shingler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720623523 PECOS PAC ID: 5395170039 Enrollment ID: I20200127001406 |
| Provider Name | Megan B Fenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265087944 PECOS PAC ID: 7214363746 Enrollment ID: I20200131002121 |
| Provider Name | John Saur |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1013253665 PECOS PAC ID: 3577795392 Enrollment ID: I20200214001383 |
| Provider Name | Deena M Jacob |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598105843 PECOS PAC ID: 1951542901 Enrollment ID: I20200221000194 |
| Provider Name | Beate E Valero |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184262784 PECOS PAC ID: 0244667434 Enrollment ID: I20200228000459 |
| Provider Name | Melanie March |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427680792 PECOS PAC ID: 6103254701 Enrollment ID: I20200313000918 |
| Provider Name | Alzea D Rineer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811528029 PECOS PAC ID: 9436587086 Enrollment ID: I20200316000134 |
| Provider Name | Gary C Enders |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609846732 PECOS PAC ID: 5890758585 Enrollment ID: I20200317000933 |
| Provider Name | Anjalena Jr Pasam |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1265818454 PECOS PAC ID: 3971834821 Enrollment ID: I20200319001761 |
| Provider Name | Philip A Heavner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093773111 PECOS PAC ID: 5799745873 Enrollment ID: I20200508002447 |
| Provider Name | Mikhail Litinski |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1912179946 PECOS PAC ID: 6103992557 Enrollment ID: I20200512002916 |
| Provider Name | Justin Shinn |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1841687969 PECOS PAC ID: 6305148396 Enrollment ID: I20200519001469 |
| Provider Name | Jeanenne Spencer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356979082 PECOS PAC ID: 2668894676 Enrollment ID: I20200622000162 |
| Provider Name | Daniel Ballard |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1376930784 PECOS PAC ID: 6608113725 Enrollment ID: I20200708000047 |
| Provider Name | Amina Asrar Ahmed |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174685556 PECOS PAC ID: 8628220548 Enrollment ID: I20200710000247 |
| Provider Name | Buu Anh T To |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1639581861 PECOS PAC ID: 0941590871 Enrollment ID: I20200710001830 |
| Provider Name | Ratna Joshi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578915195 PECOS PAC ID: 5597189597 Enrollment ID: I20200723001577 |
| Provider Name | Zachary E Dewar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093160541 PECOS PAC ID: 7911292008 Enrollment ID: I20200723001633 |
| Provider Name | Erik Gunderson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093758567 PECOS PAC ID: 6406826254 Enrollment ID: I20200728002375 |
| Provider Name | Abigail K Smith |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1609338664 PECOS PAC ID: 6103241625 Enrollment ID: I20200730003861 |
| Provider Name | Michael Rae Huntly |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1184786121 PECOS PAC ID: 8628125457 Enrollment ID: I20200813003447 |
| Provider Name | Chetan Merchant |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1366855009 PECOS PAC ID: 2860818127 Enrollment ID: I20200817003377 |
| Provider Name | Sanaz Gidfar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588023469 PECOS PAC ID: 2365868536 Enrollment ID: I20200818003456 |
| Provider Name | Wonyong Lee |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1063938611 PECOS PAC ID: 5395162218 Enrollment ID: I20200824001608 |
| Provider Name | Viachaslau Koushyk |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1740674647 PECOS PAC ID: 3274845896 Enrollment ID: I20200915001821 |
| Provider Name | Amie Lee Gross |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1891318275 PECOS PAC ID: 5698193704 Enrollment ID: I20200922000106 |
| Provider Name | Gregory Ivan Kelts |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1144529066 PECOS PAC ID: 7911298948 Enrollment ID: I20201014000108 |
| Provider Name | Alvir D Rynone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609498757 PECOS PAC ID: 3173943024 Enrollment ID: I20201015001615 |
| Provider Name | Vrushali R Pachpande |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205360294 PECOS PAC ID: 5890067565 Enrollment ID: I20201023001642 |
