| Health First Medical Group, Llc | |
|
6450 Us Highway 1 Rockledge FL 32955 | |
| (321) 434-5687 | |
| (321) 434-4272 |
| Full Name | Health First Medical Group, Llc |
|---|---|
| Speciality | General Practice |
| Location | 6450 Us Highway 1, Rockledge, Florida |
| Authorized Official Name and Position | Frank Letherby (SR. VP CEO) |
| Authorized Official Contact | 3214341981 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Health First Medical Group, Llc 3300 S Fiske Blvd Rockledge FL 32955-4306 Ph: (321) 434-1981 | Health First Medical Group, Llc 6450 Us Highway 1 Rockledge FL 32955 Ph: (321) 434-5687 |
| NPI Number | 1750626495 |
|---|---|
| Provider Enumeration Date | 12/06/2012 |
| Last Update Date | 02/01/2022 |
| Medicare PECOS PAC ID | 7416100672 |
|---|---|
| Medicare Enrollment ID | O20130122000135 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750626495 | NPI | - | NPPES |
| 008009000 | Medicaid | FL | |
| 003XF | Other | FL | FLORIDA BLUE GROUP # |
| Provider Name | Everett Schuyler Dejong |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1538159074 PECOS PAC ID: 7517864960 Enrollment ID: I20031215000735 |
| Provider Name | Leslie Jacob |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1679647697 PECOS PAC ID: 0840190047 Enrollment ID: I20040113000306 |
| Provider Name | Simmy J Pinto |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1235197781 PECOS PAC ID: 0446152326 Enrollment ID: I20040122000014 |
| Provider Name | Jeremy D Mcconnell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700871969 PECOS PAC ID: 7810899283 Enrollment ID: I20040126000161 |
| Provider Name | Robert Krenzer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215910047 PECOS PAC ID: 1254226020 Enrollment ID: I20040219000733 |
| Provider Name | Vanessa D Dance |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699775320 PECOS PAC ID: 0749175495 Enrollment ID: I20040220000243 |
| Provider Name | Jaime L Triolo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407856123 PECOS PAC ID: 3072409085 Enrollment ID: I20040226000249 |
| Provider Name | Hadi Yaziji |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1356313548 PECOS PAC ID: 8022002930 Enrollment ID: I20040413001311 |
| Provider Name | Camil N Sader |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1962429555 PECOS PAC ID: 5294720496 Enrollment ID: I20040416001496 |
| Provider Name | William A Wahl |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447236559 PECOS PAC ID: 2163410986 Enrollment ID: I20040503000182 |
| Provider Name | Germaine M Blaine |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1598727570 PECOS PAC ID: 7214928688 Enrollment ID: I20040524000535 |
| Provider Name | Anabel Pereda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134112303 PECOS PAC ID: 8820089147 Enrollment ID: I20040524000904 |
| Provider Name | Zaki Elmaghraby |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1659392785 PECOS PAC ID: 8729069778 Enrollment ID: I20040527000822 |
| Provider Name | Nicole Brigette Thomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043260946 PECOS PAC ID: 2860477445 Enrollment ID: I20040618001046 |
| Provider Name | Damani A Hosey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417948142 PECOS PAC ID: 5890772628 Enrollment ID: I20040630000621 |
| Provider Name | Leonard Grecul |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164412284 PECOS PAC ID: 0840277166 Enrollment ID: I20040706000460 |
| Provider Name | Julie Bell |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1417923095 PECOS PAC ID: 5799762985 Enrollment ID: I20040706000977 |
| Provider Name | Matthew Leon Marold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467434076 PECOS PAC ID: 7911985460 Enrollment ID: I20040710000387 |
| Provider Name | Kevin Wallace |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1033195631 PECOS PAC ID: 7416935697 Enrollment ID: I20040713000913 |
| Provider Name | Deborah A Voutour |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508890674 PECOS PAC ID: 9335128800 Enrollment ID: I20040717000365 |
| Provider Name | Edit Tolnai |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1558358630 PECOS PAC ID: 4183603673 Enrollment ID: I20040719000073 |
| Provider Name | Rajiv Bhambri |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1376537373 PECOS PAC ID: 5991785313 Enrollment ID: I20040724000205 |
| Provider Name | Renata Ratajczak Dambek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679589378 PECOS PAC ID: 6507839370 Enrollment ID: I20040818001431 |
| Provider Name | Suhan Li |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942217468 PECOS PAC ID: 1557336773 Enrollment ID: I20040831001377 |
| Provider Name | Jose I Ramos |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386646438 PECOS PAC ID: 7810962032 Enrollment ID: I20040831001380 |
| Provider Name | Parveen S Vahora |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336112945 PECOS PAC ID: 0446227391 Enrollment ID: I20040911000045 |
| Provider Name | Ernest Chung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265404735 PECOS PAC ID: 6305813338 Enrollment ID: I20040913000435 |
| Provider Name | Timothy Davis Carter |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154311652 PECOS PAC ID: 3476520131 Enrollment ID: I20040913000632 |
| Provider Name | Sheila A Mcleod |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154401115 PECOS PAC ID: 7315914660 Enrollment ID: I20040915000650 |
| Provider Name | Sandra A Mcloughlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235251208 PECOS PAC ID: 9537137062 Enrollment ID: I20040922000235 |
| Provider Name | Christopher Robert Dorothy |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1144282849 PECOS PAC ID: 9335117662 Enrollment ID: I20040923000595 |
| Provider Name | Kelly Aleman |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1285664342 PECOS PAC ID: 4183693534 Enrollment ID: I20041001000271 |
| Provider Name | Samuel Pellegrino |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1447210042 PECOS PAC ID: 8820057490 Enrollment ID: I20041008000271 |
| Provider Name | Mazen B Hamadeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538149422 PECOS PAC ID: 7618948563 Enrollment ID: I20041012001037 |
| Provider Name | Tanushree Roy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679627939 PECOS PAC ID: 3173583440 Enrollment ID: I20041012001245 |
| Provider Name | Simon T Symeonides |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1417051954 PECOS PAC ID: 9830184399 Enrollment ID: I20041021000931 |
| Provider Name | Jeannine Marie Stein |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1407811235 PECOS PAC ID: 5799746665 Enrollment ID: I20041023000217 |
| Provider Name | Kelly A Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477533784 PECOS PAC ID: 1658335070 Enrollment ID: I20041116000551 |
| Provider Name | Christopher Ernest Baird |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013912658 PECOS PAC ID: 8022906445 Enrollment ID: I20041117000178 |
| Provider Name | Mark W Munro |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1295705127 PECOS PAC ID: 3173589355 Enrollment ID: I20041209000137 |
| Provider Name | Scarlette L Owens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942232863 PECOS PAC ID: 9032176706 Enrollment ID: I20041214000753 |
| Provider Name | Kimberly D Mckee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700886421 PECOS PAC ID: 8729077417 Enrollment ID: I20041231000031 |
| Provider Name | Douglas Bailey Mckee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417957143 PECOS PAC ID: 4789634247 Enrollment ID: I20050124000412 |
| Provider Name | Joy L Huddleston |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265432215 PECOS PAC ID: 8224088620 Enrollment ID: I20050124000820 |
| Provider Name | Gerald Sokol |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1174590707 PECOS PAC ID: 1355391327 Enrollment ID: I20050128000178 |
| Provider Name | John D Hermansdorfer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1164425393 PECOS PAC ID: 7810950417 Enrollment ID: I20050315000015 |
| Provider Name | Michael Macmillan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1902834666 PECOS PAC ID: 2769429984 Enrollment ID: I20050527000266 |
| Provider Name | Aimee L Raup |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083660336 PECOS PAC ID: 2264475045 Enrollment ID: I20050602000623 |
| Provider Name | Ann M Quesada |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609826791 PECOS PAC ID: 7113961004 Enrollment ID: I20050613000891 |
| Provider Name | Prakash V Reddy |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1528043163 PECOS PAC ID: 5395781207 Enrollment ID: I20050630000749 |
| Provider Name | Paul M Keller |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1689677817 PECOS PAC ID: 1850337643 Enrollment ID: I20050701000374 |
| Provider Name | Elena V Barnes |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1598731200 PECOS PAC ID: 3779529292 Enrollment ID: I20050706000336 |
| Provider Name | Michael J Mclaughlin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1639179427 PECOS PAC ID: 1951339720 Enrollment ID: I20050802000901 |
| Provider Name | Lee G Theophelis |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1861448318 PECOS PAC ID: 8224060181 Enrollment ID: I20050831000648 |
| Provider Name | Daniel M Forrest |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831107754 PECOS PAC ID: 9931133931 Enrollment ID: I20050920000443 |
| Provider Name | Leila M Patallo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346275948 PECOS PAC ID: 4789618471 Enrollment ID: I20050923000133 |
| Provider Name | Winnie S Teh |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1811987365 PECOS PAC ID: 1355336561 Enrollment ID: I20051005000529 |
| Provider Name | David M Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366514382 PECOS PAC ID: 6608892070 Enrollment ID: I20051015000104 |
| Provider Name | Faye E O Rourke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801855424 PECOS PAC ID: 0244256352 Enrollment ID: I20051018001048 |
| Provider Name | Faizal Rahaman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114916640 PECOS PAC ID: 0446277990 Enrollment ID: I20051025000259 |
| Provider Name | Visalakshi Srinivasan |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1760478796 PECOS PAC ID: 9931126596 Enrollment ID: I20051102000232 |
| Provider Name | Srinivasan Selvaraj |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1194783654 PECOS PAC ID: 2668490103 Enrollment ID: I20051103000535 |
| Provider Name | Jill L Polet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861550964 PECOS PAC ID: 7911925946 Enrollment ID: I20051108000378 |
| Provider Name | Ronald L Stricoff |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1033123088 PECOS PAC ID: 2466472071 Enrollment ID: I20051128000811 |
| Provider Name | Fares Hakim |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1841383304 PECOS PAC ID: 9830119742 Enrollment ID: I20051206000760 |
| Provider Name | Daniel Sullivan |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1255317988 PECOS PAC ID: 0840211512 Enrollment ID: I20051208000889 |
| Provider Name | Charles A Farrington |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1114917655 PECOS PAC ID: 3274575360 Enrollment ID: I20051220000747 |
| Provider Name | Mark Edmund Pessa |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174526958 PECOS PAC ID: 4981658226 Enrollment ID: I20060103000712 |
| Provider Name | Lan T Phan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245497148 PECOS PAC ID: 9032132477 Enrollment ID: I20060111000727 |
| Provider Name | Randy S Kimmelman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730192964 PECOS PAC ID: 5991728552 Enrollment ID: I20060111001136 |
| Provider Name | Jeffrey Stalnaker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235230814 PECOS PAC ID: 9931133105 Enrollment ID: I20060117000593 |
| Provider Name | Robert W Yancey |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1407804792 PECOS PAC ID: 1153395884 Enrollment ID: I20060210000432 |
| Provider Name | Amber W Surber |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114010154 PECOS PAC ID: 5092720110 Enrollment ID: I20060210000464 |
| Provider Name | Enrique D Polanco |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1306899026 PECOS PAC ID: 2163491440 Enrollment ID: I20060220000063 |
| Provider Name | Stephen A Purvis |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1407885882 PECOS PAC ID: 1254238348 Enrollment ID: I20060301000204 |
| Provider Name | Tarun Tewatia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285679209 PECOS PAC ID: 9335156058 Enrollment ID: I20060321000250 |
| Provider Name | Dauri Z Alvarez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316907686 PECOS PAC ID: 2163425471 Enrollment ID: I20060804000322 |
| Provider Name | Irfan Riaz Imami |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1902844699 PECOS PAC ID: 8123061488 Enrollment ID: I20060817000029 |
| Provider Name | Michelle D Bachtel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205839222 PECOS PAC ID: 2264435676 Enrollment ID: I20060824000017 |
| Provider Name | Ashish Ojha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013905645 PECOS PAC ID: 4486550126 Enrollment ID: I20060915000482 |
| Provider Name | Sean P Claeys |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639105257 PECOS PAC ID: 2264437177 Enrollment ID: I20060928000206 |
| Provider Name | James Mazalewski |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578674248 PECOS PAC ID: 2365469814 Enrollment ID: I20061120000465 |
| Provider Name | Maria J Cruz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477667616 PECOS PAC ID: 5092735902 Enrollment ID: I20061206000147 |
| Provider Name | Michael S Frasure |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841380623 PECOS PAC ID: 0547269045 Enrollment ID: I20061211000489 |
| Provider Name | Anthony P Logalbo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255418372 PECOS PAC ID: 4082613567 Enrollment ID: I20061213000542 |
| Provider Name | Hatice Foell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285796706 PECOS PAC ID: 2264434463 Enrollment ID: I20070131000542 |
| Provider Name | Ralph Rayner |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1114026994 PECOS PAC ID: 3274535240 Enrollment ID: I20070203000071 |
| Provider Name | Khalid Sheikh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1639278427 PECOS PAC ID: 5991707994 Enrollment ID: I20070205000126 |
| Provider Name | Merlyn M Mcdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033268677 PECOS PAC ID: 5092717355 Enrollment ID: I20070215000504 |
| Provider Name | Sarah Neilly |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1508920091 PECOS PAC ID: 8628070992 Enrollment ID: I20070215000631 |
| Provider Name | Scott Gold |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578522058 PECOS PAC ID: 7416976014 Enrollment ID: I20070215000659 |
| Provider Name | Mahmoud Mostafavi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508856774 PECOS PAC ID: 9931201134 Enrollment ID: I20070219000314 |
| Provider Name | Ian Steele |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1962584664 PECOS PAC ID: 3072616333 Enrollment ID: I20070307000517 |
| Provider Name | Catherine Pank |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730268111 PECOS PAC ID: 6709989775 Enrollment ID: I20070312000433 |
| Provider Name | Jose Alvarez |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1912013699 PECOS PAC ID: 4688778483 Enrollment ID: I20070404000282 |
| Provider Name | Sherri Fair Caplan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790785707 PECOS PAC ID: 5890891527 Enrollment ID: I20070426000203 |
| Provider Name | Miguel A Medina |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356441968 PECOS PAC ID: 1557468014 Enrollment ID: I20070517000141 |
| Provider Name | Saska F Sookra Winslow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730269556 PECOS PAC ID: 0840398475 Enrollment ID: I20070606000092 |
| Provider Name | Ramon E Colina |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1871511386 PECOS PAC ID: 0446358477 Enrollment ID: I20070614000210 |
| Provider Name | Eduardo Nevarez Carrilo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386785624 PECOS PAC ID: 7810095858 Enrollment ID: I20070614000305 |
| Provider Name | Myredsi Soto Varela |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467593780 PECOS PAC ID: 4082712021 Enrollment ID: I20070614000311 |
| Provider Name | Zaw Htay |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1528008190 PECOS PAC ID: 8628177466 Enrollment ID: I20070620000361 |
