| Harbor Medical Associates, Inc. | |
|
541 Main St Suite 400 South Weymouth MA 02190-1868 | |
| (781) 952-1240 | |
| (781) 952-1257 |
| Full Name | Harbor Medical Associates, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 541 Main St, South Weymouth, Massachusetts |
| Authorized Official Name and Position | Peter A. Grape (CEO) |
| Authorized Official Contact | 7819521200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Harbor Medical Associates, Inc. 541 Main St Suite 400 South Weymouth MA 02190-1868 Ph: (781) 952-1240 | Harbor Medical Associates, Inc. 541 Main St Suite 400 South Weymouth MA 02190-1868 Ph: (781) 952-1240 |
| NPI Number | 1124079561 |
|---|---|
| Provider Enumeration Date | 05/12/2006 |
| Last Update Date | 08/07/2017 |
| Medicare PECOS PAC ID | 2466356209 |
|---|---|
| Medicare Enrollment ID | O20040719000954 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124079561 | NPI | - | NPPES |
| 0009288 | Other | MA | NEIGHBORHOOD HEALTH PLAN |
| M13981 | Other | MA | BLUE CROSS BLUE SHIELD |
| 24323 | Other | MA | FALLON COMM HEALTH PLAN |
| 084 | Other | MA | TUFTS MEDICARE PREFERRED |
| 603236 | Other | MA | TUFTS GROUP NUMBER |
| 9741194 | Medicaid | MA |
| Provider Name | Rebecca E Graziano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144207234 PECOS PAC ID: 4981508736 Enrollment ID: I20031122000032 |
| Provider Name | Kevin J Mcbride |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1265421002 PECOS PAC ID: 9739087636 Enrollment ID: I20031230000411 |
| Provider Name | James N Suojanen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083693485 PECOS PAC ID: 1557260742 Enrollment ID: I20040107000414 |
| Provider Name | James S Bezreh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376521435 PECOS PAC ID: 1153221296 Enrollment ID: I20040114000040 |
| Provider Name | Robert L Gore |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194703108 PECOS PAC ID: 5890696892 Enrollment ID: I20040114000054 |
| Provider Name | Richard Baum |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154317451 PECOS PAC ID: 8224929765 Enrollment ID: I20040323001322 |
| Provider Name | John Santilli |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063567899 PECOS PAC ID: 8729970983 Enrollment ID: I20040325000326 |
| Provider Name | Seth Mcclennen |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1265419410 PECOS PAC ID: 6305839168 Enrollment ID: I20040407000032 |
| Provider Name | Viduri Parekh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821061391 PECOS PAC ID: 6901891969 Enrollment ID: I20040419000656 |
| Provider Name | Karl Coyner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609861418 PECOS PAC ID: 8921096322 Enrollment ID: I20040504001234 |
| Provider Name | Simren Sangha |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1780661843 PECOS PAC ID: 8527049980 Enrollment ID: I20040601000479 |
| Provider Name | Celeste Crowley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871651356 PECOS PAC ID: 4789665175 Enrollment ID: I20040601000662 |
| Provider Name | Mary M Staffa |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356323646 PECOS PAC ID: 9739162272 Enrollment ID: I20040608000175 |
| Provider Name | Eva Gombos |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881670354 PECOS PAC ID: 0941283303 Enrollment ID: I20040608001080 |
| Provider Name | Kristin M Perini |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912982257 PECOS PAC ID: 3274516232 Enrollment ID: I20040610000748 |
| Provider Name | Aaron Sodickson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902888589 PECOS PAC ID: 3971586769 Enrollment ID: I20040611000773 |
| Provider Name | James P Strain |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316030562 PECOS PAC ID: 4385621481 Enrollment ID: I20040707000625 |
| Provider Name | Slobodan Miseljic |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912985086 PECOS PAC ID: 4082691183 Enrollment ID: I20040707000737 |
| Provider Name | Richard F Sullivan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679552616 PECOS PAC ID: 8426035411 Enrollment ID: I20040707001075 |
| Provider Name | Paul M Gagnon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679532436 PECOS PAC ID: 2365421799 Enrollment ID: I20040719000367 |
| Provider Name | Ruth Lim |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609919174 PECOS PAC ID: 6204806185 Enrollment ID: I20040728000940 |
| Provider Name | Pallavi Sagar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356332902 PECOS PAC ID: 2769452598 Enrollment ID: I20040729000308 |
| Provider Name | Salvatore G Viscomi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518957117 PECOS PAC ID: 0446220859 Enrollment ID: I20040730000926 |
| Provider Name | Carole J Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023087566 PECOS PAC ID: 9537130497 Enrollment ID: I20040804000283 |
| Provider Name | Patricia Lopresti |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1962625640 PECOS PAC ID: 4183695828 Enrollment ID: I20040804001696 |
| Provider Name | Susan P Davis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043206568 PECOS PAC ID: 6406828854 Enrollment ID: I20040806001160 |
| Provider Name | Jennifer L Lynch |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841278868 PECOS PAC ID: 4284606500 Enrollment ID: I20040809000198 |
| Provider Name | Alexa P Manickas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134105521 PECOS PAC ID: 4284606393 Enrollment ID: I20040810000313 |
| Provider Name | Geoffrey S Young |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780663641 PECOS PAC ID: 7315924545 Enrollment ID: I20040810000997 |
| Provider Name | Joanne L Kaplan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508843582 PECOS PAC ID: 3870565401 Enrollment ID: I20040812000684 |
| Provider Name | Suzanne G Pender |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366428088 PECOS PAC ID: 2062485667 Enrollment ID: I20040812001254 |
| Provider Name | Fidencio Saldana |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316917404 PECOS PAC ID: 4880662964 Enrollment ID: I20040917000478 |
| Provider Name | Alan Geller |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629040282 PECOS PAC ID: 5799754792 Enrollment ID: I20040927001000 |
| Provider Name | John L Mahoney |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821076845 PECOS PAC ID: 1850350844 Enrollment ID: I20041006000202 |
| Provider Name | Hyewon Hyun |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063587889 PECOS PAC ID: 5395714448 Enrollment ID: I20041110000702 |
| Provider Name | Amir Zamani |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780679480 PECOS PAC ID: 4981698719 Enrollment ID: I20041110000738 |
| Provider Name | Russell A Blinder |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477548394 PECOS PAC ID: 1153384144 Enrollment ID: I20041110000844 |
| Provider Name | Robin Perlmutter Goldenson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821073966 PECOS PAC ID: 1557325263 Enrollment ID: I20041112000738 |
| Provider Name | Angela A Giardino |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689658437 PECOS PAC ID: 0446214159 Enrollment ID: I20041112000759 |
| Provider Name | Jessie L Chai |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871580571 PECOS PAC ID: 8325002041 Enrollment ID: I20041112000833 |
| Provider Name | Oliver H Pomeroy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295720100 PECOS PAC ID: 1951365550 Enrollment ID: I20041115000051 |
| Provider Name | Bharti Khurana |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093797235 PECOS PAC ID: 4587628748 Enrollment ID: I20041117000357 |
| Provider Name | Matthew Lowry |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1962486894 PECOS PAC ID: 7810945110 Enrollment ID: I20050104000126 |
| Provider Name | Sarathchandra I Reddy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1619956356 PECOS PAC ID: 8921056185 Enrollment ID: I20050105000337 |
| Provider Name | Jonathan Shapiro |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962483222 PECOS PAC ID: 2264485648 Enrollment ID: I20050225000113 |
| Provider Name | Brian J Battista |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821075961 PECOS PAC ID: 4880640911 Enrollment ID: I20050322000994 |
| Provider Name | Peter Grape |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1346249000 PECOS PAC ID: 4587653282 Enrollment ID: I20050322001086 |
