| Guthrie Medical Group, P.c. | |
|
130 Centerway Corning NY 14830 | |
| (607) 936-9971 | |
| (507) 936-2600 |
| Full Name | Guthrie Medical Group, P.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 130 Centerway, Corning, New York |
| 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) 888-5858 | Guthrie Medical Group, P.c. 130 Centerway Corning NY 14830 Ph: (607) 936-9971 |
| NPI Number | 1134178635 |
|---|---|
| Provider Enumeration Date | 05/10/2006 |
| Last Update Date | 02/28/2014 |
| Medicare PECOS PAC ID | 6002728656 |
|---|---|
| Medicare Enrollment ID | O20031103000220 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134178635 | NPI | - | NPPES |
| GU710679 | Other | PA | HIGHMARK ASSIGMENT ACCT. |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Joseph Andrew Readling |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1275522831 PECOS PAC ID: 1153234331 Enrollment ID: I20031112000650 |
| Provider Name | John F Olmstead |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1912979576 PECOS PAC ID: 5496654907 Enrollment ID: I20040105000188 |
| Provider Name | David Mevorach |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1386614253 PECOS PAC ID: 4082512116 Enrollment ID: I20040120000260 |
| Provider Name | Joseph A Bifano |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578536876 PECOS PAC ID: 4385545557 Enrollment ID: I20040120000400 |
| Provider Name | Barry P Skeist |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447225008 PECOS PAC ID: 4385546373 Enrollment ID: I20040121000714 |
| Provider Name | Christopher R Joy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255300208 PECOS PAC ID: 8426950098 Enrollment ID: I20040123000465 |
| Provider Name | Arvin L Aranda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609864792 PECOS PAC ID: 0244126464 Enrollment ID: I20040225000372 |
| Provider Name | John P. Ford |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1477516318 PECOS PAC ID: 3274424833 Enrollment ID: I20040323000692 |
| Provider Name | Michelle A Mcfarlane |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1669469789 PECOS PAC ID: 8921990300 Enrollment ID: I20040329001422 |
| Provider Name | Sumblina A Chaudhary |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144213976 PECOS PAC ID: 5193617405 Enrollment ID: I20040329001761 |
| Provider Name | Katherine M. Ramiza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326091083 PECOS PAC ID: 8224022512 Enrollment ID: I20040410000012 |
| Provider Name | Jared Michael Widell |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417994716 PECOS PAC ID: 0143214221 Enrollment ID: I20040417000173 |
| Provider Name | Andrew Collins |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023011830 PECOS PAC ID: 9436145950 Enrollment ID: I20040421001072 |
| Provider Name | Bryan N Houck |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215932017 PECOS PAC ID: 8325036767 Enrollment ID: I20040504000792 |
| Provider Name | Richard A Kostick |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073582557 PECOS PAC ID: 4981692399 Enrollment ID: I20040504001339 |
| Provider Name | Jay K Mehta |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396896627 PECOS PAC ID: 2466440516 Enrollment ID: I20040505001419 |
| Provider Name | Souheil H. Samaha |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1508863721 PECOS PAC ID: 1658360029 Enrollment ID: I20040511000060 |
| Provider Name | Carlos A Garcia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598731150 PECOS PAC ID: 8224019559 Enrollment ID: I20040525000186 |
| Provider Name | Jonathan D Kloss |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1134118565 PECOS PAC ID: 0840272928 Enrollment ID: I20040602001467 |
| Provider Name | Kathleen A Hallinan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326039058 PECOS PAC ID: 4183608177 Enrollment ID: I20040617000315 |
| Provider Name | Shannon M Daugherty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669441044 PECOS PAC ID: 7113902016 Enrollment ID: I20040623001387 |
| Provider Name | Abu S Matin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700891249 PECOS PAC ID: 3971581182 Enrollment ID: I20040713000422 |
| Provider Name | Scott J Podolsky |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1528096369 PECOS PAC ID: 4486634276 Enrollment ID: I20040722000540 |
| Provider Name | Michael A Meyer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518933498 PECOS PAC ID: 3779553300 Enrollment ID: I20040729001186 |
| Provider Name | Elizabeth M Sobieraj |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922075977 PECOS PAC ID: 1850362500 Enrollment ID: I20040804001803 |
| Provider Name | Voytek Wojciech Sobieraj |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881661833 PECOS PAC ID: 1355312018 Enrollment ID: I20040804001840 |
| Provider Name | Linda L Schicker |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1790720845 PECOS PAC ID: 9133191588 Enrollment ID: I20040806001162 |
| Provider Name | Janet L Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609854918 PECOS PAC ID: 9638143449 Enrollment ID: I20040825001276 |
| Provider Name | Brent S Ingerick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669440707 PECOS PAC ID: 0244205375 Enrollment ID: I20040831001485 |
| Provider Name | Rodrigo T Samodal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710951249 PECOS PAC ID: 8325014558 Enrollment ID: I20040908001230 |
| Provider Name | Thomas J Gergel |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1255309944 PECOS PAC ID: 9335115393 Enrollment ID: I20040909001336 |
| Provider Name | Michael H Tunick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023100542 PECOS PAC ID: 1557338845 Enrollment ID: I20040915000933 |
| Provider Name | Mervat Eid |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1629045992 PECOS PAC ID: 2769441914 Enrollment ID: I20041005000332 |
| Provider Name | Michael J Fallon |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1184623381 PECOS PAC ID: 8426016635 Enrollment ID: I20041221000823 |
| Provider Name | Ewa M Lew |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1992791537 PECOS PAC ID: 9638128713 Enrollment ID: I20050114000750 |
| Provider Name | Brian E Harry |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1407811979 PECOS PAC ID: 5890744684 Enrollment ID: I20050119000608 |
| Provider Name | Julie M. Parker |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1073582599 PECOS PAC ID: 0547227969 Enrollment ID: I20050120000755 |
| Provider Name | Russell E Rees |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285607143 PECOS PAC ID: 6305804493 Enrollment ID: I20050203000588 |
| Provider Name | Edward G Gyukeri |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225035371 PECOS PAC ID: 7911999453 Enrollment ID: I20050217000417 |
| Provider Name | Renee T Husted |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093774069 PECOS PAC ID: 5890748339 Enrollment ID: I20050224000861 |
| Provider Name | Daniel E Britton |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699702878 PECOS PAC ID: 2961456827 Enrollment ID: I20050303000803 |
| Provider Name | James D Hayes |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1730161621 PECOS PAC ID: 9739128299 Enrollment ID: I20050426000182 |
| Provider Name | Ruth C Crepet |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306810270 PECOS PAC ID: 1052350873 Enrollment ID: I20050429000805 |
| Provider Name | John M Scalzone |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801861489 PECOS PAC ID: 0446292940 Enrollment ID: I20050525000336 |
| Provider Name | Ellen E Cain |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1043208481 PECOS PAC ID: 1557303583 Enrollment ID: I20050531000628 |
| Provider Name | Philip A Heavner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093773111 PECOS PAC ID: 5799745873 Enrollment ID: I20050608000962 |
| Provider Name | Barbara Mols Kowalczewski |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1649321977 PECOS PAC ID: 4183669351 Enrollment ID: I20050628000561 |
| Provider Name | Marion E Tamesis |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1821022344 PECOS PAC ID: 0749218139 Enrollment ID: I20050727000811 |
| Provider Name | Norman M Krause |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1508859125 PECOS PAC ID: 1355379025 Enrollment ID: I20050803000238 |
| Provider Name | Jean S Delbrune |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1609939735 PECOS PAC ID: 7315978574 Enrollment ID: I20050826000731 |
| Provider Name | Eugene M Ellis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194721142 PECOS PAC ID: 5890729362 Enrollment ID: I20050923000385 |
| Provider Name | Patricia D Pavlick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730153735 PECOS PAC ID: 1052337375 Enrollment ID: I20051017000496 |
| Provider Name | Daniel P Sporn |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1871568923 PECOS PAC ID: 3375455967 Enrollment ID: I20051017000521 |
| Provider Name | Louis R Dubois |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1811963572 PECOS PAC ID: 2163440116 Enrollment ID: I20051108000516 |
| Provider Name | John Alker |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1114977741 PECOS PAC ID: 8729030978 Enrollment ID: I20051108000656 |
| Provider Name | Ukorn Srivatana |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1396710893 PECOS PAC ID: 2567482060 Enrollment ID: I20051129000769 |
| Provider Name | David K Austin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1275506503 PECOS PAC ID: 4688694862 Enrollment ID: I20051202000240 |
| Provider Name | Gary C Enders |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609846732 PECOS PAC ID: 5890758585 Enrollment ID: I20051212000444 |
| Provider Name | Bhupendra T Dodhiawala |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609810886 PECOS PAC ID: 9830110238 Enrollment ID: I20051213000702 |
| Provider Name | Jennifer Seymour |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1871568451 PECOS PAC ID: 8325060932 Enrollment ID: I20060104000126 |
| Provider Name | Jennifer J Wagner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508296773 PECOS PAC ID: 7911920517 Enrollment ID: I20060110000560 |
| Provider Name | Susan W Choi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003880055 PECOS PAC ID: 9931114956 Enrollment ID: I20060213000609 |
| Provider Name | Ross Horsley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255309647 PECOS PAC ID: 3274525068 Enrollment ID: I20060214000168 |
| Provider Name | Michael Smith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871560888 PECOS PAC ID: 0749295624 Enrollment ID: I20060214000333 |
| Provider Name | Sandra D Brewer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386613552 PECOS PAC ID: 7719995950 Enrollment ID: I20060329000696 |
| Provider Name | Michael D Beredo |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033188990 PECOS PAC ID: 3870501034 Enrollment ID: I20060330000033 |
| Provider Name | Dennis J Kotlove |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1790764249 PECOS PAC ID: 3476563610 Enrollment ID: I20060502000622 |
| Provider Name | Jeffrey S Cane |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1609825884 PECOS PAC ID: 0345252714 Enrollment ID: I20060629000262 |
| Provider Name | Joseph A Ronsivalle |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1346210879 PECOS PAC ID: 4981617883 Enrollment ID: I20060719000029 |
| Provider Name | Robert J Weiss |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053306654 PECOS PAC ID: 4981617891 Enrollment ID: I20060719000120 |
| Provider Name | Tamas Szombathy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1851318208 PECOS PAC ID: 1951306612 Enrollment ID: I20061002000478 |
| Provider Name | Michael W Barrett |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245203991 PECOS PAC ID: 2062319676 Enrollment ID: I20061114000494 |
| Provider Name | Tracy L Fish |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1588625867 PECOS PAC ID: 6204834773 Enrollment ID: I20061116000238 |
| Provider Name | Gurdeep S Kundlas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063477677 PECOS PAC ID: 1759382161 Enrollment ID: I20070129000286 |
| Provider Name | Paul S Soccio |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1629170329 PECOS PAC ID: 7911909544 Enrollment ID: I20070209000415 |
| Provider Name | Marilyn R Foran |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1750345435 PECOS PAC ID: 5294838942 Enrollment ID: I20070316000414 |
| Provider Name | Kamran I Chaudhri |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1184691065 PECOS PAC ID: 7810959590 Enrollment ID: I20070412000463 |
| Provider Name | Deborah Pribulick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639248768 PECOS PAC ID: 7810997236 Enrollment ID: I20070605000420 |
| Provider Name | Pramod M. Deshmukh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1548235484 PECOS PAC ID: 1254431208 Enrollment ID: I20070705000487 |
| Provider Name | Katherine A Lincoln |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669538963 PECOS PAC ID: 5294835039 Enrollment ID: I20070710000437 |
| Provider Name | Mary A Romanyshyn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184698532 PECOS PAC ID: 9830138155 Enrollment ID: I20070711000145 |
| Provider Name | Anne Mcclenachan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265506034 PECOS PAC ID: 0143246736 Enrollment ID: I20070808000302 |
| Provider Name | Ashraf Samir Bakry Aly |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952329781 PECOS PAC ID: 2466545991 Enrollment ID: I20070829000603 |
| Provider Name | Abdul Qadir |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659345189 PECOS PAC ID: 3971697095 Enrollment ID: I20070920000372 |