| Provider Name | Brent D Brandon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134141740 PECOS PAC ID: 0749184141 Enrollment ID: I20070629000431 |
| Provider Name | Marlyn Aleece Lake |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952405318 PECOS PAC ID: 4486754074 Enrollment ID: I20070711000828 |
| Provider Name | Michael Grainger |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952426983 PECOS PAC ID: 4688608318 Enrollment ID: I20070806000291 |
| Provider Name | Basant Farghaly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104945872 PECOS PAC ID: 8921190315 Enrollment ID: I20070815000102 |
| Provider Name | Mario E Ruberte |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205857240 PECOS PAC ID: 1850391483 Enrollment ID: I20070817000622 |
| Provider Name | Matthew Campbell |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1811019722 PECOS PAC ID: 7315039823 Enrollment ID: I20070828000588 |
| Provider Name | Arun Koshy |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1710907936 PECOS PAC ID: 3779588686 Enrollment ID: I20070829000427 |
| Provider Name | Christopher J Pastore |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255479051 PECOS PAC ID: 4587658570 Enrollment ID: I20070829000500 |
| Provider Name | Hassan Borghei |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1093913550 PECOS PAC ID: 6406949866 Enrollment ID: I20070830000827 |
| Provider Name | Eric Isenman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609931187 PECOS PAC ID: 7012001126 Enrollment ID: I20070920000329 |
| Provider Name | Kurt Hensel |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1073514337 PECOS PAC ID: 3779677406 Enrollment ID: I20070925000642 |
| Provider Name | Violet Slanac |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083656482 PECOS PAC ID: 5799879458 Enrollment ID: I20070926000192 |
| Provider Name | Gisela L Wagner |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1316916448 PECOS PAC ID: 6002850419 Enrollment ID: I20071005000170 |
| Provider Name | Francene Martin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1205914835 PECOS PAC ID: 8820183635 Enrollment ID: I20071009000000 |
| Provider Name | Seth Howard Glick |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1689601874 PECOS PAC ID: 1254427727 Enrollment ID: I20071013000008 |
| Provider Name | Krista L Bennett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245439793 PECOS PAC ID: 6406942978 Enrollment ID: I20071013000036 |
| Provider Name | Christian Cobbold |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487775771 PECOS PAC ID: 8628026994 Enrollment ID: I20071017000569 |
| Provider Name | Kish0re R Patsamatla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710935267 PECOS PAC ID: 1557355799 Enrollment ID: I20071119000126 |
| Provider Name | Edward St Mary |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1679558720 PECOS PAC ID: 2961591896 Enrollment ID: I20071130000144 |
| Provider Name | Ulises Militano |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1376545079 PECOS PAC ID: 1254395080 Enrollment ID: I20071204000556 |
| Provider Name | Christina M Linares |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720287618 PECOS PAC ID: 4385733989 Enrollment ID: I20071205000074 |
| Provider Name | Omar A Aref |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235106675 PECOS PAC ID: 5991711285 Enrollment ID: I20071219000628 |
| Provider Name | Douglas M Gordon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144397217 PECOS PAC ID: 6709966559 Enrollment ID: I20080105000055 |
| Provider Name | David J. Hilleren |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871501791 PECOS PAC ID: 2961316518 Enrollment ID: I20080105000056 |
| Provider Name | Harvey N Schonwald |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1154306223 PECOS PAC ID: 3779586508 Enrollment ID: I20080122000465 |
| Provider Name | Samir H Faris |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669430393 PECOS PAC ID: 8022015023 Enrollment ID: I20080129000511 |
| Provider Name | Devin K Datta |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1821062290 PECOS PAC ID: 3971686270 Enrollment ID: I20080211000069 |
| Provider Name | Richard A Hynes |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1184697450 PECOS PAC ID: 4486636388 Enrollment ID: I20080212000548 |
| Provider Name | Saira H Alikhan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407800329 PECOS PAC ID: 8325122922 Enrollment ID: I20080220000637 |
| Provider Name | Lori May |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376730010 PECOS PAC ID: 9638254147 Enrollment ID: I20080307000500 |
| Provider Name | Steven E Shepard |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528252723 PECOS PAC ID: 8921185083 Enrollment ID: I20080414000505 |
| Provider Name | Patricia Lebron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861504615 PECOS PAC ID: 2668550500 Enrollment ID: I20080417000614 |
| Provider Name | Luz G Vazquez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568418325 PECOS PAC ID: 6507936945 Enrollment ID: I20080528000493 |
| Provider Name | Kenneth S Hazlett |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023026945 PECOS PAC ID: 5496825762 Enrollment ID: I20080529000816 |
| Provider Name | David J Weldon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023043064 PECOS PAC ID: 7214009836 Enrollment ID: I20080626000344 |
| Provider Name | Anita Dhople |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881788644 PECOS PAC ID: 0749261485 Enrollment ID: I20080701000533 |
| Provider Name | Edgar A Figueroa |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548235153 PECOS PAC ID: 9537231550 Enrollment ID: I20080709000205 |
| Provider Name | Soo Y Nam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811041247 PECOS PAC ID: 4082787601 Enrollment ID: I20080715000726 |
| Provider Name | Audrius Bredikis |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1013091784 PECOS PAC ID: 7416987508 Enrollment ID: I20080806000278 |
| Provider Name | Kevin Makati |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467541953 PECOS PAC ID: 5890756464 Enrollment ID: I20080808000058 |
| Provider Name | Anita B Venkataramana |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528003191 PECOS PAC ID: 6608807847 Enrollment ID: I20080808000666 |
| Provider Name | Ismael Ortega |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1518131333 PECOS PAC ID: 8921173519 Enrollment ID: I20080815000472 |
| Provider Name | Doris Jane Thornhill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275795585 PECOS PAC ID: 9739254723 Enrollment ID: I20080827000128 |
| Provider Name | Daniel N Segina |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1407822042 PECOS PAC ID: 8123194693 Enrollment ID: I20080906000195 |
| Provider Name | Bichngoc T Pham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033283965 PECOS PAC ID: 8527017078 Enrollment ID: I20080909000520 |
| Provider Name | Jacqueline A Felder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134272453 PECOS PAC ID: 6800954215 Enrollment ID: I20081028000740 |
| Provider Name | Nancy Hernandez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861602427 PECOS PAC ID: 0042370330 Enrollment ID: I20081117000326 |
| Provider Name | Natalia Camacho |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164559449 PECOS PAC ID: 6507926797 Enrollment ID: I20081118000382 |
| Provider Name | Goar Delamerens |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447281530 PECOS PAC ID: 3779562202 Enrollment ID: I20081119000579 |
| Provider Name | Rafael Allende |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1851347678 PECOS PAC ID: 2062436108 Enrollment ID: I20081219000521 |
| Provider Name | Jeanne L Ackerman |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1841272853 PECOS PAC ID: 7012079288 Enrollment ID: I20081222000582 |
| Provider Name | Bruce R Wills |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023229853 PECOS PAC ID: 4183787575 Enrollment ID: I20090112000361 |
| Provider Name | Ronald J Stern |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1720191786 PECOS PAC ID: 9335202761 Enrollment ID: I20090112000600 |
| Provider Name | Jaymie Agsalud |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518925742 PECOS PAC ID: 8527073014 Enrollment ID: I20090114000637 |
| Provider Name | Beth Burns |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558311464 PECOS PAC ID: 6901960616 Enrollment ID: I20090124000143 |
| Provider Name | Rachelle R Mercado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083884878 PECOS PAC ID: 5799841615 Enrollment ID: I20090302000329 |
| Provider Name | May B Hamadeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861666208 PECOS PAC ID: 1355407628 Enrollment ID: I20090311000724 |
| Provider Name | Brian J Cross |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1275564064 PECOS PAC ID: 6709778525 Enrollment ID: I20090319000481 |
| Provider Name | Mariusz J Klin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457357006 PECOS PAC ID: 6507923414 Enrollment ID: I20090320000233 |
| Provider Name | Denise Holloway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245492040 PECOS PAC ID: 1557411998 Enrollment ID: I20090605000537 |
| Provider Name | Michele Anne Mccarthy Lavish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023003514 PECOS PAC ID: 1759431877 Enrollment ID: I20090611000497 |
| Provider Name | Patrick R Sonser |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1013180611 PECOS PAC ID: 1658444088 Enrollment ID: I20090616000664 |
| Provider Name | Skyhawk Fadigan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073589487 PECOS PAC ID: 2264513555 Enrollment ID: I20090625000412 |
| Provider Name | Lorena Md Acosta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417032988 PECOS PAC ID: 2163573023 Enrollment ID: I20090706000604 |
| Provider Name | Govind Sriramineni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861655060 PECOS PAC ID: 3971655226 Enrollment ID: I20090716000528 |
| Provider Name | Daniel Dziadosz |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1609015452 PECOS PAC ID: 2769534866 Enrollment ID: I20090721000634 |
| Provider Name | Luis G Allen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720035058 PECOS PAC ID: 2163574146 Enrollment ID: I20090722000670 |
| Provider Name | Mark John Mendolla |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1679559199 PECOS PAC ID: 5395890222 Enrollment ID: I20090828000372 |
| Provider Name | Long Hoang Dang |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1528144581 PECOS PAC ID: 8426103896 Enrollment ID: I20090909000064 |
| Provider Name | Silvio W De Melo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1508068487 PECOS PAC ID: 9234284530 Enrollment ID: I20090910000472 |
| Provider Name | Aimee Lynn Tieu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780812586 PECOS PAC ID: 3779638952 Enrollment ID: I20090911000603 |
| Provider Name | Elka Jeanine Wiley |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194927251 PECOS PAC ID: 5395891204 Enrollment ID: I20090917000610 |
| Provider Name | Henry Joseph Comiter |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417039850 PECOS PAC ID: 1658419478 Enrollment ID: I20091114000040 |
| Provider Name | Philip A Jones |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851542922 PECOS PAC ID: 6406997063 Enrollment ID: I20100105000651 |
| Provider Name | Angel Prevost |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174774749 PECOS PAC ID: 2062553571 Enrollment ID: I20100106000429 |
| Provider Name | Craig A Snow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104801653 PECOS PAC ID: 0547333213 Enrollment ID: I20100112000582 |
| Provider Name | Omar D Hudson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043417421 PECOS PAC ID: 6305928417 Enrollment ID: I20100113000379 |
| Provider Name | Bhuvaneswari K Dandapani |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1609866136 PECOS PAC ID: 6901978014 Enrollment ID: I20100119000710 |
| Provider Name | Steven Karas |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1245221910 PECOS PAC ID: 4688747363 Enrollment ID: I20100121000797 |
| Provider Name | James Ronaldson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609851245 PECOS PAC ID: 6204938897 Enrollment ID: I20100125000491 |
| Provider Name | Stuart N Liberman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1790776243 PECOS PAC ID: 5890867907 Enrollment ID: I20100126000307 |
| Provider Name | Kyle Anderson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770576332 PECOS PAC ID: 2567535230 Enrollment ID: I20100205000415 |
| Provider Name | Rema Gupta |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1194914804 PECOS PAC ID: 9830270644 Enrollment ID: I20100206000254 |
| Provider Name | Carlos H Ruiz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508804766 PECOS PAC ID: 5890899439 Enrollment ID: I20100211000276 |
| Provider Name | Mark A Fulton |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1962409169 PECOS PAC ID: 4082693767 Enrollment ID: I20100211000641 |
| Provider Name | Jay Hagloch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134110075 PECOS PAC ID: 9537231642 Enrollment ID: I20100216000483 |
| Provider Name | Joseph A Boulay |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1962467910 PECOS PAC ID: 9931118338 Enrollment ID: I20100216000998 |
| Provider Name | Jorge E Salazar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225012867 PECOS PAC ID: 3971675091 Enrollment ID: I20100226000736 |
| Provider Name | Robert M Paige |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194700732 PECOS PAC ID: 5799857801 Enrollment ID: I20100302000875 |
| Provider Name | Charles S. Stewart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578548632 PECOS PAC ID: 7416020193 Enrollment ID: I20100306000116 |
| Provider Name | Bhaskerrao P Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467437004 PECOS PAC ID: 2062585748 Enrollment ID: I20100306000203 |
| Provider Name | Catherine Rossi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841274883 PECOS PAC ID: 0244302354 Enrollment ID: I20100310000594 |
| Provider Name | Mark Dillon |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1013908920 PECOS PAC ID: 5991877003 Enrollment ID: I20100310000632 |
| Provider Name | Malinda Newcombe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023092285 PECOS PAC ID: 3971675083 Enrollment ID: I20100320000126 |
| Provider Name | Nelson Sang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578547154 PECOS PAC ID: 9133292808 Enrollment ID: I20100320000181 |
| Provider Name | Ruddy Ruiz |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1093799041 PECOS PAC ID: 2062584170 Enrollment ID: I20100320000254 |
| Provider Name | James W Neel |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1447232772 PECOS PAC ID: 1254403363 Enrollment ID: I20100322000361 |
| Provider Name | William R Sunter |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1083699151 PECOS PAC ID: 9436222114 Enrollment ID: I20100325000728 |
| Provider Name | Jeffrey A Mcdougall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922089218 PECOS PAC ID: 8729151493 Enrollment ID: I20100326000814 |
| Provider Name | Allison Muia Wade |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1871601740 PECOS PAC ID: 5294861860 Enrollment ID: I20100407000640 |
| Provider Name | Carlos Mario Oliveira |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588648687 PECOS PAC ID: 4880766997 Enrollment ID: I20100408000042 |
| Provider Name | Christine D Witte |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013993617 PECOS PAC ID: 6103999875 Enrollment ID: I20100415000945 |
| Provider Name | Lee S. Scheinbart |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1063497592 PECOS PAC ID: 3678646346 Enrollment ID: I20100416000170 |
| Provider Name | Jeffrey T Obrien |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1487627758 PECOS PAC ID: 2668405762 Enrollment ID: I20100416000341 |
| Provider Name | Gonzalo G Valdivia |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1669446480 PECOS PAC ID: 5092842443 Enrollment ID: I20100416000461 |
| Provider Name | Andrew D. Schmidt |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1598740037 PECOS PAC ID: 5496828162 Enrollment ID: I20100430000094 |
| Provider Name | Jane M. Spies |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871578922 PECOS PAC ID: 2769555432 Enrollment ID: I20100506000181 |
| Provider Name | Stephen W. Tobia |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932303336 PECOS PAC ID: 9436220449 Enrollment ID: I20100517000473 |
| Provider Name | David Samuel Norris |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154321941 PECOS PAC ID: 5799814992 Enrollment ID: I20100526000947 |