| Provider Name | Sima S Pendharkar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790945277 PECOS PAC ID: 3779746359 Enrollment ID: I20201209001429 |
| Provider Name | Jaime L Fernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487103024 PECOS PAC ID: 8820367121 Enrollment ID: I20210108000816 |
| Provider Name | Mary C Schanzer |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1821094418 PECOS PAC ID: 1759276371 Enrollment ID: I20210111000803 |
| Provider Name | Rebecca S Bailey |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1801866439 PECOS PAC ID: 9234195819 Enrollment ID: I20210112001330 |
| Provider Name | Souheil H. Samaha |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1508863721 PECOS PAC ID: 1658360029 Enrollment ID: I20210113000121 |
| Provider Name | Jagadeesh Hathwar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1548363559 PECOS PAC ID: 7113089335 Enrollment ID: I20210119000247 |
| Provider Name | Jessica Mcwhorter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427663954 PECOS PAC ID: 4183038300 Enrollment ID: I20210129002404 |
| Provider Name | Lee A Baggott |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1396778619 PECOS PAC ID: 4789644642 Enrollment ID: I20210208001107 |
| Provider Name | Anne G Rizzo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871521898 PECOS PAC ID: 3476501644 Enrollment ID: I20210211003559 |
| Provider Name | Heather L Walker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639778194 PECOS PAC ID: 2163837493 Enrollment ID: I20210219000671 |
| Provider Name | John H Greinwald |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1275547457 PECOS PAC ID: 9537215330 Enrollment ID: I20210219000958 |
| Provider Name | Harshil B Shah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609390871 PECOS PAC ID: 6002188901 Enrollment ID: I20210219001480 |
| Provider Name | Samantha L Close |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154917755 PECOS PAC ID: 7911312194 Enrollment ID: I20210222000565 |
| Provider Name | Kate M Sampson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508495128 PECOS PAC ID: 0941616775 Enrollment ID: I20210303000098 |
| Provider Name | Jasleena Peliya |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487189668 PECOS PAC ID: 7315219342 Enrollment ID: I20210303003368 |
| Provider Name | Agathoklis Konstantinidis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578862348 PECOS PAC ID: 4486897634 Enrollment ID: I20210303003447 |
| Provider Name | Tali Reeis Martin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669631461 PECOS PAC ID: 6204011869 Enrollment ID: I20210310002007 |
| Provider Name | Jeffrey Q Owen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063000123 PECOS PAC ID: 3072929322 Enrollment ID: I20210310002600 |
| Provider Name | John M Byers |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1194779140 PECOS PAC ID: 0244363612 Enrollment ID: I20210316000161 |
| Provider Name | Griffin T Stewart |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609318302 PECOS PAC ID: 1052688496 Enrollment ID: I20210318001826 |
| Provider Name | Ammar Alimam |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1770542946 PECOS PAC ID: 5193888915 Enrollment ID: I20210322000211 |
| Provider Name | Jessica Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659968535 PECOS PAC ID: 2264849041 Enrollment ID: I20210323000276 |
| Provider Name | Sharon Jane Kuong |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447204730 PECOS PAC ID: 9032146832 Enrollment ID: I20210412002315 |
| Provider Name | Julana M Spaulding |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1255740908 PECOS PAC ID: 9830319292 Enrollment ID: I20210414000915 |
| Provider Name | Mark A Sagin |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1750343505 PECOS PAC ID: 3870508591 Enrollment ID: I20210415000995 |
| Provider Name | Erin Davis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730451295 PECOS PAC ID: 7214196690 Enrollment ID: I20210504000179 |
| Provider Name | Emily Anne Jordan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588289151 PECOS PAC ID: 1456773399 Enrollment ID: I20210505002834 |
| Provider Name | David Monroe Ruffin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609066349 PECOS PAC ID: 6901968601 Enrollment ID: I20210525000350 |
| Provider Name | Joshua M Rosenthal |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1801065172 PECOS PAC ID: 3476749946 Enrollment ID: I20210525001792 |