| Provider Name | Piran Aliabadi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851386494 PECOS PAC ID: 9032103858 Enrollment ID: I20050325000117 |
| Provider Name | Martin Iser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932134434 PECOS PAC ID: 9335195817 Enrollment ID: I20050328000946 |
| Provider Name | Philip J. Dombrowski |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679672794 PECOS PAC ID: 5799731139 Enrollment ID: I20050329000408 |
| Provider Name | Carol B Benson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588646657 PECOS PAC ID: 9133175581 Enrollment ID: I20050329000545 |
| Provider Name | Mary C Frates |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538144571 PECOS PAC ID: 1557308285 Enrollment ID: I20050413000999 |
| Provider Name | Peter K Hoshino |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1831176064 PECOS PAC ID: 6709823305 Enrollment ID: I20050414001099 |
| Provider Name | Sughra Raza |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447246459 PECOS PAC ID: 9335186881 Enrollment ID: I20050415000278 |
| Provider Name | Liangge Hsu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740265784 PECOS PAC ID: 3173560638 Enrollment ID: I20050415000340 |
| Provider Name | Mary L Delaney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336149228 PECOS PAC ID: 9638117716 Enrollment ID: I20050419001391 |
| Provider Name | Abby B Landzberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629055728 PECOS PAC ID: 9133167117 Enrollment ID: I20050420000719 |
| Provider Name | Brian P Sullivan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699750265 PECOS PAC ID: 1153369004 Enrollment ID: I20050420001250 |
| Provider Name | Francine Jacobson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124018890 PECOS PAC ID: 1254379076 Enrollment ID: I20050421001297 |
| Provider Name | Robert P Driscoll |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1124010921 PECOS PAC ID: 3870531692 Enrollment ID: I20050421001307 |
| Provider Name | Marla R Polger |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083692875 PECOS PAC ID: 0042258568 Enrollment ID: I20050425000307 |
| Provider Name | John L Stanley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063499051 PECOS PAC ID: 0941249254 Enrollment ID: I20050427000053 |
| Provider Name | Andetta R Hunsaker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528045127 PECOS PAC ID: 2961441209 Enrollment ID: I20050427000224 |
| Provider Name | Gregory J Lareau |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1568454361 PECOS PAC ID: 6204875453 Enrollment ID: I20050427001244 |
| Provider Name | Christine M Denison |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063408086 PECOS PAC ID: 8729027842 Enrollment ID: I20050428000382 |
| Provider Name | John D Osmond |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144267477 PECOS PAC ID: 4587613336 Enrollment ID: I20050502000160 |
| Provider Name | Anthony D Marks |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477530616 PECOS PAC ID: 8628017233 Enrollment ID: I20050503000084 |
| Provider Name | Mary Ann Drinkwater |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003903766 PECOS PAC ID: 3476593005 Enrollment ID: I20050503001086 |
| Provider Name | Laurie A Dimaria |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437136413 PECOS PAC ID: 0446290019 Enrollment ID: I20050504000067 |
| Provider Name | Stephen P Tarpy |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1497705065 PECOS PAC ID: 5890784813 Enrollment ID: I20050505000930 |
| Provider Name | Barbara J Mcneil |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1902893613 PECOS PAC ID: 7113968579 Enrollment ID: I20050516000681 |
| Provider Name | Roman A Klufas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598744427 PECOS PAC ID: 2860434586 Enrollment ID: I20050524000217 |
| Provider Name | Marc P Mansour |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417934522 PECOS PAC ID: 9133161607 Enrollment ID: I20050525000132 |
| Provider Name | John J Costa |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1285633362 PECOS PAC ID: 6305888587 Enrollment ID: I20050527000072 |
| Provider Name | James G Corrodi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457351330 PECOS PAC ID: 9830131028 Enrollment ID: I20050527000187 |
| Provider Name | Pamela J Dipiro |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730179110 PECOS PAC ID: 9133161011 Enrollment ID: I20050601000912 |
| Provider Name | David W Parker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235116278 PECOS PAC ID: 5698718831 Enrollment ID: I20050608000370 |
| Provider Name | Monty Ledbetter |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689657009 PECOS PAC ID: 4183668106 Enrollment ID: I20050610000476 |
| Provider Name | Michael Scott Stecker |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1467430876 PECOS PAC ID: 8224099270 Enrollment ID: I20050613000921 |
| Provider Name | Denise C Reardon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275510364 PECOS PAC ID: 7214972850 Enrollment ID: I20050623000442 |
| Provider Name | Hope E Peters |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790757193 PECOS PAC ID: 6608811898 Enrollment ID: I20050628000698 |
| Provider Name | Mary E Tulio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427035518 PECOS PAC ID: 8224074349 Enrollment ID: I20050629000534 |
| Provider Name | Ramin Khorasani |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255329538 PECOS PAC ID: 6305882242 Enrollment ID: I20050630001035 |
| Provider Name | Ahmed B Elaini |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912980806 PECOS PAC ID: 4789620063 Enrollment ID: I20050708000228 |
| Provider Name | Joshua W Stuhlfaut |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972594695 PECOS PAC ID: 3274569512 Enrollment ID: I20050708000796 |
| Provider Name | Justin J Campbell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568444891 PECOS PAC ID: 1557397619 Enrollment ID: I20050711000711 |
| Provider Name | Gerard B Hayes |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1942275169 PECOS PAC ID: 8022045731 Enrollment ID: I20050725000947 |
| Provider Name | Peter Doubilet |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972598811 PECOS PAC ID: 8628005170 Enrollment ID: I20050726000918 |
| Provider Name | Paul J Schubert |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1013994185 PECOS PAC ID: 4486682747 Enrollment ID: I20050728001060 |
| Provider Name | William C Denison |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124006911 PECOS PAC ID: 4688602279 Enrollment ID: I20050804000039 |
| Provider Name | Prakash Rau |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1447212238 PECOS PAC ID: 5698670495 Enrollment ID: I20050811000146 |
| Provider Name | Randheer Shailam |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558352278 PECOS PAC ID: 2961432612 Enrollment ID: I20050812000914 |
| Provider Name | Annick D Van Den Abbeele |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1154317816 PECOS PAC ID: 8426080110 Enrollment ID: I20050901000793 |
| Provider Name | Anna A Manatis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275584880 PECOS PAC ID: 9335111749 Enrollment ID: I20050906000073 |
| Provider Name | Jon Pehrson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457306714 PECOS PAC ID: 2163454307 Enrollment ID: I20050908000385 |
| Provider Name | Jim S Wu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447297106 PECOS PAC ID: 2365429958 Enrollment ID: I20050908000821 |
| Provider Name | Richard D Mirel |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1437150174 PECOS PAC ID: 6608809694 Enrollment ID: I20050912000041 |
| Provider Name | Michael J Hession |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922085158 PECOS PAC ID: 7214960277 Enrollment ID: I20050912000601 |
| Provider Name | Katherine Nimkin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639169444 PECOS PAC ID: 5092732198 Enrollment ID: I20051027001174 |
| Provider Name | Stuart Silverman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427045137 PECOS PAC ID: 9133113962 Enrollment ID: I20051105000051 |
| Provider Name | Lorraine B Smith |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770557258 PECOS PAC ID: 6507885977 Enrollment ID: I20051115000390 |
| Provider Name | Zareen M Farukhi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568431187 PECOS PAC ID: 5193744381 Enrollment ID: I20051116000970 |