| Provider Name | Khorsheda Ali |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134338122 PECOS PAC ID: 4688760234 Enrollment ID: I20071012000475 |
| Provider Name | Christopher D Fucito |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508947540 PECOS PAC ID: 0345336707 Enrollment ID: I20071016000184 |
| Provider Name | Jason Joseph |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336331032 PECOS PAC ID: 5698863223 Enrollment ID: I20071115000485 |
| Provider Name | Lisa S Snyder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265423743 PECOS PAC ID: 0840388906 Enrollment ID: I20071127000079 |
| Provider Name | Marcia L Beckley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447255575 PECOS PAC ID: 7719068469 Enrollment ID: I20080118000469 |
| Provider Name | Jorge M Davidenko |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1215923990 PECOS PAC ID: 1759295389 Enrollment ID: I20080218000440 |
| Provider Name | Karen Susan Eccker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205916434 PECOS PAC ID: 6608874318 Enrollment ID: I20080220000589 |
| Provider Name | Abdul Waheed |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1386755478 PECOS PAC ID: 5395734214 Enrollment ID: I20080325000088 |
| Provider Name | Vincent S Ladelia |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205938263 PECOS PAC ID: 5395734206 Enrollment ID: I20080325000162 |
| Provider Name | Julie D Boersen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790877611 PECOS PAC ID: 3072699503 Enrollment ID: I20080325000340 |
| Provider Name | Najeeb U Rehman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1376645838 PECOS PAC ID: 6204825128 Enrollment ID: I20080325000436 |
| Provider Name | Bruce L Greene |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1679587760 PECOS PAC ID: 9032180153 Enrollment ID: I20080328000050 |
| Provider Name | Melinda N Prisco |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528050614 PECOS PAC ID: 7719993831 Enrollment ID: I20080408000070 |
| Provider Name | Tayyaba R Bashir |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1528261351 PECOS PAC ID: 4486732005 Enrollment ID: I20080423000295 |
| Provider Name | Svetlana Moroz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285837740 PECOS PAC ID: 0749370310 Enrollment ID: I20080617000685 |
| Provider Name | Monica F Giganti |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1174796890 PECOS PAC ID: 5395816953 Enrollment ID: I20080625000498 |
| Provider Name | Burdett R Porter |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1194798819 PECOS PAC ID: 7618987835 Enrollment ID: I20080721000326 |
| Provider Name | Chris Wentzel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710072574 PECOS PAC ID: 5092817205 Enrollment ID: I20080826000292 |
| Provider Name | Michelle M Boulas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306092986 PECOS PAC ID: 2567539828 Enrollment ID: I20080929000307 |
| Provider Name | Arlene M Abreu Rivera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801090261 PECOS PAC ID: 6901964352 Enrollment ID: I20081029000285 |
| Provider Name | John T Andrianos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881884336 PECOS PAC ID: 2860551157 Enrollment ID: I20081031000031 |
| Provider Name | David A Diloreto |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1144253154 PECOS PAC ID: 7911066030 Enrollment ID: I20081104000752 |
| Provider Name | Willie Underwood |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1831136829 PECOS PAC ID: 5496771495 Enrollment ID: I20081117000452 |
| Provider Name | Danielle M Lindenmuth |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1497963292 PECOS PAC ID: 2668532359 Enrollment ID: I20081126000114 |
| Provider Name | Heidi R Hodder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942270970 PECOS PAC ID: 6406917491 Enrollment ID: I20081209000621 |
| Provider Name | Darshan Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962662957 PECOS PAC ID: 1951463561 Enrollment ID: I20081216000325 |
| Provider Name | Jagadeesh Hathwar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1548363559 PECOS PAC ID: 7113089335 Enrollment ID: I20081223000301 |
| Provider Name | Deborah E Huber |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1811984933 PECOS PAC ID: 6800959974 Enrollment ID: I20090130000318 |
| Provider Name | Kristine Perle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508885971 PECOS PAC ID: 7315835345 Enrollment ID: I20090602000416 |
| Provider Name | James E Perle |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1316967623 PECOS PAC ID: 6002857067 Enrollment ID: I20090612000524 |
| Provider Name | Christopher H Moheimani |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1073552303 PECOS PAC ID: 3971682899 Enrollment ID: I20090618000162 |
| Provider Name | Pamela H Stark |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1821035981 PECOS PAC ID: 8527969484 Enrollment ID: I20090623000049 |
| Provider Name | Anna Shapiro |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1568626125 PECOS PAC ID: 8921159468 Enrollment ID: I20090624000155 |
| Provider Name | Dermot M Reynolds |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1487627139 PECOS PAC ID: 0547257305 Enrollment ID: I20090918000273 |
| Provider Name | Han S. Koh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720057326 PECOS PAC ID: 4486790524 Enrollment ID: I20091005000140 |
| Provider Name | Sahzene Yavuz |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1003054248 PECOS PAC ID: 3779629233 Enrollment ID: I20091014000265 |
| Provider Name | Joseph Y Choi |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1457526022 PECOS PAC ID: 7810061579 Enrollment ID: I20091019000547 |
| Provider Name | Dhruti Naik |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306851035 PECOS PAC ID: 7719027655 Enrollment ID: I20091228000205 |
| Provider Name | Jenniferleigh V Clune |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205881166 PECOS PAC ID: 8628118411 Enrollment ID: I20091230000232 |
| Provider Name | Teresea G Leary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053646232 PECOS PAC ID: 2062553894 Enrollment ID: I20091230000579 |
| Provider Name | Rajni Singh |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1972746816 PECOS PAC ID: 0244375871 Enrollment ID: I20100305000849 |
| Provider Name | Ferrol J Lee |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1356312151 PECOS PAC ID: 8224034558 Enrollment ID: I20100331000075 |
| Provider Name | Carla R Mason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750511580 PECOS PAC ID: 5496882953 Enrollment ID: I20100415000228 |
| Provider Name | Paulette V Lewis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851362594 PECOS PAC ID: 2062549413 Enrollment ID: I20100416000491 |
| Provider Name | Seung Shin Hahn |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1043233711 PECOS PAC ID: 4385666874 Enrollment ID: I20100419000752 |
| Provider Name | Venugopal Thirumurti |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1073688040 PECOS PAC ID: 5092723114 Enrollment ID: I20100420000827 |
| Provider Name | Angel L Malavet |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225009095 PECOS PAC ID: 8921135062 Enrollment ID: I20100422000274 |
| Provider Name | Jeffrey A Bogart |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1912931460 PECOS PAC ID: 2668494154 Enrollment ID: I20100428000149 |
| Provider Name | Silviu C Marica |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1366408254 PECOS PAC ID: 8527001700 Enrollment ID: I20100510000241 |
| Provider Name | Ronald Sacks |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265431993 PECOS PAC ID: 2466491956 Enrollment ID: I20100512000519 |
| Provider Name | Chevonne M Nickerson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386616977 PECOS PAC ID: 1557490604 Enrollment ID: I20100527000397 |
| Provider Name | Robert F Reed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841264215 PECOS PAC ID: 8224167333 Enrollment ID: I20100528000231 |
| Provider Name | Matthew K Reppert |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003880683 PECOS PAC ID: 1052441722 Enrollment ID: I20100608000177 |
| Provider Name | Nader Boushra |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1568451896 PECOS PAC ID: 1355316100 Enrollment ID: I20100623000826 |
| Provider Name | Eric C Phillips |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639142391 PECOS PAC ID: 4284766007 Enrollment ID: I20100714000657 |
| Provider Name | Mark E Vadney |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1992968473 PECOS PAC ID: 8628100781 Enrollment ID: I20100726000203 |
| Provider Name | Benjamin R Mcclintic |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316063639 PECOS PAC ID: 2062545932 Enrollment ID: I20100728001045 |
| Provider Name | Danielle B Clair |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568562130 PECOS PAC ID: 7113051780 Enrollment ID: I20100818000255 |
| Provider Name | Bruce C Slagle |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003888967 PECOS PAC ID: 7719979111 Enrollment ID: I20100819000052 |
| Provider Name | Mike J Choi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588764484 PECOS PAC ID: 0749304855 Enrollment ID: I20100826000273 |
| Provider Name | Tamim J. Khaliqi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1144221367 PECOS PAC ID: 6406944438 Enrollment ID: I20100826000656 |
| Provider Name | Christine M Pesesky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386795334 PECOS PAC ID: 4082739420 Enrollment ID: I20100909000116 |
| Provider Name | Kathleen M Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720268428 PECOS PAC ID: 2466532361 Enrollment ID: I20100909000570 |
| Provider Name | Catherine J Cannariato |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205839933 PECOS PAC ID: 8426189838 Enrollment ID: I20100915000849 |
| Provider Name | Brian D Cassetta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336116037 PECOS PAC ID: 1052436672 Enrollment ID: I20100920000061 |
| Provider Name | Krista Drislane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528212800 PECOS PAC ID: 0648337444 Enrollment ID: I20100921001090 |
| Provider Name | Elizabeth T Ho |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912974619 PECOS PAC ID: 7214053453 Enrollment ID: I20100925000008 |
| Provider Name | Matthew R Estill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487629622 PECOS PAC ID: 1658563069 Enrollment ID: I20101004001003 |
| Provider Name | Eric V.a. Macapinlac |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1306819701 PECOS PAC ID: 7517159551 Enrollment ID: I20101008000010 |
| Provider Name | Ghassan J Samara |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1295754588 PECOS PAC ID: 3375736663 Enrollment ID: I20101019000942 |
| Provider Name | Frank L Galizia |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1770552242 PECOS PAC ID: 0143413849 Enrollment ID: I20101026000161 |
| Provider Name | Valentina V Galyanova |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265408090 PECOS PAC ID: 9133312838 Enrollment ID: I20101026000179 |
| Provider Name | Amechi V Odife |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679787154 PECOS PAC ID: 3779776430 Enrollment ID: I20101026000868 |
| Provider Name | Bruce L Kuntz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467421305 PECOS PAC ID: 0345433017 Enrollment ID: I20101026001106 |
| Provider Name | William O Bauman |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1649243833 PECOS PAC ID: 6305030834 Enrollment ID: I20101028001308 |
| Provider Name | Thomas J Mcdonald |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1609848696 PECOS PAC ID: 7911022074 Enrollment ID: I20101029000004 |
| Provider Name | Bruce D Askey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477522308 PECOS PAC ID: 6800080359 Enrollment ID: I20101029000069 |
| Provider Name | Kenneth A Hogrefe |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1669440137 PECOS PAC ID: 7719171057 Enrollment ID: I20101101001072 |
| Provider Name | Lester J Mcdonald |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1275504615 PECOS PAC ID: 2466364054 Enrollment ID: I20101102000498 |
| Provider Name | Hal I Sussman |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1194790923 PECOS PAC ID: 8729990312 Enrollment ID: I20101102000887 |
| Provider Name | Michael L Benyo |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1407825490 PECOS PAC ID: 5597959551 Enrollment ID: I20101103000890 |
| Provider Name | Erik M. Gregorie |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1902872955 PECOS PAC ID: 4789878752 Enrollment ID: I20101103000974 |
| Provider Name | Richard Martines |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1700857257 PECOS PAC ID: 9638361595 Enrollment ID: I20101103001041 |
| Provider Name | Hari Har Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154396752 PECOS PAC ID: 6507050580 Enrollment ID: I20101103001093 |
| Provider Name | Michael J Hudock |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1275501157 PECOS PAC ID: 0648464636 Enrollment ID: I20101103001160 |
| Provider Name | John M Antos |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417929480 PECOS PAC ID: 0840484705 Enrollment ID: I20101104000584 |
| Provider Name | Lawrence N Sampson |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1053385583 PECOS PAC ID: 7911977699 Enrollment ID: I20101104000679 |
| Provider Name | Stephen A Hudock |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1790753374 PECOS PAC ID: 1254525132 Enrollment ID: I20101104000900 |