| Provider Name | Rebecca L Castle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932726783 PECOS PAC ID: 1456750868 Enrollment ID: I20210603003154 |
| Provider Name | Peter O'halloran |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1245625292 PECOS PAC ID: 8527468651 Enrollment ID: I20210611000674 |
| Provider Name | Sindhu Mala |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205322997 PECOS PAC ID: 3375944515 Enrollment ID: I20210625001568 |
| Provider Name | Samantha J Stropko Cuno |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1932788411 PECOS PAC ID: 1759782683 Enrollment ID: I20210629001692 |
| Provider Name | Akshaykumar Vachhani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558867689 PECOS PAC ID: 4183961543 Enrollment ID: I20210715000889 |
| Provider Name | Anna M Konstas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760987523 PECOS PAC ID: 0749537785 Enrollment ID: I20210803000992 |
| Provider Name | Carlos Ynigo D Lopez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366892507 PECOS PAC ID: 4981941507 Enrollment ID: I20210803002523 |
| Provider Name | Shannon M Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508468067 PECOS PAC ID: 6608270129 Enrollment ID: I20210805002392 |
| Provider Name | Katherine M. Ramiza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326091083 PECOS PAC ID: 8224022512 Enrollment ID: I20210807000219 |
| Provider Name | Charles Wayne Bingham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023546413 PECOS PAC ID: 4587901509 Enrollment ID: I20210809003558 |
| Provider Name | Samantha D Bingham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891282067 PECOS PAC ID: 1557693371 Enrollment ID: I20210817001082 |
| Provider Name | Laura L Crilley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508454851 PECOS PAC ID: 9537564919 Enrollment ID: I20210823003301 |
| Provider Name | Syed Arqum Huda |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730676214 PECOS PAC ID: 5395083257 Enrollment ID: I20210826003601 |
| Provider Name | Zachary T Skabelund |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1346773496 PECOS PAC ID: 2769888551 Enrollment ID: I20210902000240 |
| Provider Name | Rebecca A Satterly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811505035 PECOS PAC ID: 7214333426 Enrollment ID: I20210913002422 |
| Provider Name | Renato G Bobadilla Leon |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184118812 PECOS PAC ID: 0042617094 Enrollment ID: I20210917002973 |
| Provider Name | Pravash Kumar Dhakal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194214874 PECOS PAC ID: 6204187172 Enrollment ID: I20210920003623 |
| Provider Name | Nicholas J Serniak |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1124408802 PECOS PAC ID: 1254750474 Enrollment ID: I20210924001418 |
| Provider Name | Robert Terry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104313311 PECOS PAC ID: 6800143843 Enrollment ID: I20210930002970 |
| Provider Name | Loring I Perry |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1205057072 PECOS PAC ID: 6204068851 Enrollment ID: I20211004000416 |
| Provider Name | Michael Timar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477042968 PECOS PAC ID: 4183976962 Enrollment ID: I20211007001420 |
| Provider Name | Luz D Perdomo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053804856 PECOS PAC ID: 9436557147 Enrollment ID: I20211011002898 |
| Provider Name | Michelle E Ciccone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497325385 PECOS PAC ID: 4789082405 Enrollment ID: I20211011003053 |
| Provider Name | Nicholas F Volchko |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1619313970 PECOS PAC ID: 7012262777 Enrollment ID: I20211012000901 |
| Provider Name | Alexander Michael Johnston |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1356785604 PECOS PAC ID: 6800185232 Enrollment ID: I20211012002954 |
| Provider Name | Randi B Randall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720751761 PECOS PAC ID: 1254739840 Enrollment ID: I20211012003259 |
| Provider Name | Leah M Doty |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1184003956 PECOS PAC ID: 8820306855 Enrollment ID: I20211013003839 |
| Provider Name | Kate S Larrabee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073163101 PECOS PAC ID: 5890127096 Enrollment ID: I20211018002948 |
| Provider Name | Jennifer A Chrysler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356985584 PECOS PAC ID: 4789072018 Enrollment ID: I20211019002247 |