| Provider Name | Paresha Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275502668 PECOS PAC ID: 8628974631 Enrollment ID: I20060106000326 |
| Provider Name | Jennifer F Sabir |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427027275 PECOS PAC ID: 3870520380 Enrollment ID: I20060110000887 |
| Provider Name | Maria Duran-mendicuti |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831171875 PECOS PAC ID: 3375566730 Enrollment ID: I20060111000844 |
| Provider Name | Paul T Schwerdt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205837887 PECOS PAC ID: 4385622919 Enrollment ID: I20060117000842 |
| Provider Name | Patricia M Gustin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417931452 PECOS PAC ID: 7012931454 Enrollment ID: I20060124000689 |
| Provider Name | Jeanne M Colton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992782072 PECOS PAC ID: 1658395926 Enrollment ID: I20060125000751 |
| Provider Name | Paul Sklarew |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1891729554 PECOS PAC ID: 8527074103 Enrollment ID: I20060308000021 |
| Provider Name | Elisabeth P Frost |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306822465 PECOS PAC ID: 4385652395 Enrollment ID: I20060403000612 |
| Provider Name | Judy A Dunal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619954757 PECOS PAC ID: 5496764870 Enrollment ID: I20060412000529 |
| Provider Name | Paul W Keough |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366426348 PECOS PAC ID: 8820009749 Enrollment ID: I20060508000119 |
| Provider Name | Mary C Gustilo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730175142 PECOS PAC ID: 9234140872 Enrollment ID: I20060511000147 |
| Provider Name | Anthony Edward Samir |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538114137 PECOS PAC ID: 9638181803 Enrollment ID: I20060707000245 |
| Provider Name | Susan Feinstein |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1508843533 PECOS PAC ID: 5890708283 Enrollment ID: I20060802000201 |
| Provider Name | An K Phan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104872274 PECOS PAC ID: 2567465164 Enrollment ID: I20060822000193 |
| Provider Name | Rafael A Altieri |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295791119 PECOS PAC ID: 8628073145 Enrollment ID: I20060915000308 |
| Provider Name | Gustavo A Mercier |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316986904 PECOS PAC ID: 4385609890 Enrollment ID: I20061114000563 |
| Provider Name | Chieh Min Fan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376516708 PECOS PAC ID: 9133128556 Enrollment ID: I20061213000229 |
| Provider Name | Hiroto Hatabu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578500161 PECOS PAC ID: 1557361433 Enrollment ID: I20061227000010 |
| Provider Name | Wendy B Landman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225144678 PECOS PAC ID: 9739181272 Enrollment ID: I20070212000633 |
| Provider Name | Dianne Georgian-smith |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134100043 PECOS PAC ID: 8527164144 Enrollment ID: I20070427000391 |
| Provider Name | Paul B Shyn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467408666 PECOS PAC ID: 7517961758 Enrollment ID: I20070607000554 |
| Provider Name | Nicolette Gebhardt |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1386703817 PECOS PAC ID: 0547369373 Enrollment ID: I20070620000249 |
| Provider Name | Matthew P Schenker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629104898 PECOS PAC ID: 8224137419 Enrollment ID: I20070629000090 |
| Provider Name | Christopher G Sakellis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891753679 PECOS PAC ID: 5698874709 Enrollment ID: I20070629000357 |
| Provider Name | Raquel Oliva Alencar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972531275 PECOS PAC ID: 2961501077 Enrollment ID: I20070629000365 |
| Provider Name | Eren Yeh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427030501 PECOS PAC ID: 6800996471 Enrollment ID: I20070711000655 |
| Provider Name | Jonathan L Streeter |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962461665 PECOS PAC ID: 6204936628 Enrollment ID: I20070713000211 |
| Provider Name | Scott White |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144276338 PECOS PAC ID: 4385745215 Enrollment ID: I20070723000508 |
| Provider Name | Charles Williams |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053301572 PECOS PAC ID: 7113828245 Enrollment ID: I20070809000683 |
| Provider Name | Julie A Honan |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1316948607 PECOS PAC ID: 3173617339 Enrollment ID: I20070919000024 |
| Provider Name | Jyothi P Jagannathan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275740805 PECOS PAC ID: 1355438573 Enrollment ID: I20071103000044 |
| Provider Name | Charles Cho |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740260025 PECOS PAC ID: 8426956772 Enrollment ID: I20071129000099 |
| Provider Name | Sarah M Sciascia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295785889 PECOS PAC ID: 2961584255 Enrollment ID: I20080125000057 |
| Provider Name | Stephen B Bliss |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275582090 PECOS PAC ID: 3577509157 Enrollment ID: I20080128000473 |
| Provider Name | Aisling J Flanagan-hickey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851426357 PECOS PAC ID: 3173605284 Enrollment ID: I20080129000265 |
| Provider Name | Michael Duggan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710027172 PECOS PAC ID: 7315023645 Enrollment ID: I20080326000598 |
| Provider Name | David M Denmark |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1790808814 PECOS PAC ID: 6103904453 Enrollment ID: I20080428000084 |
| Provider Name | Otto Rapalino |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174664965 PECOS PAC ID: 4587757281 Enrollment ID: I20080612000348 |
| Provider Name | Essmaeel H Abdel Dayem |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427088335 PECOS PAC ID: 3779654199 Enrollment ID: I20080612000440 |
| Provider Name | Neel Madan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548207327 PECOS PAC ID: 6709957137 Enrollment ID: I20080612000491 |
| Provider Name | Michael S Gee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215911136 PECOS PAC ID: 7416028667 Enrollment ID: I20080617000140 |
| Provider Name | Dimitry J Rabkin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316984990 PECOS PAC ID: 4486726700 Enrollment ID: I20080702000141 |
| Provider Name | Mizuki Nishino Hatabu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366639429 PECOS PAC ID: 3173695061 Enrollment ID: I20080709000718 |
| Provider Name | James F Stinchon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093762973 PECOS PAC ID: 1557434420 Enrollment ID: I20080725000183 |
| Provider Name | Lisa W Sotir |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760429468 PECOS PAC ID: 4981787066 Enrollment ID: I20080728000530 |
| Provider Name | Glenn C Gaviola |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841460094 PECOS PAC ID: 2860566023 Enrollment ID: I20080806000174 |
| Provider Name | Rachna Madan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366642779 PECOS PAC ID: 9638243819 Enrollment ID: I20080806000325 |
| Provider Name | Kristin Helm |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1336357763 PECOS PAC ID: 0749357788 Enrollment ID: I20080917000508 |
| Provider Name | Laura V Romo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114917275 PECOS PAC ID: 3870660780 Enrollment ID: I20080918000357 |
| Provider Name | Kirstin Marie Shu Small |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275601874 PECOS PAC ID: 7618044371 Enrollment ID: I20080922000368 |
| Provider Name | Srinivasan Mukundan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003902172 PECOS PAC ID: 6204903800 Enrollment ID: I20080924000116 |
| Provider Name | Michael L Steigner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538373840 PECOS PAC ID: 7618044199 Enrollment ID: I20080925000166 |
| Provider Name | Ron Blankstein |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1326238452 PECOS PAC ID: 3870660277 Enrollment ID: I20080926000575 |
| Provider Name | Timothy P Killoran |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1174696306 PECOS PAC ID: 3375610645 Enrollment ID: I20080929000409 |