| Provider Name | Peter H Parken |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396719985 PECOS PAC ID: 5496940025 Enrollment ID: I20101109001020 |
| Provider Name | Daniel J Brown |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1427022839 PECOS PAC ID: 8729100276 Enrollment ID: I20101109001152 |
| Provider Name | Sharon S Kozlowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184683039 PECOS PAC ID: 9032304217 Enrollment ID: I20101112001082 |
| Provider Name | Jacob W Skezas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700851375 PECOS PAC ID: 9234324450 Enrollment ID: I20101115000029 |
| Provider Name | Rowshanul I Khan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053380725 PECOS PAC ID: 7012102965 Enrollment ID: I20101117000667 |
| Provider Name | Michael Andrew Bratti |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1770552523 PECOS PAC ID: 7911193842 Enrollment ID: I20101118000112 |
| Provider Name | Patricia A Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649239997 PECOS PAC ID: 4880880640 Enrollment ID: I20101119000343 |
| Provider Name | Robert Douenias |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1497720213 PECOS PAC ID: 9739121526 Enrollment ID: I20101119000390 |
| Provider Name | Nancy S Kemp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528027562 PECOS PAC ID: 5890981658 Enrollment ID: I20101119000417 |
| Provider Name | Vandana Chivate |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1467426999 PECOS PAC ID: 2769678143 Enrollment ID: I20101124000587 |
| Provider Name | Amr E. Elsisi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063487296 PECOS PAC ID: 6103012596 Enrollment ID: I20101124000624 |
| Provider Name | Lori Ann M Kolpien |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1679542310 PECOS PAC ID: 7416143631 Enrollment ID: I20101130000169 |
| Provider Name | William Alan Sorber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003881038 PECOS PAC ID: 7517153745 Enrollment ID: I20101130000276 |
| Provider Name | Burt Cagir |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467426031 PECOS PAC ID: 0749213395 Enrollment ID: I20101206000092 |
| Provider Name | Russell C Woglom |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417923434 PECOS PAC ID: 8527101211 Enrollment ID: I20110118000017 |
| Provider Name | Robert Stephen Morello |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1790779643 PECOS PAC ID: 4688669708 Enrollment ID: I20110210000091 |
| Provider Name | Matthew James Casey |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1770577488 PECOS PAC ID: 6709066491 Enrollment ID: I20110214000164 |
| Provider Name | Richard Alan Rosenberg |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1942294657 PECOS PAC ID: 2567550015 Enrollment ID: I20110216000651 |
| Provider Name | Thomas J Landry |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1356335202 PECOS PAC ID: 8729269238 Enrollment ID: I20110216000678 |
| Provider Name | Richard Raymond Socash |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1659365369 PECOS PAC ID: 6800077264 Enrollment ID: I20110218000467 |
| Provider Name | Lloyd Eugene Suter |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1124012075 PECOS PAC ID: 0749378297 Enrollment ID: I20110224000059 |
| Provider Name | James S Leonard |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1992793533 PECOS PAC ID: 7618090275 Enrollment ID: I20110224000317 |
| Provider Name | Nicholas Evertsen |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1881846897 PECOS PAC ID: 1153516109 Enrollment ID: I20110309000292 |
| Provider Name | Charles Welch |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1235105305 PECOS PAC ID: 4789871518 Enrollment ID: I20110317000215 |
| Provider Name | Ram C Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912972597 PECOS PAC ID: 1355381211 Enrollment ID: I20110321000415 |
| Provider Name | Philip Lowry |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1518949080 PECOS PAC ID: 6305838442 Enrollment ID: I20110324000726 |
| Provider Name | Tammy A Reynolds |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1063719110 PECOS PAC ID: 3870776081 Enrollment ID: I20110325000354 |
| Provider Name | Annamaria Sangiorgi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1033183579 PECOS PAC ID: 1254529233 Enrollment ID: I20110328000639 |
| Provider Name | Gurpreet Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528372075 PECOS PAC ID: 2769666395 Enrollment ID: I20110406000430 |
| Provider Name | Heghine Zalinyan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659686863 PECOS PAC ID: 9436333903 Enrollment ID: I20110407000017 |
| Provider Name | Kathleen M Gallaway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982663456 PECOS PAC ID: 2567646623 Enrollment ID: I20110414000084 |
| Provider Name | David J Bertsch |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1740255405 PECOS PAC ID: 8921184276 Enrollment ID: I20110415000639 |
| Provider Name | Tali Reeis Martin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669631461 PECOS PAC ID: 6204011869 Enrollment ID: I20110425000649 |
| Provider Name | Jennifer L Hughey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891754388 PECOS PAC ID: 7810176971 Enrollment ID: I20110506000122 |
| Provider Name | Marc Henri Settineri |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1730173998 PECOS PAC ID: 9032100367 Enrollment ID: I20110518000661 |
| Provider Name | Karen M Hale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134410996 PECOS PAC ID: 3072799212 Enrollment ID: I20110524000017 |
| Provider Name | Judy M. Jeffers |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1285628123 PECOS PAC ID: 6406034537 Enrollment ID: I20110621000043 |
| Provider Name | Aran W Laing |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871601757 PECOS PAC ID: 6305930231 Enrollment ID: I20110627000645 |
| Provider Name | Brian Eugene Bleiler |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1255327854 PECOS PAC ID: 8527066133 Enrollment ID: I20110628000174 |
| Provider Name | Richard Nass |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1316018153 PECOS PAC ID: 8628256120 Enrollment ID: I20110706000113 |
| Provider Name | Robert T Mcclelland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568433043 PECOS PAC ID: 0042284622 Enrollment ID: I20110714000002 |
| Provider Name | Teofilo J Arazi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922266634 PECOS PAC ID: 2466510359 Enrollment ID: I20110721000251 |
| Provider Name | James Augustine Scott |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215166707 PECOS PAC ID: 8729256433 Enrollment ID: I20110725000586 |
| Provider Name | Abraham T Appleton |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1912974643 PECOS PAC ID: 5092777490 Enrollment ID: I20110727000042 |
| Provider Name | Karen Chunguhn Kim |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1639385479 PECOS PAC ID: 6204005234 Enrollment ID: I20110809000546 |
| Provider Name | Malarkodi Gunasekaran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023399557 PECOS PAC ID: 8527239672 Enrollment ID: I20110921000104 |
| Provider Name | Richard M Zwirko |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881793537 PECOS PAC ID: 7719158757 Enrollment ID: I20110922000330 |
| Provider Name | Mason S Stilwell |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1275797060 PECOS PAC ID: 3476677485 Enrollment ID: I20110922000367 |
| Provider Name | William J Dichtel |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1982609061 PECOS PAC ID: 2365339686 Enrollment ID: I20110930000281 |
| Provider Name | Faith C Mcmahon |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1639138738 PECOS PAC ID: 3476741463 Enrollment ID: I20111018000309 |
| Provider Name | Christopher Capilli |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477841062 PECOS PAC ID: 1456523372 Enrollment ID: I20111018000669 |
| Provider Name | Shilpa M Gowda Kabbli |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518255710 PECOS PAC ID: 4880866789 Enrollment ID: I20111019000658 |
| Provider Name | Elise J Nelsen |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1982627485 PECOS PAC ID: 4486664471 Enrollment ID: I20111021000540 |
| Provider Name | Jasvir Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457507980 PECOS PAC ID: 2365615739 Enrollment ID: I20111031000251 |
| Provider Name | Wanda E Foote |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548229974 PECOS PAC ID: 9133137649 Enrollment ID: I20111104000258 |
| Provider Name | Gangadhara Kabbli |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1841337672 PECOS PAC ID: 5193871903 Enrollment ID: I20111110000126 |
| Provider Name | Jenny E Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538443114 PECOS PAC ID: 3375717192 Enrollment ID: I20111114000130 |
| Provider Name | Michael A Lacombe |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1942237359 PECOS PAC ID: 8820078314 Enrollment ID: I20111118000093 |
| Provider Name | Ashit B Sarker |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1124282892 PECOS PAC ID: 2769676287 Enrollment ID: I20111122000117 |
| Provider Name | Michael J Georgetson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1689640823 PECOS PAC ID: 5395924351 Enrollment ID: I20111128000122 |
| Provider Name | Ahmad B Choudry |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306992250 PECOS PAC ID: 1658479324 Enrollment ID: I20111206000414 |
| Provider Name | Joseph B Blood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013980770 PECOS PAC ID: 1658563101 Enrollment ID: I20111213000460 |
| Provider Name | Christopher J Bennett |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770511495 PECOS PAC ID: 4183795933 Enrollment ID: I20120119000222 |
| Provider Name | Joseph Mwesige |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952546038 PECOS PAC ID: 9436203627 Enrollment ID: I20120203000171 |
| Provider Name | Christine M Harju |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528338977 PECOS PAC ID: 2062679798 Enrollment ID: I20120207000579 |
| Provider Name | Saeed Anwar |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1518939594 PECOS PAC ID: 7113905985 Enrollment ID: I20120227000564 |
| Provider Name | Subhash C Das |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1518982883 PECOS PAC ID: 0547205718 Enrollment ID: I20120316000269 |
| Provider Name | Andrew Cheng |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1760452288 PECOS PAC ID: 8325231335 Enrollment ID: I20120319000434 |
| Provider Name | Joel Mcclurg |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1194914812 PECOS PAC ID: 4688855745 Enrollment ID: I20120419000676 |
| Provider Name | Jennifer E Mason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871613877 PECOS PAC ID: 4385601863 Enrollment ID: I20120529000148 |
| Provider Name | Lisa M Lambert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902193238 PECOS PAC ID: 1557525706 Enrollment ID: I20120619000572 |
| Provider Name | Adam M Miller |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1164697835 PECOS PAC ID: 2365607223 Enrollment ID: I20120628000067 |
| Provider Name | Amy J Kauffman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083639058 PECOS PAC ID: 2961470273 Enrollment ID: I20120705000223 |
| Provider Name | Mary C Yia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306179833 PECOS PAC ID: 4981850914 Enrollment ID: I20120808000038 |
| Provider Name | Barbara B Mcnamara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902127590 PECOS PAC ID: 7113173154 Enrollment ID: I20120808000094 |
| Provider Name | Richard P. Bradstreet |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1710950423 PECOS PAC ID: 8123217411 Enrollment ID: I20120823000330 |
| Provider Name | Katie E Bowers |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811242472 PECOS PAC ID: 1759539216 Enrollment ID: I20120907000465 |
| Provider Name | Jennifer L Schecter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427306364 PECOS PAC ID: 3274782164 Enrollment ID: I20121010000066 |
| Provider Name | Rebeka Sultana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750630133 PECOS PAC ID: 3779733373 Enrollment ID: I20121017000039 |
| Provider Name | Laura A Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326397787 PECOS PAC ID: 5496906158 Enrollment ID: I20121107000043 |
| Provider Name | Robert D Fanelli |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578551610 PECOS PAC ID: 7719949395 Enrollment ID: I20121219000098 |
| Provider Name | Edo Kaluski |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1245321249 PECOS PAC ID: 3072514173 Enrollment ID: I20121219000156 |
| Provider Name | Sholeh Kamalian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114952116 PECOS PAC ID: 5193732212 Enrollment ID: I20130116000323 |
| Provider Name | Nancy J Tompkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972853364 PECOS PAC ID: 2860645942 Enrollment ID: I20130124000143 |
| Provider Name | Seyed A Beheshti Shirazi |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1205053113 PECOS PAC ID: 1153568373 Enrollment ID: I20130508000007 |
| Provider Name | Jeffrey T Alwine |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1750536686 PECOS PAC ID: 0042451247 Enrollment ID: I20130731000417 |
| Provider Name | Paul D. Aridgides |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1851537872 PECOS PAC ID: 8426291105 Enrollment ID: I20130828000239 |
| Provider Name | John D Juriga |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508893181 PECOS PAC ID: 0446493183 Enrollment ID: I20130909000707 |
| Provider Name | Klariza R Buda |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710324934 PECOS PAC ID: 0547400988 Enrollment ID: I20130911000015 |
