| Healtheast Vadnais Heights Clinic | |
|
1055 Centerville Cir Vadnais Heights MN 55127-5033 | |
| (651) 326-5900 | |
| (651) 426-8935 |
| Full Name | Healtheast Vadnais Heights Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 1055 Centerville Cir, Vadnais Heights, Minnesota |
| Authorized Official Name and Position | Maureen Ring (DIRECTOR NETWORK RELATIONS AO) |
| Authorized Official Contact | 6126726740 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healtheast Vadnais Heights Clinic 1055 Centerville Cir Vadnais Heights MN 55127-5033 Ph: (651) 326-5900 | Healtheast Vadnais Heights Clinic 1055 Centerville Cir Vadnais Heights MN 55127-5033 Ph: (651) 326-5900 |
| NPI Number | 1639125503 |
|---|---|
| Provider Enumeration Date | 05/25/2006 |
| Last Update Date | 10/04/2023 |
| Medicare PECOS PAC ID | 3971407636 |
|---|---|
| Medicare Enrollment ID | O20031124000507 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639125503 | NPI | - | NPPES |
| 0841630003 | Other | MN | MEDICARE PTAN |
| 591013700 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
| Provider Name | Mary C Homan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467419473 PECOS PAC ID: 5395658702 Enrollment ID: I20031111000706 |
| Provider Name | Molly A Mcnaughton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699749796 PECOS PAC ID: 9032023510 Enrollment ID: I20031118000803 |
| Provider Name | Melissa Ann Geller |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1265466809 PECOS PAC ID: 0446154959 Enrollment ID: I20031125000480 |
| Provider Name | Kevin J Cardinal |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447228143 PECOS PAC ID: 3173427564 Enrollment ID: I20031126000482 |
| Provider Name | Howard Brent Clark |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1568490662 PECOS PAC ID: 8820993215 Enrollment ID: I20031126000528 |
| Provider Name | Tanya Eugena Melnik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881770873 PECOS PAC ID: 8527963198 Enrollment ID: I20031205000454 |
| Provider Name | Jeffrey Herickhoff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245292424 PECOS PAC ID: 8628973203 Enrollment ID: I20031205000495 |
| Provider Name | Tara L Schlattman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609853415 PECOS PAC ID: 5193621522 Enrollment ID: I20031208000916 |
| Provider Name | Bridget P Bahneman |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1295710036 PECOS PAC ID: 4284530536 Enrollment ID: I20031209000398 |
| Provider Name | Franz-josef Reisdorf |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1942269154 PECOS PAC ID: 5496652067 Enrollment ID: I20031216000655 |
| Provider Name | Scott B Marston |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1649244989 PECOS PAC ID: 9739086810 Enrollment ID: I20031217000119 |
| Provider Name | John Palmer Miller |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1902850860 PECOS PAC ID: 2264344415 Enrollment ID: I20031217000477 |
| Provider Name | Carmelo J Panetta |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1528094711 PECOS PAC ID: 9032016837 Enrollment ID: I20031218000743 |
| Provider Name | Wojciech Zukowski |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1841276045 PECOS PAC ID: 1850290503 Enrollment ID: I20040102000124 |
| Provider Name | Greig H Glover |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992755771 PECOS PAC ID: 4082513692 Enrollment ID: I20040102000526 |
| Provider Name | Monna J Marolt |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1538136924 PECOS PAC ID: 9537068150 Enrollment ID: I20040102000597 |
| Provider Name | Priscilla A Hedberg |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1639138803 PECOS PAC ID: 7416854088 Enrollment ID: I20040105000671 |
| Provider Name | Rebecca R Kragh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851344345 PECOS PAC ID: 8123927142 Enrollment ID: I20040108000071 |
| Provider Name | Scott R Saylor |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801863899 PECOS PAC ID: 2769381607 Enrollment ID: I20040108000717 |
| Provider Name | Susan L Burton |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1659565208 PECOS PAC ID: 7517868995 Enrollment ID: I20040119000219 |
| Provider Name | Kamiab Delfanian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043229438 PECOS PAC ID: 2365343779 Enrollment ID: I20040119000386 |
| Provider Name | Poonam Raje |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427023654 PECOS PAC ID: 6507768520 Enrollment ID: I20040121000867 |
| Provider Name | Amna H Shakil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851366439 PECOS PAC ID: 0648172999 Enrollment ID: I20040126000694 |
| Provider Name | Jerry W Froelich |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093744120 PECOS PAC ID: 5991608044 Enrollment ID: I20040128000346 |
| Provider Name | Paul B Dickinson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639128101 PECOS PAC ID: 2466345749 Enrollment ID: I20040203000207 |
| Provider Name | Robert E Glesne |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1427075472 PECOS PAC ID: 8921991621 Enrollment ID: I20040205001124 |
| Provider Name | Samir N Salama |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1255390498 PECOS PAC ID: 5991699100 Enrollment ID: I20040210000208 |
| Provider Name | Ruth A Sohl-kreiger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780637389 PECOS PAC ID: 6002700192 Enrollment ID: I20040210000726 |
| Provider Name | Steven R Moore |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1982678108 PECOS PAC ID: 5991618373 Enrollment ID: I20040216000072 |
| Provider Name | Christopher D Aronson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649269291 PECOS PAC ID: 1850286337 Enrollment ID: I20040216000659 |
| Provider Name | Rachel E Rivard-horejsi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447210984 PECOS PAC ID: 3274428990 Enrollment ID: I20040220000008 |
| Provider Name | Gregory A Granrud |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1366416893 PECOS PAC ID: 6709783368 Enrollment ID: I20040223000680 |
| Provider Name | Charles M Cliffe |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417930256 PECOS PAC ID: 6103723762 Enrollment ID: I20040223000991 |
| Provider Name | Michael David Garr |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457325904 PECOS PAC ID: 9537066196 Enrollment ID: I20040224000029 |
| Provider Name | Thomas Hagge Johnson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1730148560 PECOS PAC ID: 1153228713 Enrollment ID: I20040224000093 |
| Provider Name | Patrick T Koller |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1205895075 PECOS PAC ID: 1951208529 Enrollment ID: I20040224000129 |
| Provider Name | Kenneth William Baran |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1962485797 PECOS PAC ID: 9335046903 Enrollment ID: I20040224000232 |
| Provider Name | Stuart Welsh Adler |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1366425183 PECOS PAC ID: 5597662163 Enrollment ID: I20040224000270 |
| Provider Name | Steven Lee Benton |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093798829 PECOS PAC ID: 1557268117 Enrollment ID: I20040224000347 |
| Provider Name | Brian Duane Amdahl |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1609829357 PECOS PAC ID: 2062308067 Enrollment ID: I20040226000187 |
| Provider Name | Brett Adams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497721765 PECOS PAC ID: 1456248145 Enrollment ID: I20040227000859 |
| Provider Name | Andrea B Jolley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154301463 PECOS PAC ID: 2668377656 Enrollment ID: I20040228000179 |
| Provider Name | Theodore Anatole Longinow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003928177 PECOS PAC ID: 6709773534 Enrollment ID: I20040304000388 |
| Provider Name | Cynthia L Weisz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861422453 PECOS PAC ID: 7810885373 Enrollment ID: I20040306000157 |
| Provider Name | Susan E Viergever |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851360416 PECOS PAC ID: 3072403427 Enrollment ID: I20040318000741 |
| Provider Name | Richard S Spong |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1689651093 PECOS PAC ID: 2769373745 Enrollment ID: I20040320000652 |
| Provider Name | Maria V Vu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396751004 PECOS PAC ID: 2163314428 Enrollment ID: I20040330000213 |
| Provider Name | Paul D Dasari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922061829 PECOS PAC ID: 3678465945 Enrollment ID: I20040330000240 |
| Provider Name | Swarna Erramreddi Latha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912013954 PECOS PAC ID: 7517950512 Enrollment ID: I20040406000592 |
| Provider Name | Sarah M Hammes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841248424 PECOS PAC ID: 7517950421 Enrollment ID: I20040406001504 |
| Provider Name | John F Rotilie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598722464 PECOS PAC ID: 2961496856 Enrollment ID: I20040414000503 |
| Provider Name | Joseph C Mcraith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528025418 PECOS PAC ID: 4688668585 Enrollment ID: I20040414000590 |
| Provider Name | Michael Thurmes |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518944875 PECOS PAC ID: 2860487477 Enrollment ID: I20040414001751 |
| Provider Name | Tushar R Vora |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1437136397 PECOS PAC ID: 8224023270 Enrollment ID: I20040419000609 |
| Provider Name | Gary H Knudsen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194786665 PECOS PAC ID: 8628065612 Enrollment ID: I20040430000122 |
| Provider Name | Brielle J Stoyke |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1811988967 PECOS PAC ID: 5597753293 Enrollment ID: I20040503000778 |
| Provider Name | James P Letts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225091754 PECOS PAC ID: 9234127614 Enrollment ID: I20040504001104 |
| Provider Name | Kelle Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093708505 PECOS PAC ID: 4183612583 Enrollment ID: I20040504001238 |
| Provider Name | Christopher G Foss |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437113602 PECOS PAC ID: 0749278042 Enrollment ID: I20040505000293 |
| Provider Name | Scott Sakaguchi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1386727873 PECOS PAC ID: 4183612179 Enrollment ID: I20040506000630 |
| Provider Name | Ali Sajjad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619913621 PECOS PAC ID: 5294724787 Enrollment ID: I20040510001070 |
| Provider Name | Timothy S Yeh |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1912981887 PECOS PAC ID: 9335049279 Enrollment ID: I20040513000163 |
| Provider Name | Julie A Thompson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962462085 PECOS PAC ID: 7416947288 Enrollment ID: I20040513001277 |
| Provider Name | Lora L Truckenbrod |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205802477 PECOS PAC ID: 4587654181 Enrollment ID: I20040515000122 |
| Provider Name | Amy M Medley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972563336 PECOS PAC ID: 1254322688 Enrollment ID: I20040524000240 |
| Provider Name | Peter N Toensing |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841258688 PECOS PAC ID: 9133101660 Enrollment ID: I20040607001011 |
| Provider Name | Michael E Pleasants |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952376311 PECOS PAC ID: 5890777353 Enrollment ID: I20040607001147 |
| Provider Name | Beth Anne Johnson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235108408 PECOS PAC ID: 1153304373 Enrollment ID: I20040609001086 |
| Provider Name | Mohamed Abdirahman Hassan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1992739494 PECOS PAC ID: 9335122431 Enrollment ID: I20040610000256 |
| Provider Name | Paul A Turcotte |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679519540 PECOS PAC ID: 2365425378 Enrollment ID: I20040610001158 |
| Provider Name | Ranjit John |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1720183171 PECOS PAC ID: 4385628759 Enrollment ID: I20040614001613 |
| Provider Name | Robert F Wilson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285720904 PECOS PAC ID: 1153305925 Enrollment ID: I20040617001113 |
| Provider Name | Mark B.o. Comnick |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1851380752 PECOS PAC ID: 9335124114 Enrollment ID: I20040624000326 |
| Provider Name | Heather A Neuman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710969951 PECOS PAC ID: 2567449440 Enrollment ID: I20040630000240 |
| Provider Name | Jeffrey J Groshens |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1053362889 PECOS PAC ID: 7315924420 Enrollment ID: I20040706001144 |
| Provider Name | Viorel Gheorghe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033127287 PECOS PAC ID: 3375521347 Enrollment ID: I20040708000198 |
| Provider Name | Snigdhasmrithi S Pusalavidyasagar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1033199955 PECOS PAC ID: 1850379751 Enrollment ID: I20040708000531 |
| Provider Name | Mark G Macdonald |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124080791 PECOS PAC ID: 6305824129 Enrollment ID: I20040708001463 |
| Provider Name | Daniel B Frechette |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023173952 PECOS PAC ID: 0446238711 Enrollment ID: I20040713000042 |
| Provider Name | Scott P Loecken |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275590200 PECOS PAC ID: 3870571144 Enrollment ID: I20040713000063 |
| Provider Name | Rahul M Tamhane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073625752 PECOS PAC ID: 6800874975 Enrollment ID: I20040713001578 |
| Provider Name | Jill R Toliver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518923499 PECOS PAC ID: 5496669236 Enrollment ID: I20040715000423 |
| Provider Name | Kenneth G Ammons |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1043270176 PECOS PAC ID: 3870572159 Enrollment ID: I20040719001534 |
| Provider Name | Gerilyn A Erkkila |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053371476 PECOS PAC ID: 3678553872 Enrollment ID: I20040720000964 |
| Provider Name | Steven P Snow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831165158 PECOS PAC ID: 1254314271 Enrollment ID: I20040721000360 |
| Provider Name | Oleg Froymovich |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1417912015 PECOS PAC ID: 9436137155 Enrollment ID: I20040721000744 |
| Provider Name | Karen J Driessen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184664294 PECOS PAC ID: 9234119223 Enrollment ID: I20040721000746 |
| Provider Name | Carlos J Adams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245272608 PECOS PAC ID: 9335129089 Enrollment ID: I20040722000982 |
| Provider Name | Kai A Tuominen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730137829 PECOS PAC ID: 7810968047 Enrollment ID: I20040803000203 |
| Provider Name | Kang Xiaaj |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942263488 PECOS PAC ID: 9436120664 Enrollment ID: I20040803000222 |
| Provider Name | Laurie D Kaiser Sund |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437198769 PECOS PAC ID: 5991776684 Enrollment ID: I20040805000111 |
| Provider Name | Shernan Holtan |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1780664284 PECOS PAC ID: 9537132774 Enrollment ID: I20040817000256 |
| Provider Name | Xin Wang |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1275627820 PECOS PAC ID: 6709859515 Enrollment ID: I20040818000931 |
| Provider Name | Michael P Finch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588617500 PECOS PAC ID: 5092780734 Enrollment ID: I20040827000032 |
| Provider Name | Krista Ann Skorupa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376504217 PECOS PAC ID: 0143295477 Enrollment ID: I20040831000609 |
| Provider Name | Shanti Lakshmi Narasimhan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891714259 PECOS PAC ID: 8729055769 Enrollment ID: I20040910000530 |
| Provider Name | Dean A Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205884830 PECOS PAC ID: 4789651720 Enrollment ID: I20040910000558 |
| Provider Name | John R Lake |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1740360619 PECOS PAC ID: 8224005285 Enrollment ID: I20040910000652 |
| Provider Name | Elizabeth K Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528145596 PECOS PAC ID: 9436126299 Enrollment ID: I20040913000513 |
| Provider Name | Laura A France |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497732481 PECOS PAC ID: 3678540952 Enrollment ID: I20040915000813 |
| Provider Name | Sevdalina M Dabova-missova |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104831072 PECOS PAC ID: 5799753315 Enrollment ID: I20040922000049 |
| Provider Name | Sarah M Benish |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053384701 PECOS PAC ID: 7113995739 Enrollment ID: I20040922000088 |
| Provider Name | Steven M Carney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548323223 PECOS PAC ID: 0941279103 Enrollment ID: I20040925000117 |
| Provider Name | Julie A Vaneck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013029263 PECOS PAC ID: 7618946013 Enrollment ID: I20041001000639 |
| Provider Name | Judy M Ricci |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497707202 PECOS PAC ID: 1951370253 Enrollment ID: I20041001000744 |
| Provider Name | Gregory A Helmer |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1144207572 PECOS PAC ID: 6608864251 Enrollment ID: I20041004000933 |
| Provider Name | Steven M Heifetz |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1497732804 PECOS PAC ID: 2860480415 Enrollment ID: I20041005000032 |
| Provider Name | Alison C Romstad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275502841 PECOS PAC ID: 8426017674 Enrollment ID: I20041005000385 |
| Provider Name | Gary A Moody |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356310148 PECOS PAC ID: 6406741495 Enrollment ID: I20041006000881 |
| Provider Name | Terra J Shockman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417986324 PECOS PAC ID: 5597725044 Enrollment ID: I20041019000257 |
| Provider Name | Brian D Nelson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881683696 PECOS PAC ID: 4880655232 Enrollment ID: I20041020000366 |
| Provider Name | David D Laxson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1083691398 PECOS PAC ID: 3870581424 Enrollment ID: I20041022000995 |
| Provider Name | Carol Y Lu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902986698 PECOS PAC ID: 4981665882 Enrollment ID: I20041025000173 |
| Provider Name | Anwar Khokhar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477661825 PECOS PAC ID: 6709848344 Enrollment ID: I20041027000445 |
| Provider Name | Brian H Ip |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1619954070 PECOS PAC ID: 1153319702 Enrollment ID: I20041028000135 |
| Provider Name | Shams Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306889225 PECOS PAC ID: 7113989682 Enrollment ID: I20041028000221 |
| Provider Name | Beth A K Mork |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972685220 PECOS PAC ID: 4183686561 Enrollment ID: I20041028000332 |
| Provider Name | David A Waletzko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851342745 PECOS PAC ID: 3173585874 Enrollment ID: I20041103000754 |
| Provider Name | Eduardo D Trinidad |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780663203 PECOS PAC ID: 0941263537 Enrollment ID: I20041104000953 |
| Provider Name | Alvin Clark Holm |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265546188 PECOS PAC ID: 1850380734 Enrollment ID: I20041110000594 |
| Provider Name | Kristen M Conner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629083068 PECOS PAC ID: 6002879830 Enrollment ID: I20041111000613 |
| Provider Name | Afshan Anjum |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316981517 PECOS PAC ID: 1355304189 Enrollment ID: I20041111000624 |
| Provider Name | Kathleen M Heaney |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871572040 PECOS PAC ID: 6507821485 Enrollment ID: I20041120000137 |
| Provider Name | Kent W Svee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164459905 PECOS PAC ID: 9032174842 Enrollment ID: I20041122000263 |
| Provider Name | John H Kvasnicka |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558325860 PECOS PAC ID: 4688570187 Enrollment ID: I20041124000631 |
| Provider Name | Karl R Parens |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376501130 PECOS PAC ID: 3375508690 Enrollment ID: I20041129000791 |
| Provider Name | Roxanne Vida Ricci |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457312217 PECOS PAC ID: 7810952918 Enrollment ID: I20041201000111 |
| Provider Name | Edward W Greeno |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1386670297 PECOS PAC ID: 3577528538 Enrollment ID: I20041201000606 |
| Provider Name | Paul D Geary |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477873008 PECOS PAC ID: 8527024280 Enrollment ID: I20041203000746 |
| Provider Name | James T Katter |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538107990 PECOS PAC ID: 1254397656 Enrollment ID: I20041207001207 |
| Provider Name | Bensen Y Leo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831141449 PECOS PAC ID: 3375500937 Enrollment ID: I20041215000245 |
| Provider Name | Ellen Garbo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043265689 PECOS PAC ID: 9537126958 Enrollment ID: I20041216000556 |
| Provider Name | Kenneth Hoj |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053352567 PECOS PAC ID: 5991762239 Enrollment ID: I20041217000501 |
| Provider Name | Cindy Strege Morey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023075967 PECOS PAC ID: 3779541776 Enrollment ID: I20041222000194 |
| Provider Name | Peter R Loewenson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578531034 PECOS PAC ID: 2264490812 Enrollment ID: I20041229000227 |
| Provider Name | Nathan M Frink |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003878760 PECOS PAC ID: 9133114010 Enrollment ID: I20050105000648 |
| Provider Name | Farha Ikramuddin |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1609977107 PECOS PAC ID: 4082663406 Enrollment ID: I20050112000919 |
| Provider Name | Amy J Wogen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316935760 PECOS PAC ID: 1850340076 Enrollment ID: I20050114000272 |
| Provider Name | Leeann S Olson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710947809 PECOS PAC ID: 9830148618 Enrollment ID: I20050119000506 |