| Provider Name | Gabrielle Sousa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386835866 PECOS PAC ID: 1153489307 Enrollment ID: I20081017000100 |
| Provider Name | Nehal Shah |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073731147 PECOS PAC ID: 0345308300 Enrollment ID: I20081020000233 |
| Provider Name | Shital Makim |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396918496 PECOS PAC ID: 1557429917 Enrollment ID: I20081029000384 |
| Provider Name | Tatiana Rocha |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972623361 PECOS PAC ID: 1052470325 Enrollment ID: I20081103000036 |
| Provider Name | Thomas Lee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356589980 PECOS PAC ID: 4183780331 Enrollment ID: I20090313000019 |
| Provider Name | Olga Pozdnyakova |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1033255708 PECOS PAC ID: 9234287889 Enrollment ID: I20090508000242 |
| Provider Name | Ori Preis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275591893 PECOS PAC ID: 8820148612 Enrollment ID: I20090617000333 |
| Provider Name | Henry Su |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639141575 PECOS PAC ID: 9931259678 Enrollment ID: I20090618000093 |
| Provider Name | Anand M Prabhakar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497982987 PECOS PAC ID: 9537211313 Enrollment ID: I20090709000536 |
| Provider Name | Alene Conant |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1093895468 PECOS PAC ID: 5597817171 Enrollment ID: I20090713000088 |
| Provider Name | Katherine Krajewski |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912167693 PECOS PAC ID: 3971657784 Enrollment ID: I20090813000238 |
| Provider Name | Fiona M Fennessy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548246762 PECOS PAC ID: 1951457100 Enrollment ID: I20090914000349 |
| Provider Name | Stacy Smith |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659364925 PECOS PAC ID: 8628075231 Enrollment ID: I20091005000538 |
| Provider Name | Melody J Eckardt |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760459721 PECOS PAC ID: 9436290731 Enrollment ID: I20100108000572 |
| Provider Name | Maria Clarinda A Buencamino Francisco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659540664 PECOS PAC ID: 9032284849 Enrollment ID: I20100203000142 |
| Provider Name | Catherine S Giess |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730179375 PECOS PAC ID: 8325934649 Enrollment ID: I20100226000542 |
| Provider Name | Kristen M Carroll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609105667 PECOS PAC ID: 0143365635 Enrollment ID: I20100309000244 |
| Provider Name | Adam Zucker |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1588823645 PECOS PAC ID: 1456489046 Enrollment ID: I20100430000588 |
| Provider Name | Linda Mason |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518132356 PECOS PAC ID: 3274662366 Enrollment ID: I20100528000049 |
| Provider Name | Heather Jacene |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1700922879 PECOS PAC ID: 1759310899 Enrollment ID: I20100809000738 |
| Provider Name | Raymond Huang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740428085 PECOS PAC ID: 1850425992 Enrollment ID: I20100811000864 |
| Provider Name | Isabelle Zamfirescu |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1881802031 PECOS PAC ID: 9335273721 Enrollment ID: I20100820000609 |
| Provider Name | Jason M Hemming |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1184712010 PECOS PAC ID: 8628192507 Enrollment ID: I20100830000274 |
| Provider Name | Nicole A. Wood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053398040 PECOS PAC ID: 3476679507 Enrollment ID: I20100927000927 |
| Provider Name | Ruth M. Lamprey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841277829 PECOS PAC ID: 8325129109 Enrollment ID: I20100927001489 |
| Provider Name | Kashana Karim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528087624 PECOS PAC ID: 4880690247 Enrollment ID: I20101020000371 |
| Provider Name | Roberto C Ugarte |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699946020 PECOS PAC ID: 1052506656 Enrollment ID: I20101109000697 |
| Provider Name | Bret A Ancowitz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1962607051 PECOS PAC ID: 6608969175 Enrollment ID: I20101229000684 |
| Provider Name | Nora Yousefzadeh Grunin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932367778 PECOS PAC ID: 3072702547 Enrollment ID: I20110114000049 |
| Provider Name | Sharmila Dorbala |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386623247 PECOS PAC ID: 5698954386 Enrollment ID: I20110127000279 |
| Provider Name | Kemal Tuncali |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811987506 PECOS PAC ID: 5294914909 Enrollment ID: I20110127000450 |
| Provider Name | Sara Durfee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366432973 PECOS PAC ID: 4082893797 Enrollment ID: I20110127000481 |
| Provider Name | Marcelo Fernando Di Carli |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407841034 PECOS PAC ID: 1658550298 Enrollment ID: I20110127000938 |
| Provider Name | Paula Kue |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235282278 PECOS PAC ID: 5092806083 Enrollment ID: I20110412000223 |
| Provider Name | Carole Vincent |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235390451 PECOS PAC ID: 5799962841 Enrollment ID: I20110527000215 |
| Provider Name | William Mehan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942421276 PECOS PAC ID: 1052589306 Enrollment ID: I20110713000126 |
| Provider Name | Laura S Selkirk |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1548478548 PECOS PAC ID: 4789852351 Enrollment ID: I20110726000616 |
| Provider Name | Mark H Selesnick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285653147 PECOS PAC ID: 5991762346 Enrollment ID: I20110726000731 |
| Provider Name | Anne D Morris |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144491911 PECOS PAC ID: 2961670468 Enrollment ID: I20110728000400 |
| Provider Name | Michael H Rosenthal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992934616 PECOS PAC ID: 8426228909 Enrollment ID: I20110822000026 |
| Provider Name | Ilana Warsofsky |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508188228 PECOS PAC ID: 4284807215 Enrollment ID: I20111107000718 |
| Provider Name | Daniel A T Souza |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427280460 PECOS PAC ID: 7517125792 Enrollment ID: I20120220000175 |
| Provider Name | Avni Chudgar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427180819 PECOS PAC ID: 4082705835 Enrollment ID: I20120412000309 |
| Provider Name | Alexander J Adduci |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306890017 PECOS PAC ID: 2466498365 Enrollment ID: I20120615000345 |
| Provider Name | Carolynn M Debenedectis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558563882 PECOS PAC ID: 0042475378 Enrollment ID: I20120711000353 |
| Provider Name | Eric J Schmidlin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073762779 PECOS PAC ID: 5698945871 Enrollment ID: I20120822000032 |
| Provider Name | Valeriy Parfenov |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1730353939 PECOS PAC ID: 1951579093 Enrollment ID: I20121130000128 |
| Provider Name | Ernest N Yeh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891938569 PECOS PAC ID: 1456591056 Enrollment ID: I20130702000402 |
| Provider Name | Dylan C Kwait |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932337888 PECOS PAC ID: 5193965697 Enrollment ID: I20130705000081 |
| Provider Name | Kevin Noyes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396976601 PECOS PAC ID: 4880834928 Enrollment ID: I20130712000350 |
| Provider Name | Casey Coleman Oboyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265878987 PECOS PAC ID: 7416198379 Enrollment ID: I20130719000093 |
| Provider Name | Jennifer Uyeda |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205096518 PECOS PAC ID: 9234370339 Enrollment ID: I20130801000634 |
| Provider Name | Jacob Mandell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023277654 PECOS PAC ID: 9638317530 Enrollment ID: I20130802000297 |
| Provider Name | Atul Bhanudas Shinagare |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093945263 PECOS PAC ID: 9739327313 Enrollment ID: I20130802000323 |
| Provider Name | Katherine Reyad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922447093 PECOS PAC ID: 3577706282 Enrollment ID: I20130828000578 |