| Provider Name | Charles H Chodorow |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1619959657 PECOS PAC ID: 9133225949 Enrollment ID: I20100527000410 |
| Provider Name | Robert M Huberman |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1841272820 PECOS PAC ID: 1951407766 Enrollment ID: I20100527000441 |
| Provider Name | Prerna Vijayvargiya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043210826 PECOS PAC ID: 7214066174 Enrollment ID: I20100602000551 |
| Provider Name | James S Scolapio |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1689663569 PECOS PAC ID: 5092845743 Enrollment ID: I20100608000028 |
| Provider Name | Kiron Malhotra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548260326 PECOS PAC ID: 7113057753 Enrollment ID: I20100609000142 |
| Provider Name | Victor Teofilo Perez |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1326022559 PECOS PAC ID: 3779679436 Enrollment ID: I20100617000645 |
| Provider Name | Carlos Ricotti |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1497956569 PECOS PAC ID: 0648322099 Enrollment ID: I20100628000097 |
| Provider Name | Thomas W. Swain |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1881670479 PECOS PAC ID: 0042383721 Enrollment ID: I20100719000341 |
| Provider Name | Luiz M Massa |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1932317054 PECOS PAC ID: 6406988807 Enrollment ID: I20100721000214 |
| Provider Name | David Philip Hurwitz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952384109 PECOS PAC ID: 2365575990 Enrollment ID: I20100803001355 |
| Provider Name | Irina S Mezheritskiy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063578995 PECOS PAC ID: 1052444593 Enrollment ID: I20100804000157 |
| Provider Name | Stephen Fitzgerald |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1558344549 PECOS PAC ID: 4486797362 Enrollment ID: I20100805000316 |
| Provider Name | John J Perry |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1861548463 PECOS PAC ID: 6103910153 Enrollment ID: I20100810001137 |
| Provider Name | Eduardo Jose Balbona |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073506168 PECOS PAC ID: 6608774781 Enrollment ID: I20100813000171 |
| Provider Name | Athan Paul Kartsonis |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1922081983 PECOS PAC ID: 5597839027 Enrollment ID: I20100816000130 |
| Provider Name | Esther Marie Recano |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356501688 PECOS PAC ID: 7517081797 Enrollment ID: I20100824001075 |
| Provider Name | Timothy Laird |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225038912 PECOS PAC ID: 8022132141 Enrollment ID: I20100826000382 |
| Provider Name | Daniel Lewis King |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1831181346 PECOS PAC ID: 1759472905 Enrollment ID: I20100831000018 |
| Provider Name | Olga D Emgushov |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003841222 PECOS PAC ID: 7416086533 Enrollment ID: I20100902000584 |
| Provider Name | Adam W Langley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992998736 PECOS PAC ID: 4880718444 Enrollment ID: I20100902001069 |
| Provider Name | Salman Rashid |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1326048034 PECOS PAC ID: 9133244486 Enrollment ID: I20100910000235 |
| Provider Name | Margareth Saldanha |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1235387291 PECOS PAC ID: 0143345827 Enrollment ID: I20100917001011 |
| Provider Name | Carey K Andreoiu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093926396 PECOS PAC ID: 3678698230 Enrollment ID: I20100920000471 |
| Provider Name | John W Flaherty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821089301 PECOS PAC ID: 9830215938 Enrollment ID: I20100927000511 |
| Provider Name | Ross J Goodfellow |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1992765044 PECOS PAC ID: 5799888475 Enrollment ID: I20100929001088 |
| Provider Name | David R Melchione |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649379157 PECOS PAC ID: 3476585696 Enrollment ID: I20101004001002 |
| Provider Name | Niral Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912923079 PECOS PAC ID: 6608870506 Enrollment ID: I20101012001145 |
| Provider Name | Orlando Maldonado |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710916127 PECOS PAC ID: 4880670785 Enrollment ID: I20101115000061 |
| Provider Name | Roberto O Garcia |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1104850692 PECOS PAC ID: 3274436167 Enrollment ID: I20101118000549 |
| Provider Name | Christina D Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437468097 PECOS PAC ID: 9335335199 Enrollment ID: I20101119000335 |
| Provider Name | Adriana P Suarez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366430829 PECOS PAC ID: 2365401809 Enrollment ID: I20101124000491 |
| Provider Name | Jacqueline Luker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891000253 PECOS PAC ID: 9133316086 Enrollment ID: I20101206000154 |
| Provider Name | Matei Andreoiu |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1144477795 PECOS PAC ID: 6507928579 Enrollment ID: I20101214000408 |
| Provider Name | Marianna A Post |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003033051 PECOS PAC ID: 6901994011 Enrollment ID: I20110103000349 |
| Provider Name | Jose Garcia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093832974 PECOS PAC ID: 7012080740 Enrollment ID: I20110215001012 |
| Provider Name | James Giebink |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1689652091 PECOS PAC ID: 6002838646 Enrollment ID: I20110419000173 |
| Provider Name | Kenneth Koval |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1144256041 PECOS PAC ID: 9638079296 Enrollment ID: I20110503000424 |
| Provider Name | John Daniel Strub |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932394814 PECOS PAC ID: 1759567795 Enrollment ID: I20110509000754 |
| Provider Name | Elizabeth M Ambrose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043509300 PECOS PAC ID: 9931385614 Enrollment ID: I20110513000210 |
| Provider Name | Solomon Zimm |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1497717938 PECOS PAC ID: 8123183795 Enrollment ID: I20110617000291 |
| Provider Name | Ashish Dalal |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1801857966 PECOS PAC ID: 5395800965 Enrollment ID: I20110617000310 |
| Provider Name | Melody O King |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881604726 PECOS PAC ID: 3274604202 Enrollment ID: I20110708000542 |
| Provider Name | Maureen A Martling Weinberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699080044 PECOS PAC ID: 1052589348 Enrollment ID: I20110712000114 |
| Provider Name | Wing C Yeen |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1447474861 PECOS PAC ID: 5991842221 Enrollment ID: I20110726000172 |
| Provider Name | Nathan Daniel Allison |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003132887 PECOS PAC ID: 4183818396 Enrollment ID: I20110812000386 |
| Provider Name | Matthew Mattern |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366627804 PECOS PAC ID: 4880746601 Enrollment ID: I20110815000785 |
| Provider Name | Delori M Dulany |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285690461 PECOS PAC ID: 1254386436 Enrollment ID: I20110822000389 |
| Provider Name | Michael B Harris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396849691 PECOS PAC ID: 0042202111 Enrollment ID: I20110912000634 |
| Provider Name | Gary C Visser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710170568 PECOS PAC ID: 8022289404 Enrollment ID: I20110914000798 |
| Provider Name | Ricardo Rois Romero |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912025503 PECOS PAC ID: 7911007273 Enrollment ID: I20111003000663 |
| Provider Name | Jennifer A Lievano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972833010 PECOS PAC ID: 9234301284 Enrollment ID: I20111017000501 |
| Provider Name | Ashish Mahindra |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1235131145 PECOS PAC ID: 2062451172 Enrollment ID: I20111114000530 |
| Provider Name | James Loras Raders |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548278245 PECOS PAC ID: 4284527326 Enrollment ID: I20111216000053 |
| Provider Name | Stacy Lynn Joyner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942577465 PECOS PAC ID: 3678749280 Enrollment ID: I20120103000741 |
| Provider Name | Craig Norman Defreese |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992706279 PECOS PAC ID: 9335316074 Enrollment ID: I20120119000811 |
| Provider Name | Kimberly M Bates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891070330 PECOS PAC ID: 9537336011 Enrollment ID: I20120124000818 |
| Provider Name | Patricia Anne Endres Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922147388 PECOS PAC ID: 7214194398 Enrollment ID: I20120201000104 |
| Provider Name | Jennifer S Mahl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457628984 PECOS PAC ID: 6002076502 Enrollment ID: I20120320000804 |
| Provider Name | Omar Khashaba |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942467576 PECOS PAC ID: 5294996492 Enrollment ID: I20120416000463 |
| Provider Name | Jose A Reilova |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1306937354 PECOS PAC ID: 3173426772 Enrollment ID: I20120518000137 |
| Provider Name | Deborah Susan Coon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699058263 PECOS PAC ID: 5991969727 Enrollment ID: I20120607000331 |
| Provider Name | Vijay Katukuri |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1255590261 PECOS PAC ID: 2365606019 Enrollment ID: I20120611000274 |
| Provider Name | Mark D Hughes |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1700870847 PECOS PAC ID: 9638265853 Enrollment ID: I20120626000560 |
| Provider Name | Ana Marisol Conde Rosa |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1972674687 PECOS PAC ID: 1254403660 Enrollment ID: I20120712000579 |
| Provider Name | Reut Bardach |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780950527 PECOS PAC ID: 5092971200 Enrollment ID: I20120716000251 |
| Provider Name | Victor M Vargas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104988625 PECOS PAC ID: 5496926560 Enrollment ID: I20120719000576 |
| Provider Name | Oscar Oneill-rosado |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821075441 PECOS PAC ID: 1759352263 Enrollment ID: I20120723000615 |
| Provider Name | Gaston M Ponte |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1518168293 PECOS PAC ID: 9335324466 Enrollment ID: I20120806000770 |
| Provider Name | Stephanie S Prada |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053649566 PECOS PAC ID: 3870749690 Enrollment ID: I20120810000316 |
| Provider Name | Juan Pablo Loor-tuarez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184854069 PECOS PAC ID: 4981850633 Enrollment ID: I20120810000772 |
| Provider Name | Gabriel Elias Cueto |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356578629 PECOS PAC ID: 7416103916 Enrollment ID: I20120816000590 |
| Provider Name | Farhan R Israr |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1972837243 PECOS PAC ID: 7416105945 Enrollment ID: I20120907000181 |
| Provider Name | Jorge Guerrero |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1295924330 PECOS PAC ID: 0840448973 Enrollment ID: I20120914000669 |
| Provider Name | Patricia S Santos |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467605600 PECOS PAC ID: 1456509413 Enrollment ID: I20120917000284 |
| Provider Name | Robert John Meuret |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1891946471 PECOS PAC ID: 1557519485 Enrollment ID: I20120918000345 |
| Provider Name | Paula Abrahao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932471505 PECOS PAC ID: 7113175811 Enrollment ID: I20120921000756 |
| Provider Name | Amelia L Dyal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386992931 PECOS PAC ID: 8022267558 Enrollment ID: I20120927000215 |
| Provider Name | Lydia T Van |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326277369 PECOS PAC ID: 5991954224 Enrollment ID: I20121002000596 |
| Provider Name | Jenna Marie Matheny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700136223 PECOS PAC ID: 1052561677 Enrollment ID: I20121017000226 |
| Provider Name | Nicholo John Sartor |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013992759 PECOS PAC ID: 0143358069 Enrollment ID: I20121025000472 |
| Provider Name | Kenneth Tieu |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1902122781 PECOS PAC ID: 5395939888 Enrollment ID: I20121109000486 |
| Provider Name | Jorge M Silverio Ferreiro |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578895967 PECOS PAC ID: 1658523113 Enrollment ID: I20121207000080 |
| Provider Name | Nasimul H Siddiqui |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487747010 PECOS PAC ID: 0345492708 Enrollment ID: I20121211000053 |
| Provider Name | Tejas B Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083861017 PECOS PAC ID: 7214005842 Enrollment ID: I20130129000061 |
| Provider Name | Regina Shanese Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740527852 PECOS PAC ID: 2769637511 Enrollment ID: I20130227000326 |
| Provider Name | Achilles Kalnoky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245460690 PECOS PAC ID: 4981859402 Enrollment ID: I20130306000214 |
| Provider Name | Pramesh R Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457687352 PECOS PAC ID: 9234374737 Enrollment ID: I20130404000542 |
| Provider Name | Amy P Helms |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881962777 PECOS PAC ID: 4688810047 Enrollment ID: I20130410000094 |
| Provider Name | Rebekah Louise Tourian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942575063 PECOS PAC ID: 6709023062 Enrollment ID: I20130506000510 |
| Provider Name | Kathryn Fitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356682371 PECOS PAC ID: 3779720933 Enrollment ID: I20130507000120 |
| Provider Name | Keyur Dalsania |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629247242 PECOS PAC ID: 8325233034 Enrollment ID: I20130603000389 |
| Provider Name | Bijan N Moradi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376863811 PECOS PAC ID: 3173762846 Enrollment ID: I20130611000200 |
| Provider Name | Vicki Risko Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528272929 PECOS PAC ID: 3971632035 Enrollment ID: I20130613000137 |
| Provider Name | Michelle Shaber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326033085 PECOS PAC ID: 8224153689 Enrollment ID: I20130617000529 |
| Provider Name | Sumathi Raja Chanda |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073748596 PECOS PAC ID: 6901045111 Enrollment ID: I20130619000659 |
| Provider Name | Mahathy Katukuri |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1316171036 PECOS PAC ID: 4688814130 Enrollment ID: I20130708000086 |
| Provider Name | Brendan Michael Prendergast |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1497928394 PECOS PAC ID: 6204090954 Enrollment ID: I20130716000074 |
| Provider Name | Christina Catherine Gomez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851522825 PECOS PAC ID: 1658512793 Enrollment ID: I20130801000089 |
| Provider Name | Tanmay Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649613217 PECOS PAC ID: 5092956144 Enrollment ID: I20130801000225 |
| Provider Name | Kyle Joseph Moyles |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1679766133 PECOS PAC ID: 6406003151 Enrollment ID: I20130808000764 |
| Provider Name | Amanda L Cheshire |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619188927 PECOS PAC ID: 8527134410 Enrollment ID: I20130813000736 |
| Provider Name | Marina S Kaufman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1235399114 PECOS PAC ID: 8628211240 Enrollment ID: I20130830000074 |
| Provider Name | Maryam Phillips |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447578372 PECOS PAC ID: 4688817000 Enrollment ID: I20130903000657 |
| Provider Name | Omar Mubaidin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710220140 PECOS PAC ID: 4789827072 Enrollment ID: I20130905000937 |
| Provider Name | Rodel U Banal |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1932422433 PECOS PAC ID: 3072756238 Enrollment ID: I20130909000153 |
| Provider Name | Jaime Tavarez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235376963 PECOS PAC ID: 8224183496 Enrollment ID: I20130913000792 |
| Provider Name | Harsh Singh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801888433 PECOS PAC ID: 3971582149 Enrollment ID: I20130917000349 |
| Provider Name | Jessie A Cirolia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548503105 PECOS PAC ID: 9931343688 Enrollment ID: I20130918000717 |