| Provider Name | Scott T Terwilliger |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1033464334 PECOS PAC ID: 6204078207 Enrollment ID: I20130927000249 |
| Provider Name | Alicia J Tammaro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124466909 PECOS PAC ID: 8325272529 Enrollment ID: I20131001000253 |
| Provider Name | Cinthia L Elkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942462957 PECOS PAC ID: 0648442046 Enrollment ID: I20131003000454 |
| Provider Name | Geneva R Ballard |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144475401 PECOS PAC ID: 8628105269 Enrollment ID: I20131010001304 |
| Provider Name | Peter F Harewood |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306091400 PECOS PAC ID: 9638303142 Enrollment ID: I20131015002090 |
| Provider Name | Cynthia M Perry-keaty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619124708 PECOS PAC ID: 3274692967 Enrollment ID: I20131016000567 |
| Provider Name | Thomas Vandermeer |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1215903844 PECOS PAC ID: 3779517057 Enrollment ID: I20131017000172 |
| Provider Name | Nicole L Witman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073848024 PECOS PAC ID: 0840486528 Enrollment ID: I20131017000947 |
| Provider Name | Amy L White |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588691133 PECOS PAC ID: 1456594191 Enrollment ID: I20131017001790 |
| Provider Name | John W Ingle |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1508905548 PECOS PAC ID: 8426236654 Enrollment ID: I20131018000510 |
| Provider Name | Tina M Nichols |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669679916 PECOS PAC ID: 7719120450 Enrollment ID: I20131021001274 |
| Provider Name | David A Graham |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1134379902 PECOS PAC ID: 2961637343 Enrollment ID: I20131022000171 |
| Provider Name | Luke J Ballard |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316158892 PECOS PAC ID: 5698845261 Enrollment ID: I20131106000866 |
| Provider Name | Angela F Crisp |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1376547273 PECOS PAC ID: 3678585973 Enrollment ID: I20131108000720 |
| Provider Name | Parveen Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558522003 PECOS PAC ID: 0143498550 Enrollment ID: I20140211000826 |
| Provider Name | Yue Yu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013232545 PECOS PAC ID: 7113158890 Enrollment ID: I20140321000840 |
| Provider Name | Elizabeth A Werner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366657512 PECOS PAC ID: 2062609530 Enrollment ID: I20140505000975 |
| Provider Name | Mashal Salehi |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1265701296 PECOS PAC ID: 3971753930 Enrollment ID: I20140603001615 |
| Provider Name | Amanda M Robertson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952696130 PECOS PAC ID: 4587833561 Enrollment ID: I20140612000157 |
| Provider Name | Joshua William Rampton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184885543 PECOS PAC ID: 9931253598 Enrollment ID: I20140613000040 |
| Provider Name | Sudhakar Sattur |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1508877242 PECOS PAC ID: 5092719369 Enrollment ID: I20140619001612 |
| Provider Name | Michael H Simons |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063830792 PECOS PAC ID: 8224252853 Enrollment ID: I20140620001461 |
| Provider Name | Christopher B Yelverton |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1093997686 PECOS PAC ID: 2062689201 Enrollment ID: I20140627001318 |
| Provider Name | Michael J Farrell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750588224 PECOS PAC ID: 1759524952 Enrollment ID: I20140707000064 |
| Provider Name | Michael J Grover |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1063648541 PECOS PAC ID: 5890922769 Enrollment ID: I20140711002249 |
| Provider Name | Robert J Behm |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1629242623 PECOS PAC ID: 7517107154 Enrollment ID: I20140714001504 |
| Provider Name | Frederick Leroy Teribury |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982635124 PECOS PAC ID: 1658374384 Enrollment ID: I20140716002056 |
| Provider Name | Abistanand Ankam |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1912231903 PECOS PAC ID: 7911141247 Enrollment ID: I20140729000702 |
| Provider Name | Bablu K Basak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518372531 PECOS PAC ID: 9931326865 Enrollment ID: I20140815002026 |
| Provider Name | Jason R Paulman |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1487951323 PECOS PAC ID: 3173780780 Enrollment ID: I20140820000655 |
| Provider Name | Matthew J Paladino |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1770725335 PECOS PAC ID: 7719105568 Enrollment ID: I20140820001705 |
| Provider Name | Laura Giganti |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1467763425 PECOS PAC ID: 3779712930 Enrollment ID: I20140828001066 |
| Provider Name | Dana I Lavanture |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1720278302 PECOS PAC ID: 3678790649 Enrollment ID: I20140904000067 |
| Provider Name | Cristina E Aguilar |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1578856175 PECOS PAC ID: 6800051012 Enrollment ID: I20140912001333 |
| Provider Name | Robin R French |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508278789 PECOS PAC ID: 8022237387 Enrollment ID: I20140918000923 |
| Provider Name | Karen E Rampton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689889594 PECOS PAC ID: 5799867529 Enrollment ID: I20141002000200 |
| Provider Name | Julana M Spaulding |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1255740908 PECOS PAC ID: 9830319292 Enrollment ID: I20141007000397 |
| Provider Name | Kimberly J Brost |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205242468 PECOS PAC ID: 6002036365 Enrollment ID: I20141008001844 |
| Provider Name | Sarah J Mason |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1104226968 PECOS PAC ID: 7113147372 Enrollment ID: I20141010000251 |
| Provider Name | Alexander Banashkevich |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1881005007 PECOS PAC ID: 5597985788 Enrollment ID: I20141010001408 |
| Provider Name | Melina Irizarry-acosta |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1659589547 PECOS PAC ID: 0840450094 Enrollment ID: I20141107001188 |
| Provider Name | Sima S Pendharkar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790945277 PECOS PAC ID: 3779746359 Enrollment ID: I20141202001955 |
| Provider Name | Jessica E Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225430234 PECOS PAC ID: 5890017297 Enrollment ID: I20141212001171 |
| Provider Name | Hannah Yoon |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1255560603 PECOS PAC ID: 4688997190 Enrollment ID: I20150107002267 |
| Provider Name | Brianne M Symonds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336551019 PECOS PAC ID: 9830414499 Enrollment ID: I20150203000796 |
| Provider Name | James D Rorabaugh |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942266259 PECOS PAC ID: 6204813512 Enrollment ID: I20150220000364 |
| Provider Name | Clyde Casimiro |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700287190 PECOS PAC ID: 6305163924 Enrollment ID: I20150319001264 |
| Provider Name | Surinder S Khokhar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679869861 PECOS PAC ID: 0547588287 Enrollment ID: I20150409001580 |
| Provider Name | Landon L Harper |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356759450 PECOS PAC ID: 8426376062 Enrollment ID: I20150413000123 |
| Provider Name | Michael J Depersis |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1013215896 PECOS PAC ID: 2466771241 Enrollment ID: I20150429000041 |
| Provider Name | Utpal Kumar Bhanja |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1003801689 PECOS PAC ID: 2163410457 Enrollment ID: I20150506002024 |
| Provider Name | Jody E Howell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992107767 PECOS PAC ID: 7416279666 Enrollment ID: I20150509000211 |
| Provider Name | Melissa L Marsh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457740623 PECOS PAC ID: 4981924230 Enrollment ID: I20150528000060 |
| Provider Name | Michael F Gillan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225337892 PECOS PAC ID: 7618193137 Enrollment ID: I20150616001967 |
| Provider Name | Keyur B Thakar |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1992038251 PECOS PAC ID: 0143541060 Enrollment ID: I20150630000046 |
| Provider Name | Mark A Mingos |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275698243 PECOS PAC ID: 2668783218 Enrollment ID: I20150709000887 |
| Provider Name | Omar Yumen |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1376596007 PECOS PAC ID: 6103894597 Enrollment ID: I20150717000980 |
| Provider Name | Matthew M Westpfal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922235449 PECOS PAC ID: 6103044565 Enrollment ID: I20150720000033 |
| Provider Name | Derrick J Hoover |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043444573 PECOS PAC ID: 1355506791 Enrollment ID: I20150727002168 |
| Provider Name | David T Lobo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255689980 PECOS PAC ID: 4880908573 Enrollment ID: I20150810001054 |
| Provider Name | Vineet Agrawal |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1932540218 PECOS PAC ID: 8820301997 Enrollment ID: I20150812008103 |
| Provider Name | Rakhi Pal |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1811200777 PECOS PAC ID: 5799090601 Enrollment ID: I20150908002378 |
| Provider Name | Lee Jacob Neubert |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1174841084 PECOS PAC ID: 1254646805 Enrollment ID: I20150909001546 |
| Provider Name | Michelle A Nanda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255434619 PECOS PAC ID: 0941293641 Enrollment ID: I20150924001343 |
| Provider Name | Venkata N Jasti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134486145 PECOS PAC ID: 2466767561 Enrollment ID: I20151022000837 |
| Provider Name | Sherif Nasr |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1306814900 PECOS PAC ID: 5698761112 Enrollment ID: I20151105000584 |
| Provider Name | Mustafa W Aman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497083968 PECOS PAC ID: 4284853235 Enrollment ID: I20151106000536 |
| Provider Name | Hameed Iqbal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205190360 PECOS PAC ID: 7416180435 Enrollment ID: I20151117000400 |
| Provider Name | Crystal D Sadik |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1669676631 PECOS PAC ID: 2163671884 Enrollment ID: I20151118000463 |
| Provider Name | Nauman M Qazi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396051991 PECOS PAC ID: 7810201001 Enrollment ID: I20151120002099 |
| Provider Name | Charley B Gates |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1013119528 PECOS PAC ID: 8921159187 Enrollment ID: I20151201001926 |
| Provider Name | Natalie B Elkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194193060 PECOS PAC ID: 3870894231 Enrollment ID: I20151209001726 |
| Provider Name | Emily C Bastiaanse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285003376 PECOS PAC ID: 2567763931 Enrollment ID: I20151209002247 |
| Provider Name | Daniel B Golden |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1225262900 PECOS PAC ID: 9931326121 Enrollment ID: I20151230001843 |
| Provider Name | Amanda Pero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306151378 PECOS PAC ID: 3274835392 Enrollment ID: I20160106002806 |
| Provider Name | Andrea D Worley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689991697 PECOS PAC ID: 0648416453 Enrollment ID: I20160118000620 |
| Provider Name | Sheila L Butler |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1841435401 PECOS PAC ID: 6406159821 Enrollment ID: I20160204000270 |
| Provider Name | Naema A Osman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417219031 PECOS PAC ID: 2062712656 Enrollment ID: I20160210001348 |
| Provider Name | Leigh A Dries |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518349547 PECOS PAC ID: 2668777913 Enrollment ID: I20160224000794 |
| Provider Name | Patrick L Dyer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861628612 PECOS PAC ID: 0648574913 Enrollment ID: I20160308000069 |
| Provider Name | Robert S Kamenski |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194746974 PECOS PAC ID: 9234132895 Enrollment ID: I20160309001994 |
| Provider Name | Rushin Nalin Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033531546 PECOS PAC ID: 6406078187 Enrollment ID: I20160316000834 |
| Provider Name | Hani Hojjati |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1508153537 PECOS PAC ID: 1254640220 Enrollment ID: I20160329002319 |
| Provider Name | Karin Dibari |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790778066 PECOS PAC ID: 0244126589 Enrollment ID: I20160406001835 |
| Provider Name | Paula Brooks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235285206 PECOS PAC ID: 6709185614 Enrollment ID: I20160427001989 |
| Provider Name | Shereef Ramadan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619980224 PECOS PAC ID: 7719928373 Enrollment ID: I20160602001207 |
| Provider Name | Steven R Casos |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1609849959 PECOS PAC ID: 3173417656 Enrollment ID: I20160623001443 |
| Provider Name | Philip J Federio |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1851476477 PECOS PAC ID: 7012809171 Enrollment ID: I20160624000699 |
| Provider Name | Jessica S Allison |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1669866091 PECOS PAC ID: 8820380389 Enrollment ID: I20160705000223 |