| Provider Name | Shahmir Kamalian |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053670661 PECOS PAC ID: 0840433280 Enrollment ID: I20130904000091 |
| Provider Name | Samantha A. Good |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417386681 PECOS PAC ID: 7810126596 Enrollment ID: I20140128001738 |
| Provider Name | James A Brink |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639151962 PECOS PAC ID: 7618062399 Enrollment ID: I20140305000292 |
| Provider Name | Neena Kapoor |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275760472 PECOS PAC ID: 9537307871 Enrollment ID: I20140528000755 |
| Provider Name | Pragya A Dang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326281676 PECOS PAC ID: 7214194901 Enrollment ID: I20140701001639 |
| Provider Name | Daniel Glazer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184866576 PECOS PAC ID: 2668697251 Enrollment ID: I20140716001014 |
| Provider Name | Sona Chikarmane |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376778506 PECOS PAC ID: 8921246398 Enrollment ID: I20140725000259 |
| Provider Name | Christopher Potter |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639306129 PECOS PAC ID: 7315163243 Enrollment ID: I20140729001704 |
| Provider Name | Viviany R Taqueti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891990446 PECOS PAC ID: 5092972836 Enrollment ID: I20140801001305 |
| Provider Name | Evguenia J Karimova |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265699250 PECOS PAC ID: 1850532359 Enrollment ID: I20140828000391 |
| Provider Name | William Mayo-smith |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851389720 PECOS PAC ID: 3173707692 Enrollment ID: I20141011000001 |
| Provider Name | Katherine R. Shortelle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780956839 PECOS PAC ID: 5597089904 Enrollment ID: I20150113000976 |
| Provider Name | Karen Oneil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659776144 PECOS PAC ID: 0345564167 Enrollment ID: I20150126001452 |
| Provider Name | Elizabeth Asch |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215165030 PECOS PAC ID: 9032438577 Enrollment ID: I20150505000055 |
| Provider Name | Leslie K Lee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265752729 PECOS PAC ID: 6507025046 Enrollment ID: I20150529001584 |
| Provider Name | Jade Watkins |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710115761 PECOS PAC ID: 8224359179 Enrollment ID: I20150604001032 |
| Provider Name | Regina Maria Koch |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649430208 PECOS PAC ID: 8820236573 Enrollment ID: I20150617000657 |
| Provider Name | Allyson Chesebro |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194020115 PECOS PAC ID: 8022259589 Enrollment ID: I20150618000211 |
| Provider Name | Johvonne Michelle Claybourne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942360508 PECOS PAC ID: 3678508629 Enrollment ID: I20150619000304 |
| Provider Name | Gunjan Senapati |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851523195 PECOS PAC ID: 0941426654 Enrollment ID: I20150706001516 |
| Provider Name | Evan Zucker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114165149 PECOS PAC ID: 1557587698 Enrollment ID: I20150706001833 |
| Provider Name | James M Fuller |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356315964 PECOS PAC ID: 6406860618 Enrollment ID: I20150708000458 |
| Provider Name | Nathaniel N Temin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194955864 PECOS PAC ID: 8527370030 Enrollment ID: I20150710001820 |
| Provider Name | Jeffrey You-ling Shyu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023336690 PECOS PAC ID: 9032357983 Enrollment ID: I20150825004747 |
| Provider Name | Stephanie Lynn Quintiliani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114205127 PECOS PAC ID: 8527377639 Enrollment ID: I20151012000776 |
| Provider Name | Cara L Sacchetti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457614588 PECOS PAC ID: 6901035765 Enrollment ID: I20151013000809 |
| Provider Name | Kelsey Anne Perkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295017143 PECOS PAC ID: 6709101967 Enrollment ID: I20151120000357 |
| Provider Name | Cindy Spier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881778306 PECOS PAC ID: 4688642994 Enrollment ID: I20151202000000 |
| Provider Name | Ayaz Aghayev |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881964674 PECOS PAC ID: 6608014006 Enrollment ID: I20151229002125 |
| Provider Name | Brendan Casey Merchant |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952535445 PECOS PAC ID: 2860658754 Enrollment ID: I20160322001823 |
| Provider Name | Alison H. Goldin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1396064192 PECOS PAC ID: 3678711124 Enrollment ID: I20160609000228 |
| Provider Name | Diego Nunez |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457343790 PECOS PAC ID: 6305943929 Enrollment ID: I20160613000489 |
| Provider Name | Jeremy Wortman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548549736 PECOS PAC ID: 7618115577 Enrollment ID: I20160615000714 |
| Provider Name | Mark Hammer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578884003 PECOS PAC ID: 1052540697 Enrollment ID: I20160617001065 |
| Provider Name | Hei Shun Yu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043509151 PECOS PAC ID: 1951526326 Enrollment ID: I20160622002763 |
| Provider Name | Alexander J Kim |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1194082727 PECOS PAC ID: 1153612908 Enrollment ID: I20160624001657 |
| Provider Name | Ged Wieschhoff |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548556566 PECOS PAC ID: 8729226030 Enrollment ID: I20160907001737 |
| Provider Name | Cecilia R Briggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497094411 PECOS PAC ID: 0446548739 Enrollment ID: I20161020000278 |
| Provider Name | Omar Parvez |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568751675 PECOS PAC ID: 7810129749 Enrollment ID: I20161115002062 |
| Provider Name | Matthew N Desalvo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790124824 PECOS PAC ID: 7810114683 Enrollment ID: I20170113001147 |
| Provider Name | Damian E. Dupuy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861480733 PECOS PAC ID: 5799800066 Enrollment ID: I20170407001565 |
| Provider Name | Katelyn Marie Arena |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437562261 PECOS PAC ID: 1153607593 Enrollment ID: I20170419000686 |
| Provider Name | Nita Amornsiripanitch |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063791887 PECOS PAC ID: 5698927614 Enrollment ID: I20170426001510 |
| Provider Name | Camilo E Jaimes Cobos |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033453576 PECOS PAC ID: 4688801749 Enrollment ID: I20170509001889 |
| Provider Name | Christopher Phillip Gange |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841553047 PECOS PAC ID: 4183919467 Enrollment ID: I20170515000440 |
| Provider Name | Jeffrey Dorr |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013279595 PECOS PAC ID: 9436436755 Enrollment ID: I20170515000664 |
| Provider Name | Laura E Miller |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245551712 PECOS PAC ID: 2860769791 Enrollment ID: I20170525000916 |
| Provider Name | Alexander Goehler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427333244 PECOS PAC ID: 3678732104 Enrollment ID: I20170531001223 |
| Provider Name | Alan J Cubre |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316267792 PECOS PAC ID: 9335453745 Enrollment ID: I20170623000936 |
| Provider Name | Danielle Richman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922364231 PECOS PAC ID: 6608002639 Enrollment ID: I20170721002602 |
| Provider Name | Jeffrey Dileo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831464551 PECOS PAC ID: 3274830120 Enrollment ID: I20170803000004 |
| Provider Name | Abhishek Keraliya |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184033649 PECOS PAC ID: 7214158021 Enrollment ID: I20170803000452 |
| Provider Name | Fernanda Wagenheim |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689939886 PECOS PAC ID: 9234400219 Enrollment ID: I20170809003208 |
| Provider Name | Irfanullah Haider |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114212024 PECOS PAC ID: 4486951464 Enrollment ID: I20170824001585 |
| Provider Name | Marta Braschi Amirfarzan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821330200 PECOS PAC ID: 5395979561 Enrollment ID: I20170913001650 |