| Provider Name | Kathryn Mary Oberhauser Klingberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922065010 PECOS PAC ID: 9133179682 Enrollment ID: I20050124000341 |
| Provider Name | Margaret A Wallenfriedman |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1366400947 PECOS PAC ID: 2668465006 Enrollment ID: I20050128000078 |
| Provider Name | Richard S Gregory |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1063476547 PECOS PAC ID: 1052304482 Enrollment ID: I20050128000088 |
| Provider Name | Leona A Stern Tuomala |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356302251 PECOS PAC ID: 0749177418 Enrollment ID: I20050201000293 |
| Provider Name | Pamela A Cain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790846822 PECOS PAC ID: 6103876792 Enrollment ID: I20050214000274 |
| Provider Name | Rafael S Andrade |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1538103155 PECOS PAC ID: 2264484310 Enrollment ID: I20050216000789 |
| Provider Name | Fady M Chamoun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700842283 PECOS PAC ID: 0446203491 Enrollment ID: I20050302000176 |
| Provider Name | Sarah M Kesler |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1760423487 PECOS PAC ID: 5496709396 Enrollment ID: I20050303000372 |
| Provider Name | Lisa M Vollmer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558324780 PECOS PAC ID: 1951355130 Enrollment ID: I20050310000321 |
| Provider Name | Boris M Beckert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528059375 PECOS PAC ID: 1951207398 Enrollment ID: I20050321000830 |
| Provider Name | Karyn Deborah Baum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548204795 PECOS PAC ID: 1254387244 Enrollment ID: I20050323000319 |
| Provider Name | David Eric Beck |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720010846 PECOS PAC ID: 6103872197 Enrollment ID: I20050323000368 |
| Provider Name | Tereza M Cervenka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508087511 PECOS PAC ID: 4981650934 Enrollment ID: I20050323000819 |
| Provider Name | Brent A Elert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255394631 PECOS PAC ID: 5597678409 Enrollment ID: I20050324000595 |
| Provider Name | Ali R Esmaeelzadeh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790746394 PECOS PAC ID: 2466408265 Enrollment ID: I20050324000626 |
| Provider Name | Wayne Owen Adkisson |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1902826449 PECOS PAC ID: 6002862851 Enrollment ID: I20050324001022 |
| Provider Name | Jalal U Akbar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720063795 PECOS PAC ID: 3971559626 Enrollment ID: I20050324001062 |
| Provider Name | Joseph C Ardolf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144203118 PECOS PAC ID: 3779489109 Enrollment ID: I20050328000098 |
| Provider Name | Peter A Argenta |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1316981541 PECOS PAC ID: 3971559253 Enrollment ID: I20050330000224 |
| Provider Name | Elizabeth Hauser Cameron |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1275570566 PECOS PAC ID: 5092762237 Enrollment ID: I20050331000411 |
| Provider Name | Rahul Koranne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053378422 PECOS PAC ID: 6305893587 Enrollment ID: I20050331000693 |
| Provider Name | Timothy J Gavin |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1528004587 PECOS PAC ID: 5092762187 Enrollment ID: I20050331000831 |
| Provider Name | Xoua Thao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558487041 PECOS PAC ID: 9032166996 Enrollment ID: I20050401000898 |
| Provider Name | Daniel Y Parkinson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770574196 PECOS PAC ID: 0345297784 Enrollment ID: I20050407000174 |
| Provider Name | Jodi L Kreiser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508842667 PECOS PAC ID: 0345287694 Enrollment ID: I20050408000643 |
| Provider Name | Peter Yang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750459012 PECOS PAC ID: 2860439122 Enrollment ID: I20050408000672 |
| Provider Name | Doua Her |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679527873 PECOS PAC ID: 2163469354 Enrollment ID: I20050408001002 |
| Provider Name | Katarzyna J Litak |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144325374 PECOS PAC ID: 1557308293 Enrollment ID: I20050413001096 |
| Provider Name | Edwin S Hong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871541920 PECOS PAC ID: 0446297139 Enrollment ID: I20050414000130 |
| Provider Name | Geoffrey J Service |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1831162601 PECOS PAC ID: 7315985538 Enrollment ID: I20050419000947 |
| Provider Name | Leslie Glen Massoglia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992780712 PECOS PAC ID: 1254379159 Enrollment ID: I20050421000224 |
| Provider Name | Seema Maddali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467498972 PECOS PAC ID: 7810944246 Enrollment ID: I20050502001014 |
| Provider Name | Sherry A Moriarty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073542536 PECOS PAC ID: 4284672957 Enrollment ID: I20050502001055 |
| Provider Name | Eitan Medini |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1962493643 PECOS PAC ID: 0345289930 Enrollment ID: I20050503000691 |
| Provider Name | Maria Teresa Chmielewski |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1083772834 PECOS PAC ID: 6002856903 Enrollment ID: I20050510001049 |
| Provider Name | Leslie Bryan Forgosh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1154305738 PECOS PAC ID: 0749279628 Enrollment ID: I20050512000045 |
| Provider Name | Kim Loria |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1487638060 PECOS PAC ID: 9537158423 Enrollment ID: I20050512000089 |
| Provider Name | Zia A Siddiqui |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457396921 PECOS PAC ID: 2062453400 Enrollment ID: I20050517000170 |
| Provider Name | Cheryl L Swenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184668576 PECOS PAC ID: 1355382649 Enrollment ID: I20050517000725 |
| Provider Name | Samy M El-halawani |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1477505121 PECOS PAC ID: 5991746752 Enrollment ID: I20050523000082 |
| Provider Name | Sharon M Koep Dickey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184618688 PECOS PAC ID: 3577505346 Enrollment ID: I20050523001092 |
| Provider Name | Peter H Kelly |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669447850 PECOS PAC ID: 0446163232 Enrollment ID: I20050525001078 |
| Provider Name | Alison M Warford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467525527 PECOS PAC ID: 9032151311 Enrollment ID: I20050526000350 |
| Provider Name | Melissa M Hasler |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1063481968 PECOS PAC ID: 5092757385 Enrollment ID: I20050526000400 |
| Provider Name | Karen M Karlinski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154362903 PECOS PAC ID: 0941242143 Enrollment ID: I20050527000272 |
| Provider Name | Elizabeth A Wegner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346209780 PECOS PAC ID: 6507808631 Enrollment ID: I20050527000636 |
| Provider Name | Philip W Stoyke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699766279 PECOS PAC ID: 0840232971 Enrollment ID: I20050527000663 |
| Provider Name | Georgia K Zachman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346202710 PECOS PAC ID: 3577505486 Enrollment ID: I20050601000346 |
| Provider Name | Heather C Votava-bialczyk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447236252 PECOS PAC ID: 2466495254 Enrollment ID: I20050602000750 |
| Provider Name | Teresa C Mccarthy |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1922184035 PECOS PAC ID: 3678516341 Enrollment ID: I20050603000208 |
| Provider Name | William R Omlie |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1518997782 PECOS PAC ID: 3173518362 Enrollment ID: I20050608000077 |
| Provider Name | Howard Leroy Saylor |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497782783 PECOS PAC ID: 9335134527 Enrollment ID: I20050608000122 |
| Provider Name | Robert J Sevenich |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801856307 PECOS PAC ID: 5395789150 Enrollment ID: I20050614000188 |
| Provider Name | Huagui Li |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477569895 PECOS PAC ID: 8628012028 Enrollment ID: I20050616000512 |
| Provider Name | Rebeca Barroso |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1922085117 PECOS PAC ID: 8325950504 Enrollment ID: I20050616000828 |
| Provider Name | Eric J Hoggard |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982725339 PECOS PAC ID: 8729022876 Enrollment ID: I20050620000333 |
| Provider Name | Judith S Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821055880 PECOS PAC ID: 0042254138 Enrollment ID: I20050620000671 |
| Provider Name | John P Juola |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851341523 PECOS PAC ID: 0547205650 Enrollment ID: I20050620000932 |
| Provider Name | Sean T Thayer |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1619972197 PECOS PAC ID: 9830134998 Enrollment ID: I20050621000136 |
| Provider Name | Jonathan D Kirsch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336184464 PECOS PAC ID: 3870538788 Enrollment ID: I20050622000161 |
| Provider Name | Robert D Dexter |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1548237548 PECOS PAC ID: 2860437621 Enrollment ID: I20050622000582 |
| Provider Name | Vincent A Simone |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1427053917 PECOS PAC ID: 2365406048 Enrollment ID: I20050623000215 |
| Provider Name | Donald Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255307740 PECOS PAC ID: 8224073739 Enrollment ID: I20050624000802 |
| Provider Name | Richard D Levine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477529121 PECOS PAC ID: 5193760619 Enrollment ID: I20050624000906 |
| Provider Name | Mark C Nelson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467415208 PECOS PAC ID: 2567427784 Enrollment ID: I20050701000844 |
| Provider Name | Evan G Frakes |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730156795 PECOS PAC ID: 9133165814 Enrollment ID: I20050705000162 |
| Provider Name | James F Peters |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225089576 PECOS PAC ID: 9335185982 Enrollment ID: I20050705000759 |
| Provider Name | Quan V Pham |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932159894 PECOS PAC ID: 6204872856 Enrollment ID: I20050705000788 |
| Provider Name | Janine T Pingel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235197054 PECOS PAC ID: 2961448576 Enrollment ID: I20050706000128 |
| Provider Name | Albert Salazar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841257326 PECOS PAC ID: 1658307632 Enrollment ID: I20050712000025 |
| Provider Name | Janet M Schmitt |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1275583668 PECOS PAC ID: 8921034919 Enrollment ID: I20050712000033 |
| Provider Name | Julie D Marcus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497863609 PECOS PAC ID: 3072549724 Enrollment ID: I20050713000886 |
| Provider Name | James Christopher Shanks |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1255393906 PECOS PAC ID: 1658308200 Enrollment ID: I20050726000030 |
| Provider Name | Kavita S Monteiro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639133457 PECOS PAC ID: 0143257642 Enrollment ID: I20050726000511 |
| Provider Name | Bradley T Bialczyk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386752657 PECOS PAC ID: 7911935986 Enrollment ID: I20050801000302 |
| Provider Name | Gary R Kravitz |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1124085840 PECOS PAC ID: 3072507847 Enrollment ID: I20050802000123 |
| Provider Name | Kartika Bhardwaj |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609977966 PECOS PAC ID: 0648208546 Enrollment ID: I20050802000176 |
| Provider Name | Julie M Faulkner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649236514 PECOS PAC ID: 9032148598 Enrollment ID: I20050805000236 |
| Provider Name | Shamane Kimara March |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1942288162 PECOS PAC ID: 5395774558 Enrollment ID: I20050808000819 |
| Provider Name | Hyun J Kim |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1891885307 PECOS PAC ID: 7517996325 Enrollment ID: I20050811000249 |
| Provider Name | Valerie J Jarstad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912929357 PECOS PAC ID: 9931139508 Enrollment ID: I20050815000431 |
| Provider Name | Karen M Weiler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053379230 PECOS PAC ID: 4284664905 Enrollment ID: I20050816000220 |
| Provider Name | Ronald T Sih |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1053382002 PECOS PAC ID: 2961432968 Enrollment ID: I20050819000027 |
| Provider Name | Jared M Frandson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902856404 PECOS PAC ID: 5496786279 Enrollment ID: I20050823000050 |
| Provider Name | Sarah M Aldrich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053389429 PECOS PAC ID: 0547292856 Enrollment ID: I20050908000069 |
| Provider Name | Tara Lee Holm |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164567764 PECOS PAC ID: 8820021801 Enrollment ID: I20050912000822 |
| Provider Name | Gwendolyn M Kosevich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013901875 PECOS PAC ID: 2365475282 Enrollment ID: I20050912001244 |
| Provider Name | Molly E Martin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538162128 PECOS PAC ID: 4183684608 Enrollment ID: I20050912001253 |
| Provider Name | Jason T Wong |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134214307 PECOS PAC ID: 7810920428 Enrollment ID: I20050914000901 |
| Provider Name | David A Kaisaki |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730271669 PECOS PAC ID: 9133153240 Enrollment ID: I20050919000710 |
| Provider Name | April Dawn Abrahamson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679532246 PECOS PAC ID: 1759315534 Enrollment ID: I20050921000538 |
| Provider Name | Alfredo M Beltran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811953359 PECOS PAC ID: 2668406455 Enrollment ID: I20050921000609 |
| Provider Name | Michael J Bozivich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023073913 PECOS PAC ID: 1557395357 Enrollment ID: I20050921000625 |
| Provider Name | William A Brombach |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225097926 PECOS PAC ID: 9537193339 Enrollment ID: I20050921000636 |
| Provider Name | Debra E Caspers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215992268 PECOS PAC ID: 3274567086 Enrollment ID: I20050921000729 |
| Provider Name | Thomas G Cathey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811086655 PECOS PAC ID: 2567451453 Enrollment ID: I20050921000744 |
| Provider Name | Sandra L Coffin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942237151 PECOS PAC ID: 5597799320 Enrollment ID: I20050921000856 |
| Provider Name | Sidney R Constantine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992767552 PECOS PAC ID: 7012941842 Enrollment ID: I20050921000872 |
| Provider Name | James M Giefer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982669990 PECOS PAC ID: 2668406364 Enrollment ID: I20050922000191 |
| Provider Name | Candice J Kasper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689633372 PECOS PAC ID: 9032143755 Enrollment ID: I20050922000367 |
| Provider Name | Thomas L Kleven |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275596157 PECOS PAC ID: 7810921533 Enrollment ID: I20050922000399 |
| Provider Name | Shannon L Klingsporn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104881168 PECOS PAC ID: 0446284160 Enrollment ID: I20050922000411 |
| Provider Name | Daniel E Larkin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710940697 PECOS PAC ID: 3577597210 Enrollment ID: I20050922000553 |
| Provider Name | Mary J Kempf |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1972572873 PECOS PAC ID: 0648204388 Enrollment ID: I20050922000579 |
| Provider Name | Kristina M Smith Mcdermott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841557618 PECOS PAC ID: 2062446628 Enrollment ID: I20050922000799 |
| Provider Name | Daniel J Moriarty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366401523 PECOS PAC ID: 9537193107 Enrollment ID: I20050922000865 |
| Provider Name | Joseph T Moriarity |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154380467 PECOS PAC ID: 5799719365 Enrollment ID: I20050922000879 |
| Provider Name | Jeffery D Nelson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578522744 PECOS PAC ID: 1254244049 Enrollment ID: I20050923000363 |
| Provider Name | Peter J Olson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750345203 PECOS PAC ID: 4082648555 Enrollment ID: I20050923000373 |
| Provider Name | Anne M Pearson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316907017 PECOS PAC ID: 6709810278 Enrollment ID: I20050923000386 |
| Provider Name | Stuart Randall Pemberton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346200854 PECOS PAC ID: 6608800172 Enrollment ID: I20050923000395 |
| Provider Name | John P Scanlon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396705323 PECOS PAC ID: 8123052636 Enrollment ID: I20050923000739 |
| Provider Name | Thomas W Scheider |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619933983 PECOS PAC ID: 9537193040 Enrollment ID: I20050923000770 |
| Provider Name | Todd A Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619936804 PECOS PAC ID: 4981638301 Enrollment ID: I20050923000881 |
| Provider Name | Charlene K Ulstad-warkentien |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568420701 PECOS PAC ID: 4082648399 Enrollment ID: I20050926000190 |
| Provider Name | Annemarie M Mischel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306812698 PECOS PAC ID: 1456385616 Enrollment ID: I20050927000253 |
| Provider Name | Yasuko Yamamura |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568483816 PECOS PAC ID: 9830124700 Enrollment ID: I20050929000091 |
| Provider Name | Deanna L Sellers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851473342 PECOS PAC ID: 5092730101 Enrollment ID: I20051007000588 |
| Provider Name | Nancy K Darling |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548348055 PECOS PAC ID: 7810912953 Enrollment ID: I20051007000791 |
| Provider Name | Aaron J Trygstad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598745994 PECOS PAC ID: 3173548948 Enrollment ID: I20051011000385 |
| Provider Name | Karen T Dorn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710953443 PECOS PAC ID: 8224053053 Enrollment ID: I20051011000861 |
| Provider Name | Bernadette Clevenger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558473702 PECOS PAC ID: 7315908407 Enrollment ID: I20051012000045 |
| Provider Name | Shelly A Marette |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669579975 PECOS PAC ID: 8426074832 Enrollment ID: I20051014000613 |
| Provider Name | Cynthia R Howard |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164456620 PECOS PAC ID: 2567488828 Enrollment ID: I20051017000806 |
| Provider Name | Allison R Keuning |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992912760 PECOS PAC ID: 6204852288 Enrollment ID: I20051019000423 |
| Provider Name | Debra L Shaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154494029 PECOS PAC ID: 3971520727 Enrollment ID: I20051031000812 |
| Provider Name | Mark E Rosenberg |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1588740740 PECOS PAC ID: 0345268827 Enrollment ID: I20051103000109 |
| Provider Name | Kyle L Wahlstrom |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528033073 PECOS PAC ID: 2961444344 Enrollment ID: I20051107000641 |
| Provider Name | Yeng M Yang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962434050 PECOS PAC ID: 9335167436 Enrollment ID: I20051108000067 |
| Provider Name | Jessica L Nyholm |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023098837 PECOS PAC ID: 4981623386 Enrollment ID: I20051115000683 |
| Provider Name | Jennifer A Ward |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1205829520 PECOS PAC ID: 6800815945 Enrollment ID: I20051117000295 |
| Provider Name | Manish R Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740204957 PECOS PAC ID: 1658391040 Enrollment ID: I20051130000441 |
| Provider Name | Salima A Mithani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093746000 PECOS PAC ID: 7416977806 Enrollment ID: I20051130000495 |
| Provider Name | Pamela J Freske |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912497041 PECOS PAC ID: 0749201424 Enrollment ID: I20051208000985 |
| Provider Name | Lawrence D Deal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952363749 PECOS PAC ID: 3375565203 Enrollment ID: I20051220000667 |
| Provider Name | Paul A Kettler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235194598 PECOS PAC ID: 8325060775 Enrollment ID: I20051228000559 |
| Provider Name | Morgan E Mann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467485391 PECOS PAC ID: 2860414182 Enrollment ID: I20051229000395 |
| Provider Name | Amy M Putnam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750499307 PECOS PAC ID: 9931121175 Enrollment ID: I20051230000555 |
| Provider Name | Stephen W Robinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093823189 PECOS PAC ID: 7315851425 Enrollment ID: I20051230000589 |
| Provider Name | Carol H Schoonover |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699883587 PECOS PAC ID: 6901828177 Enrollment ID: I20060103000069 |
| Provider Name | Marc R Pritzker |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285673525 PECOS PAC ID: 8527082411 Enrollment ID: I20060118000700 |
| Provider Name | Michael T Schulenberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962402834 PECOS PAC ID: 3375567274 Enrollment ID: I20060118000764 |
| Provider Name | Kerry L Sheehy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386644250 PECOS PAC ID: 6800810706 Enrollment ID: I20060118000784 |
| Provider Name | Byron H Simmons |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1225060346 PECOS PAC ID: 6709800402 Enrollment ID: I20060120000622 |
| Provider Name | Janet A Hommerding |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659463990 PECOS PAC ID: 5698799062 Enrollment ID: I20060124000981 |
| Provider Name | Mandra J Mccue |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457457335 PECOS PAC ID: 9436163599 Enrollment ID: I20060127000798 |
| Provider Name | Aynsley D Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972687234 PECOS PAC ID: 2264446657 Enrollment ID: I20060206000900 |