| Provider Name | Jeffrey Lawrence Rand |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1659746394 PECOS PAC ID: 3476845843 Enrollment ID: I20160705000934 |
| Provider Name | Stanley D Cadet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457717001 PECOS PAC ID: 0941594642 Enrollment ID: I20160803001050 |
| Provider Name | Matthew W Jackson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497014351 PECOS PAC ID: 7012201718 Enrollment ID: I20160803001110 |
| Provider Name | Lawrence G Lareau |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174522999 PECOS PAC ID: 8224193149 Enrollment ID: I20160816000696 |
| Provider Name | Marcelle George Haleem Meseeha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689013021 PECOS PAC ID: 6709185234 Enrollment ID: I20160826001569 |
| Provider Name | Sima Banerjee |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1912140724 PECOS PAC ID: 3971826611 Enrollment ID: I20160830000009 |
| Provider Name | Jedediah I Mcclintic |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1689977720 PECOS PAC ID: 4385863158 Enrollment ID: I20160916001134 |
| Provider Name | Elysa A Mcclintic |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1619287596 PECOS PAC ID: 7911125786 Enrollment ID: I20160921000003 |
| Provider Name | Umashankar Ballehaninna |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1578721767 PECOS PAC ID: 2365760972 Enrollment ID: I20160928001832 |
| Provider Name | Michael David Mix |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1720379233 PECOS PAC ID: 6204123540 Enrollment ID: I20160929002007 |
| Provider Name | Nathan R Gomes |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255642625 PECOS PAC ID: 2769788835 Enrollment ID: I20160930000054 |
| Provider Name | Jagmeet Singh |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1902179666 PECOS PAC ID: 6608094784 Enrollment ID: I20160930000629 |
| Provider Name | Ananth K Ravi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184856478 PECOS PAC ID: 6608186341 Enrollment ID: I20161003000149 |
| Provider Name | Nathaniel Mcelhaney |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1588845028 PECOS PAC ID: 0446406490 Enrollment ID: I20161005000723 |
| Provider Name | Daniel L Tayag |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1992023071 PECOS PAC ID: 4688892938 Enrollment ID: I20161006001826 |
| Provider Name | Basit Achakzai |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1780903278 PECOS PAC ID: 0244528297 Enrollment ID: I20161007000392 |
| Provider Name | Jennifer L Bau |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790908069 PECOS PAC ID: 4183775117 Enrollment ID: I20161011000862 |
| Provider Name | Susan Burchill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649723305 PECOS PAC ID: 8527356831 Enrollment ID: I20161019000357 |
| Provider Name | Christopher C Canestaro |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033582739 PECOS PAC ID: 0840592549 Enrollment ID: I20161019000370 |
| Provider Name | Foram Gandhi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891135851 PECOS PAC ID: 5698063907 Enrollment ID: I20161019000459 |
| Provider Name | Kuiran Jiao |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1962625483 PECOS PAC ID: 0042365447 Enrollment ID: I20161021000949 |
| Provider Name | Kyra Rzhevsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225582901 PECOS PAC ID: 3577841717 Enrollment ID: I20161024000723 |
| Provider Name | Mireille Taufik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710327796 PECOS PAC ID: 9739311739 Enrollment ID: I20161102000462 |
| Provider Name | Amber Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235572876 PECOS PAC ID: 4789986480 Enrollment ID: I20161108000307 |
| Provider Name | Mohammed Firdos Ziauddin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407866205 PECOS PAC ID: 9739184367 Enrollment ID: I20161110000868 |
| Provider Name | Jamie A Pace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386092641 PECOS PAC ID: 8123307048 Enrollment ID: I20161117000958 |
| Provider Name | James V Wagner |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942681788 PECOS PAC ID: 4688982325 Enrollment ID: I20161118001817 |
| Provider Name | Melissa R Fox |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003194606 PECOS PAC ID: 6507173556 Enrollment ID: I20161125000057 |
| Provider Name | Kelly J Hirsch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619959343 PECOS PAC ID: 2466769575 Enrollment ID: I20161128001644 |
| Provider Name | Kathleen Andrews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558714311 PECOS PAC ID: 7315226891 Enrollment ID: I20161128002336 |
| Provider Name | Brett Auerbach |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1386956563 PECOS PAC ID: 7719293059 Enrollment ID: I20170117000291 |
| Provider Name | Ann M Klinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750691655 PECOS PAC ID: 4486937141 Enrollment ID: I20170203001979 |
| Provider Name | Heather S Norman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1922332196 PECOS PAC ID: 7517267719 Enrollment ID: I20170407000684 |
| Provider Name | Lizeth Diaz Ledesma |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700085784 PECOS PAC ID: 0042385684 Enrollment ID: I20170418000414 |
| Provider Name | Lorena R Wesneski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265408322 PECOS PAC ID: 8921078684 Enrollment ID: I20170502001893 |
| Provider Name | Michael M Miller |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831458439 PECOS PAC ID: 7416234844 Enrollment ID: I20170511001956 |
| Provider Name | Veronica J Williamson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538501374 PECOS PAC ID: 6507092897 Enrollment ID: I20170522000172 |
| Provider Name | Megan C Shangraw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982972238 PECOS PAC ID: 0446427207 Enrollment ID: I20170523000890 |
| Provider Name | Nathan J Goldman |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1760742985 PECOS PAC ID: 6204103617 Enrollment ID: I20170606000771 |
| Provider Name | Gabriel A Garcia Ryan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609295476 PECOS PAC ID: 7719254168 Enrollment ID: I20170606002371 |
| Provider Name | Christopher M Viscomi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1235173204 PECOS PAC ID: 8820007693 Enrollment ID: I20170612000421 |
| Provider Name | Jaime L Fernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487103024 PECOS PAC ID: 8820367121 Enrollment ID: I20170629001721 |
| Provider Name | Mahmoud Chehab |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1093005597 PECOS PAC ID: 9032488937 Enrollment ID: I20170710000818 |
| Provider Name | Anwarul Haq |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1437131042 PECOS PAC ID: 3870650252 Enrollment ID: I20170712003008 |
| Provider Name | Keith Thomas Sharpton |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053604546 PECOS PAC ID: 6709184229 Enrollment ID: I20170817002671 |
| Provider Name | Genevieve Romano-helm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578990461 PECOS PAC ID: 1052683216 Enrollment ID: I20170823000594 |
| Provider Name | Rigoberto Acosta |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1912024274 PECOS PAC ID: 5799875019 Enrollment ID: I20170823002371 |
| Provider Name | Matthew J Lincoln |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1841496361 PECOS PAC ID: 7618132416 Enrollment ID: I20170831000367 |
| Provider Name | Syed J. Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518385269 PECOS PAC ID: 6002189404 Enrollment ID: I20170907000095 |
| Provider Name | Chiagozie O Fawole |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1942590591 PECOS PAC ID: 4183997265 Enrollment ID: I20170912002392 |
| Provider Name | Saurabh Sharma |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316177058 PECOS PAC ID: 0143476291 Enrollment ID: I20170913001470 |
| Provider Name | Noor U Amin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649686155 PECOS PAC ID: 5890099436 Enrollment ID: I20170923000196 |
| Provider Name | Erica Shatara |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386059525 PECOS PAC ID: 5799902946 Enrollment ID: I20170928002032 |
| Provider Name | Ravi Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649660655 PECOS PAC ID: 5799050852 Enrollment ID: I20170929001938 |
| Provider Name | Justin D Loomis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043763576 PECOS PAC ID: 8022385327 Enrollment ID: I20171010003048 |
| Provider Name | Julie Lynch-raymond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023538782 PECOS PAC ID: 2668748880 Enrollment ID: I20171016002472 |
| Provider Name | Amanda M Cotton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598139651 PECOS PAC ID: 3870896038 Enrollment ID: I20171020002494 |
| Provider Name | Lisa Emily Ceraolo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326264383 PECOS PAC ID: 8820197155 Enrollment ID: I20171023000415 |
| Provider Name | Elizabeth M Stein |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1407267701 PECOS PAC ID: 0143449678 Enrollment ID: I20171025001867 |
| Provider Name | Sarel Gaur |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1952690349 PECOS PAC ID: 3678845963 Enrollment ID: I20171108000434 |
| Provider Name | Elizabeth T Payne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750891941 PECOS PAC ID: 8224394135 Enrollment ID: I20171109001037 |
| Provider Name | Jennifer A Cornish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194266163 PECOS PAC ID: 4385901701 Enrollment ID: I20171120001646 |
| Provider Name | Christopher C Wawrzusin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710405030 PECOS PAC ID: 1456618719 Enrollment ID: I20171122001360 |
| Provider Name | Phyllis Klein |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1932166519 PECOS PAC ID: 5799821450 Enrollment ID: I20171207000326 |
| Provider Name | Emily K Riggs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689932253 PECOS PAC ID: 4981927654 Enrollment ID: I20171218003446 |
| Provider Name | Donald T Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326550385 PECOS PAC ID: 5294095683 Enrollment ID: I20180202001103 |
| Provider Name | Jean F Miner |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1952515892 PECOS PAC ID: 8426959560 Enrollment ID: I20180206000776 |
| Provider Name | Ravisha Bai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598162265 PECOS PAC ID: 6103186697 Enrollment ID: I20180207000858 |
| Provider Name | Bakhti J Sinor |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1477540177 PECOS PAC ID: 6608956628 Enrollment ID: I20180220000740 |
| Provider Name | Robin S Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578081329 PECOS PAC ID: 9931460805 Enrollment ID: I20180409000267 |
| Provider Name | Kim M Simmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083147946 PECOS PAC ID: 3870853203 Enrollment ID: I20180410000037 |
| Provider Name | Krista Straniere |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497144125 PECOS PAC ID: 4082925391 Enrollment ID: I20180412001543 |
| Provider Name | Mazin I Abdullah |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831241629 PECOS PAC ID: 9436284684 Enrollment ID: I20180425000012 |
| Provider Name | Ronald V Hublall |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740329242 PECOS PAC ID: 5890776207 Enrollment ID: I20180425001733 |
| Provider Name | Timothy R Shady |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619406873 PECOS PAC ID: 6901834449 Enrollment ID: I20180501001012 |
| Provider Name | Alan B Roessler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295770352 PECOS PAC ID: 1951665876 Enrollment ID: I20180501001297 |
| Provider Name | Peggy W Bowen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497739676 PECOS PAC ID: 9032010178 Enrollment ID: I20180501002600 |
| Provider Name | Sharon Jane Kuong |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447204730 PECOS PAC ID: 9032146832 Enrollment ID: I20180522001053 |
| Provider Name | Asserai M Richardson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700391760 PECOS PAC ID: 9032474598 Enrollment ID: I20180604001926 |
| Provider Name | Jeanette M Walrath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871048538 PECOS PAC ID: 9830444140 Enrollment ID: I20180608001646 |
| Provider Name | Patrick W Horner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912302035 PECOS PAC ID: 7719234657 Enrollment ID: I20180723003265 |
| Provider Name | Jacky Chen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538541305 PECOS PAC ID: 7214285949 Enrollment ID: I20180813000541 |
| Provider Name | Joseph P Mccullough |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861803025 PECOS PAC ID: 2163792144 Enrollment ID: I20180815001488 |
| Provider Name | Rahul Gosain |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1932455391 PECOS PAC ID: 8022246313 Enrollment ID: I20180815001871 |
| Provider Name | Jordan T Cook |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1306335856 PECOS PAC ID: 8123376431 Enrollment ID: I20180815002810 |
| Provider Name | Ahmed Ewida |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720462021 PECOS PAC ID: 2264781764 Enrollment ID: I20180816001188 |
| Provider Name | Jacqueline J Gagen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811964281 PECOS PAC ID: 4587979737 Enrollment ID: I20180829002999 |
| Provider Name | Karna Sura |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1093152159 PECOS PAC ID: 3173754579 Enrollment ID: I20180830000338 |
| Provider Name | Andrew Cortes |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588922678 PECOS PAC ID: 4688942881 Enrollment ID: I20180906002688 |