| Provider Name | Priyadarsini Puram |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1306266598 PECOS PAC ID: 8729207600 Enrollment ID: I20170928002933 |
| Provider Name | Ellie S Kwak |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912262551 PECOS PAC ID: 0446525414 Enrollment ID: I20171002003614 |
| Provider Name | Christine Kim |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467623322 PECOS PAC ID: 7618283268 Enrollment ID: I20171222000097 |
| Provider Name | Matthew Robertson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588825434 PECOS PAC ID: 0042523136 Enrollment ID: I20180116000573 |
| Provider Name | Magda Rizer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427482280 PECOS PAC ID: 3678844230 Enrollment ID: I20180220000506 |
| Provider Name | Catherine Hawley Phillips |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952664484 PECOS PAC ID: 3577798172 Enrollment ID: I20180220002762 |
| Provider Name | Andrew Colucci |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093078503 PECOS PAC ID: 8921369950 Enrollment ID: I20180307002095 |
| Provider Name | Daimon P. Simmons |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1124456652 PECOS PAC ID: 0143457622 Enrollment ID: I20180309001307 |
| Provider Name | Danielle Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326564642 PECOS PAC ID: 7012279862 Enrollment ID: I20180315000790 |
| Provider Name | Shanna A. Matalon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588927776 PECOS PAC ID: 7416275375 Enrollment ID: I20180510000632 |
| Provider Name | Thomas F Flood |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093155541 PECOS PAC ID: 1456615699 Enrollment ID: I20180516000133 |
| Provider Name | John M Conklin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861917114 PECOS PAC ID: 3072871227 Enrollment ID: I20180516001990 |
| Provider Name | Staci Gagne |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255694683 PECOS PAC ID: 2264730191 Enrollment ID: I20180529001029 |
| Provider Name | Gina Zarella |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134502347 PECOS PAC ID: 8527314947 Enrollment ID: I20180627001654 |
| Provider Name | Leah Hope Portnow |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184984833 PECOS PAC ID: 5597030528 Enrollment ID: I20180723000475 |
| Provider Name | Michael Caruso |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114176906 PECOS PAC ID: 3779737812 Enrollment ID: I20180815001936 |
| Provider Name | Suzanne Byrne |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093191801 PECOS PAC ID: 0446566830 Enrollment ID: I20180914001860 |
| Provider Name | Luis Saura Beltran |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750592333 PECOS PAC ID: 1951433499 Enrollment ID: I20180925003411 |
| Provider Name | Shannon Leigh Burnham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912385915 PECOS PAC ID: 4486963360 Enrollment ID: I20181002002338 |
| Provider Name | Melissa Marie Leclair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689172058 PECOS PAC ID: 7012252463 Enrollment ID: I20181213000931 |
| Provider Name | Lauren Marie Kim |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1356541494 PECOS PAC ID: 9234380932 Enrollment ID: I20181220001392 |
| Provider Name | Molly M Valente |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699239129 PECOS PAC ID: 6608117445 Enrollment ID: I20190404002226 |
| Provider Name | James Parker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821081837 PECOS PAC ID: 7416047915 Enrollment ID: I20190415002283 |
| Provider Name | Lily Savoie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932671401 PECOS PAC ID: 1355682527 Enrollment ID: I20190416003171 |
| Provider Name | Nicholas A. Marston |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1851655617 PECOS PAC ID: 1951604305 Enrollment ID: I20190506001803 |
| Provider Name | Krista Suarez-weiss |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326450958 PECOS PAC ID: 0941595011 Enrollment ID: I20190514002050 |
| Provider Name | Lauren A Roller |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326467127 PECOS PAC ID: 5799090635 Enrollment ID: I20190516002310 |
| Provider Name | Ravi V Gottumukkala |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467866129 PECOS PAC ID: 4789990557 Enrollment ID: I20190606001258 |
| Provider Name | Jeffrey P Guenette |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093154056 PECOS PAC ID: 5698992337 Enrollment ID: I20190624001665 |
| Provider Name | Ezra Burch |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346687894 PECOS PAC ID: 6305065608 Enrollment ID: I20190718001709 |
| Provider Name | Kristine Specht Burk |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831533900 PECOS PAC ID: 2163664145 Enrollment ID: I20190722002551 |
| Provider Name | Elizabeth Levin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417214198 PECOS PAC ID: 9537496948 Enrollment ID: I20190808000150 |
| Provider Name | Selwan Abdullah |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801214325 PECOS PAC ID: 9133352867 Enrollment ID: I20190812001847 |
| Provider Name | Sharath Bhagavatula |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497193973 PECOS PAC ID: 2567790256 Enrollment ID: I20190819003517 |
| Provider Name | Stephanie Chung |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316206196 PECOS PAC ID: 3779847991 Enrollment ID: I20190822000262 |
| Provider Name | Snezhana Voynova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578126298 PECOS PAC ID: 5698003804 Enrollment ID: I20190827000660 |
| Provider Name | Meghan Mahoney Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093168627 PECOS PAC ID: 1557637329 Enrollment ID: I20190903002907 |
| Provider Name | Elvis Joel Aponte Rivera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023495785 PECOS PAC ID: 0749519163 Enrollment ID: I20190911000395 |
| Provider Name | Cinthia Cruz-romero |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871949750 PECOS PAC ID: 6406142215 Enrollment ID: I20190918002391 |
| Provider Name | Nancy I Joseph |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1144649575 PECOS PAC ID: 7012249907 Enrollment ID: I20191025000994 |
| Provider Name | Jihee Choe |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215354477 PECOS PAC ID: 0345465837 Enrollment ID: I20191118000617 |
| Provider Name | Fadi M El-merhi |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1285741272 PECOS PAC ID: 7517947641 Enrollment ID: I20191203001443 |
| Provider Name | Christina Sayers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831657774 PECOS PAC ID: 1254765951 Enrollment ID: I20200106002724 |
| Provider Name | William Einhorn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295149565 PECOS PAC ID: 4486960986 Enrollment ID: I20200506002200 |
| Provider Name | Sara M Bahouth |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063899425 PECOS PAC ID: 5698106912 Enrollment ID: I20200520001726 |
| Provider Name | Mohammadali Mojarrad |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487035887 PECOS PAC ID: 9931494069 Enrollment ID: I20200604003135 |
| Provider Name | Keryn Mahoney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982169017 PECOS PAC ID: 7810319100 Enrollment ID: I20200615000545 |
| Provider Name | Yang Guo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578975629 PECOS PAC ID: 7810319126 Enrollment ID: I20200615001676 |
| Provider Name | Sara Beck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114257607 PECOS PAC ID: 3072658152 Enrollment ID: I20200618000536 |
| Provider Name | Meredith G Haley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518492958 PECOS PAC ID: 5991076325 Enrollment ID: I20200629002416 |
| Provider Name | Sheung Chee Thomas Ng |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417375122 PECOS PAC ID: 0648587352 Enrollment ID: I20200716002378 |
| Provider Name | Brian Wells |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679839559 PECOS PAC ID: 2466753801 Enrollment ID: I20200721002493 |
| Provider Name | Cory R Weiss |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922480581 PECOS PAC ID: 2466757612 Enrollment ID: I20200721002864 |
| Provider Name | Lawrence Lo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699162511 PECOS PAC ID: 0648570796 Enrollment ID: I20200728001404 |