| Provider Name | Jana L Pierce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902886849 PECOS PAC ID: 6901811975 Enrollment ID: I20060213000206 |
| Provider Name | Julia S Hoffman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316985021 PECOS PAC ID: 7214906635 Enrollment ID: I20060216000087 |
| Provider Name | Bhavjot Kaur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609850262 PECOS PAC ID: 6709891252 Enrollment ID: I20060220000598 |
| Provider Name | David E Adson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346203833 PECOS PAC ID: 8325053887 Enrollment ID: I20060221000100 |
| Provider Name | Donald J Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326150889 PECOS PAC ID: 1456366921 Enrollment ID: I20060221000167 |
| Provider Name | John L Bass |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164468583 PECOS PAC ID: 5294741732 Enrollment ID: I20060221000751 |
| Provider Name | Krista L Roeller |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992773634 PECOS PAC ID: 8426064692 Enrollment ID: I20060224000345 |
| Provider Name | John Eikens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104844604 PECOS PAC ID: 6103832944 Enrollment ID: I20060302000429 |
| Provider Name | Kathrine Patricia Frey |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1114994563 PECOS PAC ID: 8022024652 Enrollment ID: I20060306000581 |
| Provider Name | Roberta L Gagliano |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518934389 PECOS PAC ID: 6507872199 Enrollment ID: I20060307000185 |
| Provider Name | David L Gubbrud |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225004740 PECOS PAC ID: 1456368083 Enrollment ID: I20060307000567 |
| Provider Name | William H Meller |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053496216 PECOS PAC ID: 6305853961 Enrollment ID: I20060307000772 |
| Provider Name | Karen L Hulstrand |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982622486 PECOS PAC ID: 2264449792 Enrollment ID: I20060308000636 |
| Provider Name | Ganesh Raveendran |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1265418420 PECOS PAC ID: 8123035664 Enrollment ID: I20060308000680 |
| Provider Name | Janelle J Melgeorge Anderson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1659338481 PECOS PAC ID: 1759398035 Enrollment ID: I20060310000442 |
| Provider Name | Elizabeth A Lindeke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790748069 PECOS PAC ID: 8628085958 Enrollment ID: I20060313000120 |
| Provider Name | Jodine M Hruby |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831139989 PECOS PAC ID: 5193732311 Enrollment ID: I20060314000187 |
| Provider Name | Ahmed A Omar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356312722 PECOS PAC ID: 4789691809 Enrollment ID: I20060315000305 |
| Provider Name | Robin E Quast |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1598714347 PECOS PAC ID: 0749297745 Enrollment ID: I20060316000208 |
| Provider Name | Natalie M Salden |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598712317 PECOS PAC ID: 8325055080 Enrollment ID: I20060321000621 |
| Provider Name | Peter E Sandgren |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356307714 PECOS PAC ID: 6103833876 Enrollment ID: I20060321000659 |
| Provider Name | Michael J Howell |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407897804 PECOS PAC ID: 3678581303 Enrollment ID: I20060322000523 |
| Provider Name | Daniel L Sebring |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316903867 PECOS PAC ID: 9032127659 Enrollment ID: I20060323000480 |
| Provider Name | Ann M Shirek |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205804937 PECOS PAC ID: 3274541800 Enrollment ID: I20060323000511 |
| Provider Name | Bruce C Trautman |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1285601633 PECOS PAC ID: 6305854563 Enrollment ID: I20060329000538 |
| Provider Name | Craig R Weinert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891892261 PECOS PAC ID: 7113935255 Enrollment ID: I20060330000511 |
| Provider Name | Dana L Metzger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154376135 PECOS PAC ID: 6507874575 Enrollment ID: I20060403000269 |
| Provider Name | Swati Jain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811956824 PECOS PAC ID: 2163431966 Enrollment ID: I20060405000666 |
| Provider Name | Kristen L Hanzel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619929882 PECOS PAC ID: 1951310572 Enrollment ID: I20060411000017 |
| Provider Name | Jennifer L Landers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952362071 PECOS PAC ID: 5597774133 Enrollment ID: I20060411000109 |
| Provider Name | Kozhuvattasseri P Madhusoodanan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164505624 PECOS PAC ID: 7719996354 Enrollment ID: I20060411000140 |
| Provider Name | Anthony B Ferrara |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154332195 PECOS PAC ID: 8628980745 Enrollment ID: I20060424000498 |
| Provider Name | Alden R Tetlie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427061944 PECOS PAC ID: 7012829138 Enrollment ID: I20060425000056 |
| Provider Name | Anthony G Bottini |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1265422927 PECOS PAC ID: 4284644923 Enrollment ID: I20060426000314 |
| Provider Name | Sabeeha H Nagarwala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174573505 PECOS PAC ID: 0941210058 Enrollment ID: I20060503000289 |
| Provider Name | Joseph Yeuk Lung Lee |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1255353694 PECOS PAC ID: 0941210983 Enrollment ID: I20060504000509 |
| Provider Name | Peter J Boardman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1376500389 PECOS PAC ID: 0446262356 Enrollment ID: I20060614000223 |
| Provider Name | Nuzhat S Majid |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073578225 PECOS PAC ID: 2365488475 Enrollment ID: I20060620000163 |
| Provider Name | Joy M Smetanka |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1881638054 PECOS PAC ID: 9830101500 Enrollment ID: I20060620000261 |
| Provider Name | Laurel M Ries |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043262785 PECOS PAC ID: 6709899982 Enrollment ID: I20060712000010 |
| Provider Name | Kelley R Jewett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396747788 PECOS PAC ID: 1658384441 Enrollment ID: I20060727000410 |
| Provider Name | Tanya J Rand |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366464422 PECOS PAC ID: 8527071927 Enrollment ID: I20060802000215 |
| Provider Name | Danielle M Lausted |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1043276199 PECOS PAC ID: 2264445576 Enrollment ID: I20060802000421 |
| Provider Name | Stefano M Sinicropi |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1003894460 PECOS PAC ID: 3870524879 Enrollment ID: I20060804000332 |
| Provider Name | Sanjiv Kumra |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801836127 PECOS PAC ID: 9830192996 Enrollment ID: I20060810000550 |
| Provider Name | Michael J Aylward |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053366575 PECOS PAC ID: 0547263600 Enrollment ID: I20060810000568 |
| Provider Name | James L Wise |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1982681334 PECOS PAC ID: 4981607850 Enrollment ID: I20060814000502 |
| Provider Name | James H Morgan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154346237 PECOS PAC ID: 5496758302 Enrollment ID: I20060815000250 |
| Provider Name | Mousumi Kundu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710932504 PECOS PAC ID: 5799788626 Enrollment ID: I20060815000404 |
| Provider Name | Kendall D Price |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1356373476 PECOS PAC ID: 4587667001 Enrollment ID: I20060822000467 |
| Provider Name | Bryan R Jarabek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265453369 PECOS PAC ID: 2466455993 Enrollment ID: I20060822000515 |
| Provider Name | Eric H Jensen |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1770526857 PECOS PAC ID: 5890798250 Enrollment ID: I20060829000474 |
| Provider Name | Charles Xavier Kim |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1639181746 PECOS PAC ID: 2163426164 Enrollment ID: I20060906000199 |
| Provider Name | Abdi A Jama |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1659382422 PECOS PAC ID: 7214931229 Enrollment ID: I20060906000244 |
| Provider Name | Ann S Maresh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457304206 PECOS PAC ID: 9133179500 Enrollment ID: I20060919000206 |
| Provider Name | Christa L Brown-switzer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275568396 PECOS PAC ID: 7911902614 Enrollment ID: I20061003000131 |
| Provider Name | Sean P L Switzer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609891399 PECOS PAC ID: 6507861119 Enrollment ID: I20061003000253 |
| Provider Name | George A Chen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972526648 PECOS PAC ID: 4789680091 Enrollment ID: I20061010000490 |
| Provider Name | Emily J Pike |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780642462 PECOS PAC ID: 4385640606 Enrollment ID: I20061010000535 |
| Provider Name | Lawrence J Lorbiecki |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437255932 PECOS PAC ID: 0840296562 Enrollment ID: I20061019000451 |
| Provider Name | Puneet S Cheema |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1841246246 PECOS PAC ID: 3072539030 Enrollment ID: I20061023000177 |
| Provider Name | Kevin L Kampfe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275628661 PECOS PAC ID: 2769489400 Enrollment ID: I20061023000219 |
| Provider Name | Victoria S Noble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942230628 PECOS PAC ID: 6204833809 Enrollment ID: I20061024000357 |
| Provider Name | Danielle Y Maclaurin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629168158 PECOS PAC ID: 6507863917 Enrollment ID: I20061027000232 |
| Provider Name | Mayra G Oberto-medina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790738185 PECOS PAC ID: 8820095078 Enrollment ID: I20061031000376 |
| Provider Name | Zhiyi Sha |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124044334 PECOS PAC ID: 7416940085 Enrollment ID: I20061106000351 |
| Provider Name | Poonam K Quick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417051756 PECOS PAC ID: 3870590789 Enrollment ID: I20061106000435 |
| Provider Name | Jeanne M Goodspeed |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396859468 PECOS PAC ID: 7012915812 Enrollment ID: I20061109000500 |
| Provider Name | John B Buren |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1023087814 PECOS PAC ID: 8426081738 Enrollment ID: I20061117000470 |
| Provider Name | Anna Schorer |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1164449989 PECOS PAC ID: 3779581996 Enrollment ID: I20061127000157 |
| Provider Name | Christine M Hodgkins |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1275567968 PECOS PAC ID: 6406854330 Enrollment ID: I20061201000076 |
| Provider Name | Melissa E Meyers |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346286648 PECOS PAC ID: 0244239762 Enrollment ID: I20061212000045 |
| Provider Name | Sarah J Schwarzenberg |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1245264795 PECOS PAC ID: 3375542590 Enrollment ID: I20061215000153 |
| Provider Name | Shana Lynn Sniffen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316956162 PECOS PAC ID: 6002815024 Enrollment ID: I20061220000097 |
| Provider Name | Patrick G Arndt |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1265546345 PECOS PAC ID: 1557334505 Enrollment ID: I20061220000138 |
| Provider Name | Gervais P Moche |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356458723 PECOS PAC ID: 4284633215 Enrollment ID: I20061220000215 |
| Provider Name | Linda L Barrett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346268539 PECOS PAC ID: 3577564665 Enrollment ID: I20070116000078 |
| Provider Name | Aziza Shireen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780755207 PECOS PAC ID: 7719988823 Enrollment ID: I20070116000244 |
| Provider Name | Curtis D Keller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114087608 PECOS PAC ID: 3072514397 Enrollment ID: I20070129000441 |
| Provider Name | David A Potter |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1073579504 PECOS PAC ID: 2769483080 Enrollment ID: I20070129000490 |
| Provider Name | Rebecca E Conner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710096854 PECOS PAC ID: 5890797310 Enrollment ID: I20070212000460 |
| Provider Name | Jagadish M R Patil |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1720098833 PECOS PAC ID: 4587666821 Enrollment ID: I20070215000340 |
| Provider Name | Jeffrey C Manlove |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1003808049 PECOS PAC ID: 2567481708 Enrollment ID: I20070219000274 |
| Provider Name | Jerri L Haindfield |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1043305642 PECOS PAC ID: 8628170313 Enrollment ID: I20070227000425 |
| Provider Name | Antoinette Rae Vanstelten |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669577516 PECOS PAC ID: 5698878817 Enrollment ID: I20070308000459 |
| Provider Name | Alakananda Nagaraj |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265533913 PECOS PAC ID: 2163312828 Enrollment ID: I20070424000670 |
| Provider Name | Solveig A Hansen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992753073 PECOS PAC ID: 0345346920 Enrollment ID: I20070427000071 |
| Provider Name | Molly Klein |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1902840010 PECOS PAC ID: 7911003975 Enrollment ID: I20070508000327 |
| Provider Name | Alec J Dunkel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912096769 PECOS PAC ID: 9234128117 Enrollment ID: I20070523000231 |
| Provider Name | Michael H Kim |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427116896 PECOS PAC ID: 3173626488 Enrollment ID: I20070611000399 |
| Provider Name | Joan M Kane |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265471718 PECOS PAC ID: 9931207156 Enrollment ID: I20070611000695 |
| Provider Name | Robert W Mckenna |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1669431706 PECOS PAC ID: 6305944422 Enrollment ID: I20070613000079 |
| Provider Name | Nissrine A Nakib |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1669516852 PECOS PAC ID: 3375641384 Enrollment ID: I20070614000111 |
| Provider Name | Bernadette K Quadling |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1912118522 PECOS PAC ID: 5496854291 Enrollment ID: I20070620000030 |
| Provider Name | Brett W Teten |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629167473 PECOS PAC ID: 5294724175 Enrollment ID: I20070702000124 |
| Provider Name | Jacqueline Higgins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801879374 PECOS PAC ID: 2062512759 Enrollment ID: I20070710000941 |
| Provider Name | Alexander Ivaskovic |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1831391432 PECOS PAC ID: 1153421706 Enrollment ID: I20070711000494 |
| Provider Name | James V Harmon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073586269 PECOS PAC ID: 2860592367 Enrollment ID: I20070712000801 |
| Provider Name | Veronika Bachanova |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1841327665 PECOS PAC ID: 5395845622 Enrollment ID: I20070716000212 |
| Provider Name | Christopher A Warlick |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1730260787 PECOS PAC ID: 9032111299 Enrollment ID: I20070716000245 |
| Provider Name | Bethany L Templen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205981149 PECOS PAC ID: 8022119502 Enrollment ID: I20070727000472 |
| Provider Name | Kathryn R Cullen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740496090 PECOS PAC ID: 7618078023 Enrollment ID: I20070728000011 |
| Provider Name | Jawali B Jaranilla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457484982 PECOS PAC ID: 4082715404 Enrollment ID: I20070728000106 |
| Provider Name | Tammy A Chiesa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992895304 PECOS PAC ID: 9830188721 Enrollment ID: I20070801000844 |
| Provider Name | Kamran M Karimi |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1215947288 PECOS PAC ID: 8820091481 Enrollment ID: I20070802000235 |
| Provider Name | Mohammad Albaba |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861589962 PECOS PAC ID: 0345331153 Enrollment ID: I20070808000763 |
| Provider Name | Stephen James Huddleston |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1104037621 PECOS PAC ID: 2668563271 Enrollment ID: I20070811000083 |
| Provider Name | Sally A Mullany |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1871572909 PECOS PAC ID: 6608967054 Enrollment ID: I20070814000554 |
| Provider Name | Bradford V Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992907364 PECOS PAC ID: 8123110426 Enrollment ID: I20070816000242 |
| Provider Name | Raza A Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669584249 PECOS PAC ID: 3173616950 Enrollment ID: I20070910000997 |
| Provider Name | Kendall D Ricklefs |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780887547 PECOS PAC ID: 1153415575 Enrollment ID: I20070917000254 |
| Provider Name | Mesfin E Abdissa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376579417 PECOS PAC ID: 1456363829 Enrollment ID: I20070919000305 |
| Provider Name | Phillip N Rauk |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780768176 PECOS PAC ID: 7012909146 Enrollment ID: I20070919000663 |
| Provider Name | Tony A Pelzel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609806538 PECOS PAC ID: 9133213135 Enrollment ID: I20070921000257 |
| Provider Name | Ashfaq Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255396115 PECOS PAC ID: 4981672979 Enrollment ID: I20070921000354 |
| Provider Name | Jessica M Flynn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518182427 PECOS PAC ID: 7911091855 Enrollment ID: I20070921000653 |
| Provider Name | Timinder S Biring |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1487621017 PECOS PAC ID: 8527095306 Enrollment ID: I20070926001151 |
| Provider Name | Kathryn E Dusenbery |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1578668174 PECOS PAC ID: 6002728227 Enrollment ID: I20071009000279 |
| Provider Name | Mona Parmar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720271356 PECOS PAC ID: 9638081615 Enrollment ID: I20071010000225 |
| Provider Name | Marek Kostanecki |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568577492 PECOS PAC ID: 5698672665 Enrollment ID: I20071010000388 |
| Provider Name | Anthony A Killeen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1811087323 PECOS PAC ID: 5092801787 Enrollment ID: I20071010000608 |
| Provider Name | Maria R Evasovich |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1326077611 PECOS PAC ID: 7416043716 Enrollment ID: I20071018000172 |
| Provider Name | Julia Steinberger |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1851310213 PECOS PAC ID: 5799871992 Enrollment ID: I20071019000075 |
| Provider Name | Nicole D Zantek |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1750476727 PECOS PAC ID: 1254333586 Enrollment ID: I20071019000131 |
| Provider Name | Mohammed Asghar Hussain |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1225126535 PECOS PAC ID: 8022088145 Enrollment ID: I20071029000107 |
| Provider Name | Sunn Sunn Htet Thaw |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1629277785 PECOS PAC ID: 8123115862 Enrollment ID: I20071029000190 |
| Provider Name | Rebecca A Wieben |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174717847 PECOS PAC ID: 7113014861 Enrollment ID: I20071029000260 |
| Provider Name | John H Eckfeldt |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1629006218 PECOS PAC ID: 0749377877 Enrollment ID: I20071106000372 |
| Provider Name | Mark K Thalacker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063483493 PECOS PAC ID: 3678660776 Enrollment ID: I20071107000061 |
| Provider Name | Mary M Winnett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841408705 PECOS PAC ID: 4183712797 Enrollment ID: I20071115000340 |
| Provider Name | Susan R Haase |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669661583 PECOS PAC ID: 0042300204 Enrollment ID: I20071212000441 |
| Provider Name | Chung K Lee |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1972609360 PECOS PAC ID: 5193815108 Enrollment ID: I20071214000053 |
| Provider Name | Patricia Lynn Richman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235146994 PECOS PAC ID: 6901719517 Enrollment ID: I20071217000265 |
| Provider Name | Angela J Smithson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093721771 PECOS PAC ID: 6709799315 Enrollment ID: I20071217000351 |
| Provider Name | Abdul K Parpia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295955532 PECOS PAC ID: 1557451143 Enrollment ID: I20071219000731 |
| Provider Name | Milind Y Junghare |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1205020294 PECOS PAC ID: 6901996438 Enrollment ID: I20071220000106 |
| Provider Name | Daniel L Mueller |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1821174814 PECOS PAC ID: 1951481977 Enrollment ID: I20080103000428 |
| Provider Name | David R Nascene |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548451073 PECOS PAC ID: 8820178734 Enrollment ID: I20080104000370 |
| Provider Name | William G Nicholson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881808780 PECOS PAC ID: 0042390643 Enrollment ID: I20080109000107 |
| Provider Name | Linda Burr |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649466558 PECOS PAC ID: 9537249016 Enrollment ID: I20080109000741 |
| Provider Name | Jerry A Molitor |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1235147331 PECOS PAC ID: 2365405396 Enrollment ID: I20080109000825 |
| Provider Name | Bharat Thyagarajan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1245385186 PECOS PAC ID: 8527148014 Enrollment ID: I20080109000834 |
| Provider Name | Kristen A Lindblom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972589034 PECOS PAC ID: 2860573987 Enrollment ID: I20080115000489 |
| Provider Name | Nicole R Thompson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033305024 PECOS PAC ID: 0345321956 Enrollment ID: I20080121000095 |
| Provider Name | Rudy G Thell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508821463 PECOS PAC ID: 5799867073 Enrollment ID: I20080124000685 |
| Provider Name | James M Mcgreevy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1568532653 PECOS PAC ID: 0840257275 Enrollment ID: I20080129000711 |