| Provider Name | Kyle P Conrad |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1588156764 PECOS PAC ID: 7315296902 Enrollment ID: I20180910002972 |
| Provider Name | Anna C Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528549086 PECOS PAC ID: 8224389895 Enrollment ID: I20180920000860 |
| Provider Name | Brian K Clark |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1821059403 PECOS PAC ID: 1658360441 Enrollment ID: I20180924000983 |
| Provider Name | Adam J Pascoe |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1972846723 PECOS PAC ID: 9638432958 Enrollment ID: I20180924003213 |
| Provider Name | Diana M Lougen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992281356 PECOS PAC ID: 2567713647 Enrollment ID: I20180928002463 |
| Provider Name | Teresa D Williams |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1306827399 PECOS PAC ID: 3779765409 Enrollment ID: I20181003000245 |
| Provider Name | Cynthia B Demuth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932680311 PECOS PAC ID: 6103178975 Enrollment ID: I20181004002681 |
| Provider Name | Shantanu Solanki |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245615707 PECOS PAC ID: 8224384482 Enrollment ID: I20181010000456 |
| Provider Name | Carlos Sanchez |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639655277 PECOS PAC ID: 3577815844 Enrollment ID: I20181015002322 |
| Provider Name | John L Frodel |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1598732562 PECOS PAC ID: 8628156635 Enrollment ID: I20181016001613 |
| Provider Name | Deepa Manimegalan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568849693 PECOS PAC ID: 8123371515 Enrollment ID: I20181101001447 |
| Provider Name | Egede J Aitsebaomo |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1376620682 PECOS PAC ID: 4880618552 Enrollment ID: I20181109001257 |
| Provider Name | Dylan George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932695517 PECOS PAC ID: 3375897143 Enrollment ID: I20181114000282 |
| Provider Name | Vincent M Deninis |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1730660846 PECOS PAC ID: 4587908934 Enrollment ID: I20181217001980 |
| Provider Name | Sisay T Akalu |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1457776395 PECOS PAC ID: 5193019370 Enrollment ID: I20181228001476 |
| Provider Name | Christopher G Paramore |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1194726216 PECOS PAC ID: 5991764979 Enrollment ID: I20190109001710 |
| Provider Name | Rachael N Stevenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982179024 PECOS PAC ID: 5092051193 Enrollment ID: I20190110001692 |
| Provider Name | Timothy J. Flurschutz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487183661 PECOS PAC ID: 7911263884 Enrollment ID: I20190114000199 |
| Provider Name | Jon Michael Chan |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1053577924 PECOS PAC ID: 3274760541 Enrollment ID: I20190116002034 |
| Provider Name | Lisa M Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750558086 PECOS PAC ID: 6204906803 Enrollment ID: I20190116003724 |
| Provider Name | Maridee K Hunter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184192213 PECOS PAC ID: 8325385131 Enrollment ID: I20190131001357 |
| Provider Name | Melissa J Traub |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841777521 PECOS PAC ID: 8325338270 Enrollment ID: I20190201000128 |
| Provider Name | Tina M Route |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407297633 PECOS PAC ID: 8123342128 Enrollment ID: I20190206000237 |
| Provider Name | Rebecca E Wahl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871073882 PECOS PAC ID: 1254679624 Enrollment ID: I20190208002629 |
| Provider Name | Agathoklis Konstantinidis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578862348 PECOS PAC ID: 4486897634 Enrollment ID: I20190222001148 |
| Provider Name | Glendena T Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144706110 PECOS PAC ID: 0749529519 Enrollment ID: I20190222001955 |
| Provider Name | Satre Stuelke |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114244837 PECOS PAC ID: 2264747807 Enrollment ID: I20190222002602 |
| Provider Name | Christopher M Carroll |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811378094 PECOS PAC ID: 3072852300 Enrollment ID: I20190305001203 |
| Provider Name | Frederick L Hilliker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770023657 PECOS PAC ID: 7810274644 Enrollment ID: I20190408001317 |
| Provider Name | Lela Adeoshun |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922494335 PECOS PAC ID: 4587906268 Enrollment ID: I20190429002311 |
| Provider Name | Nikki A Fitch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326518192 PECOS PAC ID: 3173866506 Enrollment ID: I20190528000916 |
| Provider Name | Gavin D Omahony |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1255531216 PECOS PAC ID: 4587810999 Enrollment ID: I20190627001128 |
| Provider Name | Hafiz Khan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1699117754 PECOS PAC ID: 7517291230 Enrollment ID: I20190628000671 |
| Provider Name | Jonathan P Manhard |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1235526567 PECOS PAC ID: 3375850233 Enrollment ID: I20190719000613 |
| Provider Name | Gerald J Shovlin |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1982979704 PECOS PAC ID: 4486965670 Enrollment ID: I20190806001728 |
| Provider Name | Raja C Chakinala |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023460714 PECOS PAC ID: 3173859873 Enrollment ID: I20190807001354 |
| Provider Name | Gaurav Jaswal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609258680 PECOS PAC ID: 6103132766 Enrollment ID: I20190808002007 |
| Provider Name | Erin M Lyons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841851573 PECOS PAC ID: 2567790207 Enrollment ID: I20190820001409 |
| Provider Name | Brittany Simone |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1295146777 PECOS PAC ID: 9436468865 Enrollment ID: I20190821002490 |
| Provider Name | Stephanie Rice |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1346668225 PECOS PAC ID: 8426357682 Enrollment ID: I20190821003200 |
| Provider Name | Alonna A Dillabough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487216065 PECOS PAC ID: 0446588768 Enrollment ID: I20190826000427 |
| Provider Name | Elizabeth D Nowalk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407418478 PECOS PAC ID: 7719215045 Enrollment ID: I20190826000906 |
| Provider Name | Vineela Kasireddy |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1003256645 PECOS PAC ID: 8820239809 Enrollment ID: I20190905002916 |
| Provider Name | Sadid Askarian |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457611188 PECOS PAC ID: 3870822737 Enrollment ID: I20190909002577 |
| Provider Name | Noorpreet K Dhawan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104278951 PECOS PAC ID: 4486949088 Enrollment ID: I20190919001161 |
| Provider Name | Christine E Krohmalney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386297745 PECOS PAC ID: 1557691250 Enrollment ID: I20190923003036 |
| Provider Name | Haley C Sorber |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1457848269 PECOS PAC ID: 3274862495 Enrollment ID: I20190924002074 |
| Provider Name | Byung Y Kim |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609860980 PECOS PAC ID: 2668661034 Enrollment ID: I20190924003841 |
| Provider Name | Shamanthy Ratnasingam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184076507 PECOS PAC ID: 7113257643 Enrollment ID: I20190926002012 |
| Provider Name | Jennifer Renee Coben |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1639580798 PECOS PAC ID: 4688982515 Enrollment ID: I20191001000374 |
| Provider Name | Elizabeth K Gordon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578940979 PECOS PAC ID: 3779834098 Enrollment ID: I20191010000294 |
| Provider Name | Stephen E Tolly |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568012698 PECOS PAC ID: 2668703026 Enrollment ID: I20191016000808 |
| Provider Name | Cody Joseph Estler |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013302181 PECOS PAC ID: 2365774460 Enrollment ID: I20191022002642 |
| Provider Name | David Ristedt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053483974 PECOS PAC ID: 6305178369 Enrollment ID: I20191024002872 |
| Provider Name | Alison R Platukis |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1649811274 PECOS PAC ID: 3779815618 Enrollment ID: I20191028000195 |
| Provider Name | Karen C Tabel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922654987 PECOS PAC ID: 6608108436 Enrollment ID: I20191029001171 |
| Provider Name | Heather M Abdalla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164076907 PECOS PAC ID: 6800128455 Enrollment ID: I20191030003596 |
| Provider Name | Jeffrey S Lutton |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1427216787 PECOS PAC ID: 9335202902 Enrollment ID: I20191031000252 |
| Provider Name | Zachary O. Masi |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1396092979 PECOS PAC ID: 2264760545 Enrollment ID: I20191107003258 |
| Provider Name | Kate S Larrabee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073163101 PECOS PAC ID: 5890127096 Enrollment ID: I20191108001078 |
| Provider Name | Karleena M Mickle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316509383 PECOS PAC ID: 7315379419 Enrollment ID: I20191111002587 |
| Provider Name | Zacchaeus Akinleye |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831577071 PECOS PAC ID: 0547692667 Enrollment ID: I20191112000239 |
| Provider Name | Jonathan S Harrison |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1710040399 PECOS PAC ID: 1850339615 Enrollment ID: I20191113000118 |
| Provider Name | Abelhaleem Sideeg |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114303013 PECOS PAC ID: 8628400496 Enrollment ID: I20191115001819 |
| Provider Name | Saravanakumar Manickam |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013316769 PECOS PAC ID: 9931329802 Enrollment ID: I20191119002683 |
| Provider Name | Jessie Anne Atkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598119182 PECOS PAC ID: 8729410394 Enrollment ID: I20191120000804 |
| Provider Name | Osnel Hernandez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447635081 PECOS PAC ID: 3274673769 Enrollment ID: I20191122000942 |
| Provider Name | Patricia A Youngs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639720873 PECOS PAC ID: 5991138281 Enrollment ID: I20191126002756 |
| Provider Name | Julie A Nichols |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447801634 PECOS PAC ID: 6608209762 Enrollment ID: I20191203001248 |
| Provider Name | Mohammad Fahad Ali |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1710248471 PECOS PAC ID: 5092148932 Enrollment ID: I20191206000082 |
| Provider Name | Krysta Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366094914 PECOS PAC ID: 1557795580 Enrollment ID: I20191230001538 |
| Provider Name | Jolynn M Labouf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609418367 PECOS PAC ID: 1153755855 Enrollment ID: I20200106002748 |
| Provider Name | Emily M Wales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851619472 PECOS PAC ID: 4082800271 Enrollment ID: I20200115001434 |
| Provider Name | Wade T Gordon |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1316936842 PECOS PAC ID: 0648401505 Enrollment ID: I20200121002227 |
| Provider Name | Natalie Givargidze |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205470457 PECOS PAC ID: 5890121149 Enrollment ID: I20200204001679 |
| Provider Name | Jennilee R Brinks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609412774 PECOS PAC ID: 9739515537 Enrollment ID: I20200213001963 |
| Provider Name | Allison D. Manning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578128435 PECOS PAC ID: 4284061730 Enrollment ID: I20200224001794 |
| Provider Name | Alexander J Kaminsky |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1093036386 PECOS PAC ID: 8527362714 Enrollment ID: I20200303000903 |
| Provider Name | Stacy M Salanger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477191708 PECOS PAC ID: 1951739739 Enrollment ID: I20200309001893 |
| Provider Name | Anjalena Jr Pasam |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1265818454 PECOS PAC ID: 3971834821 Enrollment ID: I20200312002043 |
| Provider Name | Matthew Muthuswamy Kumar |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1720068018 PECOS PAC ID: 5799757530 Enrollment ID: I20200318002133 |
| Provider Name | Mary K Zerby |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558910356 PECOS PAC ID: 5698006591 Enrollment ID: I20200325002314 |
| Provider Name | John W Lockard |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1811960560 PECOS PAC ID: 3971514621 Enrollment ID: I20200511001761 |
| Provider Name | Cecil Olaya Robertson |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1780640631 PECOS PAC ID: 9133028715 Enrollment ID: I20200518002302 |
| Provider Name | Saba N Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568983062 PECOS PAC ID: 5698010395 Enrollment ID: I20200714002711 |
| Provider Name | Buu Anh T To |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1639581861 PECOS PAC ID: 0941590871 Enrollment ID: I20200812000299 |
| Provider Name | Zachary E Dewar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093160541 PECOS PAC ID: 7911292008 Enrollment ID: I20200825000952 |
| Provider Name | Robert D Kale |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1992190979 PECOS PAC ID: 6305182247 Enrollment ID: I20200828002754 |
| Provider Name | Apurwa Karki |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1629467105 PECOS PAC ID: 1951673003 Enrollment ID: I20200831000772 |