| Provider Name | Kaylie A Pick |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1548931892 PECOS PAC ID: 3678961760 Enrollment ID: I20211021002577 |
| Provider Name | Amanda Lynn Cunningham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609472570 PECOS PAC ID: 2668860784 Enrollment ID: I20211022000355 |
| Provider Name | Joseph Robert Harmon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265865885 PECOS PAC ID: 1759636202 Enrollment ID: I20211022001655 |
| Provider Name | Sophia D Halassy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073037289 PECOS PAC ID: 1658769880 Enrollment ID: I20211105002294 |
| Provider Name | Wendy M Fiscus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194367078 PECOS PAC ID: 6800285107 Enrollment ID: I20211108000607 |
| Provider Name | Leonard T Walsh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407389554 PECOS PAC ID: 0446674063 Enrollment ID: I20211108002933 |
| Provider Name | Meenu Batra |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1841745197 PECOS PAC ID: 5597154682 Enrollment ID: I20211110003282 |
| Provider Name | Edmund S Sabanegh |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1669451506 PECOS PAC ID: 9739184839 Enrollment ID: I20211112000197 |
| Provider Name | Michael-isaac L Walshon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134582794 PECOS PAC ID: 6406246818 Enrollment ID: I20211129001383 |
| Provider Name | Deborah H Markowitz |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1154490696 PECOS PAC ID: 6103890892 Enrollment ID: I20211201002377 |
| Provider Name | Gavin D Omahony |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1255531216 PECOS PAC ID: 4587810999 Enrollment ID: I20211202000865 |
| Provider Name | Raphael M Byrne |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457779233 PECOS PAC ID: 1355568957 Enrollment ID: I20211203001787 |
| Provider Name | Mikhail Khazan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1942491337 PECOS PAC ID: 8123277886 Enrollment ID: I20211206001876 |
| Provider Name | Megan C Chaney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609544550 PECOS PAC ID: 9537559133 Enrollment ID: I20211213002216 |
| Provider Name | Brooke L Norton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215692066 PECOS PAC ID: 6901296565 Enrollment ID: I20211214001911 |
| Provider Name | Derrick G Hickey |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1356376289 PECOS PAC ID: 6204834583 Enrollment ID: I20211229001523 |
| Provider Name | Bayan Bakir |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033476924 PECOS PAC ID: 9436468147 Enrollment ID: I20220118002599 |
| Provider Name | Elise M Hiley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578221727 PECOS PAC ID: 0840683587 Enrollment ID: I20220202000377 |
| Provider Name | Elron J Wallace |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1124122809 PECOS PAC ID: 3577665769 Enrollment ID: I20220210000407 |
| Provider Name | Erin M Lyons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841851573 PECOS PAC ID: 2567790207 Enrollment ID: I20220211001491 |
| Provider Name | Emran Amir |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1366916637 PECOS PAC ID: 7810230596 Enrollment ID: I20220318000974 |
| Provider Name | Sahzene Yavuz |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1003054248 PECOS PAC ID: 3779629233 Enrollment ID: I20220318001433 |
| Provider Name | Yu Chin C Chen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760624670 PECOS PAC ID: 7113166992 Enrollment ID: I20220401001812 |
| Provider Name | Judith F Rollar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780727990 PECOS PAC ID: 0345291936 Enrollment ID: I20220420000927 |
| Provider Name | Leandra Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104595990 PECOS PAC ID: 1951798669 Enrollment ID: I20220427003143 |
| Provider Name | Courtney M Perry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154973758 PECOS PAC ID: 1052798063 Enrollment ID: I20220512002578 |
| Provider Name | Diana Lynn Oxford |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1578586228 PECOS PAC ID: 4789862913 Enrollment ID: I20220603001714 |
| Provider Name | Emily T Schoch |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265894968 PECOS PAC ID: 4486033644 Enrollment ID: I20220617000676 |
| Provider Name | Tejaswini Maganti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720644107 PECOS PAC ID: 9234465428 Enrollment ID: I20220706001625 |