| Provider Name | Suzanne R Ruegg |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1164605358 PECOS PAC ID: 5496837254 Enrollment ID: I20080201000066 |
| Provider Name | Daniel Vincent Landers |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114973328 PECOS PAC ID: 5092810788 Enrollment ID: I20080207000532 |
| Provider Name | Thomas P Gustafson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225253693 PECOS PAC ID: 4082797360 Enrollment ID: I20080208000514 |
| Provider Name | Gary J Bachowski |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1184729337 PECOS PAC ID: 2365525482 Enrollment ID: I20080213000389 |
| Provider Name | Sharon M Wolters |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336182955 PECOS PAC ID: 4385618602 Enrollment ID: I20080214000614 |
| Provider Name | Lynn Ann Burmeister |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295761385 PECOS PAC ID: 9537242383 Enrollment ID: I20080216000078 |
| Provider Name | Dina M Andreotti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437134541 PECOS PAC ID: 9931283397 Enrollment ID: I20080222000537 |
| Provider Name | Gregory M Amer |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1033111018 PECOS PAC ID: 4082798491 Enrollment ID: I20080225000216 |
| Provider Name | Cindy M Martin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1649468497 PECOS PAC ID: 2860576295 Enrollment ID: I20080225000357 |
| Provider Name | David Walk |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679674501 PECOS PAC ID: 5698859882 Enrollment ID: I20080227000097 |
| Provider Name | Rebecca A Weber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699982876 PECOS PAC ID: 0446334593 Enrollment ID: I20080227000602 |
| Provider Name | Nathon M Bailey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972799328 PECOS PAC ID: 0042395865 Enrollment ID: I20080304000542 |
| Provider Name | Shehla A Kamal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639355019 PECOS PAC ID: 1557446960 Enrollment ID: I20080310000503 |
| Provider Name | Lori M Leier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477664886 PECOS PAC ID: 9739189408 Enrollment ID: I20080313000669 |
| Provider Name | Anil Kumar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740340611 PECOS PAC ID: 1951393982 Enrollment ID: I20080325000410 |
| Provider Name | Jamie L Lohr |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811916125 PECOS PAC ID: 1557447943 Enrollment ID: I20080326000162 |
| Provider Name | Scott T Faust |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932277043 PECOS PAC ID: 5294735544 Enrollment ID: I20080404000686 |
| Provider Name | Daniel J Stein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669449674 PECOS PAC ID: 1759338213 Enrollment ID: I20080404000792 |
| Provider Name | Thomas R Henry |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568569085 PECOS PAC ID: 4981651452 Enrollment ID: I20080407000398 |
| Provider Name | Christopher B Mertz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760556245 PECOS PAC ID: 2264431618 Enrollment ID: I20080409000233 |
| Provider Name | Cheryll M Benson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962403444 PECOS PAC ID: 6507943925 Enrollment ID: I20080410000013 |
| Provider Name | Daniel J Garry |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093770810 PECOS PAC ID: 0547347866 Enrollment ID: I20080410000178 |
| Provider Name | William T Browne |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1497847321 PECOS PAC ID: 6103903489 Enrollment ID: I20080410000641 |
| Provider Name | John P Daniels |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386728707 PECOS PAC ID: 7416843131 Enrollment ID: I20080515000357 |
| Provider Name | Stephanie D Stanton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053354076 PECOS PAC ID: 4284703885 Enrollment ID: I20080522000385 |
| Provider Name | Todd M Tuttle |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700987906 PECOS PAC ID: 3577633700 Enrollment ID: I20080530000527 |
| Provider Name | Michael S Rosenberg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023097755 PECOS PAC ID: 2062326762 Enrollment ID: I20080530000731 |
| Provider Name | Conrad Iber |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1649225012 PECOS PAC ID: 3274615869 Enrollment ID: I20080611000186 |
| Provider Name | Xiaoguang Sun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992987028 PECOS PAC ID: 0143391052 Enrollment ID: I20080620000265 |
| Provider Name | Ayesha Rashid |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1710031224 PECOS PAC ID: 3678645181 Enrollment ID: I20080627000413 |
| Provider Name | Younghoon Kwon |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1639377591 PECOS PAC ID: 6406948546 Enrollment ID: I20080701000195 |
| Provider Name | Ford C Erickson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508964388 PECOS PAC ID: 6608949367 Enrollment ID: I20080715000122 |
| Provider Name | Josy Mathew |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1174715247 PECOS PAC ID: 3173696697 Enrollment ID: I20080716000797 |
| Provider Name | John E Wagner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205933595 PECOS PAC ID: 5395818538 Enrollment ID: I20080721000527 |
| Provider Name | Alexander Khoruts |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1841389780 PECOS PAC ID: 4183798580 Enrollment ID: I20080804000065 |
| Provider Name | Mudassar Ahmed |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1366595324 PECOS PAC ID: 9638243751 Enrollment ID: I20080807000035 |
| Provider Name | Linda R Varghese |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1841345790 PECOS PAC ID: 3476627555 Enrollment ID: I20080807000362 |
| Provider Name | Eric S Schneider |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497871271 PECOS PAC ID: 1052486925 Enrollment ID: I20080813000025 |
| Provider Name | Amy F Dunlap |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396911004 PECOS PAC ID: 8527133032 Enrollment ID: I20080819000178 |
| Provider Name | Leo Passov |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437359882 PECOS PAC ID: 6800961285 Enrollment ID: I20080819000921 |
| Provider Name | Owen V Elzen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962674093 PECOS PAC ID: 0042385130 Enrollment ID: I20080825000549 |
| Provider Name | Salima Nmi Naqvi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912041278 PECOS PAC ID: 4284700188 Enrollment ID: I20080828000482 |
| Provider Name | Sandra K Rosenberg |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1912955212 PECOS PAC ID: 3870669161 Enrollment ID: I20080910000641 |
| Provider Name | David H Ingbar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1063446557 PECOS PAC ID: 4688741432 Enrollment ID: I20080922000209 |
| Provider Name | Orrin Mann |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1295719607 PECOS PAC ID: 1850380015 Enrollment ID: I20080926000549 |
| Provider Name | Alain F Broccard |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1164498739 PECOS PAC ID: 8224106372 Enrollment ID: I20081002000635 |
| Provider Name | David M Perlman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1467536615 PECOS PAC ID: 1759459803 Enrollment ID: I20081002000652 |
| Provider Name | Jianling Yuan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063556520 PECOS PAC ID: 9436227881 Enrollment ID: I20081013000086 |
| Provider Name | Elizabeth M Tello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801074554 PECOS PAC ID: 4688733025 Enrollment ID: I20081030000363 |
| Provider Name | Joanne L Billings |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1275579583 PECOS PAC ID: 5799844775 Enrollment ID: I20081105000531 |
| Provider Name | Erin L Sly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740430792 PECOS PAC ID: 5991864662 Enrollment ID: I20081110000681 |
| Provider Name | Lawrence Hong Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053384784 PECOS PAC ID: 2668531351 Enrollment ID: I20081110000844 |
| Provider Name | Amanda V Engstrom |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942493457 PECOS PAC ID: 2264592716 Enrollment ID: I20081113000761 |
| Provider Name | Peter B Arnesen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104871235 PECOS PAC ID: 8224199732 Enrollment ID: I20081202000791 |
| Provider Name | Tarek S Hamieh |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1962604892 PECOS PAC ID: 1759480031 Enrollment ID: I20081203000919 |
| Provider Name | Lisa Darlene Bojado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326009630 PECOS PAC ID: 1254492440 Enrollment ID: I20081205000633 |
| Provider Name | Shoua T Thao Kalugdan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396919742 PECOS PAC ID: 5799846473 Enrollment ID: I20081213000030 |
| Provider Name | Peter Stevan Jerome |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396740668 PECOS PAC ID: 7315915733 Enrollment ID: I20081215000153 |
| Provider Name | Margaret L Guthrie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114963097 PECOS PAC ID: 5294897914 Enrollment ID: I20081215000198 |
| Provider Name | Douglas M Berg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689622342 PECOS PAC ID: 7719049774 Enrollment ID: I20081229000533 |
| Provider Name | Boris J Winterhoff |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1225158132 PECOS PAC ID: 9537221379 Enrollment ID: I20090102000409 |
| Provider Name | Sara H Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689854804 PECOS PAC ID: 7618030438 Enrollment ID: I20090106000063 |
| Provider Name | Theodore J Mcmenomy |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1811036809 PECOS PAC ID: 1951476415 Enrollment ID: I20090109000449 |
| Provider Name | Matthew A Hunt |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1619017787 PECOS PAC ID: 9638233281 Enrollment ID: I20090127000597 |
| Provider Name | Ann S Oswood |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1851543813 PECOS PAC ID: 1951465335 Enrollment ID: I20090129000513 |
| Provider Name | Laurie J Fisk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881613024 PECOS PAC ID: 1759446420 Enrollment ID: I20090212000141 |
| Provider Name | Cherilyn M Wicks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780858589 PECOS PAC ID: 2365507670 Enrollment ID: I20090220000498 |
| Provider Name | Craig A Henke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558395129 PECOS PAC ID: 7113082389 Enrollment ID: I20090223000412 |
| Provider Name | Susan M Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023253945 PECOS PAC ID: 6608931753 Enrollment ID: I20090224000597 |
| Provider Name | Gregory A Bartel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164497749 PECOS PAC ID: 2365508785 Enrollment ID: I20090309000667 |
| Provider Name | Vicki L Niedzwieski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447410931 PECOS PAC ID: 2567529365 Enrollment ID: I20090323000401 |
| Provider Name | Lana R White-king |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336278415 PECOS PAC ID: 3779640438 Enrollment ID: I20090324000533 |
| Provider Name | Michelle L Flaskerud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285872754 PECOS PAC ID: 4183771447 Enrollment ID: I20090402000647 |
| Provider Name | Andrew J Portis |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1881681815 PECOS PAC ID: 8426132440 Enrollment ID: I20090413000334 |
| Provider Name | David L Haglund |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821240557 PECOS PAC ID: 8729135587 Enrollment ID: I20090413000484 |
| Provider Name | Jennifer Mears |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861471666 PECOS PAC ID: 8224185640 Enrollment ID: I20090421000714 |
| Provider Name | Jay M Hemmila |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841302965 PECOS PAC ID: 9133277494 Enrollment ID: I20090427000189 |
| Provider Name | Tina Michele Steinemann Gronseth |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1881840411 PECOS PAC ID: 3971651118 Enrollment ID: I20090428000415 |
| Provider Name | Frederick S Mosch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154403764 PECOS PAC ID: 1153470620 Enrollment ID: I20090513000248 |
| Provider Name | Alia Sharif |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467511493 PECOS PAC ID: 9739257890 Enrollment ID: I20090513000312 |
| Provider Name | Benjamin G Williams |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366578924 PECOS PAC ID: 9830248210 Enrollment ID: I20090513000517 |
| Provider Name | Kambiz Farbakhsh |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1861446015 PECOS PAC ID: 4284536988 Enrollment ID: I20090514000141 |
| Provider Name | Kevin P Peterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558327064 PECOS PAC ID: 8325072895 Enrollment ID: I20090514000379 |
| Provider Name | Katherine A Petersen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902826258 PECOS PAC ID: 9133278880 Enrollment ID: I20090529000205 |
| Provider Name | James J Finell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891884656 PECOS PAC ID: 1951390848 Enrollment ID: I20090605000611 |
| Provider Name | Angel L Rosado |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407926371 PECOS PAC ID: 3274639570 Enrollment ID: I20090609000670 |
| Provider Name | Daniel Steinberger |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1932340213 PECOS PAC ID: 8628129160 Enrollment ID: I20090624000181 |
| Provider Name | Steven L Manning |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245313139 PECOS PAC ID: 9830240969 Enrollment ID: I20090630000419 |
| Provider Name | Allison Holt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346393386 PECOS PAC ID: 6507918273 Enrollment ID: I20090710000516 |
| Provider Name | Michael J Klevay |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1497849012 PECOS PAC ID: 5890896740 Enrollment ID: I20090715000687 |
| Provider Name | Stephanie J Fox |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1770600884 PECOS PAC ID: 8628120763 Enrollment ID: I20090721000087 |
| Provider Name | Jing Xiao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841229580 PECOS PAC ID: 3375696636 Enrollment ID: I20090804000227 |
| Provider Name | Gaurang S Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760656706 PECOS PAC ID: 5597818898 Enrollment ID: I20090804000646 |
| Provider Name | Shao C Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093732760 PECOS PAC ID: 0042297640 Enrollment ID: I20090806000524 |
| Provider Name | Shanna M Morgan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1215071675 PECOS PAC ID: 8820142557 Enrollment ID: I20090814000541 |
| Provider Name | Ashley R Loomis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629278783 PECOS PAC ID: 2769570613 Enrollment ID: I20090826000627 |
| Provider Name | Julie K Vogel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821057563 PECOS PAC ID: 4587719810 Enrollment ID: I20090909000724 |
| Provider Name | Abigail L Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700046463 PECOS PAC ID: 1759436918 Enrollment ID: I20090911000430 |
| Provider Name | Sujatha Tata |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467615690 PECOS PAC ID: 3173685369 Enrollment ID: I20090911000476 |
| Provider Name | Laura A Kenney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932337953 PECOS PAC ID: 3072669910 Enrollment ID: I20090918000207 |
| Provider Name | Jessica R Baitani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285800466 PECOS PAC ID: 6507912334 Enrollment ID: I20090921000434 |
| Provider Name | Cherinet N Jaleta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336316702 PECOS PAC ID: 3274679063 Enrollment ID: I20091008000244 |
| Provider Name | Robyn S Tabibi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740216340 PECOS PAC ID: 5991841678 Enrollment ID: I20091009000547 |
| Provider Name | David J Delaney Elsner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407041148 PECOS PAC ID: 1456498872 Enrollment ID: I20091016000288 |
| Provider Name | Jakiann M Mork |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184855587 PECOS PAC ID: 0244377505 Enrollment ID: I20091020000229 |
| Provider Name | Ann M Mchale |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1073742375 PECOS PAC ID: 3971640103 Enrollment ID: I20091021000234 |
| Provider Name | Nimi Singh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124190707 PECOS PAC ID: 7012054174 Enrollment ID: I20091021000633 |
| Provider Name | Stephanie J Gordon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750513750 PECOS PAC ID: 2062559818 Enrollment ID: I20091027000558 |
| Provider Name | Justin L Seningen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1083878425 PECOS PAC ID: 1052458874 Enrollment ID: I20091028000275 |
| Provider Name | Randal Henry Noyes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912979345 PECOS PAC ID: 8123000502 Enrollment ID: I20091029000556 |
| Provider Name | Michael T Rhodes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891981825 PECOS PAC ID: 1951448588 Enrollment ID: I20091029000751 |
| Provider Name | Kristie H Elghazi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922239367 PECOS PAC ID: 2567500960 Enrollment ID: I20091104000684 |
| Provider Name | Bryan Jeffrey Williams |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1407903222 PECOS PAC ID: 7810035086 Enrollment ID: I20091109000147 |
| Provider Name | Laurie Lynn Larson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700111788 PECOS PAC ID: 3173661220 Enrollment ID: I20091110000219 |
| Provider Name | Eimad Ma Ahmmad |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1386896660 PECOS PAC ID: 9436219821 Enrollment ID: I20091116000509 |
| Provider Name | Sophia L Yohe |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1972783769 PECOS PAC ID: 5799823449 Enrollment ID: I20091117000571 |
| Provider Name | Jessica J Hampton |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1629208079 PECOS PAC ID: 8426196023 Enrollment ID: I20091118000394 |
| Provider Name | Karin Amanda Vassar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699906578 PECOS PAC ID: 3173662715 Enrollment ID: I20091120000277 |
| Provider Name | Suma Konety |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1821172727 PECOS PAC ID: 2365490281 Enrollment ID: I20091203000088 |
| Provider Name | Warren Manyara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639330822 PECOS PAC ID: 2466593074 Enrollment ID: I20100105000228 |
| Provider Name | Stephen M Winselman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942262225 PECOS PAC ID: 2365583929 Enrollment ID: I20100105000704 |
| Provider Name | Susan G Grosse-macemon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922060169 PECOS PAC ID: 5597806521 Enrollment ID: I20100112000725 |
| Provider Name | Michael J Manoles |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1578521555 PECOS PAC ID: 0042119109 Enrollment ID: I20100112000853 |
| Provider Name | Ladan Zand |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1174789796 PECOS PAC ID: 5597807495 Enrollment ID: I20100114000666 |
| Provider Name | Bradley J Benson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467488536 PECOS PAC ID: 6002958899 Enrollment ID: I20100115000799 |
| Provider Name | Mary K Schmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811129273 PECOS PAC ID: 8921140682 Enrollment ID: I20100119000787 |
| Provider Name | Mumtaz Mustapha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467595983 PECOS PAC ID: 1355484353 Enrollment ID: I20100129000333 |
| Provider Name | Nancy M Fahim |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023034329 PECOS PAC ID: 1052333556 Enrollment ID: I20100201000716 |
| Provider Name | Elyse M Fox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639405913 PECOS PAC ID: 9537202486 Enrollment ID: I20100201000725 |
| Provider Name | Cara S Walz |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1538126867 PECOS PAC ID: 9537063359 Enrollment ID: I20100203000824 |
| Provider Name | Robert J Roddy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831197649 PECOS PAC ID: 4082758032 Enrollment ID: I20100215000679 |
| Provider Name | Kristina Varadi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669580890 PECOS PAC ID: 4587708094 Enrollment ID: I20100222000865 |
| Provider Name | Genet N Ghebre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114154986 PECOS PAC ID: 4880738277 Enrollment ID: I20100223000848 |
| Provider Name | Joseph W Leach |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1922083336 PECOS PAC ID: 7315082393 Enrollment ID: I20100302000311 |
| Provider Name | Shannon E Doyle |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1326005679 PECOS PAC ID: 7810055803 Enrollment ID: I20100302000608 |
| Provider Name | Lucien Gonzalez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295900629 PECOS PAC ID: 0840335873 Enrollment ID: I20100302000758 |
| Provider Name | Eleanor M Beltran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184608747 PECOS PAC ID: 7810070265 Enrollment ID: I20100306000141 |
| Provider Name | Timothy J Ronneberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700849908 PECOS PAC ID: 5496890899 Enrollment ID: I20100310000550 |
| Provider Name | Samy Magdy Riad |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1841492378 PECOS PAC ID: 7810022233 Enrollment ID: I20100323000957 |
| Provider Name | Jaena J Wisniewski |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1710032594 PECOS PAC ID: 4385779727 Enrollment ID: I20100324000184 |
| Provider Name | Brooke A Vandyke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265418495 PECOS PAC ID: 2163557513 Enrollment ID: I20100324000336 |
| Provider Name | Dorothy A Connell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174546253 PECOS PAC ID: 8426184615 Enrollment ID: I20100326000554 |
| Provider Name | Michael B Johnson |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1871595850 PECOS PAC ID: 8123047362 Enrollment ID: I20100414000951 |
| Provider Name | Matthew Mark Melin |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1730166992 PECOS PAC ID: 0648307959 Enrollment ID: I20100419000341 |
| Provider Name | Sara Frances Whitehouse |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972730687 PECOS PAC ID: 9335276583 Enrollment ID: I20100421000056 |
| Provider Name | Jill E Kuyava |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225261902 PECOS PAC ID: 4183762123 Enrollment ID: I20100503000832 |