| Provider Name | Fawad A. Shaheen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508015207 PECOS PAC ID: 7517129844 Enrollment ID: I20131104000653 |
| Provider Name | Anielka R Rodriguez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487968764 PECOS PAC ID: 1658506225 Enrollment ID: I20131107000430 |
| Provider Name | Carmon R Rosario |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1679914402 PECOS PAC ID: 4284869876 Enrollment ID: I20131107001082 |
| Provider Name | Joshua A Multack |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1164693891 PECOS PAC ID: 8820176423 Enrollment ID: I20131118000295 |
| Provider Name | Rajen S Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285861443 PECOS PAC ID: 2961659073 Enrollment ID: I20131227001408 |
| Provider Name | Ashlee Elisabeth Moore |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407976517 PECOS PAC ID: 9234385782 Enrollment ID: I20140219001839 |
| Provider Name | Nicole Colon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679904627 PECOS PAC ID: 0941430573 Enrollment ID: I20140227001410 |
| Provider Name | William A Mcclung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356664817 PECOS PAC ID: 2860622826 Enrollment ID: I20140313000941 |
| Provider Name | Janet Colli |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1124061890 PECOS PAC ID: 6406885599 Enrollment ID: I20140331001432 |
| Provider Name | Creed Monroe Rucker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760428312 PECOS PAC ID: 8325141351 Enrollment ID: I20140501001711 |
| Provider Name | Chaithanya D Buddha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922396613 PECOS PAC ID: 4183875685 Enrollment ID: I20140523001680 |
| Provider Name | Gustavo D Blancas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184054959 PECOS PAC ID: 5597989004 Enrollment ID: I20140623002585 |
| Provider Name | Nicola S Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477963833 PECOS PAC ID: 8224253919 Enrollment ID: I20140714002106 |
| Provider Name | Omar Abumahfouz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356621858 PECOS PAC ID: 8921224445 Enrollment ID: I20140718000799 |
| Provider Name | Michael W Chen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760694285 PECOS PAC ID: 2466609755 Enrollment ID: I20140729002414 |
| Provider Name | Sallie Benke |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376772921 PECOS PAC ID: 8123274438 Enrollment ID: I20140801001790 |
| Provider Name | Gregory Benke |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770743908 PECOS PAC ID: 0941498364 Enrollment ID: I20140805001351 |
| Provider Name | Richard P Davis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891938916 PECOS PAC ID: 5092932699 Enrollment ID: I20140805001660 |
| Provider Name | Joseph Bedway |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1639320880 PECOS PAC ID: 1254577364 Enrollment ID: I20140806000053 |
| Provider Name | Jason J Redon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669708715 PECOS PAC ID: 1557588639 Enrollment ID: I20140813002025 |
| Provider Name | Suzanne Schoenrock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568880466 PECOS PAC ID: 9739306770 Enrollment ID: I20140814001206 |
| Provider Name | Brent C Stephens |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1326278110 PECOS PAC ID: 3173741345 Enrollment ID: I20140829001294 |
| Provider Name | Stephanie L Battaglini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003229139 PECOS PAC ID: 6002034196 Enrollment ID: I20140903000963 |
| Provider Name | Holly Ford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619227550 PECOS PAC ID: 8527210558 Enrollment ID: I20140915000752 |
| Provider Name | Clyde Blaylock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154738821 PECOS PAC ID: 1850510082 Enrollment ID: I20140919001197 |
| Provider Name | Scott Richard Miller |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1841433802 PECOS PAC ID: 4789804550 Enrollment ID: I20140929001505 |
| Provider Name | Samia S Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831415017 PECOS PAC ID: 6002046778 Enrollment ID: I20141001001176 |
| Provider Name | Antoneal Natois Swaby |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982939013 PECOS PAC ID: 2961623699 Enrollment ID: I20141022001882 |
| Provider Name | Shahrbanoo Noori |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518118769 PECOS PAC ID: 1850537143 Enrollment ID: I20141023000949 |
| Provider Name | Alka Aggarwal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467731950 PECOS PAC ID: 5799906269 Enrollment ID: I20141027001312 |
| Provider Name | Julie Savoie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366873762 PECOS PAC ID: 5496976904 Enrollment ID: I20141027002162 |
| Provider Name | Santiago Jimenez |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073595740 PECOS PAC ID: 6709060296 Enrollment ID: I20141031001179 |
| Provider Name | Roger D Moccia |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1104041342 PECOS PAC ID: 8224136098 Enrollment ID: I20141111001190 |
| Provider Name | Lynda Frye |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639119274 PECOS PAC ID: 2163506320 Enrollment ID: I20141111002305 |
| Provider Name | Tim Robarts |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1558304865 PECOS PAC ID: 7012939499 Enrollment ID: I20141112000454 |
| Provider Name | Asoka Wijetilleke |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750394987 PECOS PAC ID: 1951523307 Enrollment ID: I20141119001700 |
| Provider Name | Monica Ryland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770982076 PECOS PAC ID: 0446573620 Enrollment ID: I20141218001829 |
| Provider Name | Alex Hnatov |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1225006463 PECOS PAC ID: 3375568959 Enrollment ID: I20150106001739 |
| Provider Name | Nicole T Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528463916 PECOS PAC ID: 8820312341 Enrollment ID: I20150109001558 |
| Provider Name | Ahmad Idris |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1841386323 PECOS PAC ID: 1951208495 Enrollment ID: I20150114000221 |
| Provider Name | Jarom Hanson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1447426804 PECOS PAC ID: 5597907261 Enrollment ID: I20150224000958 |
| Provider Name | Chad P Berlin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235365578 PECOS PAC ID: 7315267614 Enrollment ID: I20150528001550 |
| Provider Name | Heather Sheldon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841615028 PECOS PAC ID: 5799006631 Enrollment ID: I20150604000719 |
| Provider Name | Shannon J Worthy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790196087 PECOS PAC ID: 9638480049 Enrollment ID: I20150625000867 |
| Provider Name | Kelley M Mullican |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538461926 PECOS PAC ID: 7810209285 Enrollment ID: I20150629001367 |
| Provider Name | Thanh Tran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710300553 PECOS PAC ID: 7618289786 Enrollment ID: I20150701002072 |
| Provider Name | Prashant G Jani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255489993 PECOS PAC ID: 3476788902 Enrollment ID: I20150706000919 |
| Provider Name | Wayne Brandes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174962807 PECOS PAC ID: 8426376708 Enrollment ID: I20150714001268 |
| Provider Name | Rachel Chanteil Cartechine |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104115039 PECOS PAC ID: 1850518622 Enrollment ID: I20150716002634 |
| Provider Name | George Collis |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1134367964 PECOS PAC ID: 3072827294 Enrollment ID: I20150731017151 |
| Provider Name | Candice R Coleman-pope |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548640592 PECOS PAC ID: 0143534032 Enrollment ID: I20150805009372 |
| Provider Name | Lyudmila Philips |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811209687 PECOS PAC ID: 8123262474 Enrollment ID: I20150810001835 |
| Provider Name | Farhana Rahman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033484266 PECOS PAC ID: 8921313099 Enrollment ID: I20150818005977 |
| Provider Name | Jayde George |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588905632 PECOS PAC ID: 1456589258 Enrollment ID: I20150825004210 |
| Provider Name | Casey Lynn Hopman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780060996 PECOS PAC ID: 2961718507 Enrollment ID: I20150827002442 |
| Provider Name | William G Stephens |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417247446 PECOS PAC ID: 5496061046 Enrollment ID: I20150827002843 |
| Provider Name | Gary Joseph Hardoon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558637686 PECOS PAC ID: 7911142997 Enrollment ID: I20150901001119 |
| Provider Name | Giselle Ann Alfafara Racho |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780940692 PECOS PAC ID: 7911213830 Enrollment ID: I20150908001853 |
| Provider Name | Lina Rodriguez Rosario |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144450164 PECOS PAC ID: 1557685070 Enrollment ID: I20150916001602 |
| Provider Name | David D Stewart |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184983579 PECOS PAC ID: 7719202084 Enrollment ID: I20150928002077 |
| Provider Name | Andre Graves |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205079506 PECOS PAC ID: 2769790344 Enrollment ID: I20150930003332 |
| Provider Name | Trinity Catherine Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194101675 PECOS PAC ID: 4385953496 Enrollment ID: I20151012001068 |
| Provider Name | John S Anastasi |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1285691113 PECOS PAC ID: 2163466376 Enrollment ID: I20151023000789 |
| Provider Name | Gaurang Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366739773 PECOS PAC ID: 9133353238 Enrollment ID: I20151106002324 |
| Provider Name | Barbara A Newman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003808908 PECOS PAC ID: 6305025784 Enrollment ID: I20151123001902 |
| Provider Name | Lynell S Newmarch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356669683 PECOS PAC ID: 8921222753 Enrollment ID: I20151123002926 |
| Provider Name | Trishanna Crystal Sookdeo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700172210 PECOS PAC ID: 9133429525 Enrollment ID: I20151208002111 |
| Provider Name | Ernest Digiovanni |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1891090528 PECOS PAC ID: 7810298742 Enrollment ID: I20151218001977 |
| Provider Name | Lucia Sicinschi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871773689 PECOS PAC ID: 4183760077 Enrollment ID: I20151221002274 |
| Provider Name | Hammad A Bhatti |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1285953877 PECOS PAC ID: 4981896610 Enrollment ID: I20160105000003 |
| Provider Name | Dmitry Rakita |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487826624 PECOS PAC ID: 9133292055 Enrollment ID: I20160209002505 |
| Provider Name | Wu Zhuge |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1700047495 PECOS PAC ID: 2567538507 Enrollment ID: I20160216001704 |
| Provider Name | Jennifer Marie Gerard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437414489 PECOS PAC ID: 4981830247 Enrollment ID: I20160217001668 |
| Provider Name | Kristine E Courty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649605098 PECOS PAC ID: 9234434978 Enrollment ID: I20160218000523 |
| Provider Name | Anne W Brucker-busso |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780608794 PECOS PAC ID: 6103888789 Enrollment ID: I20160225001421 |
| Provider Name | Raul Gustavo Corredor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548580558 PECOS PAC ID: 0840596433 Enrollment ID: I20160308001483 |
| Provider Name | Gary Carl Dana |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1801886320 PECOS PAC ID: 9638241748 Enrollment ID: I20160311001213 |
| Provider Name | Amit Barochia |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1861615130 PECOS PAC ID: 6709924665 Enrollment ID: I20160406002412 |
| Provider Name | Andrea A.m. Medwinter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902263239 PECOS PAC ID: 5092013474 Enrollment ID: I20160419000764 |
| Provider Name | Nicole Paul |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396066122 PECOS PAC ID: 1355399098 Enrollment ID: I20160503002485 |
| Provider Name | Alanna Rose Colon Goncalves |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1720446412 PECOS PAC ID: 4284923681 Enrollment ID: I20160524000952 |
| Provider Name | Sonita Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497048938 PECOS PAC ID: 6901026400 Enrollment ID: I20160601000913 |
| Provider Name | Ryan Stoltzfus |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790163582 PECOS PAC ID: 2365732161 Enrollment ID: I20160607002140 |
| Provider Name | Edeck Pierre |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083839724 PECOS PAC ID: 1254431760 Enrollment ID: I20160620000699 |
| Provider Name | Tamim Antaki |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1225128895 PECOS PAC ID: 3678672847 Enrollment ID: I20160627002318 |
| Provider Name | Chiedozie Mkpolulu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548571888 PECOS PAC ID: 2668606609 Enrollment ID: I20160725001612 |
| Provider Name | Shawn S Carter |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1659582286 PECOS PAC ID: 5597068874 Enrollment ID: I20160802002405 |
| Provider Name | Gaurav Purani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932530953 PECOS PAC ID: 3870710833 Enrollment ID: I20160810000150 |
| Provider Name | Ameigh V Worley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336466911 PECOS PAC ID: 3476774688 Enrollment ID: I20160811000619 |
| Provider Name | Reynald Lamarre |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144668229 PECOS PAC ID: 7012219157 Enrollment ID: I20160906000340 |
| Provider Name | Andrew P Chase |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003136474 PECOS PAC ID: 7214060839 Enrollment ID: I20160907000447 |
| Provider Name | Bruce Mccune |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1649214040 PECOS PAC ID: 8426142381 Enrollment ID: I20160921002709 |
| Provider Name | Cynthia Eileen Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093034282 PECOS PAC ID: 1456475888 Enrollment ID: I20160928000649 |
| Provider Name | Pinkesh Prajapati |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881027068 PECOS PAC ID: 6305070848 Enrollment ID: I20160929002681 |
| Provider Name | Colleen P Briand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275985707 PECOS PAC ID: 4486941689 Enrollment ID: I20160930001331 |
| Provider Name | Jeffrey Wilson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922108745 PECOS PAC ID: 5890018212 Enrollment ID: I20161018001497 |
| Provider Name | Ritesh Patil |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1699892695 PECOS PAC ID: 1759427594 Enrollment ID: I20161024001827 |
| Provider Name | Justin Whisenant |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164602926 PECOS PAC ID: 9436205093 Enrollment ID: I20161025001815 |
| Provider Name | Karen Michelle Bransky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134673049 PECOS PAC ID: 3971881665 Enrollment ID: I20161101000705 |
| Provider Name | Elvin Lephiew Dennington |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518971415 PECOS PAC ID: 3577596188 Enrollment ID: I20161101000994 |
| Provider Name | Roxene S Riles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518416510 PECOS PAC ID: 8628357035 Enrollment ID: I20161107002329 |
| Provider Name | Seema K Patel |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1235127671 PECOS PAC ID: 2163497967 Enrollment ID: I20161114002358 |
| Provider Name | Rita M Manderscheid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871949966 PECOS PAC ID: 3678852316 Enrollment ID: I20161121000319 |
| Provider Name | Richard Thompson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1891780128 PECOS PAC ID: 0345222477 Enrollment ID: I20161201000318 |
| Provider Name | Beth Ann Decordova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518207943 PECOS PAC ID: 6204069370 Enrollment ID: I20161212002313 |
| Provider Name | Ellora Jalali |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063857308 PECOS PAC ID: 9032408950 Enrollment ID: I20161214001920 |
| Provider Name | Megan Suzanne Mcclain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790234219 PECOS PAC ID: 7911288550 Enrollment ID: I20161220000352 |
| Provider Name | Lisa R Linder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902258775 PECOS PAC ID: 8426331034 Enrollment ID: I20170206001401 |
| Provider Name | Rossana Guerrero Garcia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174724538 PECOS PAC ID: 6507928413 Enrollment ID: I20170206002660 |