| Provider Name | Toluwalase Ashimolowo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205223765 PECOS PAC ID: 1951603950 Enrollment ID: I20200729002010 |
| Provider Name | Alison Walker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548792716 PECOS PAC ID: 2567735251 Enrollment ID: I20200806001767 |
| Provider Name | Hyesun Park |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215450820 PECOS PAC ID: 1557788502 Enrollment ID: I20200904001340 |
| Provider Name | Ellen Sun |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619362613 PECOS PAC ID: 3173819109 Enrollment ID: I20200908000203 |
| Provider Name | Polina Kanj |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487035440 PECOS PAC ID: 0143640813 Enrollment ID: I20201019001469 |
| Provider Name | Sumit Gupta |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649700766 PECOS PAC ID: 2769733807 Enrollment ID: I20201105001576 |
| Provider Name | Chaitanya Shilagani |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568859957 PECOS PAC ID: 6507276409 Enrollment ID: I20201116002998 |
| Provider Name | Rahul Gujrathi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790270239 PECOS PAC ID: 2163767799 Enrollment ID: I20201207000370 |
| Provider Name | Mary Elizabeth Cunningham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679190094 PECOS PAC ID: 6406268457 Enrollment ID: I20201215002717 |
| Provider Name | Gretchen Rangel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922306372 PECOS PAC ID: 6709290158 Enrollment ID: I20210127000781 |
| Provider Name | William Patterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184036337 PECOS PAC ID: 3072739705 Enrollment ID: I20210429002685 |
| Provider Name | Benjamin M Kozak |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487015384 PECOS PAC ID: 5395017354 Enrollment ID: I20210720002134 |
| Provider Name | Ranjodh S Dhami |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457714131 PECOS PAC ID: 1951674894 Enrollment ID: I20210720002791 |
| Provider Name | Derek Michael Chicarilli |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639532351 PECOS PAC ID: 6901191501 Enrollment ID: I20210723000374 |
| Provider Name | David Smoot |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619323060 PECOS PAC ID: 0547548893 Enrollment ID: I20210803000438 |
| Provider Name | Anahita Ghorbani |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093120636 PECOS PAC ID: 0941589535 Enrollment ID: I20210813002997 |
| Provider Name | Anne F. Liu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1962848416 PECOS PAC ID: 5991025470 Enrollment ID: I20210813003130 |
| Provider Name | Hina J Shah |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1790233682 PECOS PAC ID: 1951680917 Enrollment ID: I20210825001463 |
| Provider Name | Kittika Mayall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700382611 PECOS PAC ID: 9830446749 Enrollment ID: I20210903001703 |
| Provider Name | Elmira Hassanzadeh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154779809 PECOS PAC ID: 8921395088 Enrollment ID: I20210903002257 |
| Provider Name | Brooks Applewhite |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235553751 PECOS PAC ID: 9234402876 Enrollment ID: I20211004003281 |
| Provider Name | Winnie Wong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639603202 PECOS PAC ID: 8325446370 Enrollment ID: I20211006001278 |
| Provider Name | Jonathan Danilo Contreras |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1891366886 PECOS PAC ID: 8729478268 Enrollment ID: I20211124000720 |
| Provider Name | Marcela Marsiglia |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699157891 PECOS PAC ID: 1456603216 Enrollment ID: I20211222002378 |
| Provider Name | Catherine Joan Cleary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275205825 PECOS PAC ID: 0345632824 Enrollment ID: I20220112001954 |
| Provider Name | Jennifer Fusco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316516537 PECOS PAC ID: 7911391214 Enrollment ID: I20220302002990 |
| Provider Name | Stanley Kim |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801245535 PECOS PAC ID: 5193111904 Enrollment ID: I20220404002276 |
| Provider Name | Teresa Victoria |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427263805 PECOS PAC ID: 1557421682 Enrollment ID: I20220405002241 |
| Provider Name | Aaron Jen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134579675 PECOS PAC ID: 8628361144 Enrollment ID: I20220406002348 |
| Provider Name | Nathaniel Steiger |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1780023390 PECOS PAC ID: 5799900155 Enrollment ID: I20220415001005 |
| Provider Name | Alyssa Mae Simeone |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437512936 PECOS PAC ID: 8527445758 Enrollment ID: I20220510000329 |
| Provider Name | Rhanderson Nascimento Cardoso |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1669810552 PECOS PAC ID: 9931450715 Enrollment ID: I20220511000522 |
| Provider Name | Jason R Lauer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841726445 PECOS PAC ID: 5092065748 Enrollment ID: I20220512000179 |
| Provider Name | Anne-sophie Loonis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225569304 PECOS PAC ID: 8729345392 Enrollment ID: I20220525002199 |
| Provider Name | Sarah Kimi Eliades |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457709875 PECOS PAC ID: 2062709793 Enrollment ID: I20220526001791 |
| Provider Name | Khushboo Jhala |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710410675 PECOS PAC ID: 2769732544 Enrollment ID: I20220530000099 |
| Provider Name | Christopher M Brennan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982749644 PECOS PAC ID: 5799963674 Enrollment ID: I20220601001649 |
| Provider Name | Felipe Boschini Franco |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700377447 PECOS PAC ID: 0941544571 Enrollment ID: I20220606001058 |
| Provider Name | Miren Guenechea-sola |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1902118649 PECOS PAC ID: 5294974408 Enrollment ID: I20220610000651 |
| Provider Name | Samantha Harrington |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255795407 PECOS PAC ID: 2961792551 Enrollment ID: I20220614001059 |
| Provider Name | Amalie Thavikulwat Mays |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952792657 PECOS PAC ID: 8123407764 Enrollment ID: I20220628001529 |
| Provider Name | Megan Leigh Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750963575 PECOS PAC ID: 0547640005 Enrollment ID: I20220630002238 |
| Provider Name | Christina S Konstantopoulos |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932639341 PECOS PAC ID: 4284014440 Enrollment ID: I20220706000249 |
| Provider Name | Jieqi Wang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316488521 PECOS PAC ID: 1456621051 Enrollment ID: I20220706000396 |
| Provider Name | Bobby Joseph |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558721803 PECOS PAC ID: 8022308980 Enrollment ID: I20220706000884 |
| Provider Name | Megan Lagerval |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396379087 PECOS PAC ID: 9436539434 Enrollment ID: I20220708000771 |
| Provider Name | Miriam Defilipp |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982134219 PECOS PAC ID: 1456623784 Enrollment ID: I20220708001178 |
| Provider Name | Borna E Dabiri |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508228198 PECOS PAC ID: 7618248089 Enrollment ID: I20220708001603 |
| Provider Name | Jisoo Kim |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770939399 PECOS PAC ID: 9133410798 Enrollment ID: I20220711000115 |
| Provider Name | Khanant M Desai |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285020586 PECOS PAC ID: 3779881941 Enrollment ID: I20220712003594 |
| Provider Name | Shana G Neumann |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518498989 PECOS PAC ID: 0244611887 Enrollment ID: I20220714000199 |
| Provider Name | Tarana K Gill |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578095253 PECOS PAC ID: 5395017677 Enrollment ID: I20220714003027 |
| Provider Name | Tina Shiang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548792492 PECOS PAC ID: 6507115565 Enrollment ID: I20220718001562 |
| Provider Name | Elizabeth Y West |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063943827 PECOS PAC ID: 9234510595 Enrollment ID: I20220718001707 |