| Provider Name | Jon V Thomas |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1467453597 PECOS PAC ID: 0547289787 Enrollment ID: I20100504000272 |
| Provider Name | Benhoor Soumekh |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1932192457 PECOS PAC ID: 6901825140 Enrollment ID: I20100504000378 |
| Provider Name | William H Rosenberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518935113 PECOS PAC ID: 3971631409 Enrollment ID: I20100504000694 |
| Provider Name | Thomas R Jacques |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1609868470 PECOS PAC ID: 5395797591 Enrollment ID: I20100504000873 |
| Provider Name | Jane Siegal |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1104881028 PECOS PAC ID: 1850429838 Enrollment ID: I20100512000648 |
| Provider Name | Biljana Capra |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982640439 PECOS PAC ID: 0143358168 Enrollment ID: I20100512001077 |
| Provider Name | Laura Y Li |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1811984958 PECOS PAC ID: 8921050121 Enrollment ID: I20100514000629 |
| Provider Name | Nadeem Iqbal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285626036 PECOS PAC ID: 9931151131 Enrollment ID: I20100518000918 |
| Provider Name | Jeffrey S Miller |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1053497198 PECOS PAC ID: 8426187816 Enrollment ID: I20100524000274 |
| Provider Name | Mark T Reding |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1336223866 PECOS PAC ID: 9537298930 Enrollment ID: I20100524000389 |
| Provider Name | Gregory M Vercellotti |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1912008921 PECOS PAC ID: 8325950868 Enrollment ID: I20100524000405 |
| Provider Name | Angela I Radulescu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689866626 PECOS PAC ID: 6002945367 Enrollment ID: I20100525000332 |
| Provider Name | Marcel Hungs |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114022332 PECOS PAC ID: 1355379454 Enrollment ID: I20100525001033 |
| Provider Name | Lori M Geller |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1619130861 PECOS PAC ID: 0749319853 Enrollment ID: I20100528000265 |
| Provider Name | Lester J Nixon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114091410 PECOS PAC ID: 1355470352 Enrollment ID: I20100601000735 |
| Provider Name | Steven D Stovitz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487735619 PECOS PAC ID: 2668502188 Enrollment ID: I20100610000159 |
| Provider Name | Andrew J Hanson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922063981 PECOS PAC ID: 5395875546 Enrollment ID: I20100614000930 |
| Provider Name | James V Anderson |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1700820974 PECOS PAC ID: 9436289626 Enrollment ID: I20100615000393 |
| Provider Name | Mark R Hagstrom |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750319455 PECOS PAC ID: 2961532841 Enrollment ID: I20100621000228 |
| Provider Name | Joan M Nyhus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033101811 PECOS PAC ID: 4385774264 Enrollment ID: I20100621000279 |
| Provider Name | Bhargavi Shiledar Ghate |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467622498 PECOS PAC ID: 2466583299 Enrollment ID: I20100623000355 |
| Provider Name | Carrie J Frantzich |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1558321794 PECOS PAC ID: 1850422544 Enrollment ID: I20100624000217 |
| Provider Name | Deepak B Bairagi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386886398 PECOS PAC ID: 1052442696 Enrollment ID: I20100626000094 |
| Provider Name | John C Halla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285874222 PECOS PAC ID: 8325020241 Enrollment ID: I20100626000166 |
| Provider Name | James C Olson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740454966 PECOS PAC ID: 6204991953 Enrollment ID: I20100629000152 |
| Provider Name | Sarah O Colwell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184686818 PECOS PAC ID: 0446381859 Enrollment ID: I20100629000695 |
| Provider Name | Allison L Kohtz |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1336367408 PECOS PAC ID: 8022140870 Enrollment ID: I20100714001045 |
| Provider Name | Joseph Judah Greenberg |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1114169356 PECOS PAC ID: 7012049794 Enrollment ID: I20100715000439 |
| Provider Name | Drew A Rosielle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528011269 PECOS PAC ID: 3375561178 Enrollment ID: I20100724000119 |
| Provider Name | Mindy Kaye Dombrovski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093033805 PECOS PAC ID: 0345373239 Enrollment ID: I20100728001246 |
| Provider Name | James W Allan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649297151 PECOS PAC ID: 3375676448 Enrollment ID: I20100730000261 |
| Provider Name | Michael A Murati |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851583512 PECOS PAC ID: 0244363810 Enrollment ID: I20100803000542 |
| Provider Name | Ivaylo L Krastev |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205073848 PECOS PAC ID: 9335273465 Enrollment ID: I20100811000807 |
| Provider Name | Claudia S Cohn |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1215194972 PECOS PAC ID: 2860526589 Enrollment ID: I20100817001164 |
| Provider Name | David J Groppoli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740379593 PECOS PAC ID: 7214926104 Enrollment ID: I20100817001674 |
| Provider Name | Charles L Callaghan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649369489 PECOS PAC ID: 8325037211 Enrollment ID: I20100817001696 |
| Provider Name | Robert J Jungman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851555940 PECOS PAC ID: 5991839565 Enrollment ID: I20100818000324 |
| Provider Name | Barbara Leone Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497774871 PECOS PAC ID: 9739213273 Enrollment ID: I20100818001274 |
| Provider Name | Kathleen C Bruce |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1396953204 PECOS PAC ID: 3375677818 Enrollment ID: I20100818001282 |
| Provider Name | Brian M Idelkope |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588802201 PECOS PAC ID: 8527192061 Enrollment ID: I20100818001318 |
| Provider Name | Peggy A Sullivan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861453664 PECOS PAC ID: 4385778828 Enrollment ID: I20100818001385 |
| Provider Name | Wen-wei Chung |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1487672929 PECOS PAC ID: 5991780942 Enrollment ID: I20100819000948 |
| Provider Name | Joseph P Leverone |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1245262369 PECOS PAC ID: 8628053675 Enrollment ID: I20100819000973 |
| Provider Name | Kristi Lee Werdin |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1528099538 PECOS PAC ID: 4688659634 Enrollment ID: I20100820000639 |
| Provider Name | David M Cartwright |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1720010853 PECOS PAC ID: 3274518220 Enrollment ID: I20100820000667 |
| Provider Name | Susan Elizabeth Kline |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1285724708 PECOS PAC ID: 4688708084 Enrollment ID: I20100820000790 |
| Provider Name | David C Mair |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1992898464 PECOS PAC ID: 8628102027 Enrollment ID: I20100820000841 |
| Provider Name | David V Power |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386745933 PECOS PAC ID: 6305960691 Enrollment ID: I20100823001016 |
| Provider Name | Michelle M Dolan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1033140223 PECOS PAC ID: 2163546441 Enrollment ID: I20100824000930 |
| Provider Name | Jamie Santilli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467553008 PECOS PAC ID: 9335263516 Enrollment ID: I20100824001077 |
| Provider Name | Connie L Manske |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1588778013 PECOS PAC ID: 2860516044 Enrollment ID: I20100824001115 |
| Provider Name | Minoo Shams Moorkani |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568666923 PECOS PAC ID: 3678697869 Enrollment ID: I20100824001286 |
| Provider Name | Rosemary F Kelly |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1811008543 PECOS PAC ID: 9830213024 Enrollment ID: I20100824001306 |
| Provider Name | Katie L Pehl |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1659691673 PECOS PAC ID: 3971627175 Enrollment ID: I20100825000057 |
| Provider Name | Markus Gapany |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1912962002 PECOS PAC ID: 9931223104 Enrollment ID: I20100825000933 |
| Provider Name | Abdirahman M Madar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578608782 PECOS PAC ID: 8325162407 Enrollment ID: I20100825001173 |
| Provider Name | Danielle N Potokar |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447403779 PECOS PAC ID: 2163546227 Enrollment ID: I20100826000884 |
| Provider Name | Tanya S Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720186893 PECOS PAC ID: 6406970565 Enrollment ID: I20100826000932 |
| Provider Name | Peter B Bitterman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1912943275 PECOS PAC ID: 0749304715 Enrollment ID: I20100826001262 |
| Provider Name | Sushil Adhikari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295907301 PECOS PAC ID: 8426172404 Enrollment ID: I20100827000056 |
| Provider Name | Shih-an Hsieh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003076290 PECOS PAC ID: 1557485497 Enrollment ID: I20100830001137 |
| Provider Name | James S Vanvooren |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255432431 PECOS PAC ID: 6901921378 Enrollment ID: I20100909000497 |
| Provider Name | Casey S Martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710088380 PECOS PAC ID: 5890810261 Enrollment ID: I20100909000518 |
| Provider Name | Kathryn M Manning |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134195506 PECOS PAC ID: 0840238689 Enrollment ID: I20100909000533 |
| Provider Name | Marshall I Hertz |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1396779864 PECOS PAC ID: 7113042433 Enrollment ID: I20100909001138 |
| Provider Name | Anne L Rumsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518919323 PECOS PAC ID: 4789709007 Enrollment ID: I20100909001233 |
| Provider Name | Sara Shumway |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1164527503 PECOS PAC ID: 5193840379 Enrollment ID: I20100910000850 |
| Provider Name | Jay J Bauder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972737054 PECOS PAC ID: 1850416975 Enrollment ID: I20100914000037 |
| Provider Name | Lea H Ekochin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740424928 PECOS PAC ID: 9537284526 Enrollment ID: I20100914001066 |
| Provider Name | Arne Slungaard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922180116 PECOS PAC ID: 0143345991 Enrollment ID: I20100916000554 |
| Provider Name | David H Mckenna |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1972697993 PECOS PAC ID: 6507981198 Enrollment ID: I20100920000884 |
| Provider Name | Erik J Peterson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619051869 PECOS PAC ID: 5890810485 Enrollment ID: I20100920000986 |
| Provider Name | Sheila K Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417012253 PECOS PAC ID: 7012033533 Enrollment ID: I20100921001534 |
| Provider Name | Ositadinma C. Anene |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194925313 PECOS PAC ID: 9739217795 Enrollment ID: I20100923001343 |
| Provider Name | Andrew B Maresh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811163082 PECOS PAC ID: 6709902695 Enrollment ID: I20100928001686 |
| Provider Name | Anjali Dahiya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275709420 PECOS PAC ID: 2961528856 Enrollment ID: I20100928001714 |
| Provider Name | Michael D Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205898228 PECOS PAC ID: 6709078256 Enrollment ID: I20101004000225 |
| Provider Name | Erin G Holker |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982637229 PECOS PAC ID: 9032301288 Enrollment ID: I20101007000162 |
| Provider Name | Jon S Hallberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912931411 PECOS PAC ID: 1456543602 Enrollment ID: I20101007000200 |
| Provider Name | John A Kriz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265609895 PECOS PAC ID: 0547452674 Enrollment ID: I20101007001247 |
| Provider Name | Sakina B Naqvi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1619108693 PECOS PAC ID: 9537351226 Enrollment ID: I20101013000905 |
| Provider Name | Shandon R Halland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962735753 PECOS PAC ID: 7517150048 Enrollment ID: I20101018000157 |
| Provider Name | Thomas M Leventhal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275720898 PECOS PAC ID: 3870786106 Enrollment ID: I20101019001422 |
| Provider Name | Patrick R Stokes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679553226 PECOS PAC ID: 2163615048 Enrollment ID: I20101023000284 |
| Provider Name | Sixto F Guiang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871525386 PECOS PAC ID: 2860685500 Enrollment ID: I20101026000717 |
| Provider Name | Maja Visekruna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437355278 PECOS PAC ID: 6002009776 Enrollment ID: I20101026001074 |
| Provider Name | Mothilal Sonia S Jain |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932359619 PECOS PAC ID: 7315131869 Enrollment ID: I20101028001564 |
| Provider Name | Karen E Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114987245 PECOS PAC ID: 1254525470 Enrollment ID: I20101102000607 |
| Provider Name | Thomas A Worwa |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558679282 PECOS PAC ID: 6305030404 Enrollment ID: I20101103000070 |
| Provider Name | Angela C Post |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508185166 PECOS PAC ID: 4486849171 Enrollment ID: I20101108000729 |
| Provider Name | Linda M Auleciems |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124080213 PECOS PAC ID: 3779778113 Enrollment ID: I20101111000743 |
| Provider Name | Jennifer E Kaiser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598908691 PECOS PAC ID: 1052507761 Enrollment ID: I20101119001131 |
| Provider Name | Diane S Ogren |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1073588653 PECOS PAC ID: 7416999891 Enrollment ID: I20101130001147 |
| Provider Name | Vidu Bala Mokkala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396918207 PECOS PAC ID: 0547457566 Enrollment ID: I20101202001249 |
| Provider Name | Peter B Wilton |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1124093661 PECOS PAC ID: 3870535255 Enrollment ID: I20101207001210 |
| Provider Name | Sarah M Brumberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437465473 PECOS PAC ID: 3173710506 Enrollment ID: I20101209001392 |
| Provider Name | Coralee M Hobbins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023322252 PECOS PAC ID: 9032307194 Enrollment ID: I20101216000508 |
| Provider Name | Maggi L Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437393402 PECOS PAC ID: 5698964450 Enrollment ID: I20110110000146 |
| Provider Name | Peter K Dahlstrom |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588808638 PECOS PAC ID: 8022207760 Enrollment ID: I20110111000318 |
| Provider Name | Melissa T Choi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811122831 PECOS PAC ID: 4486843802 Enrollment ID: I20110114000799 |
| Provider Name | Greg M Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548419138 PECOS PAC ID: 9931398310 Enrollment ID: I20110117000240 |
| Provider Name | Deborah L Leyh |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609878347 PECOS PAC ID: 1355520586 Enrollment ID: I20110120000480 |
| Provider Name | Richard G Leyh |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225030968 PECOS PAC ID: 9133308364 Enrollment ID: I20110120000518 |
| Provider Name | James Vodvarka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518955210 PECOS PAC ID: 9335191600 Enrollment ID: I20110124000071 |
| Provider Name | Roy J Sutherland |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073820379 PECOS PAC ID: 3173702172 Enrollment ID: I20110124000294 |
| Provider Name | Ali Arbabi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003816554 PECOS PAC ID: 2062447980 Enrollment ID: I20110203001008 |
| Provider Name | Sara E Ramel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932303633 PECOS PAC ID: 0749460970 Enrollment ID: I20110204000894 |
| Provider Name | Heidi R Hubbard |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427012848 PECOS PAC ID: 5890976195 Enrollment ID: I20110218000969 |
| Provider Name | Nghia H La |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013199553 PECOS PAC ID: 3870774847 Enrollment ID: I20110223001040 |
| Provider Name | Arnold S Potek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932158920 PECOS PAC ID: 8022203819 Enrollment ID: I20110301000472 |
| Provider Name | Maren E Olson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629080692 PECOS PAC ID: 6800078403 Enrollment ID: I20110302000940 |
| Provider Name | Donna L Dsouza |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750512109 PECOS PAC ID: 1254513757 Enrollment ID: I20110304000111 |
| Provider Name | Erin Stepka |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982710265 PECOS PAC ID: 0840231635 Enrollment ID: I20110304000136 |
| Provider Name | Veronica Lynn Carson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366751059 PECOS PAC ID: 9436331972 Enrollment ID: I20110304000619 |
| Provider Name | Rachel A Bye |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134180375 PECOS PAC ID: 8325220254 Enrollment ID: I20110314000375 |
| Provider Name | Justin K Kane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487885745 PECOS PAC ID: 1850574443 Enrollment ID: I20110318000594 |
| Provider Name | Milan Za |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1902817893 PECOS PAC ID: 0941398705 Enrollment ID: I20110321000714 |
| Provider Name | Alfred Chiang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043243827 PECOS PAC ID: 8123194958 Enrollment ID: I20110323001033 |
| Provider Name | Huseyin Dincer |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1255344537 PECOS PAC ID: 7214094531 Enrollment ID: I20110329000963 |
| Provider Name | Sabeen Askari |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1194816918 PECOS PAC ID: 4587847470 Enrollment ID: I20110330000988 |
| Provider Name | Kristel A St Ores |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477858587 PECOS PAC ID: 6002099835 Enrollment ID: I20110331000475 |
| Provider Name | Ann M Hayden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518038959 PECOS PAC ID: 5193909901 Enrollment ID: I20110401000555 |
| Provider Name | Daniel Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699768176 PECOS PAC ID: 5890694640 Enrollment ID: I20110405000174 |
| Provider Name | Heather C Lundberg |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1376850396 PECOS PAC ID: 2961686688 Enrollment ID: I20110405000190 |
| Provider Name | Kidmealem L Zekarias |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346430782 PECOS PAC ID: 2961686639 Enrollment ID: I20110405000831 |
| Provider Name | Heather M Layton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538463989 PECOS PAC ID: 0143404665 Enrollment ID: I20110407000613 |
| Provider Name | Julie A Hoyez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942504782 PECOS PAC ID: 6608050141 Enrollment ID: I20110407000766 |
| Provider Name | Trinette Mclain Wesseh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568767044 PECOS PAC ID: 6800070152 Enrollment ID: I20110411000430 |
| Provider Name | James L Prall |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942262670 PECOS PAC ID: 6406030782 Enrollment ID: I20110411000794 |
| Provider Name | Andrew P Wilson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1386810562 PECOS PAC ID: 7214111533 Enrollment ID: I20110412000338 |
| Provider Name | Taiwo Lawal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124185855 PECOS PAC ID: 0446348312 Enrollment ID: I20110412001000 |
| Provider Name | Crystal Angelique Montgomery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578898391 PECOS PAC ID: 0749324515 Enrollment ID: I20110413000554 |
| Provider Name | Grant T Jordan-taylor |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073816641 PECOS PAC ID: 1153506852 Enrollment ID: I20110422000170 |
| Provider Name | Amir A Moheet |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093754921 PECOS PAC ID: 1355344482 Enrollment ID: I20110427000269 |
| Provider Name | John F Kelly |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548221146 PECOS PAC ID: 4385829787 Enrollment ID: I20110428000706 |
| Provider Name | Angela Reid |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1457447658 PECOS PAC ID: 7315947496 Enrollment ID: I20110429000524 |
| Provider Name | Christopher D Schock |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750615225 PECOS PAC ID: 0648317859 Enrollment ID: I20110506000671 |
| Provider Name | Peter F Bornstein |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1487611547 PECOS PAC ID: 0345234118 Enrollment ID: I20110519000609 |
| Provider Name | Jason J Wirtz |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1255398830 PECOS PAC ID: 8729264122 Enrollment ID: I20110519000631 |
| Provider Name | Katherine Marie Jacobs |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184816506 PECOS PAC ID: 0941486237 Enrollment ID: I20110523000194 |
| Provider Name | Kara L Nachtsheim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790091700 PECOS PAC ID: 4082890298 Enrollment ID: I20110523000528 |
| Provider Name | Nataliya Ishkova-volovets |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780999177 PECOS PAC ID: 1951587120 Enrollment ID: I20110524000353 |
| Provider Name | Sarah L Bartlett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548575202 PECOS PAC ID: 1355527466 Enrollment ID: I20110525000094 |
| Provider Name | Grant R Seeger |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1427252014 PECOS PAC ID: 2365593555 Enrollment ID: I20110527000455 |
| Provider Name | Tasma Harindhanavudhi |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1528277100 PECOS PAC ID: 9931386679 Enrollment ID: I20110607000466 |
| Provider Name | Dayuan Li |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1679776223 PECOS PAC ID: 3375629645 Enrollment ID: I20110608000588 |
| Provider Name | Amer Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699926535 PECOS PAC ID: 2769669290 Enrollment ID: I20110608000807 |