| Provider Name | Novlett J Mcleary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912285636 PECOS PAC ID: 2860651452 Enrollment ID: I20170208002462 |
| Provider Name | Carolyn D Knopfle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346796612 PECOS PAC ID: 9335422567 Enrollment ID: I20170213001573 |
| Provider Name | Asif Anwar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1134179450 PECOS PAC ID: 0244253714 Enrollment ID: I20170222001997 |
| Provider Name | Jennifer Margo Greenfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881980043 PECOS PAC ID: 6305073578 Enrollment ID: I20170301001762 |
| Provider Name | Allysia R Artis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891021119 PECOS PAC ID: 4486939568 Enrollment ID: I20170403001289 |
| Provider Name | Pasquale Reino |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1629275102 PECOS PAC ID: 3678629375 Enrollment ID: I20170404001780 |
| Provider Name | Jharana Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003134370 PECOS PAC ID: 4789877226 Enrollment ID: I20170407001678 |
| Provider Name | Evan James Cataldo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093259517 PECOS PAC ID: 8224315007 Enrollment ID: I20170503002670 |
| Provider Name | Markand J Patel |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1619266806 PECOS PAC ID: 8325270275 Enrollment ID: I20170506000092 |
| Provider Name | Patricia Lynn Gallagher Harvey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245782838 PECOS PAC ID: 7416234778 Enrollment ID: I20170516000399 |
| Provider Name | Enkeleida Veizaj |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407186356 PECOS PAC ID: 3375798085 Enrollment ID: I20170516001971 |
| Provider Name | Stacie Lee Hammoud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194252601 PECOS PAC ID: 5698044766 Enrollment ID: I20170705001388 |
| Provider Name | Augustas Kavaliauskas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851709737 PECOS PAC ID: 6709156219 Enrollment ID: I20170717001130 |
| Provider Name | Gustavo Puig |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346539103 PECOS PAC ID: 7618247172 Enrollment ID: I20170717003150 |
| Provider Name | Anthony Jay Herzog |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003255019 PECOS PAC ID: 4587969852 Enrollment ID: I20170718000372 |
| Provider Name | Dominyka Bitinaite |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588072466 PECOS PAC ID: 2264702364 Enrollment ID: I20170724000261 |
| Provider Name | Katie L Shouppe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841710670 PECOS PAC ID: 0749550630 Enrollment ID: I20170726000949 |
| Provider Name | Ryan Abbott |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588082721 PECOS PAC ID: 6709002512 Enrollment ID: I20170803002242 |
| Provider Name | Patrick Kyle Evers |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942620596 PECOS PAC ID: 6002117835 Enrollment ID: I20170803003375 |
| Provider Name | Xiaosong Song |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1093941205 PECOS PAC ID: 5597913814 Enrollment ID: I20170819000202 |
| Provider Name | Peter Paythal Ganpat |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255650081 PECOS PAC ID: 3779895958 Enrollment ID: I20170822001301 |
| Provider Name | Jennifer Roberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356403471 PECOS PAC ID: 6507138419 Enrollment ID: I20170826000277 |
| Provider Name | Lillian Sepulveda |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558773952 PECOS PAC ID: 5193098762 Enrollment ID: I20170901000726 |
| Provider Name | Kelvin Diosiris Santos |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073925442 PECOS PAC ID: 2163795444 Enrollment ID: I20170908000015 |
| Provider Name | Erin Abbott Street Mateer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174966998 PECOS PAC ID: 6901170646 Enrollment ID: I20170920000412 |
| Provider Name | Steven O Bossinger |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1164407417 PECOS PAC ID: 0244237980 Enrollment ID: I20170920001243 |
| Provider Name | Craig Michael Candle |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336550284 PECOS PAC ID: 4183998552 Enrollment ID: I20170922003241 |
| Provider Name | Stacey Ann Soares |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316389075 PECOS PAC ID: 1153564687 Enrollment ID: I20170929003291 |
| Provider Name | Jared Wallen |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1144596974 PECOS PAC ID: 6608141536 Enrollment ID: I20171003006813 |
| Provider Name | Julieta Waldron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528582558 PECOS PAC ID: 0244505832 Enrollment ID: I20171007000104 |
| Provider Name | Charles Kent Powers |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861803264 PECOS PAC ID: 4082938709 Enrollment ID: I20171016001943 |
| Provider Name | Vanessa E Johnson |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1972948875 PECOS PAC ID: 4486957917 Enrollment ID: I20171019002175 |
| Provider Name | Kerry Elizabeth Spero |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1275826133 PECOS PAC ID: 1850611062 Enrollment ID: I20171102000113 |
| Provider Name | Jennifer Tate Gee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205239944 PECOS PAC ID: 7214259837 Enrollment ID: I20171107000081 |
| Provider Name | Ravinder Hilton Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639256456 PECOS PAC ID: 9234234808 Enrollment ID: I20171120003310 |
| Provider Name | Ken W Lee |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1841259348 PECOS PAC ID: 3375504475 Enrollment ID: I20171121000618 |
| Provider Name | Krystal L Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679013486 PECOS PAC ID: 9335406339 Enrollment ID: I20171129002669 |
| Provider Name | Stephanie Marie Bixby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699298232 PECOS PAC ID: 5698032241 Enrollment ID: I20171206002773 |
| Provider Name | Rohan Dang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497276844 PECOS PAC ID: 7214294735 Enrollment ID: I20171207002607 |
| Provider Name | Paul Rotolo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386964047 PECOS PAC ID: 1658505334 Enrollment ID: I20171219001184 |
| Provider Name | Jamie Lynne Vanauker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417460692 PECOS PAC ID: 8325306269 Enrollment ID: I20171221002325 |
| Provider Name | Neil Kairsingh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235545120 PECOS PAC ID: 1355609090 Enrollment ID: I20171229000817 |
| Provider Name | Vanessa Shaffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336305440 PECOS PAC ID: 1153489976 Enrollment ID: I20180103001144 |
| Provider Name | Kaitlyn E Kamp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376900027 PECOS PAC ID: 8628375029 Enrollment ID: I20180104001929 |
| Provider Name | Varinder Kumar |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1225040637 PECOS PAC ID: 7315974706 Enrollment ID: I20180105000150 |
| Provider Name | Shane Austin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669899894 PECOS PAC ID: 0446557961 Enrollment ID: I20180119002620 |
| Provider Name | Jabr E. Hadid |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649483496 PECOS PAC ID: 4183779218 Enrollment ID: I20180122000564 |
| Provider Name | Ridhi Bansal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134317233 PECOS PAC ID: 4981847068 Enrollment ID: I20180123003432 |
| Provider Name | Karl-henri Cesar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174996037 PECOS PAC ID: 9739449612 Enrollment ID: I20180214002544 |
| Provider Name | Wendy Phreud Edmond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013458561 PECOS PAC ID: 8224398110 Enrollment ID: I20180214002910 |
| Provider Name | Emily Rose Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518255348 PECOS PAC ID: 9032471768 Enrollment ID: I20180316001828 |
| Provider Name | Juan Carlos Cantu |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1053693580 PECOS PAC ID: 5294985693 Enrollment ID: I20180321002148 |
| Provider Name | Cheryl Lynn Green |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063452225 PECOS PAC ID: 8729094883 Enrollment ID: I20180406001538 |
| Provider Name | Anna E Hadid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477554137 PECOS PAC ID: 0941269542 Enrollment ID: I20180406002407 |
| Provider Name | Sarah Lyn Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053543801 PECOS PAC ID: 5193088748 Enrollment ID: I20180412000231 |
| Provider Name | Shamsher Bakth |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1083643233 PECOS PAC ID: 5799736922 Enrollment ID: I20180420002360 |
| Provider Name | Melissa Jo Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396275160 PECOS PAC ID: 5193089969 Enrollment ID: I20180502000999 |
| Provider Name | Deborah Morrison-metz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235121567 PECOS PAC ID: 4082847371 Enrollment ID: I20180503001667 |
| Provider Name | Paula M Miner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598761306 PECOS PAC ID: 5991778037 Enrollment ID: I20180511002164 |
| Provider Name | Harold William Watson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790170454 PECOS PAC ID: 5193039493 Enrollment ID: I20180514000888 |
| Provider Name | Guilene Davilmar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669994083 PECOS PAC ID: 1153685409 Enrollment ID: I20180514001813 |
| Provider Name | Marshall Scott Bovelsky |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790730646 PECOS PAC ID: 0749291185 Enrollment ID: I20180517002815 |
| Provider Name | Curtis Allyne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649694779 PECOS PAC ID: 3577780790 Enrollment ID: I20180524000731 |
| Provider Name | Anri Brits |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336533975 PECOS PAC ID: 2062767296 Enrollment ID: I20180612001831 |
| Provider Name | Natasha N Munnings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558866574 PECOS PAC ID: 0648525097 Enrollment ID: I20180626002181 |
| Provider Name | Michelle Dunn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659493096 PECOS PAC ID: 6800981879 Enrollment ID: I20180627002358 |
| Provider Name | Wael Sankar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477940260 PECOS PAC ID: 8527314806 Enrollment ID: I20180628000754 |
| Provider Name | Carline Quander |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1942244934 PECOS PAC ID: 2466540729 Enrollment ID: I20180629001297 |
| Provider Name | Jennifer Lorraine Imperato |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932616364 PECOS PAC ID: 9133475825 Enrollment ID: I20180711001146 |
| Provider Name | Stephen B Dodson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215324512 PECOS PAC ID: 5597011023 Enrollment ID: I20180712003482 |
| Provider Name | Yaqing Wen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821355108 PECOS PAC ID: 8628207438 Enrollment ID: I20180718000918 |
| Provider Name | Joseph Sin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164866299 PECOS PAC ID: 7416204250 Enrollment ID: I20180724004043 |
| Provider Name | Alexandra Wolf-defigarelli |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043693484 PECOS PAC ID: 4183972599 Enrollment ID: I20180801001774 |
| Provider Name | Scott Zenoni |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1316287345 PECOS PAC ID: 0446508659 Enrollment ID: I20180803002668 |
| Provider Name | Radha Vijay Desai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992148027 PECOS PAC ID: 6002194206 Enrollment ID: I20180807003715 |
| Provider Name | Neelima Katukuri |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1487862520 PECOS PAC ID: 6406944065 Enrollment ID: I20180813002858 |
| Provider Name | Randal Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649684952 PECOS PAC ID: 6204197296 Enrollment ID: I20180817003084 |
| Provider Name | Brian Chace Griffith |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1376659615 PECOS PAC ID: 8022161132 Enrollment ID: I20180820003048 |
| Provider Name | Edwin John Raymond Roberts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245624881 PECOS PAC ID: 5092064212 Enrollment ID: I20180822000630 |
| Provider Name | Sara Kathleen Gaffney |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1134613847 PECOS PAC ID: 0244580090 Enrollment ID: I20180829001800 |
| Provider Name | Maria Del C Martinez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033319058 PECOS PAC ID: 7113065053 Enrollment ID: I20180914002458 |
| Provider Name | Letitia M Krieg |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1982198586 PECOS PAC ID: 5395096259 Enrollment ID: I20180917001577 |
| Provider Name | Richard Pfeiffer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1336240803 PECOS PAC ID: 2466486626 Enrollment ID: I20180921002106 |
| Provider Name | Sheryl Rosa-cruz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1154619914 PECOS PAC ID: 1052663929 Enrollment ID: I20181004002062 |
| Provider Name | Sarah Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720588213 PECOS PAC ID: 2860744927 Enrollment ID: I20181017003669 |
| Provider Name | Tony Faris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720461932 PECOS PAC ID: 4284983073 Enrollment ID: I20181023001118 |
| Provider Name | Yaphet Tilahun |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1134469166 PECOS PAC ID: 2567690381 Enrollment ID: I20181023002238 |
| Provider Name | Elizabeth Borrero |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295889541 PECOS PAC ID: 3072401520 Enrollment ID: I20181024002525 |
| Provider Name | Amber Nicole Elmore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184101883 PECOS PAC ID: 8123371671 Enrollment ID: I20181030002166 |
| Provider Name | Stephanie Kathleen Nowak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700361094 PECOS PAC ID: 5991059404 Enrollment ID: I20181120002522 |
| Provider Name | Johnathan Heath Thompson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1356621130 PECOS PAC ID: 8820223902 Enrollment ID: I20181127002572 |
| Provider Name | Michael William Stainton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811480643 PECOS PAC ID: 2860736964 Enrollment ID: I20181130000212 |
| Provider Name | Adam Michael Close |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649681602 PECOS PAC ID: 8426392457 Enrollment ID: I20181203001989 |
| Provider Name | Mitchell J Guanzon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992288278 PECOS PAC ID: 8527303882 Enrollment ID: I20181214002629 |
| Provider Name | David Hak |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1942290341 PECOS PAC ID: 0547272619 Enrollment ID: I20181218000799 |
| Provider Name | Megan M Dudley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164944112 PECOS PAC ID: 6709121767 Enrollment ID: I20181219000843 |
| Provider Name | Thu-cuc Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659765550 PECOS PAC ID: 8123335460 Enrollment ID: I20181228000528 |
| Provider Name | Zianka H Fallil |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1376861948 PECOS PAC ID: 7719120195 Enrollment ID: I20181228001240 |
| Provider Name | Estrella Elizabeth Scherer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124593736 PECOS PAC ID: 9537405089 Enrollment ID: I20190104000843 |
| Provider Name | Susan Lynn Beattie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932670510 PECOS PAC ID: 1658617758 Enrollment ID: I20190110001593 |
| Provider Name | Kristine Marie Zonka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255803631 PECOS PAC ID: 0648516336 Enrollment ID: I20190117001333 |
| Provider Name | Mohamad Hammoud |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1629413042 PECOS PAC ID: 6002101722 Enrollment ID: I20190118000844 |
| Provider Name | Zarna Jitendra Dahya |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548559032 PECOS PAC ID: 0345495842 Enrollment ID: I20190122000075 |
| Provider Name | Joseph Ralph Paonessa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720341696 PECOS PAC ID: 5092061291 Enrollment ID: I20190129003694 |
| Provider Name | Izdean Mufleh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053707604 PECOS PAC ID: 3173814878 Enrollment ID: I20190131002812 |
| Provider Name | Ashley Ann Kalin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982175030 PECOS PAC ID: 3476890211 Enrollment ID: I20190201001094 |
| Provider Name | Alyssa Fayth Basile |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689147985 PECOS PAC ID: 3173862257 Enrollment ID: I20190307001465 |
| Provider Name | Stephanie Newberry-angell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144715871 PECOS PAC ID: 3971843582 Enrollment ID: I20190319000410 |