| Provider Name | Sikder S.a Hassan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689134777 PECOS PAC ID: 2668701145 Enrollment ID: I20220708001027 |
| Provider Name | David Lucero |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982133781 PECOS PAC ID: 5193051241 Enrollment ID: I20220712001870 |
| Provider Name | Mohammad Anwar Noory |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1619400934 PECOS PAC ID: 9335520071 Enrollment ID: I20220713000980 |
| Provider Name | Susannah Chatham Orzell |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1962889485 PECOS PAC ID: 5597002196 Enrollment ID: I20220721002604 |
| Provider Name | Hana W Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356012504 PECOS PAC ID: 6305232364 Enrollment ID: I20220722001776 |
| Provider Name | Brittney R Gaethle |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760114037 PECOS PAC ID: 3173904059 Enrollment ID: I20220725000382 |
| Provider Name | Becky L Arnold |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730335357 PECOS PAC ID: 2466513742 Enrollment ID: I20220726003887 |
| Provider Name | Lela Adeoshun |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922494335 PECOS PAC ID: 4587906268 Enrollment ID: I20220727001127 |
| Provider Name | Patrick Healey |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1215962402 PECOS PAC ID: 0345224622 Enrollment ID: I20220730000128 |
| Provider Name | Tamara I Nsouli |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1780110734 PECOS PAC ID: 3375889132 Enrollment ID: I20220804001419 |
| Provider Name | Adam W Breslin |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1942732722 PECOS PAC ID: 9436533437 Enrollment ID: I20220825000018 |
| Provider Name | Hao Yang |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1124472683 PECOS PAC ID: 3072804699 Enrollment ID: I20220906000574 |
| Provider Name | Rebekah Cl Macfie |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1932526316 PECOS PAC ID: 5294952164 Enrollment ID: I20220907003664 |
| Provider Name | Vladimir K Gotlieb |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1073516142 PECOS PAC ID: 4789586306 Enrollment ID: I20220908001683 |
| Provider Name | Shobha Mandal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164985206 PECOS PAC ID: 5597091637 Enrollment ID: I20220912003728 |
| Provider Name | Erica L Skipton |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1780020909 PECOS PAC ID: 8820387905 Enrollment ID: I20220913002079 |
| Provider Name | Afrah Talpur |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811559842 PECOS PAC ID: 8022493535 Enrollment ID: I20220920002350 |
| Provider Name | Jasjot Kaur Bhullar |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1366602229 PECOS PAC ID: 7719038751 Enrollment ID: I20220921001376 |
| Provider Name | Rasmita Budhathoki |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679027213 PECOS PAC ID: 5395083331 Enrollment ID: I20221003000953 |
| Provider Name | Muhammad Affan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285290171 PECOS PAC ID: 1153659743 Enrollment ID: I20221006001780 |
| Provider Name | Jason P Kartis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053976639 PECOS PAC ID: 2163759432 Enrollment ID: I20221008000143 |
| Provider Name | Amber S Hussain |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1356737860 PECOS PAC ID: 6901197060 Enrollment ID: I20221014002954 |
| Provider Name | Andrew Cheng |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1760452288 PECOS PAC ID: 8325231335 Enrollment ID: I20221020001261 |
| Provider Name | Mark D Cady |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1497798722 PECOS PAC ID: 5698711554 Enrollment ID: I20221021000095 |
| Provider Name | Shamima Akhter |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114661923 PECOS PAC ID: 8921475690 Enrollment ID: I20221109001757 |
| Provider Name | Brian Bradley Johnson |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1033630330 PECOS PAC ID: 1850626813 Enrollment ID: I20221130003121 |
| Provider Name | Lloyd Eugene Suter |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1124012075 PECOS PAC ID: 0749378297 Enrollment ID: I20221205003233 |
| Provider Name | Maria C Caperelli Gergel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962962126 PECOS PAC ID: 1153657382 Enrollment ID: I20230208000048 |
| Provider Name | Steven Mark Sobol |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1598722712 PECOS PAC ID: 9032195425 Enrollment ID: I20230218000048 |