| Provider Name | Zuzan Cayci |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447414024 PECOS PAC ID: 2264508423 Enrollment ID: I20110623000579 |
| Provider Name | Thanh Tam N Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477793263 PECOS PAC ID: 7719165273 Enrollment ID: I20110705000067 |
| Provider Name | Binod K C |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043454176 PECOS PAC ID: 7911185251 Enrollment ID: I20110711000024 |
| Provider Name | Abdisalan Ali Afrah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952501736 PECOS PAC ID: 4082792924 Enrollment ID: I20110711000383 |
| Provider Name | Andrew P.j. Olson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457595704 PECOS PAC ID: 9739357005 Enrollment ID: I20110713000308 |
| Provider Name | Peter E Friedell |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1356360531 PECOS PAC ID: 4284527359 Enrollment ID: I20110715000218 |
| Provider Name | Briar L Duffy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275578452 PECOS PAC ID: 8628258043 Enrollment ID: I20110721000745 |
| Provider Name | Jeffrey B Rykken |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225272990 PECOS PAC ID: 0547438343 Enrollment ID: I20110721000811 |
| Provider Name | Katherine A Daly |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922162155 PECOS PAC ID: 1456529023 Enrollment ID: I20110726000558 |
| Provider Name | Naomi Fujioka |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1881736833 PECOS PAC ID: 5092983676 Enrollment ID: I20110726000700 |
| Provider Name | Cuong Q Pham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790970341 PECOS PAC ID: 6305014994 Enrollment ID: I20110726000787 |
| Provider Name | Qamar Iqbal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376786830 PECOS PAC ID: 7012185614 Enrollment ID: I20110726000921 |
| Provider Name | Nolawit Tesfaye |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1356517817 PECOS PAC ID: 2567630999 Enrollment ID: I20110729000183 |
| Provider Name | Judith L Mcelhiney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083877203 PECOS PAC ID: 6103956651 Enrollment ID: I20110801000482 |
| Provider Name | Amy B Karger |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1629233135 PECOS PAC ID: 9335318757 Enrollment ID: I20110801000683 |
| Provider Name | Heather A Muster |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1992825814 PECOS PAC ID: 5496856478 Enrollment ID: I20110808000728 |
| Provider Name | Michael A Linden |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1639284870 PECOS PAC ID: 0446429484 Enrollment ID: I20110809000706 |
| Provider Name | Grace A Totoe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538335302 PECOS PAC ID: 3072782929 Enrollment ID: I20110809000860 |
| Provider Name | Parastoo Fazeli |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1992980841 PECOS PAC ID: 6507035326 Enrollment ID: I20110812000353 |
| Provider Name | Saurabh Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336435189 PECOS PAC ID: 7214106038 Enrollment ID: I20110812000366 |
| Provider Name | Pawan Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518114594 PECOS PAC ID: 5991974503 Enrollment ID: I20110815000938 |
| Provider Name | Christine L Lange |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497912711 PECOS PAC ID: 0941470462 Enrollment ID: I20110818000916 |
| Provider Name | Melissa Elizabeth Brunsvold |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407073224 PECOS PAC ID: 1153411038 Enrollment ID: I20110823000728 |
| Provider Name | Christopher O Restad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841273703 PECOS PAC ID: 8224208509 Enrollment ID: I20110823001029 |
| Provider Name | Samantha J Glass |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780977934 PECOS PAC ID: 1850561135 Enrollment ID: I20110823001050 |
| Provider Name | Sunitha Tata |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487818175 PECOS PAC ID: 5597935718 Enrollment ID: I20110825000742 |
| Provider Name | Maria Stanislaw |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679710248 PECOS PAC ID: 2769652635 Enrollment ID: I20110901000212 |
| Provider Name | Elizabeth J Peterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619135860 PECOS PAC ID: 1658541321 Enrollment ID: I20110907001296 |
| Provider Name | Meghan K Rothenberger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417087487 PECOS PAC ID: 3274703889 Enrollment ID: I20110908001855 |
| Provider Name | Jackie Lyn Micklewright |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669705638 PECOS PAC ID: 0345411674 Enrollment ID: I20110919000350 |
| Provider Name | Erin K Brokl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811918337 PECOS PAC ID: 7618971854 Enrollment ID: I20110920000875 |
| Provider Name | Geoffrey S Fasen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1316259708 PECOS PAC ID: 4183895279 Enrollment ID: I20110921000576 |
| Provider Name | Joseph R Oberdorfer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881852721 PECOS PAC ID: 7416128483 Enrollment ID: I20110922000773 |
| Provider Name | Laurie B Agrimson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942502281 PECOS PAC ID: 8224209291 Enrollment ID: I20110922000783 |
| Provider Name | Alanna M Valadez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114215076 PECOS PAC ID: 2567633548 Enrollment ID: I20110923000020 |
| Provider Name | David W Olson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487932984 PECOS PAC ID: 5193996916 Enrollment ID: I20110927000383 |
| Provider Name | Ghassan Elkadi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740224948 PECOS PAC ID: 8820083918 Enrollment ID: I20110928000885 |
| Provider Name | Julie Sturgill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790063063 PECOS PAC ID: 2567634942 Enrollment ID: I20111006000550 |
| Provider Name | Charles P Lewis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851602924 PECOS PAC ID: 1759553555 Enrollment ID: I20111019000838 |
| Provider Name | Kimberly D Yung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710265368 PECOS PAC ID: 1254504061 Enrollment ID: I20111021000557 |
| Provider Name | Ilo Leppik |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538174073 PECOS PAC ID: 0648443317 Enrollment ID: I20111026000277 |
| Provider Name | Kimberly C Viskocil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033352851 PECOS PAC ID: 8224201744 Enrollment ID: I20111028000303 |
| Provider Name | Jean Young |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568647048 PECOS PAC ID: 6103993290 Enrollment ID: I20111031000347 |
| Provider Name | Kevan K Andish |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700080587 PECOS PAC ID: 7618140021 Enrollment ID: I20111031000782 |
| Provider Name | Forum Kamdar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1043548548 PECOS PAC ID: 0648443085 Enrollment ID: I20111101000329 |
| Provider Name | Elizabeth R Burnes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659697894 PECOS PAC ID: 3173796448 Enrollment ID: I20111101000742 |
| Provider Name | Edwin C Pereira |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1083814628 PECOS PAC ID: 2062685332 Enrollment ID: I20111101000766 |
| Provider Name | Sarah M Holmgren |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1497042659 PECOS PAC ID: 3678746815 Enrollment ID: I20111102000930 |
| Provider Name | Ian J Lalich |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1285955203 PECOS PAC ID: 6800069014 Enrollment ID: I20111103000860 |
| Provider Name | Erin M Galbraith |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1750304259 PECOS PAC ID: 6901803667 Enrollment ID: I20111104000471 |
| Provider Name | Shumona R Saha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730343765 PECOS PAC ID: 6103090022 Enrollment ID: I20111110000527 |
| Provider Name | Corinna J Werner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205114691 PECOS PAC ID: 9335313139 Enrollment ID: I20111112000023 |
| Provider Name | Kelli A Petersen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164702742 PECOS PAC ID: 9739354549 Enrollment ID: I20111206000627 |
| Provider Name | Thaddeus S Walczak |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538180864 PECOS PAC ID: 9234304049 Enrollment ID: I20111206000685 |
| Provider Name | Katti L Woerner |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1043486590 PECOS PAC ID: 5597931170 Enrollment ID: I20120103000479 |
| Provider Name | Nathaniel I Cree |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821365305 PECOS PAC ID: 7719153063 Enrollment ID: I20120109000213 |
| Provider Name | Amit K Rauniyar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326378225 PECOS PAC ID: 3375677792 Enrollment ID: I20120111000879 |
| Provider Name | Leah R Kann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346519568 PECOS PAC ID: 7810164969 Enrollment ID: I20120113000086 |
| Provider Name | Alicia M Krueger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194009555 PECOS PAC ID: 8325215213 Enrollment ID: I20120117000729 |
| Provider Name | Nicholas P Zeimet |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760762892 PECOS PAC ID: 1759558588 Enrollment ID: I20120119000597 |
| Provider Name | Gopakumar Sankaran Nambudiri |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1700841798 PECOS PAC ID: 8628082047 Enrollment ID: I20120202000657 |
| Provider Name | Michael Tressler |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1255595526 PECOS PAC ID: 8224295993 Enrollment ID: I20120208000244 |
| Provider Name | Kelly J Hayes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538446083 PECOS PAC ID: 2062679756 Enrollment ID: I20120208000474 |
| Provider Name | Rebecca L Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962448969 PECOS PAC ID: 8820033244 Enrollment ID: I20120406000180 |
| Provider Name | Annette M Duerscherl |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053645135 PECOS PAC ID: 6709047665 Enrollment ID: I20120419000795 |
| Provider Name | Adam P Foss |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447576392 PECOS PAC ID: 8729242532 Enrollment ID: I20120607000098 |
| Provider Name | Santosh Dhital |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275762395 PECOS PAC ID: 6800050469 Enrollment ID: I20120611000398 |
| Provider Name | Kelly Renee Dietz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295877702 PECOS PAC ID: 0648434209 Enrollment ID: I20120611000480 |
| Provider Name | Takashi Takahashi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437323243 PECOS PAC ID: 2466616867 Enrollment ID: I20120615000106 |
| Provider Name | Thomas M Hauth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215165055 PECOS PAC ID: 7517121700 Enrollment ID: I20120620000248 |
| Provider Name | Roy Joseph Cho |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1063705580 PECOS PAC ID: 0345404414 Enrollment ID: I20120621000410 |
| Provider Name | Regina M Ball |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437419868 PECOS PAC ID: 9133384290 Enrollment ID: I20120622000623 |
| Provider Name | Rakesh John |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1487800249 PECOS PAC ID: 7214193820 Enrollment ID: I20120726000362 |
| Provider Name | Khalid Amin |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1003011396 PECOS PAC ID: 3072779693 Enrollment ID: I20120726000443 |
| Provider Name | Barbara A Lehmann |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699000760 PECOS PAC ID: 5799931986 Enrollment ID: I20120802000707 |
| Provider Name | Jihan M Abbott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306138870 PECOS PAC ID: 6305092479 Enrollment ID: I20120806000025 |
| Provider Name | Sami Safadi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1255664421 PECOS PAC ID: 7315193174 Enrollment ID: I20120809000632 |
| Provider Name | Thejaswi Karnayana Poonacha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639309560 PECOS PAC ID: 1355515206 Enrollment ID: I20120810000127 |
| Provider Name | Lisa A Gill |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740574995 PECOS PAC ID: 9537315288 Enrollment ID: I20120810000763 |
| Provider Name | Yetmwork D Berhanu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639484843 PECOS PAC ID: 1658527338 Enrollment ID: I20120813000244 |
| Provider Name | Michael J Lawson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609003292 PECOS PAC ID: 8628224110 Enrollment ID: I20120816000539 |
| Provider Name | Bernard E Trappey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336382852 PECOS PAC ID: 8022265487 Enrollment ID: I20120821000196 |
| Provider Name | Teresa M Demarais |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1235498874 PECOS PAC ID: 0244487502 Enrollment ID: I20120822000230 |
| Provider Name | Gwenyth A Fischer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104990191 PECOS PAC ID: 7517114762 Enrollment ID: I20120823000540 |
| Provider Name | Rochus K Voeller |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1750465290 PECOS PAC ID: 0446260863 Enrollment ID: I20120823000547 |
| Provider Name | Maged A Labib |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952582744 PECOS PAC ID: 8224181367 Enrollment ID: I20120828000413 |
| Provider Name | Ingrid B Kaijage |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285868190 PECOS PAC ID: 6709033483 Enrollment ID: I20120831000372 |
| Provider Name | Kathryn J Freeman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740571769 PECOS PAC ID: 0941457642 Enrollment ID: I20120831000538 |
| Provider Name | Bethany J Hanke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841555927 PECOS PAC ID: 2860640117 Enrollment ID: I20120912000319 |
| Provider Name | Julianne M Cramer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427304260 PECOS PAC ID: 0446408702 Enrollment ID: I20120912000498 |
| Provider Name | Jennifer Young Kendall Thomas |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1801061098 PECOS PAC ID: 7012185911 Enrollment ID: I20120912000533 |
| Provider Name | Michelle C Naylor |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1316187347 PECOS PAC ID: 4486802592 Enrollment ID: I20120914000452 |
| Provider Name | Susan S. Pleasants |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427349463 PECOS PAC ID: 5991953945 Enrollment ID: I20120917000195 |
| Provider Name | Anna M.w. Milz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609010966 PECOS PAC ID: 4981852910 Enrollment ID: I20120918000172 |
| Provider Name | Sara L Cox |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073740668 PECOS PAC ID: 9234387192 Enrollment ID: I20120918000624 |
| Provider Name | Raquel A De La Mater |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760747471 PECOS PAC ID: 1951559715 Enrollment ID: I20120919000875 |
| Provider Name | Christina M Wiekamp |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1356615322 PECOS PAC ID: 5890944490 Enrollment ID: I20120925000383 |
| Provider Name | Heather A Podgorski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720297427 PECOS PAC ID: 2769631290 Enrollment ID: I20120927000209 |
| Provider Name | Jeremiah J Eisenschenk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598050783 PECOS PAC ID: 8628227840 Enrollment ID: I20121003000886 |
| Provider Name | Sima I. Patel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043350366 PECOS PAC ID: 6800045964 Enrollment ID: I20121004000401 |
| Provider Name | Liberty J Zyduck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336371780 PECOS PAC ID: 3971752791 Enrollment ID: I20121010000463 |
| Provider Name | Salman Mallick |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578892113 PECOS PAC ID: 5698924322 Enrollment ID: I20121012000347 |
| Provider Name | Elizabeth Uchitelle |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1720049828 PECOS PAC ID: 3870563240 Enrollment ID: I20121015000462 |
| Provider Name | Amy Denise Bandt |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1699007633 PECOS PAC ID: 4587794169 Enrollment ID: I20121019000053 |
| Provider Name | Meghan E Harney |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548497878 PECOS PAC ID: 1759531775 Enrollment ID: I20121026000543 |
| Provider Name | Claudia Thomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730384397 PECOS PAC ID: 6406970094 Enrollment ID: I20121030000111 |
| Provider Name | Carissa M Scanlan |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1083972517 PECOS PAC ID: 5991955890 Enrollment ID: I20121031000439 |
| Provider Name | Nishant Sahni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053453159 PECOS PAC ID: 7911083233 Enrollment ID: I20121119000325 |
| Provider Name | Brian K Muthyala |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821230574 PECOS PAC ID: 5698924363 Enrollment ID: I20121121000503 |
| Provider Name | Lavanya Bhoopathy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891027884 PECOS PAC ID: 4082878012 Enrollment ID: I20121129000449 |
| Provider Name | Jesse R Paulus |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1821352642 PECOS PAC ID: 4688826415 Enrollment ID: I20121130000381 |
| Provider Name | Kari M Vergen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538418603 PECOS PAC ID: 7012169857 Enrollment ID: I20121130000423 |
| Provider Name | Shannon L Larson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972853208 PECOS PAC ID: 3375795115 Enrollment ID: I20121130000449 |
| Provider Name | Nasima R Soomar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295825537 PECOS PAC ID: 2264571546 Enrollment ID: I20121205000552 |
| Provider Name | Saima Iqbal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871727339 PECOS PAC ID: 4789736869 Enrollment ID: I20121210000414 |
| Provider Name | Kelly I Zellmer Wam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760731814 PECOS PAC ID: 1355593781 Enrollment ID: I20121212000243 |
| Provider Name | Mohamad Y. Abbas |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1154404549 PECOS PAC ID: 1951379023 Enrollment ID: I20121212000481 |
| Provider Name | Rumi Mohammed Faizer |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1720025455 PECOS PAC ID: 2961654132 Enrollment ID: I20121215000015 |
| Provider Name | Mary Mackenburg Mohn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073690012 PECOS PAC ID: 3577716158 Enrollment ID: I20130109000777 |
| Provider Name | Doina S Nistor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568795243 PECOS PAC ID: 8022261510 Enrollment ID: I20130111000397 |
| Provider Name | Ron Her |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881905982 PECOS PAC ID: 1951554302 Enrollment ID: I20130115000006 |
| Provider Name | Rashi Arora |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205848892 PECOS PAC ID: 2668478801 Enrollment ID: I20130116000315 |
| Provider Name | Kari J Corniea |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285986349 PECOS PAC ID: 6103079223 Enrollment ID: I20130123000247 |
| Provider Name | Katherine S Fabrizio |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609895531 PECOS PAC ID: 6406009588 Enrollment ID: I20130124000147 |
| Provider Name | Rochelle D Perry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023306834 PECOS PAC ID: 7416101548 Enrollment ID: I20130125000234 |
| Provider Name | Mankpondehou E Djevi |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1336476639 PECOS PAC ID: 7416101860 Enrollment ID: I20130212000168 |
| Provider Name | Andrea S Jagusch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861736878 PECOS PAC ID: 5395999783 Enrollment ID: I20130212000570 |
| Provider Name | Vicky L Therkildsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598093536 PECOS PAC ID: 1052454436 Enrollment ID: I20130227000601 |
| Provider Name | Erin Kathleen Lorence-nelson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710270350 PECOS PAC ID: 5496900896 Enrollment ID: I20130311000477 |
| Provider Name | David G Mainguy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376598953 PECOS PAC ID: 7113162314 Enrollment ID: I20130318000010 |
| Provider Name | Julie S Ligday |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780922047 PECOS PAC ID: 4385889427 Enrollment ID: I20130320000758 |
| Provider Name | Lyudmila M Islyamoua |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821231168 PECOS PAC ID: 4688851678 Enrollment ID: I20130415000187 |
| Provider Name | Nadiya Beliveau |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366694341 PECOS PAC ID: 8022283373 Enrollment ID: I20130418000329 |
| Provider Name | Rahul Chauhan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558517433 PECOS PAC ID: 3375714967 Enrollment ID: I20130418000357 |
| Provider Name | Harrison Wilson Wood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013924612 PECOS PAC ID: 2860595980 Enrollment ID: I20130423000209 |
| Provider Name | Jamie M Kalafatich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972764165 PECOS PAC ID: 0547318909 Enrollment ID: I20130430000351 |
| Provider Name | Lauren V Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306146949 PECOS PAC ID: 8729268016 Enrollment ID: I20130502000430 |
| Provider Name | Elizabeth N Jeffrey |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1356669394 PECOS PAC ID: 0345487054 Enrollment ID: I20130516000054 |
| Provider Name | Abigail M Gilgenbach |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477769073 PECOS PAC ID: 9931395639 Enrollment ID: I20130517000201 |
| Provider Name | Emily Schafhauser |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578889424 PECOS PAC ID: 1557509577 Enrollment ID: I20130604000348 |
| Provider Name | Nyan Pyae |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1992033922 PECOS PAC ID: 6103019732 Enrollment ID: I20130604000539 |
| Provider Name | Jae-woo Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144516774 PECOS PAC ID: 9931347838 Enrollment ID: I20130605000382 |
| Provider Name | Devon Elizabeth Whitehead |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003037458 PECOS PAC ID: 9335387216 Enrollment ID: I20130606000524 |
| Provider Name | Danielle M Jeffrey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184060402 PECOS PAC ID: 8527206275 Enrollment ID: I20130607000528 |
| Provider Name | Alec David Otteman |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1619138849 PECOS PAC ID: 3577702257 Enrollment ID: I20130611000276 |
| Provider Name | Kamran Darabi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1508074402 PECOS PAC ID: 1052484185 Enrollment ID: I20130612000348 |
| Provider Name | Sarah M Lofgren |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689991028 PECOS PAC ID: 8224277421 Enrollment ID: I20130619000467 |