| Provider Name | Christina H Bovelsky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356476626 PECOS PAC ID: 6406918044 Enrollment ID: I20190320001005 |
| Provider Name | Anthony Francis Romano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871076638 PECOS PAC ID: 6608116058 Enrollment ID: I20190320003388 |
| Provider Name | Emily R Delgado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205354214 PECOS PAC ID: 1850652421 Enrollment ID: I20190402001395 |
| Provider Name | Stacie Nia Ross Cesaire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821578212 PECOS PAC ID: 6204978943 Enrollment ID: I20190404000067 |
| Provider Name | Yoania Quintana Garcia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891198636 PECOS PAC ID: 8527330802 Enrollment ID: I20190423001683 |
| Provider Name | Sara Elizabeth Lewis |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1457883126 PECOS PAC ID: 6204189830 Enrollment ID: I20190507000425 |
| Provider Name | Jorge Jose Pesquera |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1811315112 PECOS PAC ID: 4385924943 Enrollment ID: I20190516001146 |
| Provider Name | Abraham Kuruvilla |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881806255 PECOS PAC ID: 2163469263 Enrollment ID: I20190523001027 |
| Provider Name | Shirmeej Singh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083054159 PECOS PAC ID: 7113226663 Enrollment ID: I20190529002400 |
| Provider Name | Neha Sharma |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1750541892 PECOS PAC ID: 9032365713 Enrollment ID: I20190530002199 |
| Provider Name | Dianne Sawers-vidal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902364292 PECOS PAC ID: 5294068581 Enrollment ID: I20190530002567 |
| Provider Name | Khalil Wasfi Zahra |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1467483198 PECOS PAC ID: 0840288411 Enrollment ID: I20190614000928 |
| Provider Name | Tony Dunne |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164765731 PECOS PAC ID: 0345573887 Enrollment ID: I20190614001534 |
| Provider Name | Wendy Ann Fiumano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245760453 PECOS PAC ID: 2062783863 Enrollment ID: I20190619001456 |
| Provider Name | Michael S Gavigan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184195083 PECOS PAC ID: 7911231717 Enrollment ID: I20190627003284 |
| Provider Name | Jennifer Pagan Pallens |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1548703028 PECOS PAC ID: 8729350335 Enrollment ID: I20190703000205 |
| Provider Name | Sheetal A Patel |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1740608488 PECOS PAC ID: 1759508385 Enrollment ID: I20190709001309 |
| Provider Name | Merle S Lewis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114380821 PECOS PAC ID: 9335433242 Enrollment ID: I20190715002697 |
| Provider Name | Saminder Singh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740592815 PECOS PAC ID: 2769616432 Enrollment ID: I20190716000976 |
| Provider Name | Christine L Shephard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013573294 PECOS PAC ID: 5193050839 Enrollment ID: I20190717001696 |
| Provider Name | Jorge Joaquin Requena Penenori |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1336534171 PECOS PAC ID: 8325311921 Enrollment ID: I20190722001685 |
| Provider Name | Pushpa Chand Daliya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841761673 PECOS PAC ID: 6204162779 Enrollment ID: I20190723000980 |
| Provider Name | Brittany N Warren |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1033556634 PECOS PAC ID: 0547409468 Enrollment ID: I20190725001638 |
| Provider Name | Oteni Hamilton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386006070 PECOS PAC ID: 2769718790 Enrollment ID: I20190729000929 |
| Provider Name | Allison L Penny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003475211 PECOS PAC ID: 8921334897 Enrollment ID: I20190730003337 |
| Provider Name | Jesmarie Correa-lasanta |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1285043901 PECOS PAC ID: 9931470788 Enrollment ID: I20190802000814 |
| Provider Name | Raghav Sharma |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1477872885 PECOS PAC ID: 6406170117 Enrollment ID: I20190813003586 |
| Provider Name | John Palsis |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1174966378 PECOS PAC ID: 3274822085 Enrollment ID: I20190819001450 |
| Provider Name | Christina G Sebastian |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1790121838 PECOS PAC ID: 0840430930 Enrollment ID: I20190826000458 |
| Provider Name | Aashish P Gupta |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1033409354 PECOS PAC ID: 1557605227 Enrollment ID: I20190826000998 |
| Provider Name | Kathleen Natalie Casey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144880873 PECOS PAC ID: 6305174418 Enrollment ID: I20190828001316 |
| Provider Name | James Peter Lacey |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1164457081 PECOS PAC ID: 5597788281 Enrollment ID: I20190829001554 |
| Provider Name | David L Smull |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1386603934 PECOS PAC ID: 1759333768 Enrollment ID: I20190829003462 |
| Provider Name | David L Hei |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1851368476 PECOS PAC ID: 0042340804 Enrollment ID: I20190830000128 |
| Provider Name | Joseph Rabinowitz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053548818 PECOS PAC ID: 4385890904 Enrollment ID: I20190905000722 |
| Provider Name | Michelle Ann Swann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235784687 PECOS PAC ID: 3476882523 Enrollment ID: I20190916000344 |
| Provider Name | Derek Mittleider |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538234414 PECOS PAC ID: 0749305977 Enrollment ID: I20190918001900 |
| Provider Name | Djenane Exceus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851836753 PECOS PAC ID: 2466783899 Enrollment ID: I20191015003655 |
| Provider Name | Lora Lee Brown |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1710953179 PECOS PAC ID: 8921054123 Enrollment ID: I20191108000094 |
| Provider Name | Crystal Gail Ault |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659839579 PECOS PAC ID: 7618309469 Enrollment ID: I20191115000971 |
| Provider Name | Audrey Wong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003469560 PECOS PAC ID: 1254763048 Enrollment ID: I20191115002927 |
| Provider Name | Rejoy Mathai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073175345 PECOS PAC ID: 4789016163 Enrollment ID: I20191125000482 |
| Provider Name | Eyad Rawhi El Far |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285084533 PECOS PAC ID: 7214360460 Enrollment ID: I20191203000459 |
| Provider Name | Rachel A Mccleve |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700437050 PECOS PAC ID: 9830523224 Enrollment ID: I20191217002788 |
| Provider Name | Daniel J Scodary |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1619965316 PECOS PAC ID: 1456414630 Enrollment ID: I20191223001278 |
| Provider Name | Krishna Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336593565 PECOS PAC ID: 0244524544 Enrollment ID: I20200109002506 |
| Provider Name | Gautam Khandelwal |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962445569 PECOS PAC ID: 1153394234 Enrollment ID: I20200114003185 |
| Provider Name | Jordan Wiles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952818650 PECOS PAC ID: 9739514076 Enrollment ID: I20200115001515 |
| Provider Name | Camelia A Acevedo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366083107 PECOS PAC ID: 6406282128 Enrollment ID: I20200128002732 |
| Provider Name | Matthew J Petersen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972767556 PECOS PAC ID: 2567630007 Enrollment ID: I20200207000504 |
| Provider Name | Melanie Lieblang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508392952 PECOS PAC ID: 2365714995 Enrollment ID: I20200211001264 |
| Provider Name | Elysia Danielle Dana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225673809 PECOS PAC ID: 8224464037 Enrollment ID: I20200213002269 |
| Provider Name | Sarah Helene Kort |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043677206 PECOS PAC ID: 1254636954 Enrollment ID: I20200214001306 |
| Provider Name | Manuel C Fortes |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962639757 PECOS PAC ID: 8123269487 Enrollment ID: I20200217004720 |
| Provider Name | Margaret Edginton Griffel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740498377 PECOS PAC ID: 5799791315 Enrollment ID: I20200226002395 |
| Provider Name | Malia Shanee Gavigan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871055350 PECOS PAC ID: 0042647224 Enrollment ID: I20200228000098 |
| Provider Name | Carl Mccord |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104836022 PECOS PAC ID: 1254420995 Enrollment ID: I20200303002282 |
| Provider Name | Thomas William Milbourne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609411362 PECOS PAC ID: 8022445923 Enrollment ID: I20200304002515 |
| Provider Name | Aislyn Marie Martine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518445717 PECOS PAC ID: 8527496496 Enrollment ID: I20200309001236 |
| Provider Name | Melissa A Bouvier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265916654 PECOS PAC ID: 7214365089 Enrollment ID: I20200311000034 |
| Provider Name | Carlos Ruben Berrios Rosado |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508026568 PECOS PAC ID: 5991011777 Enrollment ID: I20200316000524 |
| Provider Name | Ashraf A. M. Ahmed |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1679690093 PECOS PAC ID: 7911080262 Enrollment ID: I20200317001507 |
| Provider Name | Jacqueline Hoskins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316475171 PECOS PAC ID: 6608204730 Enrollment ID: I20200323003505 |
| Provider Name | Vincenzo Scotto D Antuono |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1811962855 PECOS PAC ID: 7618963513 Enrollment ID: I20200325000049 |
| Provider Name | Wesley E Griffitt |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1821002684 PECOS PAC ID: 1658325097 Enrollment ID: I20200326000829 |
| Provider Name | Stephanie D Antepara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235688763 PECOS PAC ID: 6204265267 Enrollment ID: I20200326003519 |
| Provider Name | Mark E Franke |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114934650 PECOS PAC ID: 5395738017 Enrollment ID: I20200331001597 |
| Provider Name | Craig Philhower |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285085076 PECOS PAC ID: 5496038416 Enrollment ID: I20200403001278 |
| Provider Name | Nikola Jovanovic |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417332438 PECOS PAC ID: 1557657699 Enrollment ID: I20200430002524 |
| Provider Name | Christina M Nguyen-bischof |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144632233 PECOS PAC ID: 0749551208 Enrollment ID: I20200501000887 |
| Provider Name | Jessica E Tunis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821208778 PECOS PAC ID: 7517131915 Enrollment ID: I20200501002265 |
| Provider Name | Travis Alford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477194611 PECOS PAC ID: 9830520949 Enrollment ID: I20200505001557 |
| Provider Name | Fernando Porter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669785770 PECOS PAC ID: 0941435986 Enrollment ID: I20200514002284 |
| Provider Name | Christopher Rosebrough |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831654599 PECOS PAC ID: 1052742640 Enrollment ID: I20200514003070 |
| Provider Name | Jennifer M Laporte Caballero |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457732851 PECOS PAC ID: 6204267545 Enrollment ID: I20200520002394 |
| Provider Name | Christina Schrack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861891566 PECOS PAC ID: 5092024711 Enrollment ID: I20200602001658 |
| Provider Name | Katherine J Flaugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619458221 PECOS PAC ID: 5698008316 Enrollment ID: I20200615002713 |
| Provider Name | William Johnson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952835399 PECOS PAC ID: 2264703073 Enrollment ID: I20200623000818 |
| Provider Name | Maria D Silverio Costa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336688118 PECOS PAC ID: 9436571320 Enrollment ID: I20200623001308 |
| Provider Name | Linh T Van |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114454428 PECOS PAC ID: 0446672174 Enrollment ID: I20200625000114 |
| Provider Name | Maria De Los M Colon Perez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316478571 PECOS PAC ID: 9436403748 Enrollment ID: I20200702001564 |
| Provider Name | Hasanain Ali Al-khalidi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134668890 PECOS PAC ID: 1355686668 Enrollment ID: I20200702001934 |
| Provider Name | Peter Garas |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1790104396 PECOS PAC ID: 5799901989 Enrollment ID: I20200707002860 |
| Provider Name | Iliannie M Rodriguez Chaluisant |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336512946 PECOS PAC ID: 9537582630 Enrollment ID: I20200708001638 |
| Provider Name | Lindsay Taylor Hayes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659900181 PECOS PAC ID: 2163846569 Enrollment ID: I20200717002128 |
| Provider Name | April Branly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851740294 PECOS PAC ID: 1658795828 Enrollment ID: I20200721002077 |
| Provider Name | Abhishek Agrawal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407155328 PECOS PAC ID: 9537337852 Enrollment ID: I20200811001589 |
| Provider Name | Megan Brooke Hambel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992228555 PECOS PAC ID: 0648696229 Enrollment ID: I20200813000305 |
| Provider Name | Donald C Barr |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215348313 PECOS PAC ID: 6800175332 Enrollment ID: I20200821001583 |
| Provider Name | Heidi Jo Sommers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457830556 PECOS PAC ID: 3173941846 Enrollment ID: I20200911001102 |
| Provider Name | Rose Moet Moet Aye |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1144614090 PECOS PAC ID: 3678872512 Enrollment ID: I20200918001767 |
| Provider Name | Rebecca S Spofford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972859858 PECOS PAC ID: 3577710490 Enrollment ID: I20200928002232 |
| Provider Name | Bernard Paul White |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1720160971 PECOS PAC ID: 9133102965 Enrollment ID: I20201002000605 |
| Provider Name | Ritu Dave |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1871671693 PECOS PAC ID: 0547361321 Enrollment ID: I20201005002706 |
| Provider Name | Jose Emmanuel Palo |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1871021790 PECOS PAC ID: 2365861606 Enrollment ID: I20201006000905 |
| Provider Name | Claude Spears |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316507064 PECOS PAC ID: 4486983038 Enrollment ID: I20201007002081 |
| Provider Name | Denise M Marburger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871118455 PECOS PAC ID: 7719306984 Enrollment ID: I20201008000039 |
| Provider Name | Anton Micael K Dela Cruz |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1972819944 PECOS PAC ID: 3375963598 Enrollment ID: I20201008002736 |
| Provider Name | Katya V Ridore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699331470 PECOS PAC ID: 4082949862 Enrollment ID: I20201009000110 |
| Provider Name | Robert Stretch |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1396157905 PECOS PAC ID: 0840507596 Enrollment ID: I20201014001192 |
| Provider Name | Soumya Parimi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1174667570 PECOS PAC ID: 5890861207 Enrollment ID: I20201016000606 |
| Provider Name | Deniece Dowelyne Santana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326658840 PECOS PAC ID: 5890115414 Enrollment ID: I20201021001025 |
| Provider Name | Hector Dejesus Rocha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255873063 PECOS PAC ID: 3476963737 Enrollment ID: I20201028001001 |
| Provider Name | Christine Lee Petaccia |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821599325 PECOS PAC ID: 9133539836 Enrollment ID: I20201109002226 |
| Provider Name | Lucy Aitcheson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154728046 PECOS PAC ID: 8426468018 Enrollment ID: I20201111000349 |
| Provider Name | Michael A Middleton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922087295 PECOS PAC ID: 5496165920 Enrollment ID: I20201111002421 |
| Provider Name | Delia Smith |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1487636379 PECOS PAC ID: 5496851206 Enrollment ID: I20201112000021 |