| Provider Name | Lauren Camille Snider |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629599865 PECOS PAC ID: 3274887278 Enrollment ID: I20220721003845 |
| Provider Name | Andrew Wong |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679964852 PECOS PAC ID: 5092196956 Enrollment ID: I20220723000007 |
| Provider Name | Vaeman Chintamaneni |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811426141 PECOS PAC ID: 3375924251 Enrollment ID: I20220725000289 |
| Provider Name | Hamza Rahimi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912439068 PECOS PAC ID: 3274884507 Enrollment ID: I20220725000451 |
| Provider Name | Kimberly Bolivar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942654892 PECOS PAC ID: 3274832845 Enrollment ID: I20220725001085 |
| Provider Name | Erik K Loken |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568817187 PECOS PAC ID: 2466746920 Enrollment ID: I20220726000883 |
| Provider Name | Alexander Merritt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184154296 PECOS PAC ID: 3476804048 Enrollment ID: I20220726001431 |
| Provider Name | Ariadne Desimone |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326401563 PECOS PAC ID: 5991098584 Enrollment ID: I20220728000945 |
| Provider Name | Maria Gabriela Figueiro Longo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972163517 PECOS PAC ID: 6507248150 Enrollment ID: I20220729001111 |
| Provider Name | Renata Rocha De Almeida Bizzo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346704699 PECOS PAC ID: 2668855081 Enrollment ID: I20220818000472 |
| Provider Name | Sudhir Bhimaniya |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1457832404 PECOS PAC ID: 2062895188 Enrollment ID: I20220822002686 |
| Provider Name | Debra Louise Monticciolo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972564953 PECOS PAC ID: 9234274481 Enrollment ID: I20221006000742 |
| Provider Name | Michael Weintraub |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902219801 PECOS PAC ID: 5890910871 Enrollment ID: I20221017001206 |
| Provider Name | Cristina Olivas Chacon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477903672 PECOS PAC ID: 8820385412 Enrollment ID: I20221121000794 |
| Provider Name | Jillian D'amore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619695764 PECOS PAC ID: 6709255722 Enrollment ID: I20221214002548 |
| Provider Name | Alyssa R Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497356810 PECOS PAC ID: 7113396045 Enrollment ID: I20221215000317 |
| Provider Name | Zuhab Qamar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851755938 PECOS PAC ID: 3274811898 Enrollment ID: I20230110001629 |
| Provider Name | Jonathan S Mcdougal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255866224 PECOS PAC ID: 3375812050 Enrollment ID: I20230117000238 |
| Provider Name | Helen Mrose |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174558118 PECOS PAC ID: 9032005996 Enrollment ID: I20230309001854 |
| Provider Name | Wesley Mann |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1336345248 PECOS PAC ID: 2961646450 Enrollment ID: I20230411001063 |
| Provider Name | Nathan Andrew |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144716960 PECOS PAC ID: 1052660164 Enrollment ID: I20230419001980 |
| Provider Name | Grace Ma |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801388855 PECOS PAC ID: 3779830930 Enrollment ID: I20230427000614 |
| Provider Name | Averi Leahy Gibson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871084277 PECOS PAC ID: 4082960547 Enrollment ID: I20230510000624 |
| Provider Name | Jeffrey Clegg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154853133 PECOS PAC ID: 6507117454 Enrollment ID: I20230512001659 |
| Provider Name | Jasmine Gandhi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114417516 PECOS PAC ID: 0345606422 Enrollment ID: I20230516000073 |
| Provider Name | Luis E Ruisanchez-gonzalez |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609370451 PECOS PAC ID: 7113383290 Enrollment ID: I20230516000301 |
| Provider Name | Jonathan Lin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578068409 PECOS PAC ID: 2567794621 Enrollment ID: I20230516000460 |
| Provider Name | Kyuwon Lee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427544584 PECOS PAC ID: 3577929215 Enrollment ID: I20230522003379 |
| Provider Name | Kaila Dion Legare |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144711540 PECOS PAC ID: 0345596805 Enrollment ID: I20230523000185 |
| Provider Name | Anji Tang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639663388 PECOS PAC ID: 8921356387 Enrollment ID: I20230523001312 |
| Provider Name | Sonia Gaur |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356845499 PECOS PAC ID: 6709243207 Enrollment ID: I20230526000865 |
| Provider Name | Bryce Gagliano |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629573654 PECOS PAC ID: 6103171186 Enrollment ID: I20230530001005 |
| Provider Name | Daniel Michael Huck |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1649666462 PECOS PAC ID: 5294098455 Enrollment ID: I20230601002679 |
| Provider Name | Bobak Heydari |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1114237237 PECOS PAC ID: 6406213610 Enrollment ID: I20230602002080 |
| Provider Name | Kush Shah |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750874558 PECOS PAC ID: 0547627762 Enrollment ID: I20230602002404 |
| Provider Name | Lillian Niakan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710477559 PECOS PAC ID: 8123352234 Enrollment ID: I20230609001036 |
| Provider Name | Gabrielle Mary Keaveney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114598547 PECOS PAC ID: 3779940440 Enrollment ID: I20230612001711 |
| Provider Name | Julia Mario |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083143127 PECOS PAC ID: 0648541714 Enrollment ID: I20230620000413 |
| Provider Name | Ramandeep Singh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003431842 PECOS PAC ID: 5496113649 Enrollment ID: I20230620001852 |
| Provider Name | Eunice Yim |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962990010 PECOS PAC ID: 8820326135 Enrollment ID: I20230623000777 |
| Provider Name | Khoschy Schawkat Khurschid |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881288843 PECOS PAC ID: 5890140446 Enrollment ID: I20231017001933 |
| Provider Name | Ely A Gracia |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1801259460 PECOS PAC ID: 6406182716 Enrollment ID: I20231018004075 |
| Provider Name | Alycia Marie Carney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285383455 PECOS PAC ID: 7618325143 Enrollment ID: I20231122001112 |
| Provider Name | Tetsuro Araki |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225482797 PECOS PAC ID: 4688968506 Enrollment ID: I20231220001050 |
| Provider Name | Agatha Stanek |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639708886 PECOS PAC ID: 0042660789 Enrollment ID: I20231221001490 |
| Provider Name | Suzanne Tsaihsuan Cho |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699704379 PECOS PAC ID: 3678505369 Enrollment ID: I20240102000688 |
| Provider Name | Michael Arthur Cohen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831268457 PECOS PAC ID: 4981623550 Enrollment ID: I20240114000095 |
| Provider Name | Fatima Abdullatif Zuhair Salah |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780176453 PECOS PAC ID: 5496190811 Enrollment ID: I20240226001479 |
| Provider Name | Daniel Christian Paech |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104683945 PECOS PAC ID: 2769821529 Enrollment ID: I20240412004237 |
| Provider Name | Kevin Bersell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578053328 PECOS PAC ID: 7517217631 Enrollment ID: I20240515002108 |
| Provider Name | Maisam T Begum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215508130 PECOS PAC ID: 5597169979 Enrollment ID: I20240606003720 |
South Suburban Gastroenterology, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1085 Main St, South Weymouth, MA 02190 Phone: 781-331-2922 Fax: 781-335-5702 | |
Turner Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 571 Main St, Second Floor, South Weymouth, MA 02190 Phone: 781-812-2880 Fax: 781-803-6142 | |
South Shore Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 70 Pleasant St, South Weymouth, MA 02190 Phone: 781-331-2000 | |
Paul J. Duggan, M.d. P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 851 Main St, Suite 25, South Weymouth, MA 02190 Phone: 781-331-3100 Fax: 781-331-3101 |