| Provider Name | Christina P Russell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255659538 PECOS PAC ID: 7012156219 Enrollment ID: I20130619000495 |
| Provider Name | Melissa Christina Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891139465 PECOS PAC ID: 9133369986 Enrollment ID: I20130628000199 |
| Provider Name | Elizabeth Z Colsen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487802021 PECOS PAC ID: 3678713278 Enrollment ID: I20130702000472 |
| Provider Name | Pradeep Dahal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134431059 PECOS PAC ID: 6305086919 Enrollment ID: I20130702000598 |
| Provider Name | Paul Bechard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689991556 PECOS PAC ID: 7719127240 Enrollment ID: I20130705000478 |
| Provider Name | Michael B Pitt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104072172 PECOS PAC ID: 9638200322 Enrollment ID: I20130716000588 |
| Provider Name | Siobhan M Flanagan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477880276 PECOS PAC ID: 1153561022 Enrollment ID: I20130717000772 |
| Provider Name | Kathleen Marie Pfister |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952505448 PECOS PAC ID: 4880834753 Enrollment ID: I20130717000776 |
| Provider Name | Shashank Vats |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1346482544 PECOS PAC ID: 6901047794 Enrollment ID: I20130719000539 |
| Provider Name | Zeeshan Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881844058 PECOS PAC ID: 6901958677 Enrollment ID: I20130723000330 |
| Provider Name | Thomas Pavey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770726176 PECOS PAC ID: 5597932194 Enrollment ID: I20130724000583 |
| Provider Name | Thenappan Thenappan |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1508842048 PECOS PAC ID: 6901832823 Enrollment ID: I20130724000730 |
| Provider Name | Nicholas L St. Ores |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184981912 PECOS PAC ID: 8123269768 Enrollment ID: I20130724000920 |
| Provider Name | Emily M Day |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407113418 PECOS PAC ID: 8123269776 Enrollment ID: I20130725000042 |
| Provider Name | Cassandra Jewels Bulau |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275891293 PECOS PAC ID: 2668613217 Enrollment ID: I20130725000054 |
| Provider Name | Annette K Nijjar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912192600 PECOS PAC ID: 8820239346 Enrollment ID: I20130725000965 |
| Provider Name | Henri Roukoz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1144499187 PECOS PAC ID: 9931340353 Enrollment ID: I20130729000216 |
| Provider Name | Brittany K Beeson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730446477 PECOS PAC ID: 7719128925 Enrollment ID: I20130731000626 |
| Provider Name | Kuwe Rumicho |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891010815 PECOS PAC ID: 7810149366 Enrollment ID: I20130808000411 |
| Provider Name | Anna A Cox |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679893184 PECOS PAC ID: 4688816317 Enrollment ID: I20130809000048 |
| Provider Name | Olutoyin E Akintola |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912163148 PECOS PAC ID: 6305034307 Enrollment ID: I20130809000179 |
| Provider Name | Samar Malaeb |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1326216037 PECOS PAC ID: 8022250596 Enrollment ID: I20130813000312 |
| Provider Name | Abbie L Begnaud |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1396867909 PECOS PAC ID: 7315098324 Enrollment ID: I20130813000744 |
| Provider Name | Al Gilbert V Galindez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689908253 PECOS PAC ID: 2769521665 Enrollment ID: I20130814000753 |
| Provider Name | Matthew R Syzdek |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699827972 PECOS PAC ID: 6103068317 Enrollment ID: I20130816000427 |
| Provider Name | Jodi L Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689010357 PECOS PAC ID: 0042452286 Enrollment ID: I20130816000794 |
| Provider Name | Jennifer Susan Needle |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588685903 PECOS PAC ID: 1951349273 Enrollment ID: I20130820000170 |
| Provider Name | Amy M Oneil |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508129198 PECOS PAC ID: 7315183860 Enrollment ID: I20130821000540 |
| Provider Name | Rebecca Cogswell |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1861692519 PECOS PAC ID: 1658514658 Enrollment ID: I20130823000238 |
| Provider Name | Rita B Patel |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1316114275 PECOS PAC ID: 0648413609 Enrollment ID: I20130823000916 |
| Provider Name | Daniel T Kebed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003170952 PECOS PAC ID: 8325284847 Enrollment ID: I20130823001100 |
| Provider Name | Brian J Hansen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083934533 PECOS PAC ID: 4183867062 Enrollment ID: I20130823001217 |
| Provider Name | Kristen A Benedict |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083056055 PECOS PAC ID: 4385887272 Enrollment ID: I20130824000134 |
| Provider Name | Mary C Rasmussen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588005441 PECOS PAC ID: 2466695283 Enrollment ID: I20130827000380 |
| Provider Name | Louis Kazaglis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477889798 PECOS PAC ID: 6103069893 Enrollment ID: I20130828000327 |
| Provider Name | David E Gorman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922029479 PECOS PAC ID: 9436196482 Enrollment ID: I20130925000335 |
| Provider Name | Michael H Wall |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1023073160 PECOS PAC ID: 9931004678 Enrollment ID: I20130926000068 |
| Provider Name | Chinwe Oraka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710042395 PECOS PAC ID: 1456548106 Enrollment ID: I20130926000149 |
| Provider Name | Kathleen A Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699108209 PECOS PAC ID: 0345474581 Enrollment ID: I20131002000089 |
| Provider Name | Marit E Thorsgard |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1841436383 PECOS PAC ID: 1658505532 Enrollment ID: I20131008001110 |
| Provider Name | Tiffany N Ling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437581824 PECOS PAC ID: 0749414324 Enrollment ID: I20131015000648 |
| Provider Name | Sasha M Skendzel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134561798 PECOS PAC ID: 7810122017 Enrollment ID: I20131024000006 |
| Provider Name | Steve N Flinkenstein |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1821209255 PECOS PAC ID: 3779678461 Enrollment ID: I20131025000624 |
| Provider Name | Juan C Zeballos Chavez |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1841363223 PECOS PAC ID: 0446448260 Enrollment ID: I20131028000468 |
| Provider Name | Deepthi Tarigopula |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780998344 PECOS PAC ID: 5890920920 Enrollment ID: I20131028000668 |
| Provider Name | Musa O Suleiman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376836270 PECOS PAC ID: 9739367590 Enrollment ID: I20131029000864 |
| Provider Name | Meysam A Kebriaei |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1255452926 PECOS PAC ID: 8123254554 Enrollment ID: I20131113001192 |
| Provider Name | Amy E Shea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205260122 PECOS PAC ID: 1153557087 Enrollment ID: I20131122000886 |
| Provider Name | Emad F Beshai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528069598 PECOS PAC ID: 3072614833 Enrollment ID: I20131126000188 |
| Provider Name | Maria A. Ordonez |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1053577197 PECOS PAC ID: 9335296359 Enrollment ID: I20131202000828 |
| Provider Name | Kristi L Shewchuk |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972854586 PECOS PAC ID: 5890949655 Enrollment ID: I20131206001146 |
| Provider Name | Denise C Musser |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1710312087 PECOS PAC ID: 7810124393 Enrollment ID: I20131206001223 |
| Provider Name | Amanda Lucille Weinmann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558628990 PECOS PAC ID: 9739316712 Enrollment ID: I20131219000284 |
| Provider Name | Tracie S Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548690902 PECOS PAC ID: 3577790575 Enrollment ID: I20131219001013 |
| Provider Name | Todd M Miles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780924092 PECOS PAC ID: 3577709666 Enrollment ID: I20131224000275 |
| Provider Name | Daniel L Perron |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447692595 PECOS PAC ID: 2860629565 Enrollment ID: I20131227001284 |
| Provider Name | Francisco M Paz |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1710157011 PECOS PAC ID: 1153446505 Enrollment ID: I20140102001039 |
| Provider Name | Tamera D Graziano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841578036 PECOS PAC ID: 1557524394 Enrollment ID: I20140107000724 |
| Provider Name | Crystal A Connolly |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689000473 PECOS PAC ID: 9234367731 Enrollment ID: I20140108000314 |
| Provider Name | Cori J Buchberger |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1124456223 PECOS PAC ID: 7517195936 Enrollment ID: I20140110000729 |
| Provider Name | James C Wallace |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992065346 PECOS PAC ID: 0244468403 Enrollment ID: I20140115000020 |
| Provider Name | Chetan N Shenoy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1346571320 PECOS PAC ID: 4880870633 Enrollment ID: I20140115001232 |
| Provider Name | Karla J Lind |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023440294 PECOS PAC ID: 4486882446 Enrollment ID: I20140121000404 |
| Provider Name | Ian M Melander |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629362264 PECOS PAC ID: 5496985376 Enrollment ID: I20140221000664 |
| Provider Name | Deborah S Cavanaugh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720171283 PECOS PAC ID: 1557251899 Enrollment ID: I20140224000589 |
| Provider Name | Alayna Claire Pine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750610523 PECOS PAC ID: 5294876272 Enrollment ID: I20140306001069 |
| Provider Name | Anne-marie Leuck |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1275728677 PECOS PAC ID: 3072744085 Enrollment ID: I20140314001115 |
| Provider Name | Chloe A Lebron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881975712 PECOS PAC ID: 0648423996 Enrollment ID: I20140320002003 |
| Provider Name | Jason D C Holgers |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1922298801 PECOS PAC ID: 3577688662 Enrollment ID: I20140411001277 |
| Provider Name | Debra L Trost |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902159957 PECOS PAC ID: 4981836194 Enrollment ID: I20140422000449 |
| Provider Name | Melissa S Engel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215199013 PECOS PAC ID: 2365612157 Enrollment ID: I20140516000912 |
| Provider Name | Karen L Laventure |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548686934 PECOS PAC ID: 5395968481 Enrollment ID: I20140517000139 |
| Provider Name | Bartosz Jacek Grzywacz |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1386870251 PECOS PAC ID: 0941423800 Enrollment ID: I20140521001554 |
| Provider Name | Rebecca L Kaehr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811256118 PECOS PAC ID: 9133385040 Enrollment ID: I20140522001987 |
| Provider Name | Daniel David Miller |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1770745978 PECOS PAC ID: 9638330103 Enrollment ID: I20140527000481 |
| Provider Name | Kristen Jones |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1225260003 PECOS PAC ID: 7214151588 Enrollment ID: I20140609000384 |
| Provider Name | Hope M Pogemiller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841518578 PECOS PAC ID: 4688898844 Enrollment ID: I20140610001747 |
| Provider Name | Byron Philip Vaughn |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1255503223 PECOS PAC ID: 0648494716 Enrollment ID: I20140611000024 |
| Provider Name | Andrew C Nelson |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1760700777 PECOS PAC ID: 9436373586 Enrollment ID: I20140612000369 |
| Provider Name | Jill A Oswald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720337702 PECOS PAC ID: 5597916437 Enrollment ID: I20140620000268 |
| Provider Name | Justin R Howard |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1134360704 PECOS PAC ID: 9830314210 Enrollment ID: I20140626001516 |
| Provider Name | Haitham M Hussein |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851583579 PECOS PAC ID: 8224285614 Enrollment ID: I20140701001721 |
| Provider Name | Cyrus Jahansouz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1073926705 PECOS PAC ID: 9830314988 Enrollment ID: I20140702002358 |
| Provider Name | Radha Rajasingham |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1013181130 PECOS PAC ID: 2466677521 Enrollment ID: I20140702002741 |
| Provider Name | Ryan Kelly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881820074 PECOS PAC ID: 0446475495 Enrollment ID: I20140707000823 |
| Provider Name | Omar T Orozco Herrera |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215215199 PECOS PAC ID: 2062637705 Enrollment ID: I20140714000276 |
| Provider Name | Julie M Ottosen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053550434 PECOS PAC ID: 7810112596 Enrollment ID: I20140714001867 |
| Provider Name | Zachary K Anderson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689992174 PECOS PAC ID: 3870723778 Enrollment ID: I20140716000368 |
| Provider Name | William H Fredericks |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1720423643 PECOS PAC ID: 2567693120 Enrollment ID: I20140722001834 |
| Provider Name | Thomas Von Soukup |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891087953 PECOS PAC ID: 8224265749 Enrollment ID: I20140724002620 |
| Provider Name | Maya Tram Highness |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366730509 PECOS PAC ID: 1456577295 Enrollment ID: I20140730002737 |
| Provider Name | Laura J Hagemeyer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831489483 PECOS PAC ID: 9739306358 Enrollment ID: I20140805002355 |
| Provider Name | Elizabeth Bernice Berg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649614413 PECOS PAC ID: 5193942670 Enrollment ID: I20140806001732 |
| Provider Name | Michael J Beste |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700220712 PECOS PAC ID: 2668699109 Enrollment ID: I20140807000616 |
| Provider Name | Mueni C Mualuko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083027536 PECOS PAC ID: 2567689706 Enrollment ID: I20140811002720 |
| Provider Name | Katherine T Janssen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205196854 PECOS PAC ID: 8820215957 Enrollment ID: I20140813000512 |
| Provider Name | Kirsten E White |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104110170 PECOS PAC ID: 2466695093 Enrollment ID: I20140814001374 |
| Provider Name | Jason S Ward |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659661478 PECOS PAC ID: 5597982397 Enrollment ID: I20140818001727 |
| Provider Name | Viola M Tracy |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1366694655 PECOS PAC ID: 6709024326 Enrollment ID: I20140818001957 |
| Provider Name | Jacob J Wilson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265871701 PECOS PAC ID: 9931341278 Enrollment ID: I20140821000325 |
| Provider Name | Dawn M Violette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356750822 PECOS PAC ID: 2860610870 Enrollment ID: I20140903001882 |
| Provider Name | Rebecca Sara Hanson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598055949 PECOS PAC ID: 2062631286 Enrollment ID: I20140919000582 |
| Provider Name | Kristina M Krohn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316265564 PECOS PAC ID: 7416176565 Enrollment ID: I20140922002872 |
| Provider Name | Matthew H Foehrenbacher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750672812 PECOS PAC ID: 8022237023 Enrollment ID: I20140923001876 |
| Provider Name | Carla E Cerra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346664794 PECOS PAC ID: 4082834031 Enrollment ID: I20140925002047 |
| Provider Name | Rebecca L Markowitz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164740072 PECOS PAC ID: 1951543685 Enrollment ID: I20140929000290 |
| Provider Name | Lisa M Forslund |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821400631 PECOS PAC ID: 3072733781 Enrollment ID: I20141001000820 |
| Provider Name | Melissa Ny Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346539632 PECOS PAC ID: 4486874005 Enrollment ID: I20141002002035 |
| Provider Name | Tammie S Burnoski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669884359 PECOS PAC ID: 7719107283 Enrollment ID: I20141003001842 |
| Provider Name | Karam Makram Obeid |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1114138237 PECOS PAC ID: 6608760178 Enrollment ID: I20141007000811 |
| Provider Name | Vishnu Laalitha Surapaneni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164714002 PECOS PAC ID: 5597985770 Enrollment ID: I20141010000958 |
| Provider Name | Paari Murugan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1548593205 PECOS PAC ID: 6002037991 Enrollment ID: I20141017000553 |
| Provider Name | Jaya Bhattarai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013172717 PECOS PAC ID: 5395916555 Enrollment ID: I20141020001275 |
| Provider Name | Deanna Downs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831533868 PECOS PAC ID: 9032330873 Enrollment ID: I20141021001184 |
| Provider Name | Misbil F Hagi-salaad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508265984 PECOS PAC ID: 0749401586 Enrollment ID: I20141021001291 |
| Provider Name | Heather M Gunderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952557126 PECOS PAC ID: 2567683303 Enrollment ID: I20141021001301 |
| Provider Name | Erica A Kuhlmann |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1548441603 PECOS PAC ID: 3971634726 Enrollment ID: I20141029002590 |
| Provider Name | Inga Dembinskaite |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568722908 PECOS PAC ID: 1759502958 Enrollment ID: I20141030002503 |
| Provider Name | Heidi M Haider |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356753909 PECOS PAC ID: 5496977415 Enrollment ID: I20141106001752 |
| Provider Name | Jonathan D Gale |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1588829428 PECOS PAC ID: 3173752870 Enrollment ID: I20141110000063 |
| Provider Name | Aaron T Jagelski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548261357 PECOS PAC ID: 8527045764 Enrollment ID: I20141111000707 |
| Provider Name | Brandon Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073811675 PECOS PAC ID: 8820210545 Enrollment ID: I20141113001654 |
| Provider Name | Vivek Biala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720211840 PECOS PAC ID: 8224286547 Enrollment ID: I20141113001958 |
| Provider Name | Rebecca A Lenz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538573449 PECOS PAC ID: 4385866961 Enrollment ID: I20141114001666 |
| Provider Name | Jessica M Cici |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972737997 PECOS PAC ID: 7719109073 Enrollment ID: I20141121000355 |
| Provider Name | Speciose Sinyigaya |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205238250 PECOS PAC ID: 8729300884 Enrollment ID: I20141201002045 |
| Provider Name | Vaishnavi A Parnerkar |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1972730703 PECOS PAC ID: 3577885581 Enrollment ID: I20141202001712 |
| Provider Name | Betsy A Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568879260 PECOS PAC ID: 5597087387 Enrollment ID: I20141205001076 |
| Provider Name | Christine M Larson |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1710381298 PECOS PAC ID: 1153643853 Enrollment ID: I20141209000562 |
| Provider Name | Kelsey C Leonardsmith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992047385 PECOS PAC ID: 2466775671 Enrollment ID: I20141219000317 |
| Provider Name | Charito Manahan Santos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013103332 PECOS PAC ID: 5890984454 Enrollment ID: I20141219000422 |
| Provider Name | Charles P Schlatter |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902209661 PECOS PAC ID: 1052634128 Enrollment ID: I20141222000070 |
| Provider Name | Nicole J Staloch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134524242 PECOS PAC ID: 1658694492 Enrollment ID: I20141230002458 |
| Provider Name | Dominic A Rossini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912137944 PECOS PAC ID: 0941523591 Enrollment ID: I20150106002378 |
| Provider Name | Srivani Neshangi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205119880 PECOS PAC ID: 3072837558 Enrollment ID: I20150112001381 |
| Provider Name | Brie Zillhardt |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1053717348 PECOS PAC ID: 9335463777 Enrollment ID: I20150113002222 |
| Provider Name | Kimberly Dawn Schuelke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093119653 PECOS PAC ID: 3476877762 Enrollment ID: I20150114002016 |
| Provider Name | Elizabeth J Rowland |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1598164386 PECOS PAC ID: 1254655046 Enrollment ID: I20150129001020 |
| Provider Name | Laura E Desouza |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568717452 PECOS PAC ID: 0941525489 Enrollment ID: I20150204001740 |
| Provider Name | Kruti J Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043574262 PECOS PAC ID: 7012232218 Enrollment ID: I20150210002426 |
| Provider Name | Puspa Bhatta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922231216 PECOS PAC ID: 4183893647 Enrollment ID: I20150216001462 |
| Provider Name | Brian A Erickson |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1457443673 PECOS PAC ID: 0840185013 Enrollment ID: I20150220001219 |
| Provider Name | Jane O Martins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508264268 PECOS PAC ID: 5294050936 Enrollment ID: I20150220001501 |
| Provider Name | Courtney E Mcelroy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013222694 PECOS PAC ID: 9335306760 Enrollment ID: I20150226000515 |
| Provider Name | Gregory J Trobec |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184022733 PECOS PAC ID: 3678899085 Enrollment ID: I20150302002244 |
| Provider Name | Brittany A Eustice |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427454248 PECOS PAC ID: 2860718087 Enrollment ID: I20150306000628 |