| Provider Name | Harshil B Shah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609390871 PECOS PAC ID: 6002188901 Enrollment ID: I20200903001147 |
| Provider Name | Sanaz Gidfar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588023469 PECOS PAC ID: 2365868536 Enrollment ID: I20200911002533 |
| Provider Name | Shehla Javed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295358836 PECOS PAC ID: 4587082045 Enrollment ID: I20200915002222 |
| Provider Name | Matthew A Denson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1932596145 PECOS PAC ID: 0648699652 Enrollment ID: I20200924001266 |
| Provider Name | Wonyong Lee |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1063938611 PECOS PAC ID: 5395162218 Enrollment ID: I20201002001736 |
| Provider Name | Soo Yeon Shin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205445640 PECOS PAC ID: 8628497997 Enrollment ID: I20201006002132 |
| Provider Name | Joel C Owens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871104844 PECOS PAC ID: 0042630105 Enrollment ID: I20201012002351 |
| Provider Name | Verlyn O F Warrington |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962594457 PECOS PAC ID: 8628266210 Enrollment ID: I20201013002451 |
| Provider Name | Kathryn M Fitzgerald |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1215324017 PECOS PAC ID: 0840610739 Enrollment ID: I20201014002825 |
| Provider Name | Rebecca C Menard |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093353815 PECOS PAC ID: 9830519487 Enrollment ID: I20201020001898 |
| Provider Name | Abhinay Theli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144754144 PECOS PAC ID: 9638441413 Enrollment ID: I20201103002312 |
| Provider Name | Ellen R Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831720481 PECOS PAC ID: 7214347855 Enrollment ID: I20201110001222 |
| Provider Name | Rex David S Gido |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588018576 PECOS PAC ID: 8325459514 Enrollment ID: I20201118003353 |
| Provider Name | Simon J Shapiro |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1518254507 PECOS PAC ID: 1254627086 Enrollment ID: I20201230000988 |
| Provider Name | Sydney Welt |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1740256809 PECOS PAC ID: 0042296543 Enrollment ID: I20201230001464 |
| Provider Name | Allison C Malley |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1245658368 PECOS PAC ID: 7911205620 Enrollment ID: I20210107002193 |
| Provider Name | Robert Litt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538148432 PECOS PAC ID: 3779518949 Enrollment ID: I20210122002298 |
| Provider Name | Mary C Schanzer |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1821094418 PECOS PAC ID: 1759276371 Enrollment ID: I20210126001473 |
| Provider Name | Melinda Jo Edger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871959049 PECOS PAC ID: 0446556906 Enrollment ID: I20210127003037 |
| Provider Name | Mary Lynn Good |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669079976 PECOS PAC ID: 4183038417 Enrollment ID: I20210128001292 |
| Provider Name | Anna M Clifford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205320587 PECOS PAC ID: 0143634360 Enrollment ID: I20210129002020 |
| Provider Name | Brian S Polesuk |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053309773 PECOS PAC ID: 0345229522 Enrollment ID: I20210203002737 |
| Provider Name | Anne G Rizzo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871521898 PECOS PAC ID: 3476501644 Enrollment ID: I20210217000549 |
| Provider Name | David A Pfisterer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417920398 PECOS PAC ID: 7214989615 Enrollment ID: I20210218003081 |
| Provider Name | Sarah E Vartabedian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255920286 PECOS PAC ID: 3779998752 Enrollment ID: I20210225001217 |
| Provider Name | Christopher J Perkins |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255708897 PECOS PAC ID: 6507176187 Enrollment ID: I20210303003108 |
| Provider Name | Olusoji D Olakanpo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013354372 PECOS PAC ID: 9436451572 Enrollment ID: I20210311002001 |
| Provider Name | Stewart E Bober |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245251875 PECOS PAC ID: 1355234493 Enrollment ID: I20210312001220 |
| Provider Name | Kenneth A Sobel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356378939 PECOS PAC ID: 5092958736 Enrollment ID: I20210315000523 |
| Provider Name | Michelle Elizabeth Brayton |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1669429122 PECOS PAC ID: 4981599537 Enrollment ID: I20210318001221 |
| Provider Name | Sharon Melinda Spears |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356981021 PECOS PAC ID: 4385051325 Enrollment ID: I20210318001669 |
| Provider Name | Jasleena Peliya |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487189668 PECOS PAC ID: 7315219342 Enrollment ID: I20210323001907 |
| Provider Name | Rachel Cloke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447869821 PECOS PAC ID: 3072920800 Enrollment ID: I20210323002636 |
| Provider Name | Nicholas F Volchko |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1619313970 PECOS PAC ID: 7012262777 Enrollment ID: I20210413001260 |
| Provider Name | Tammie K Copp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104427871 PECOS PAC ID: 7618385675 Enrollment ID: I20210413001350 |
| Provider Name | Kathleen M Harden |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811443377 PECOS PAC ID: 9638450703 Enrollment ID: I20210414001008 |
| Provider Name | Cassian M Horoszczak |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1942654652 PECOS PAC ID: 1759628977 Enrollment ID: I20210527002247 |
| Provider Name | Michael Rae Huntly |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1184786121 PECOS PAC ID: 8628125457 Enrollment ID: I20210610001297 |
| Provider Name | Naiman Me Fenech |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1447774575 PECOS PAC ID: 8426395765 Enrollment ID: I20210610002861 |
| Provider Name | Andy Goberdhan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1386823425 PECOS PAC ID: 4082762760 Enrollment ID: I20210614000432 |
| Provider Name | Peter O'halloran |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1245625292 PECOS PAC ID: 8527468651 Enrollment ID: I20210614000734 |
| Provider Name | Carmela V San Luis |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1447600721 PECOS PAC ID: 8022303312 Enrollment ID: I20210630002460 |
| Provider Name | Sumathyuthee Kamalakannan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932603818 PECOS PAC ID: 1658773023 Enrollment ID: I20210707002674 |
| Provider Name | Hsin Kwong Li |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1679927453 PECOS PAC ID: 0749526689 Enrollment ID: I20210722001304 |
| Provider Name | Syed Arqum Huda |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730676214 PECOS PAC ID: 5395083257 Enrollment ID: I20210823003180 |
| Provider Name | Marie A Cadet-bouzi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649841396 PECOS PAC ID: 1456756550 Enrollment ID: I20210827002433 |
| Provider Name | Nicholas J Serniak |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1124408802 PECOS PAC ID: 1254750474 Enrollment ID: I20210909000718 |
| Provider Name | Felipe D Juarez |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417303512 PECOS PAC ID: 2860739190 Enrollment ID: I20210909003299 |
| Provider Name | Danielle L Redell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538730809 PECOS PAC ID: 1254738230 Enrollment ID: I20210916003472 |
| Provider Name | Bridgette Heath-isigan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932872231 PECOS PAC ID: 8921405895 Enrollment ID: I20210920001271 |
| Provider Name | Zachary T Skabelund |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1346773496 PECOS PAC ID: 2769888551 Enrollment ID: I20210922002167 |
| Provider Name | Pravash Kumar Dhakal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194214874 PECOS PAC ID: 6204187172 Enrollment ID: I20210923000133 |
| Provider Name | Robert M Corey |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1154767507 PECOS PAC ID: 4082831458 Enrollment ID: I20210925000012 |
| Provider Name | Beate E Valero |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184262784 PECOS PAC ID: 0244667434 Enrollment ID: I20210929003670 |
| Provider Name | Amanda D. Holley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205502523 PECOS PAC ID: 2163820556 Enrollment ID: I20211015001761 |
| Provider Name | Sophia D Halassy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073037289 PECOS PAC ID: 1658769880 Enrollment ID: I20211020003001 |
| Provider Name | Derrick G Hickey |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1356376289 PECOS PAC ID: 6204834583 Enrollment ID: I20211020003119 |
| Provider Name | Michael O Stratton |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710169966 PECOS PAC ID: 5890964415 Enrollment ID: I20211021003076 |
| Provider Name | Renato G Bobadilla Leon |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184118812 PECOS PAC ID: 0042617094 Enrollment ID: I20211103003331 |
| Provider Name | Kristen Marie Frost |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1851053318 PECOS PAC ID: 8628467701 Enrollment ID: I20211110002565 |
| Provider Name | Tracey L Wilkerson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043417132 PECOS PAC ID: 9234229568 Enrollment ID: I20211110003061 |
| Provider Name | Paul C Coty |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1386738862 PECOS PAC ID: 0941494181 Enrollment ID: I20211118000971 |
| Provider Name | Raphael M Byrne |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457779233 PECOS PAC ID: 1355568957 Enrollment ID: I20211203000159 |
| Provider Name | Melanie March |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427680792 PECOS PAC ID: 6103254701 Enrollment ID: I20220203001977 |
| Provider Name | Chetan Merchant |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1366855009 PECOS PAC ID: 2860818127 Enrollment ID: I20220304000956 |
| Provider Name | Tara A Fitzgerald |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1326792474 PECOS PAC ID: 7315332251 Enrollment ID: I20220311001127 |
| Provider Name | Tasneem J Rashid |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1205947926 PECOS PAC ID: 1759317357 Enrollment ID: I20220312000345 |
| Provider Name | Kushang Shah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356834477 PECOS PAC ID: 8123358074 Enrollment ID: I20220312000352 |
| Provider Name | Yann O Wester |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1699261644 PECOS PAC ID: 5294120432 Enrollment ID: I20220324001861 |
| Provider Name | Shri Jai Kirshan Ravi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730505264 PECOS PAC ID: 3678866548 Enrollment ID: I20220328002475 |
| Provider Name | Hana W Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356012504 PECOS PAC ID: 6305232364 Enrollment ID: I20220331001398 |
| Provider Name | Randi B Randall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720751761 PECOS PAC ID: 1254739840 Enrollment ID: I20220406002548 |
| Provider Name | Hoayang Wang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245726215 PECOS PAC ID: 9830528884 Enrollment ID: I20220411001704 |
| Provider Name | Pardeep Singh Taunk |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336643477 PECOS PAC ID: 6608270699 Enrollment ID: I20220414002167 |
| Provider Name | Rebecca A Satterly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811505035 PECOS PAC ID: 7214333426 Enrollment ID: I20220418000202 |
| Provider Name | Jeffrey E Jacobson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841452919 PECOS PAC ID: 5991952269 Enrollment ID: I20220419000913 |
| Provider Name | Estela Gumina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275280059 PECOS PAC ID: 4981091006 Enrollment ID: I20220420000620 |
| Provider Name | Judith F Rollar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780727990 PECOS PAC ID: 0345291936 Enrollment ID: I20220422001014 |
| Provider Name | Scott D Price |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1275633851 PECOS PAC ID: 2062403033 Enrollment ID: I20220502001100 |
| Provider Name | Leandra Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104595990 PECOS PAC ID: 1951798669 Enrollment ID: I20220504001862 |
| Provider Name | Usama Iqbal |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1265928063 PECOS PAC ID: 8628325057 Enrollment ID: I20220621002277 |
| Provider Name | Michael-isaac L Walshon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134582794 PECOS PAC ID: 6406246818 Enrollment ID: I20220624000653 |
| Provider Name | Zeshan Anwar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033386065 PECOS PAC ID: 4981885324 Enrollment ID: I20220705000678 |
| Provider Name | Meredith S Bourne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134530504 PECOS PAC ID: 7416261185 Enrollment ID: I20220705000919 |
| Provider Name | Michaela A Troisi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306430277 PECOS PAC ID: 5991112682 Enrollment ID: I20220712003219 |
| Provider Name | Philip J Mcphail |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1538325394 PECOS PAC ID: 4284912452 Enrollment ID: I20220723000097 |
| Provider Name | Daniel Duy Tran |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1215173539 PECOS PAC ID: 7618358441 Enrollment ID: I20220725002721 |
| Provider Name | Alexander Michael Johnston |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356785604 PECOS PAC ID: 6800185232 Enrollment ID: I20220801000173 |