| Provider Name | Carolyn M Doherty |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1003862350 PECOS PAC ID: 8325059611 Enrollment ID: I20230221001250 |
| Provider Name | Sivasanker Bakthavachalam |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1730390204 PECOS PAC ID: 1254494917 Enrollment ID: I20230223001542 |
| Provider Name | Katelyn S Kopcsay |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497069595 PECOS PAC ID: 3779855838 Enrollment ID: I20230313000728 |
| Provider Name | Robert M Corey |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1154767507 PECOS PAC ID: 4082831458 Enrollment ID: I20230414000548 |
| Provider Name | Lauren E Colom |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1376939934 PECOS PAC ID: 8527435122 Enrollment ID: I20230428000689 |
| Provider Name | Jennifer J Wagner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508296773 PECOS PAC ID: 7911920517 Enrollment ID: I20230519001949 |
| Provider Name | Danielle M Lindenmuth |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1497963292 PECOS PAC ID: 2668532359 Enrollment ID: I20230525001656 |
| Provider Name | Amlish B Gondal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508329640 PECOS PAC ID: 2062748114 Enrollment ID: I20230525001914 |
| Provider Name | Chelsea R Maycumber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639882327 PECOS PAC ID: 9739546250 Enrollment ID: I20230526001713 |
| Provider Name | Matthew Ryan Norris |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1689179889 PECOS PAC ID: 4284037029 Enrollment ID: I20230602000223 |
| Provider Name | Elizabeth Atkinson |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1881747335 PECOS PAC ID: 1557262326 Enrollment ID: I20230606002669 |
| Provider Name | Laura M Powell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245963859 PECOS PAC ID: 4688032766 Enrollment ID: I20230622000046 |
| Provider Name | Michael Hsu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1821589631 PECOS PAC ID: 1557619327 Enrollment ID: I20230627000778 |
| Provider Name | Alicia J Tammaro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124466909 PECOS PAC ID: 8325272529 Enrollment ID: I20230717003404 |
| Provider Name | Kimberly Ann Neiman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023780541 PECOS PAC ID: 4789061979 Enrollment ID: I20230725000677 |
| Provider Name | Bronson L Snoddy |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922793546 PECOS PAC ID: 0648631309 Enrollment ID: I20230728000921 |
| Provider Name | Joseph P Mccullough |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861803025 PECOS PAC ID: 2163792144 Enrollment ID: I20230728001503 |
| Provider Name | Jamie L Vanderhoff |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588357081 PECOS PAC ID: 8224498647 Enrollment ID: I20230731000425 |
| Provider Name | Puspa B Bista |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215549225 PECOS PAC ID: 0446611883 Enrollment ID: I20230804000684 |
| Provider Name | Christopher X Munoz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750878260 PECOS PAC ID: 9133450935 Enrollment ID: I20230805000096 |
| Provider Name | Jena M Guthrie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053850537 PECOS PAC ID: 2466813829 Enrollment ID: I20230807001118 |
| Provider Name | Alexander J Kaminsky |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1093036386 PECOS PAC ID: 8527362714 Enrollment ID: I20230809001274 |
| Provider Name | Mohammad Hamza |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437710803 PECOS PAC ID: 9638406382 Enrollment ID: I20230816000119 |
| Provider Name | Peter T Eisenhauer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801419551 PECOS PAC ID: 0941621650 Enrollment ID: I20230823001551 |
| Provider Name | Kathryn I Oyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891413290 PECOS PAC ID: 7517320476 Enrollment ID: I20230825001499 |
| Provider Name | Karen L Bradley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124721246 PECOS PAC ID: 5496118879 Enrollment ID: I20230901000336 |
| Provider Name | Dara Grieger |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1700811163 PECOS PAC ID: 7113942996 Enrollment ID: I20230912000013 |
| Provider Name | John M Sands |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1407376379 PECOS PAC ID: 7618331190 Enrollment ID: I20230918000506 |
| Provider Name | Wendy S Card |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912103334 PECOS PAC ID: 9931563392 Enrollment ID: I20230919000129 |