| Provider Name | Anaidiel Beltran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851947840 PECOS PAC ID: 5294145785 Enrollment ID: I20201112001609 |
| Provider Name | Steven Bradley Von Edwins |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588015705 PECOS PAC ID: 0345535134 Enrollment ID: I20201116000045 |
| Provider Name | Louise Rita Andrews |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912249525 PECOS PAC ID: 8123439585 Enrollment ID: I20201117000045 |
| Provider Name | Melissa Hamilton |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1790120582 PECOS PAC ID: 3678851300 Enrollment ID: I20201117000809 |
| Provider Name | Amanda L Hiestand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215398862 PECOS PAC ID: 3577851336 Enrollment ID: I20201120001134 |
| Provider Name | Brittany Lauren Durbin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043814700 PECOS PAC ID: 3173934817 Enrollment ID: I20201201001587 |
| Provider Name | Elena Michelle Hamant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659979110 PECOS PAC ID: 9638580137 Enrollment ID: I20201203002689 |
| Provider Name | Lawrence B Tena |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1386645695 PECOS PAC ID: 8123084670 Enrollment ID: I20201209000421 |
| Provider Name | Stormy G Mcbride |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639651615 PECOS PAC ID: 8426460775 Enrollment ID: I20201210002151 |
| Provider Name | Almatmed H Abdelsalam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396157657 PECOS PAC ID: 9830462936 Enrollment ID: I20201215000790 |
| Provider Name | Sean T Kearin |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1457511941 PECOS PAC ID: 2961621685 Enrollment ID: I20201229000947 |
| Provider Name | Cynthia Furlan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922666015 PECOS PAC ID: 4688087174 Enrollment ID: I20201229003051 |
| Provider Name | Tonya M Bowden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639603277 PECOS PAC ID: 0446519821 Enrollment ID: I20201231001026 |
| Provider Name | Jessica Cruz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790072171 PECOS PAC ID: 2567696362 Enrollment ID: I20210107000429 |
| Provider Name | Kevin R Campbell |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1770581134 PECOS PAC ID: 6002857521 Enrollment ID: I20210120001455 |
| Provider Name | Katie Danielle Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811588528 PECOS PAC ID: 2466866595 Enrollment ID: I20210201000275 |
| Provider Name | Kelly D Loring |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629466792 PECOS PAC ID: 5193041275 Enrollment ID: I20210201001790 |
| Provider Name | Barbara H Carden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225467707 PECOS PAC ID: 3870721400 Enrollment ID: I20210202000302 |
| Provider Name | Shishir Kumar Khetan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861497372 PECOS PAC ID: 9335199017 Enrollment ID: I20210202002064 |
| Provider Name | Melissa Rachel Scully |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356989156 PECOS PAC ID: 9638584956 Enrollment ID: I20210219000570 |
| Provider Name | Adrian P Palmer |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1134107857 PECOS PAC ID: 4486631454 Enrollment ID: I20210310002823 |
| Provider Name | Jacqueline Lent Samani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134693773 PECOS PAC ID: 0941617864 Enrollment ID: I20210322000318 |
| Provider Name | Lindsey E Carriles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730764812 PECOS PAC ID: 2961819404 Enrollment ID: I20210329001219 |
| Provider Name | Vanessa Tucci |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538772967 PECOS PAC ID: 4486062577 Enrollment ID: I20210408001680 |
| Provider Name | Christi Fatima Forster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396359568 PECOS PAC ID: 1052729027 Enrollment ID: I20210413001490 |
| Provider Name | Tonya S Fenzl |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1659703064 PECOS PAC ID: 7315172715 Enrollment ID: I20210427002721 |
| Provider Name | Heather Michelle Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154907822 PECOS PAC ID: 3274942107 Enrollment ID: I20210506000164 |
| Provider Name | Usman Mazahir |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1063806263 PECOS PAC ID: 9638402225 Enrollment ID: I20210510001078 |
| Provider Name | Chirag Savani |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194263178 PECOS PAC ID: 3870843717 Enrollment ID: I20210510002110 |
| Provider Name | Ann Margaret Nigro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548237670 PECOS PAC ID: 5092124396 Enrollment ID: I20210517000837 |
| Provider Name | Marisol Wilke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417558370 PECOS PAC ID: 0840609160 Enrollment ID: I20210517001584 |
| Provider Name | Seiichi I Noda |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1881690931 PECOS PAC ID: 7416841960 Enrollment ID: I20210518001087 |
| Provider Name | Gregory Carter |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1972618312 PECOS PAC ID: 1153405790 Enrollment ID: I20210527002879 |
| Provider Name | John Sheppard |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821148743 PECOS PAC ID: 8325299241 Enrollment ID: I20210604001916 |
| Provider Name | Neil Jayant Gajera |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972036176 PECOS PAC ID: 8224438593 Enrollment ID: I20210609000617 |
| Provider Name | Pamela C Trout |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467499384 PECOS PAC ID: 0042533622 Enrollment ID: I20210614000699 |
| Provider Name | Fatan Jaafar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215188743 PECOS PAC ID: 7618377599 Enrollment ID: I20210615000622 |
| Provider Name | Cynthia Daniel Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023686672 PECOS PAC ID: 1850791328 Enrollment ID: I20210621002699 |
| Provider Name | Victoria Ciarra Delane Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134796469 PECOS PAC ID: 3274934211 Enrollment ID: I20210628002206 |
| Provider Name | Lara T Dakhoul |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144663147 PECOS PAC ID: 1456661545 Enrollment ID: I20210706003331 |
| Provider Name | Kyeesha T Becoats |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1902292741 PECOS PAC ID: 6406106483 Enrollment ID: I20210706003444 |
| Provider Name | Jessica Stone Magnaldi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558965194 PECOS PAC ID: 4789086224 Enrollment ID: I20210707001454 |
| Provider Name | John B Passantino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902301542 PECOS PAC ID: 1658611058 Enrollment ID: I20210707003004 |
| Provider Name | Lacey Mcmillan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760832117 PECOS PAC ID: 9436442340 Enrollment ID: I20210707003408 |
| Provider Name | Jenakan Dev |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548758857 PECOS PAC ID: 3274872247 Enrollment ID: I20210715000993 |
| Provider Name | Judith Jill Bowling Jaggers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700213105 PECOS PAC ID: 9032346010 Enrollment ID: I20210716000243 |
| Provider Name | Elizabeth Mae Fowler |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1063576429 PECOS PAC ID: 0345598447 Enrollment ID: I20210719001342 |
| Provider Name | Monique G Monard |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164953022 PECOS PAC ID: 3577836659 Enrollment ID: I20210721002201 |
| Provider Name | Roger G Stuart |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1942336276 PECOS PAC ID: 0941480883 Enrollment ID: I20210726002411 |
| Provider Name | Candace Mcknight Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578553962 PECOS PAC ID: 2062547771 Enrollment ID: I20210728000775 |
| Provider Name | John R Hoyle |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1245215250 PECOS PAC ID: 2365577087 Enrollment ID: I20210803001641 |
| Provider Name | Ahmad Mustafa Amani |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1770875080 PECOS PAC ID: 6305133604 Enrollment ID: I20210804000126 |
| Provider Name | Lauren Kelle Bratsch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295318566 PECOS PAC ID: 6204230212 Enrollment ID: I20210812000311 |
| Provider Name | Michelle Silva |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306377403 PECOS PAC ID: 1355614892 Enrollment ID: I20210812002346 |
| Provider Name | Timothy Orphanides |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1023017530 PECOS PAC ID: 1658361670 Enrollment ID: I20210813000882 |
| Provider Name | Francis Mogollon Duffo |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1336534783 PECOS PAC ID: 6709210396 Enrollment ID: I20210817003177 |
| Provider Name | Lamar Ricardo Wedderburn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053802439 PECOS PAC ID: 9739430406 Enrollment ID: I20210818000469 |
| Provider Name | Sarah M Shipley |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1275929119 PECOS PAC ID: 6507121191 Enrollment ID: I20210819003593 |
| Provider Name | Vishal Harshad Patel |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1184064818 PECOS PAC ID: 8527397868 Enrollment ID: I20210823002591 |
| Provider Name | Pasqual Bracero |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003827809 PECOS PAC ID: 2062448343 Enrollment ID: I20210831001157 |
| Provider Name | Vaishali N Geib |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114965399 PECOS PAC ID: 0840275798 Enrollment ID: I20210908001014 |
| Provider Name | Elizabeth Laura Justice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427232206 PECOS PAC ID: 5799181061 Enrollment ID: I20210913000604 |
| Provider Name | Cecilia Bravo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154947430 PECOS PAC ID: 0345646543 Enrollment ID: I20210914002232 |
| Provider Name | Tiffani F Davidson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013683671 PECOS PAC ID: 1254738123 Enrollment ID: I20210920000989 |
| Provider Name | Lucas Bader |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1518168806 PECOS PAC ID: 6002003977 Enrollment ID: I20210924000706 |
| Provider Name | Roxand Tina Villoch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891300331 PECOS PAC ID: 8628475969 Enrollment ID: I20210929000595 |
| Provider Name | Kunal Agarwal |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1932497773 PECOS PAC ID: 4082846860 Enrollment ID: I20211006002339 |
| Provider Name | Arel Golombeck |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831392372 PECOS PAC ID: 9830369404 Enrollment ID: I20211018000694 |
| Provider Name | Thierry Momplaisir |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255420899 PECOS PAC ID: 2567566227 Enrollment ID: I20211025003117 |
| Provider Name | Anna Castillo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760772214 PECOS PAC ID: 7214325182 Enrollment ID: I20211026001223 |
| Provider Name | Leah Mckenzi Utz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700548500 PECOS PAC ID: 6103214028 Enrollment ID: I20211026003292 |
| Provider Name | Francisca A A Mencia-ziegenfus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457945545 PECOS PAC ID: 5698163293 Enrollment ID: I20211101003125 |
| Provider Name | Patrick Mason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265107353 PECOS PAC ID: 0648668160 Enrollment ID: I20211102001287 |
| Provider Name | Tasscia M Williams Souffrant |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053694539 PECOS PAC ID: 8426274044 Enrollment ID: I20211108001114 |
| Provider Name | Anand Tarunkumar Desai |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235441536 PECOS PAC ID: 2264821586 Enrollment ID: I20211108001439 |
| Provider Name | Marie E Boone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811659600 PECOS PAC ID: 3375933369 Enrollment ID: I20211206002853 |
| Provider Name | Daniel I Schere |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639369366 PECOS PAC ID: 6002064045 Enrollment ID: I20211213002739 |
| Provider Name | Bindi G Chokshi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154815751 PECOS PAC ID: 6709133275 Enrollment ID: I20211216001196 |
| Provider Name | Mariah T Jackson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1720756265 PECOS PAC ID: 4981095916 Enrollment ID: I20211229000858 |
| Provider Name | Melinda Mercado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619635703 PECOS PAC ID: 3274924261 Enrollment ID: I20211230000884 |
| Provider Name | Tamra Jacquelle Lloyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912669896 PECOS PAC ID: 4486045309 Enrollment ID: I20220103000193 |
| Provider Name | Dominique Simone Gordon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982204178 PECOS PAC ID: 8729479472 Enrollment ID: I20220106002382 |
| Provider Name | Alyssia Rae Feronti |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780345678 PECOS PAC ID: 6800288291 Enrollment ID: I20220114001168 |
| Provider Name | Natalie D Hallameyer |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1225645385 PECOS PAC ID: 1254745235 Enrollment ID: I20220301001264 |
| Provider Name | Holly Jean Stone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558026690 PECOS PAC ID: 2264826437 Enrollment ID: I20220303002863 |
| Provider Name | Christopher Joseph Gasho |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1063778272 PECOS PAC ID: 1850631862 Enrollment ID: I20220308002685 |
| Provider Name | Gillian Mary Trotter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639830540 PECOS PAC ID: 2264826247 Enrollment ID: I20220309000351 |
| Provider Name | Mark A Bickert |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1528012242 PECOS PAC ID: 2860498813 Enrollment ID: I20220323003021 |
| Provider Name | Shannan M Leonard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497194534 PECOS PAC ID: 9335379742 Enrollment ID: I20220328001099 |
| Provider Name | Emily Carol Van Meter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528714250 PECOS PAC ID: 6406241561 Enrollment ID: I20220328001553 |
| Provider Name | Cory Louis Nayfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053922476 PECOS PAC ID: 8123414240 Enrollment ID: I20220329002427 |
| Provider Name | Anna Lee Woody |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093472862 PECOS PAC ID: 6507252152 Enrollment ID: I20220406003041 |
| Provider Name | Rajeev Puri |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1629285358 PECOS PAC ID: 7719147396 Enrollment ID: I20220409000215 |
| Provider Name | Diane Elise Dewit |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1831267335 PECOS PAC ID: 1254728496 Enrollment ID: I20220418002621 |
| Provider Name | Samantha Rose Westervelt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356081343 PECOS PAC ID: 2769869064 Enrollment ID: I20220505002516 |
| Provider Name | Leslee C Mcnabb |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003084971 PECOS PAC ID: 3971658907 Enrollment ID: I20220513000887 |
| Provider Name | Gaithe St Cyr |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1043877186 PECOS PAC ID: 3678951084 Enrollment ID: I20220525002016 |
| Provider Name | Saiham Mohammed Emran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932662491 PECOS PAC ID: 5698153732 Enrollment ID: I20220602000783 |
| Provider Name | Cody Mitchell Phillips |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669944971 PECOS PAC ID: 6002145257 Enrollment ID: I20220604000395 |
| Provider Name | Kamil T Cieply |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073173563 PECOS PAC ID: 1759615396 Enrollment ID: I20220623000598 |
| Provider Name | Ernst Merceron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194298851 PECOS PAC ID: 3577942234 Enrollment ID: I20220627001471 |
| Provider Name | Mark L Wheeler |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1326494568 PECOS PAC ID: 9830486695 Enrollment ID: I20220629000256 |
| Provider Name | Gulden Menderes |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1790072742 PECOS PAC ID: 0648408542 Enrollment ID: I20220629000889 |
| Provider Name | Ali Tourchi |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1578096574 PECOS PAC ID: 1254618879 Enrollment ID: I20220630000631 |
| Provider Name | Kyle T Rockwell |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1548757883 PECOS PAC ID: 4385981463 Enrollment ID: I20220630001082 |
| Provider Name | Alexis V Amatrudi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316678139 PECOS PAC ID: 9133509508 Enrollment ID: I20220630002839 |
| Provider Name | Matthew S Donnan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316407703 PECOS PAC ID: 5799010187 Enrollment ID: I20220701001846 |
| Provider Name | Claudia Milena Rodriguez-arredondo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144420589 PECOS PAC ID: 3375634207 Enrollment ID: I20220705000770 |