| Provider Name | Sikder S.a Hassan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689134777 PECOS PAC ID: 2668701145 Enrollment ID: I20220802000245 |
| Provider Name | Mohammad Sulaiman Sultany |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457715377 PECOS PAC ID: 7911279328 Enrollment ID: I20220808001160 |
| Provider Name | Edward J Mcdonald |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124766977 PECOS PAC ID: 7012390792 Enrollment ID: I20220812000880 |
| Provider Name | Stephen J Dick |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1568427144 PECOS PAC ID: 3870542129 Enrollment ID: I20220831000296 |
| Provider Name | Richard Bailey |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1477553543 PECOS PAC ID: 6406948223 Enrollment ID: I20220908002900 |
| Provider Name | Tamara I Nsouli |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1780110734 PECOS PAC ID: 3375889132 Enrollment ID: I20220928002109 |
| Provider Name | Rebekah Cl Macfie |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1932526316 PECOS PAC ID: 5294952164 Enrollment ID: I20220929001622 |
| Provider Name | Erica L Skipton |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1780020909 PECOS PAC ID: 8820387905 Enrollment ID: I20220929003711 |
| Provider Name | Brittany L Colegrove |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841921418 PECOS PAC ID: 5294111050 Enrollment ID: I20220930001978 |
| Provider Name | Muhammad Affan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285290171 PECOS PAC ID: 1153659743 Enrollment ID: I20221003000339 |
| Provider Name | Hao Yang |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1124472683 PECOS PAC ID: 3072804699 Enrollment ID: I20221006002392 |
| Provider Name | Unknown Munish |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1538486907 PECOS PAC ID: 0042686123 Enrollment ID: I20221013003219 |
| Provider Name | Jason P Kartis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053976639 PECOS PAC ID: 2163759432 Enrollment ID: I20221025000564 |
| Provider Name | Amber S Hussain |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1356737860 PECOS PAC ID: 6901197060 Enrollment ID: I20221108000733 |
| Provider Name | Alvir D Rynone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609498757 PECOS PAC ID: 3173943024 Enrollment ID: I20221109001844 |
| Provider Name | Lauren E Colom |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1376939934 PECOS PAC ID: 8527435122 Enrollment ID: I20221111000565 |
| Provider Name | Shobha Mandal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164985206 PECOS PAC ID: 5597091637 Enrollment ID: I20221116000677 |
| Provider Name | Karim W Sadik |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1144437120 PECOS PAC ID: 4688827702 Enrollment ID: I20221116001670 |
| Provider Name | Maria C Caperelli Gergel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962962126 PECOS PAC ID: 1153657382 Enrollment ID: I20221118000452 |
| Provider Name | Brian Bradley Johnson |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1033630330 PECOS PAC ID: 1850626813 Enrollment ID: I20221205000060 |
| Provider Name | Molly M Witham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629631346 PECOS PAC ID: 1759617871 Enrollment ID: I20221206000602 |
| Provider Name | Mohammad Anwar Noory |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1619400934 PECOS PAC ID: 9335520071 Enrollment ID: I20221223000851 |
| Provider Name | Emily M Foster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700596210 PECOS PAC ID: 1557732286 Enrollment ID: I20230117001883 |
| Provider Name | Amanda Lynn Cunningham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609472570 PECOS PAC ID: 2668860784 Enrollment ID: I20230207000549 |
| Provider Name | Sivasanker Bakthavachalam |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1730390204 PECOS PAC ID: 1254494917 Enrollment ID: I20230220000958 |
| Provider Name | Steven Mark Sobol |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1598722712 PECOS PAC ID: 9032195425 Enrollment ID: I20230221000273 |
| Provider Name | Carolyn M Doherty |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1003862350 PECOS PAC ID: 8325059611 Enrollment ID: I20230228002639 |
| Provider Name | Kenneth L Weerasinghe |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447269006 PECOS PAC ID: 6608875331 Enrollment ID: I20230308000812 |
| Provider Name | Loring I Perry |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1205057072 PECOS PAC ID: 6204068851 Enrollment ID: I20230308002564 |
| Provider Name | Katelyn S Kopcsay |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497069595 PECOS PAC ID: 3779855838 Enrollment ID: I20230323001726 |
| Provider Name | Samantha E Townsend |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205495439 PECOS PAC ID: 9032536602 Enrollment ID: I20230327002283 |
| Provider Name | Elizabeth Atkinson |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1881747335 PECOS PAC ID: 1557262326 Enrollment ID: I20230419000078 |
| Provider Name | Hee Young Lee |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1225594112 PECOS PAC ID: 2163887589 Enrollment ID: I20230508000921 |
| Provider Name | Alexis Bouteneff |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1316982515 PECOS PAC ID: 1153461876 Enrollment ID: I20230524002610 |
| Provider Name | Juan Manuel Arreguin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346234200 PECOS PAC ID: 5294800918 Enrollment ID: I20230524002932 |
| Provider Name | Brenda Stack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164851259 PECOS PAC ID: 1254568975 Enrollment ID: I20230530001847 |
| Provider Name | Asher Bogdanove |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417516568 PECOS PAC ID: 7315272366 Enrollment ID: I20230613001665 |
| Provider Name | Rajamurugan Meenakshisundaram |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1689196776 PECOS PAC ID: 4880945161 Enrollment ID: I20230613001741 |
| Provider Name | Rubin Pradhan |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1245785054 PECOS PAC ID: 5799143129 Enrollment ID: I20230616001955 |
| Provider Name | Joseph Robert Harmon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265865885 PECOS PAC ID: 1759636202 Enrollment ID: I20230714002168 |
| Provider Name | Wendy C Christmas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790476109 PECOS PAC ID: 9335509785 Enrollment ID: I20230717001405 |
| Provider Name | Mehek Mehta |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1558859074 PECOS PAC ID: 5799012217 Enrollment ID: I20230718000111 |
| Provider Name | Jamie L Vanderhoff |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588357081 PECOS PAC ID: 8224498647 Enrollment ID: I20230718000158 |
| Provider Name | Puspa B Bista |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215549225 PECOS PAC ID: 0446611883 Enrollment ID: I20230801002125 |
| Provider Name | Jena M Guthrie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053850537 PECOS PAC ID: 2466813829 Enrollment ID: I20230801002869 |
| Provider Name | Jared Deck |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1033609730 PECOS PAC ID: 2860854437 Enrollment ID: I20230814002399 |
| Provider Name | Dara Grieger |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1700811163 PECOS PAC ID: 7113942996 Enrollment ID: I20230821002650 |
| Provider Name | Amandeep Kaur |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1245753243 PECOS PAC ID: 0446657357 Enrollment ID: I20230905000443 |
| Provider Name | Kristin K Algoe |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285727768 PECOS PAC ID: 4082766084 Enrollment ID: I20230905000502 |
| Provider Name | Olivia Procopio |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1326722281 PECOS PAC ID: 3375907660 Enrollment ID: I20230920001029 |
| Provider Name | Katherine Vandenberg |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1013440189 PECOS PAC ID: 1850662115 Enrollment ID: I20231002000120 |
| Provider Name | Sravan K Ponnekanti |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982228763 PECOS PAC ID: 4587088059 Enrollment ID: I20231004001079 |
| Provider Name | Matthew J Novak |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1871775122 PECOS PAC ID: 0941374110 Enrollment ID: I20231010000504 |
| Provider Name | Alzea D Rineer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811528029 PECOS PAC ID: 9436587086 Enrollment ID: I20231012000674 |
| Provider Name | Faraz A Siddiqui |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1326354374 PECOS PAC ID: 2668600172 Enrollment ID: I20231031001220 |
| Provider Name | Allison R Schmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114601002 PECOS PAC ID: 4284080953 Enrollment ID: I20231101001341 |
| Provider Name | Jessica H Bulkley |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1235810144 PECOS PAC ID: 2365898996 Enrollment ID: I20231103001901 |
| Provider Name | Jonathan W Burgei |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265936504 PECOS PAC ID: 4082961917 Enrollment ID: I20231103002984 |
| Provider Name | Gabriella N Mchenry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396415881 PECOS PAC ID: 7911354469 Enrollment ID: I20231106002400 |
| Provider Name | Katie M Alsheimer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457663130 PECOS PAC ID: 3870763170 Enrollment ID: I20231107000369 |
| Provider Name | Kathleen A Gorgos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124725437 PECOS PAC ID: 7416304811 Enrollment ID: I20231107001096 |
| Provider Name | Jason Yi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699180992 PECOS PAC ID: 4789954207 Enrollment ID: I20231205000249 |
| Provider Name | Oneeb Sanaullah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891311601 PECOS PAC ID: 8527483676 Enrollment ID: I20240116003229 |
| Provider Name | Margaret Banning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689260010 PECOS PAC ID: 2860839453 Enrollment ID: I20240319000439 |
| Provider Name | Marcelo G Gareca |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1346221959 PECOS PAC ID: 7315982410 Enrollment ID: I20240412003704 |
| Provider Name | Adam Henry Nasar |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1639610892 PECOS PAC ID: 9133488646 Enrollment ID: I20240413000123 |
| Provider Name | Matthew S Ujevich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124555206 PECOS PAC ID: 8123399987 Enrollment ID: I20240419000910 |
| Provider Name | Ahmed Abdelbaki |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1396152005 PECOS PAC ID: 1759625833 Enrollment ID: I20240419001974 |
| Provider Name | Mohammad Hamza |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437710803 PECOS PAC ID: 9638406382 Enrollment ID: I20240424000086 |
| Provider Name | Harish Ravipati |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619464633 PECOS PAC ID: 6002242161 Enrollment ID: I20240429002526 |
| Provider Name | Andrew B Sewell |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1023334919 PECOS PAC ID: 0244405579 Enrollment ID: I20240430004005 |
| Provider Name | Stephanie N Mazzawi-lockwood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952967382 PECOS PAC ID: 8820466469 Enrollment ID: I20240430004169 |
| Provider Name | Courtney Mae Mannino |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639563869 PECOS PAC ID: 9032465190 Enrollment ID: I20240501001922 |
| Provider Name | Griffith Hsu |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1669448056 PECOS PAC ID: 0042105652 Enrollment ID: I20240502001634 |
| Provider Name | Diego Accorsi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700307535 PECOS PAC ID: 3971842089 Enrollment ID: I20240502002692 |
| Provider Name | Chad W Coeyman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992785869 PECOS PAC ID: 3173507076 Enrollment ID: I20240503000090 |
| Provider Name | Joshua Bartlett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609645662 PECOS PAC ID: 7113367285 Enrollment ID: I20240507000334 |
| Provider Name | Tianyu Jiang |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1073073409 PECOS PAC ID: 3375904394 Enrollment ID: I20240510002867 |
| Provider Name | Miji Kim |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396208856 PECOS PAC ID: 3779907324 Enrollment ID: I20240513001806 |
| Provider Name | Carlo Marte De Luna |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1629028220 PECOS PAC ID: 9032158308 Enrollment ID: I20240520002753 |
| Provider Name | Tamara Z Paul |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962276840 PECOS PAC ID: 0648611160 Enrollment ID: I20240603003979 |
| Provider Name | Jennifer M Altieri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023369725 PECOS PAC ID: 9133379985 Enrollment ID: I20240606002258 |
| Provider Name | Gabriel A Mantz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649521386 PECOS PAC ID: 8921251596 Enrollment ID: I20240606002978 |
| Provider Name | Alice Sy Shen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114219185 PECOS PAC ID: 6507155645 Enrollment ID: I20240612001208 |
| Provider Name | Ahmed Fawzy |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1700861358 PECOS PAC ID: 2365423472 Enrollment ID: I20240612003237 |
Kathleen Hallinan Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 144 E 1st St, Corning, NY 14830 Phone: 607-962-6004 | |
Guthrie Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3 Guthrie Dr, Corning, NY 14830 Phone: 607-973-8000 | |
Guthrie Clinic Ltd. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 144 E 1st St, Corning, NY 14830 Phone: 607-962-6004 Fax: 607-962-6059 | |
Canfield Integrated Medical Arts Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 51 Ferris St, Corning, NY 14830 Phone: 607-368-3905 Fax: 607-654-0430 |