| Provider Name | Amandeep Kaur |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1245753243 PECOS PAC ID: 0446657357 Enrollment ID: I20230922002260 |
| Provider Name | Christopher M Westerfer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669151775 PECOS PAC ID: 6406201540 Enrollment ID: I20231010003286 |
| Provider Name | Jessica H Bulkley |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1235810144 PECOS PAC ID: 2365898996 Enrollment ID: I20231102000233 |
| Provider Name | Conor D Murphy |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1225535586 PECOS PAC ID: 2466707492 Enrollment ID: I20231110002070 |
| Provider Name | Poolak Bhatt |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1235663113 PECOS PAC ID: 1456638170 Enrollment ID: I20231113002810 |
| Provider Name | Jonathan W Burgei |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265936504 PECOS PAC ID: 4082961917 Enrollment ID: I20231116001613 |
| Provider Name | Benjamin D Cacciaglia |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457951790 PECOS PAC ID: 9032518329 Enrollment ID: I20240322000891 |
| Provider Name | Adam Henry Nasar |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1639610892 PECOS PAC ID: 9133488646 Enrollment ID: I20240326000899 |
| Provider Name | Joseph D Cahill |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1285086306 PECOS PAC ID: 6406294958 Enrollment ID: I20240403003120 |
| Provider Name | Sama Bella |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1265829022 PECOS PAC ID: 0143540666 Enrollment ID: I20240415001954 |
| Provider Name | Griffith Hsu |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1669448056 PECOS PAC ID: 0042105652 Enrollment ID: I20240419002483 |
| Provider Name | Andrew B Sewell |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1023334919 PECOS PAC ID: 0244405579 Enrollment ID: I20240425003468 |
| Provider Name | Meghan T Sutryk |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306475215 PECOS PAC ID: 8224478946 Enrollment ID: I20240429002257 |
| Provider Name | Mahmoud Chehab |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1093005597 PECOS PAC ID: 9032488937 Enrollment ID: I20240430002309 |
| Provider Name | Rajamurugan Meenakshisundaram |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1689196776 PECOS PAC ID: 4880945161 Enrollment ID: I20240501000067 |
| Provider Name | Molly M Witham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629631346 PECOS PAC ID: 1759617871 Enrollment ID: I20240501000525 |
| Provider Name | Harish Ravipati |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1619464633 PECOS PAC ID: 6002242161 Enrollment ID: I20240502002214 |
| Provider Name | Matthew M Westpfal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922235449 PECOS PAC ID: 6103044565 Enrollment ID: I20240502004049 |
| Provider Name | Katherine Vandenberg |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1013440189 PECOS PAC ID: 1850662115 Enrollment ID: I20240503001413 |
| Provider Name | Rubin Pradhan |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1245785054 PECOS PAC ID: 5799143129 Enrollment ID: I20240503003597 |
| Provider Name | Logan A Engle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144818352 PECOS PAC ID: 6406269125 Enrollment ID: I20240506001343 |
| Provider Name | Chrystal Tompkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164197299 PECOS PAC ID: 3971944505 Enrollment ID: I20240514003541 |
| Provider Name | Tamara Z Paul |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962276840 PECOS PAC ID: 0648611160 Enrollment ID: I20240515003092 |
| Provider Name | Miji Kim |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396208856 PECOS PAC ID: 3779907324 Enrollment ID: I20240520003200 |
| Provider Name | Le Wang |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1528277852 PECOS PAC ID: 5395900401 Enrollment ID: I20240520003479 |
| Provider Name | Melisa S Gore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154177418 PECOS PAC ID: 3375985161 Enrollment ID: I20240524000904 |
| Provider Name | Chigozie E Kalu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497524888 PECOS PAC ID: 7719429810 Enrollment ID: I20240604003579 |
| Provider Name | Ahmed Abdelbaki |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1396152005 PECOS PAC ID: 1759625833 Enrollment ID: I20240611000063 |
Center For Effectiveness Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 307 N Main St, Athens, PA 18810 Phone: 570-888-4494 Fax: 570-888-7124 |