| Provider Name | Robert C Allen |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1124091939 PECOS PAC ID: 5294794723 Enrollment ID: I20220706003806 |
| Provider Name | James Fluss |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831650746 PECOS PAC ID: 7810239654 Enrollment ID: I20220708000120 |
| Provider Name | Irina Y Kharisova |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508397035 PECOS PAC ID: 0042557183 Enrollment ID: I20220713002645 |
| Provider Name | Emily F Kelly |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1164962155 PECOS PAC ID: 1759657794 Enrollment ID: I20220713004376 |
| Provider Name | Megan E Roll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578204509 PECOS PAC ID: 6305227505 Enrollment ID: I20220719003448 |
| Provider Name | Bianca Marie Christmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184363657 PECOS PAC ID: 3678954724 Enrollment ID: I20220720002042 |
| Provider Name | Tabitha Haynes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093049488 PECOS PAC ID: 1557523388 Enrollment ID: I20220722001765 |
| Provider Name | Danielle Mcarthur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104463728 PECOS PAC ID: 2961838826 Enrollment ID: I20220729002960 |
| Provider Name | Shreya Mishra |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1134581135 PECOS PAC ID: 9830571363 Enrollment ID: I20220801001164 |
| Provider Name | Guirguiss Tadros |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1851736797 PECOS PAC ID: 5890033575 Enrollment ID: I20220817000152 |
| Provider Name | Paulette L Swanson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184174575 PECOS PAC ID: 8820471048 Enrollment ID: I20220819001737 |
| Provider Name | Karen M Fischborn |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1447816145 PECOS PAC ID: 2860729605 Enrollment ID: I20220829003318 |
| Provider Name | Eric J Steele |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174984066 PECOS PAC ID: 5799074076 Enrollment ID: I20220901001824 |
| Provider Name | Marcia J Ramsay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104572445 PECOS PAC ID: 6507240959 Enrollment ID: I20220902000199 |
| Provider Name | Khadijah H Fergiani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780179929 PECOS PAC ID: 6406283340 Enrollment ID: I20220907000479 |
| Provider Name | Akash Patel |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1134388200 PECOS PAC ID: 4880749738 Enrollment ID: I20220912001566 |
| Provider Name | Qumara Hill-smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871906024 PECOS PAC ID: 5597987594 Enrollment ID: I20220921002356 |
| Provider Name | Lya K Chavarria |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245958842 PECOS PAC ID: 9638554926 Enrollment ID: I20220922003319 |
| Provider Name | Sienna Y Day |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1316408594 PECOS PAC ID: 8729464961 Enrollment ID: I20220926002448 |
| Provider Name | William Brandon Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013684844 PECOS PAC ID: 2466848320 Enrollment ID: I20220929000852 |
| Provider Name | Christofer Paul Zapata |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003309634 PECOS PAC ID: 0042542326 Enrollment ID: I20220930002957 |
| Provider Name | Jennifer Lynne Cotto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619561560 PECOS PAC ID: 7719353945 Enrollment ID: I20221013000647 |
| Provider Name | Susan L Campeas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154426674 PECOS PAC ID: 3375588932 Enrollment ID: I20221017003016 |
| Provider Name | Desiree Elizabeth Kennedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902547045 PECOS PAC ID: 5698141398 Enrollment ID: I20221020003096 |
| Provider Name | Jennifer M Mercado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477287910 PECOS PAC ID: 3971979386 Enrollment ID: I20221026000150 |
| Provider Name | Kelly Marie Fernandez Rojas |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1003953597 PECOS PAC ID: 2769859917 Enrollment ID: I20221101002679 |
| Provider Name | Angela Patricia Salazar De Torres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497338701 PECOS PAC ID: 4082082524 Enrollment ID: I20221115000987 |
| Provider Name | Mustafa B Sahin |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1235200320 PECOS PAC ID: 5294719225 Enrollment ID: I20221208003259 |
| Provider Name | Kristin Evonne Webley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558070532 PECOS PAC ID: 8921478694 Enrollment ID: I20221222000115 |
| Provider Name | Cindy Joseph |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578820510 PECOS PAC ID: 3476863069 Enrollment ID: I20230104001205 |
| Provider Name | Jason Siegel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851658538 PECOS PAC ID: 3173760345 Enrollment ID: I20230118001408 |
| Provider Name | Felmer M Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407246838 PECOS PAC ID: 4688994692 Enrollment ID: I20230119001741 |
| Provider Name | Ronald Negrich |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1376546655 PECOS PAC ID: 8224926191 Enrollment ID: I20230124003357 |
| Provider Name | Nicolas C Webley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417665910 PECOS PAC ID: 7416326541 Enrollment ID: I20230220002232 |
| Provider Name | Chelsea K Robinson Honig |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1265138093 PECOS PAC ID: 4284007766 Enrollment ID: I20230303000131 |
| Provider Name | Theodore Nukes |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891766739 PECOS PAC ID: 2961472626 Enrollment ID: I20230307003268 |
| Provider Name | Jill Miltenberger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649557067 PECOS PAC ID: 5991964512 Enrollment ID: I20230310001151 |
| Provider Name | Johanna Jovanovic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891400693 PECOS PAC ID: 1951774009 Enrollment ID: I20230310001358 |
| Provider Name | Nilesh V Dubal |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1447254776 PECOS PAC ID: 4688646680 Enrollment ID: I20230315000010 |
| Provider Name | Lindsay Michelle Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346948932 PECOS PAC ID: 0547634404 Enrollment ID: I20230316002254 |
| Provider Name | Amber Diane Chambers |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1841998580 PECOS PAC ID: 7810361268 Enrollment ID: I20230326000038 |
| Provider Name | Stefanie Jade Hoffman |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1881392819 PECOS PAC ID: 1456726322 Enrollment ID: I20230406000008 |
| Provider Name | Jenna Macgillivray Rogerson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689186900 PECOS PAC ID: 1355716846 Enrollment ID: I20230414002013 |
| Provider Name | Amy M Cannon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528781366 PECOS PAC ID: 1557736881 Enrollment ID: I20230418002359 |
| Provider Name | Lorena Jacqueline Cabrices Truong |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700599800 PECOS PAC ID: 5799150082 Enrollment ID: I20230419002046 |
| Provider Name | Kayla Vliet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508425463 PECOS PAC ID: 3173852316 Enrollment ID: I20230519002974 |
| Provider Name | Adam W Milik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275631426 PECOS PAC ID: 7416977178 Enrollment ID: I20230522003469 |
| Provider Name | Daryl Noel Schauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619690823 PECOS PAC ID: 3971969585 Enrollment ID: I20230523002315 |
| Provider Name | Roxana Bebey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467153940 PECOS PAC ID: 9436516739 Enrollment ID: I20230601000086 |
| Provider Name | Kristian Rosario Valencia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073176962 PECOS PAC ID: 4789916701 Enrollment ID: I20230605002909 |
| Provider Name | Bushra Ferdous |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922622539 PECOS PAC ID: 6608291257 Enrollment ID: I20230607002635 |
| Provider Name | Sara Khodor |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1720440068 PECOS PAC ID: 5890112502 Enrollment ID: I20230612000614 |
| Provider Name | Cristian D Leeson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093376956 PECOS PAC ID: 3678996980 Enrollment ID: I20230620000168 |
| Provider Name | Christina Marie Girello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962118794 PECOS PAC ID: 1052783511 Enrollment ID: I20230621002322 |
| Provider Name | Stephen Valle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770111023 PECOS PAC ID: 9739547449 Enrollment ID: I20230627002963 |
| Provider Name | Hillary Frances Abel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073207155 PECOS PAC ID: 0547629271 Enrollment ID: I20230628004121 |
| Provider Name | Alejandra Guevara Mendez |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1356847123 PECOS PAC ID: 6901265214 Enrollment ID: I20230705002331 |
| Provider Name | Mia Mccallum-crawford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043675325 PECOS PAC ID: 7810276680 Enrollment ID: I20230707002199 |
| Provider Name | Ria Melina Cabanero |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013545532 PECOS PAC ID: 6103286935 Enrollment ID: I20230712001649 |
| Provider Name | William Joseph Beaudoin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285318956 PECOS PAC ID: 1153781844 Enrollment ID: I20230712004333 |
| Provider Name | Kelly Gassie |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1962899351 PECOS PAC ID: 1951616739 Enrollment ID: I20230714002192 |
| Provider Name | James Craig Alexander |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720177207 PECOS PAC ID: 4587833686 Enrollment ID: I20230720002485 |
| Provider Name | Jason Barbour Miller |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1386130375 PECOS PAC ID: 1557722709 Enrollment ID: I20230803002401 |
| Provider Name | Sadia Aslam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497378632 PECOS PAC ID: 0648694158 Enrollment ID: I20230817004190 |
| Provider Name | Juan Camilo Camacho Velandia |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1366124984 PECOS PAC ID: 7315300498 Enrollment ID: I20230823002156 |
| Provider Name | Rabail S Soomro |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1124515465 PECOS PAC ID: 2062815889 Enrollment ID: I20230823003375 |
| Provider Name | Natalie Annette Lane French |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568927424 PECOS PAC ID: 7911360961 Enrollment ID: I20230824000985 |
| Provider Name | Toni Marie Stephens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275761546 PECOS PAC ID: 4981067931 Enrollment ID: I20230824001120 |
| Provider Name | Jaymin P Jhaveri |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1902149636 PECOS PAC ID: 3476855446 Enrollment ID: I20230828001110 |
| Provider Name | Nicholas Rosario Scarcella |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1588985287 PECOS PAC ID: 0749573632 Enrollment ID: I20230907004434 |
| Provider Name | Elisabeth R Chapaton-rivard |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1174701635 PECOS PAC ID: 0840470290 Enrollment ID: I20230911000016 |
| Provider Name | John C Jackson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992065445 PECOS PAC ID: 6800179821 Enrollment ID: I20230924000113 |
| Provider Name | Pardeep Bansal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1750526141 PECOS PAC ID: 0941356778 Enrollment ID: I20230929002481 |
| Provider Name | Matthew Pierce Ganovsky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134758170 PECOS PAC ID: 2062867872 Enrollment ID: I20231014000674 |
| Provider Name | Kathleen S Tills |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336923812 PECOS PAC ID: 1052768983 Enrollment ID: I20231114001522 |
| Provider Name | Jamie Maberry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073987376 PECOS PAC ID: 0941692214 Enrollment ID: I20231115003928 |
| Provider Name | Rachel Isma |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1548882988 PECOS PAC ID: 3476903246 Enrollment ID: I20231220002834 |
| Provider Name | Audrey Lee Farson Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114507332 PECOS PAC ID: 7810348828 Enrollment ID: I20240103003953 |
| Provider Name | Cyrena Marie Zemaitis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942074182 PECOS PAC ID: 0648621599 Enrollment ID: I20240104004543 |
| Provider Name | Jeffrey A Gulick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235313149 PECOS PAC ID: 2668525858 Enrollment ID: I20240108000403 |
| Provider Name | Megan L Muir |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1255102521 PECOS PAC ID: 1052763265 Enrollment ID: I20240123002821 |
| Provider Name | Brock D Foster |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1598175390 PECOS PAC ID: 9638472962 Enrollment ID: I20240209003803 |
| Provider Name | Alison Minnehan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164294823 PECOS PAC ID: 9931542479 Enrollment ID: I20240212002443 |
| Provider Name | Janki K Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932883766 PECOS PAC ID: 5395188726 Enrollment ID: I20240213001398 |
| Provider Name | Ajit S Fernandes |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700088580 PECOS PAC ID: 8022104512 Enrollment ID: I20240306000196 |
| Provider Name | Ahmed F Ebraheem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902287840 PECOS PAC ID: 3971850975 Enrollment ID: I20240319000046 |
| Provider Name | Jay Joglekar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306890538 PECOS PAC ID: 1052357357 Enrollment ID: I20240322004026 |
| Provider Name | Allie Rehrig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376319947 PECOS PAC ID: 4587001680 Enrollment ID: I20240325003850 |
| Provider Name | Priya Konda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689379877 PECOS PAC ID: 7214375930 Enrollment ID: I20240401001739 |
| Provider Name | Rachel Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457121022 PECOS PAC ID: 1052759784 Enrollment ID: I20240401002083 |
| Provider Name | Emily Ann Lowe |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093380156 PECOS PAC ID: 6002254596 Enrollment ID: I20240403000806 |
| Provider Name | Arabinda Behura |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164690863 PECOS PAC ID: 0840483509 Enrollment ID: I20240417000382 |
| Provider Name | Pascale T Duroseau |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336206499 PECOS PAC ID: 6507756434 Enrollment ID: I20240423002105 |
| Provider Name | Krish Adhikari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679335871 PECOS PAC ID: 2860832714 Enrollment ID: I20240425003393 |
| Provider Name | Shelli Crockett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366548430 PECOS PAC ID: 2769462415 Enrollment ID: I20240430001396 |
| Provider Name | Mindy L Strickland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184286478 PECOS PAC ID: 8426476144 Enrollment ID: I20240501000115 |
| Provider Name | Amanda I Thorngren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659141943 PECOS PAC ID: 3971944802 Enrollment ID: I20240509002629 |
| Provider Name | Irfan Choudhry |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952330920 PECOS PAC ID: 7517308141 Enrollment ID: I20240514003513 |
| Provider Name | Ruth Hey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881459493 PECOS PAC ID: 9830531029 Enrollment ID: I20240520001601 |
| Provider Name | Ronda Toole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467491290 PECOS PAC ID: 5092732313 Enrollment ID: I20240529000904 |
| Provider Name | Laura Lynn Johnson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588729891 PECOS PAC ID: 0345547675 Enrollment ID: I20240531001816 |
Internal Medicine Of Brevard, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1978 Rockledge Blvd, Ste 108, Rockledge, FL 32955 Phone: 321-631-0392 Fax: 321-631-5787 | |
Oscar H Jerkins, Md, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9 Orange Ave, Rockledge, FL 32955 Phone: 888-974-5556 | |
George Idiculla Md,pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1029 Florida Ave S, Rockledge, FL 32955 Phone: 321-638-0888 | |
Francis A Ashie Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1007 Beverly Dr, Suite C, Rockledge, FL 32955 Phone: 321-636-1834 Fax: 321-636-1694 | |
Mental Health Resource Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Barton Blvd Ste 7, Rockledge, FL 32955 Phone: 321-504-3888 Fax: 321-504-3462 | |
Endo Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5460 Village Drive,viera, Rockledge, FL 32955 Phone: 972-821-1253 | |
Vs Primo Health Care P A Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 840 Executive Ln Ste 110, Rockledge, FL 32955 Phone: 321-751-7113 Fax: 321-751-7114 |