| Provider Name | Mirza Salman Ahmed Baig |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538485925 PECOS PAC ID: 8729205869 Enrollment ID: I20150320000725 |
| Provider Name | Karen A Zimmerman |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1790746808 PECOS PAC ID: 8527953025 Enrollment ID: I20150324002425 |
| Provider Name | Fadi Alhatem |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467672485 PECOS PAC ID: 8729257035 Enrollment ID: I20150327001932 |
| Provider Name | Jackline Sutherland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861882029 PECOS PAC ID: 1153648217 Enrollment ID: I20150330000972 |
| Provider Name | Peter Igarashi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1225007792 PECOS PAC ID: 0042353385 Enrollment ID: I20150401002178 |
| Provider Name | Shelly Tran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770973760 PECOS PAC ID: 9739406687 Enrollment ID: I20150402001233 |
| Provider Name | Bernard-dean Marucci |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1255453924 PECOS PAC ID: 1456313725 Enrollment ID: I20150416001574 |
| Provider Name | Jennifer L Rickard |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1598925455 PECOS PAC ID: 7113246935 Enrollment ID: I20150429001111 |
| Provider Name | Inemienyu N Evbakhare |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225307135 PECOS PAC ID: 6901063312 Enrollment ID: I20150515000443 |
| Provider Name | Sarah K Hallman |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1093104093 PECOS PAC ID: 1557681335 Enrollment ID: I20150519000295 |
| Provider Name | Zachary P Kaltenborn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790077873 PECOS PAC ID: 3971823667 Enrollment ID: I20150520001810 |
| Provider Name | Mark H Luquette |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1154305324 PECOS PAC ID: 9931242625 Enrollment ID: I20150521001369 |
| Provider Name | Prashant Shrestha |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457587578 PECOS PAC ID: 5092035691 Enrollment ID: I20150521002423 |
| Provider Name | Emilian Viorel Racila |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1609010164 PECOS PAC ID: 8527388974 Enrollment ID: I20150526002055 |
| Provider Name | Steve W Pals |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467842419 PECOS PAC ID: 8123348422 Enrollment ID: I20150528001589 |
| Provider Name | Surbhi Shah |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1649400680 PECOS PAC ID: 8628398849 Enrollment ID: I20150528002487 |
| Provider Name | Alok L Shrestha |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558509034 PECOS PAC ID: 7012186570 Enrollment ID: I20150529000159 |
| Provider Name | Marie Hickey Swanson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548529761 PECOS PAC ID: 5193046209 Enrollment ID: I20150601002803 |
| Provider Name | Tirtha R Kharel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861669848 PECOS PAC ID: 7911172390 Enrollment ID: I20150602000263 |
| Provider Name | Andrew Johnson |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1962729111 PECOS PAC ID: 4981925849 Enrollment ID: I20150603001748 |
| Provider Name | Nimesh Bhattarai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588864151 PECOS PAC ID: 6800089251 Enrollment ID: I20150603001788 |
| Provider Name | Umesh Goswami |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1114188406 PECOS PAC ID: 9335460278 Enrollment ID: I20150604000699 |
| Provider Name | Rebecca Powell Stepan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205220993 PECOS PAC ID: 2668783895 Enrollment ID: I20150615001888 |
| Provider Name | Ariela Lucy Marshall |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1912141482 PECOS PAC ID: 3375792948 Enrollment ID: I20150615002719 |
| Provider Name | Brittani Conway |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1013202100 PECOS PAC ID: 3577874296 Enrollment ID: I20150623000755 |
| Provider Name | Gurumurthy Hiremath Mallikarjun |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952557332 PECOS PAC ID: 1153546429 Enrollment ID: I20150630000342 |
| Provider Name | Nathan J Rodgers |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790009595 PECOS PAC ID: 7719299668 Enrollment ID: I20150706002503 |
| Provider Name | Mehdi Dastrange |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982967139 PECOS PAC ID: 4880906734 Enrollment ID: I20150706002597 |
| Provider Name | Hassan A Salameh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457615718 PECOS PAC ID: 7517279474 Enrollment ID: I20150707000176 |
| Provider Name | Colleen L Rivard Hunt |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205098399 PECOS PAC ID: 2860704681 Enrollment ID: I20150708001777 |
| Provider Name | Rena Dawn Singleton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679833826 PECOS PAC ID: 9739491457 Enrollment ID: I20150708002243 |
| Provider Name | Calley A Lidle |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851513436 PECOS PAC ID: 7517270846 Enrollment ID: I20150716000219 |
| Provider Name | Orren Wexler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013159011 PECOS PAC ID: 6901060359 Enrollment ID: I20150716000387 |
| Provider Name | Mitchell A Timmons |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285806182 PECOS PAC ID: 3173791621 Enrollment ID: I20150716000957 |
| Provider Name | Emily Elizabeth Funk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003228669 PECOS PAC ID: 6800109661 Enrollment ID: I20150722005171 |
| Provider Name | Eva Constance Pesch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811301492 PECOS PAC ID: 7113230921 Enrollment ID: I20150723007012 |
| Provider Name | Laura Giegler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386064111 PECOS PAC ID: 8022321785 Enrollment ID: I20150723008826 |
| Provider Name | Kaitlyn Rose Schoeck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972913119 PECOS PAC ID: 4385957042 Enrollment ID: I20150723008863 |
| Provider Name | Margaret Christine Perko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710399381 PECOS PAC ID: 1951614635 Enrollment ID: I20150723009449 |
| Provider Name | Robert Charles Hlavacek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730509936 PECOS PAC ID: 1456664135 Enrollment ID: I20150723009603 |
| Provider Name | Nora L Mcpherson |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1740435171 PECOS PAC ID: 5193038883 Enrollment ID: I20150724009883 |
| Provider Name | Jenna Catherine Keller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669882791 PECOS PAC ID: 6103139787 Enrollment ID: I20150727000380 |
| Provider Name | Anne Marie Keenan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982017406 PECOS PAC ID: 0244544864 Enrollment ID: I20150727001999 |
| Provider Name | Liu Ying Luo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528318136 PECOS PAC ID: 6507170156 Enrollment ID: I20150728003233 |
| Provider Name | Jimmie Stewart |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1467414649 PECOS PAC ID: 4981662889 Enrollment ID: I20150729006660 |
| Provider Name | Poonam Kafle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740437797 PECOS PAC ID: 8426221755 Enrollment ID: I20150729007439 |
| Provider Name | Deepak Agarwal |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1972919538 PECOS PAC ID: 4183840572 Enrollment ID: I20150729007864 |
| Provider Name | Eromi S Jayasingha |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1588681522 PECOS PAC ID: 8729014337 Enrollment ID: I20150731015401 |
| Provider Name | Beth A Caven |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558743617 PECOS PAC ID: 0648584847 Enrollment ID: I20150731016424 |
| Provider Name | Tara Ann Nelson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447670104 PECOS PAC ID: 1456665579 Enrollment ID: I20150804003359 |
| Provider Name | Charles Vang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457771750 PECOS PAC ID: 2466766373 Enrollment ID: I20150806010120 |
| Provider Name | Jessica J Torres |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1972987113 PECOS PAC ID: 7214241025 Enrollment ID: I20150806010372 |
| Provider Name | Suzette Barakat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720249766 PECOS PAC ID: 1850574591 Enrollment ID: I20150807013402 |
| Provider Name | Angelica L Yackel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932580180 PECOS PAC ID: 1052625753 Enrollment ID: I20150807013982 |
| Provider Name | Abby E Wagstrom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366827552 PECOS PAC ID: 4688989346 Enrollment ID: I20150811003678 |
| Provider Name | Nicholas Kho Yan Lim Chow Tom |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1710159363 PECOS PAC ID: 9931414448 Enrollment ID: I20150812008782 |
| Provider Name | Thomas Dutch Hansen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356752190 PECOS PAC ID: 1759696271 Enrollment ID: I20150812009060 |
| Provider Name | Christopher David Streib |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629231881 PECOS PAC ID: 4587884440 Enrollment ID: I20150813011144 |
| Provider Name | Bethany Grace Fransen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356759534 PECOS PAC ID: 0446565832 Enrollment ID: I20150813011375 |
| Provider Name | Sarah N Stroik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679955884 PECOS PAC ID: 8325353717 Enrollment ID: I20150813011429 |
| Provider Name | Avinash Srikanth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205086816 PECOS PAC ID: 3375703945 Enrollment ID: I20150818003146 |
| Provider Name | Aaron Pinion |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1255642294 PECOS PAC ID: 3476868431 Enrollment ID: I20150819009016 |
| Provider Name | Tami J Hirsch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891177762 PECOS PAC ID: 6002122835 Enrollment ID: I20150825003204 |
| Provider Name | Yoaav Krauthammer |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1396942595 PECOS PAC ID: 6305152950 Enrollment ID: I20150827002845 |
| Provider Name | Gennadiy V Shevchenko |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093005498 PECOS PAC ID: 6204142763 Enrollment ID: I20150828000258 |
| Provider Name | Manit Singla |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356605968 PECOS PAC ID: 7113233255 Enrollment ID: I20150903001230 |
| Provider Name | Britt K Erickson |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1225294762 PECOS PAC ID: 0749445955 Enrollment ID: I20150908002882 |
| Provider Name | Michelle L Schorn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205212107 PECOS PAC ID: 6103133871 Enrollment ID: I20150911001887 |
| Provider Name | Promise C Amajiri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164898953 PECOS PAC ID: 9638486178 Enrollment ID: I20150916002481 |
| Provider Name | Theodore Carroll Edwards |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669730180 PECOS PAC ID: 6800103268 Enrollment ID: I20150916003469 |
| Provider Name | Jenna L Viland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275918658 PECOS PAC ID: 6204143407 Enrollment ID: I20150921002830 |
| Provider Name | Jeremy R Van't Hof |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679833909 PECOS PAC ID: 0446568448 Enrollment ID: I20150924000839 |
| Provider Name | Egla Maiyo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952787905 PECOS PAC ID: 2365750247 Enrollment ID: I20150925000842 |
| Provider Name | Hannah S Lichtsinn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033401187 PECOS PAC ID: 6406164177 Enrollment ID: I20150929002354 |
| Provider Name | Sean Tracy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225444938 PECOS PAC ID: 0547485195 Enrollment ID: I20151001001465 |
| Provider Name | Sudarshan Setty |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1558555144 PECOS PAC ID: 0840425872 Enrollment ID: I20151006000304 |
| Provider Name | Christina M Heringlake Jaspers |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1598057952 PECOS PAC ID: 3476861733 Enrollment ID: I20151006002067 |
| Provider Name | Ashley J Thersleff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720456577 PECOS PAC ID: 0648589226 Enrollment ID: I20151021002712 |
| Provider Name | Rebecca J Konen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386949337 PECOS PAC ID: 3870776289 Enrollment ID: I20151026000413 |
| Provider Name | Danielle R Stewart |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215307046 PECOS PAC ID: 0244549590 Enrollment ID: I20151027002843 |
| Provider Name | Jeffrey L Mills |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609247048 PECOS PAC ID: 9032429188 Enrollment ID: I20151102002689 |
| Provider Name | Julie A Larose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639550817 PECOS PAC ID: 5294045159 Enrollment ID: I20151104001721 |
| Provider Name | Diane Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609290717 PECOS PAC ID: 4688984396 Enrollment ID: I20151110000417 |
| Provider Name | Danielle C Bandholz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730555889 PECOS PAC ID: 9931419553 Enrollment ID: I20151112000114 |
| Provider Name | Christopher Mason |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073838017 PECOS PAC ID: 6608029905 Enrollment ID: I20151112001836 |
| Provider Name | Traci L Hakanson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225166135 PECOS PAC ID: 0840590634 Enrollment ID: I20151201000490 |
| Provider Name | Laura E Leatherman |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1255747648 PECOS PAC ID: 1951601616 Enrollment ID: I20151202000411 |
| Provider Name | Natalie L Carstenbrock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437528759 PECOS PAC ID: 2567762131 Enrollment ID: I20151203002252 |
| Provider Name | Janice L James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407187511 PECOS PAC ID: 1951601400 Enrollment ID: I20151204002283 |
| Provider Name | Jason J Rasmussen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1033191200 PECOS PAC ID: 6901958230 Enrollment ID: I20151209001785 |
| Provider Name | Jeanette D I Everson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720047780 PECOS PAC ID: 5890770937 Enrollment ID: I20151211000190 |
| Provider Name | Sarah Mccarthy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790154441 PECOS PAC ID: 6103127055 Enrollment ID: I20151217001557 |
| Provider Name | Marisa L Bushman |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1376918235 PECOS PAC ID: 8729389507 Enrollment ID: I20151221001534 |
| Provider Name | Sara M Burke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750752226 PECOS PAC ID: 0648571380 Enrollment ID: I20151222000876 |
| Provider Name | Marcie T Singh |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326413071 PECOS PAC ID: 7911209051 Enrollment ID: I20160107000419 |
| Provider Name | Joseph R Hounshell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851765721 PECOS PAC ID: 9931401759 Enrollment ID: I20160111000737 |
| Provider Name | Jeffrey Ac Pounds |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275552267 PECOS PAC ID: 4284936865 Enrollment ID: I20160114000083 |
| Provider Name | Brian S Hilliard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659715613 PECOS PAC ID: 2466755483 Enrollment ID: I20160126001690 |
| Provider Name | Justin D Jeffrey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942670039 PECOS PAC ID: 3577867035 Enrollment ID: I20160204000547 |
| Provider Name | Kathryn L Marvin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669837340 PECOS PAC ID: 4981908316 Enrollment ID: I20160205000704 |
| Provider Name | Jeffrey Borut |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053467241 PECOS PAC ID: 3274776752 Enrollment ID: I20160209000000 |
| Provider Name | Frederic N Beumer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023483203 PECOS PAC ID: 2567766546 Enrollment ID: I20160211001981 |
| Provider Name | Xin Piao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982062006 PECOS PAC ID: 6103121041 Enrollment ID: I20160301002045 |
| Provider Name | Ellen A Overson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770903429 PECOS PAC ID: 4486958105 Enrollment ID: I20160310000409 |
| Provider Name | Rohan R Lall |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1255582987 PECOS PAC ID: 0749590388 Enrollment ID: I20160318001205 |
| Provider Name | Jodi A Hildebrand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467819045 PECOS PAC ID: 0749587343 Enrollment ID: I20160325000694 |
| Provider Name | Tammi J Tallarico |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750758645 PECOS PAC ID: 5991002297 Enrollment ID: I20160331002635 |
| Provider Name | Kathryn Ann Cunin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831364587 PECOS PAC ID: 8426118860 Enrollment ID: I20160405001240 |
| Provider Name | Yvette N Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912365198 PECOS PAC ID: 0042518151 Enrollment ID: I20160406000011 |
| Provider Name | Jessica R Bridgeford |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1295126084 PECOS PAC ID: 5597063388 Enrollment ID: I20160412000406 |
| Provider Name | Jarrod N Yamanaka |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1700206273 PECOS PAC ID: 5597063032 Enrollment ID: I20160415001414 |
| Provider Name | Nicholas E Ingraham |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1033539648 PECOS PAC ID: 3870898083 Enrollment ID: I20160419000268 |
| Provider Name | Irtaza I Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538346200 PECOS PAC ID: 6709014889 Enrollment ID: I20160419002482 |
| Provider Name | Grace C Macomber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285939215 PECOS PAC ID: 7911184882 Enrollment ID: I20160428000554 |
| Provider Name | Jennifer A Markee Parlange |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1396078432 PECOS PAC ID: 5799824389 Enrollment ID: I20160428002431 |
| Provider Name | Jenna M Stark |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386009892 PECOS PAC ID: 7416256151 Enrollment ID: I20160429001461 |
| Provider Name | Jared G Nyabuti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255695797 PECOS PAC ID: 9133368822 Enrollment ID: I20160504001589 |
| Provider Name | Umair U Rehman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285074450 PECOS PAC ID: 5193946192 Enrollment ID: I20160512002144 |
| Provider Name | Matthew Vanderloo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497098297 PECOS PAC ID: 3072816669 Enrollment ID: I20160523001080 |
| Provider Name | Jeffrey Chuy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992083679 PECOS PAC ID: 5294024782 Enrollment ID: I20160524000266 |
| Provider Name | Hiba Bashir |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497875074 PECOS PAC ID: 6406034388 Enrollment ID: I20160526001234 |
| Provider Name | Reza Talaie |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487886271 PECOS PAC ID: 8426353103 Enrollment ID: I20160526001340 |
| Provider Name | Guru Trikudanathan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1740410638 PECOS PAC ID: 3678863792 Enrollment ID: I20160602000333 |
| Provider Name | Shamar Young |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1528389574 PECOS PAC ID: 1355585878 Enrollment ID: I20160603001449 |
| Provider Name | Winifred Sidibe |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114358520 PECOS PAC ID: 2466681085 Enrollment ID: I20160627001551 |
| Provider Name | Esther Chinedu Enu - Adediran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912347774 PECOS PAC ID: 5991937682 Enrollment ID: I20160628001282 |
| Provider Name | David A Wacker |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1386969327 PECOS PAC ID: 0749572394 Enrollment ID: I20160630000861 |
| Provider Name | Nadezhda V Horchner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578727822 PECOS PAC ID: 0446447999 Enrollment ID: I20160707001442 |
| Provider Name | Anteneh Girma Zewde |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356684609 PECOS PAC ID: 2860784022 Enrollment ID: I20160707002375 |
| Provider Name | Danielle J Koenig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841645942 PECOS PAC ID: 0547552689 Enrollment ID: I20160711000056 |
| Provider Name | Kristine L Duhamel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669827523 PECOS PAC ID: 3476845280 Enrollment ID: I20160714000414 |
| Provider Name | Nicole C Kalamitsiotis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457778623 PECOS PAC ID: 6901039403 Enrollment ID: I20160714000518 |
| Provider Name | Wendy S Sabinske |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750737441 PECOS PAC ID: 7214229921 Enrollment ID: I20160715001089 |
| Provider Name | Erica Bowen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134507783 PECOS PAC ID: 9234422551 Enrollment ID: I20160725001960 |
| Provider Name | Paul Edward Dixon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861807216 PECOS PAC ID: 3779700174 Enrollment ID: I20160725002060 |
| Provider Name | Lindsay Elizabeth Arnett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538546288 PECOS PAC ID: 9436453933 Enrollment ID: I20160726003002 |
| Provider Name | William Nguyen Binh Hoang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801274329 PECOS PAC ID: 6709181126 Enrollment ID: I20160726003307 |
| Provider Name | Justine Whitney Trumm |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699153551 PECOS PAC ID: 7810296043 Enrollment ID: I20160727000140 |
| Provider Name | Jennifer M Svendsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972982718 PECOS PAC ID: 2466758131 Enrollment ID: I20160727001893 |
| Provider Name | Yasser Chebli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366704553 PECOS PAC ID: 3173832359 Enrollment ID: I20160728002488 |
| Provider Name | Sarah C Kiel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457694416 PECOS PAC ID: 8527363365 Enrollment ID: I20160728002625 |
| Provider Name | Bruno Perossa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346657889 PECOS PAC ID: 5092934513 Enrollment ID: I20160801001980 |
| Provider Name | Sergey G Gurevich |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1578839015 PECOS PAC ID: 6103110911 Enrollment ID: I20160802001453 |
| Provider Name | Caroline H Brouwer |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1699133876 PECOS PAC ID: 0042504722 Enrollment ID: I20160803000410 |
| Provider Name | Jodelle M Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124480041 PECOS PAC ID: 0547554016 Enrollment ID: I20160805000534 |
| Provider Name | Thuy D Nguyen Tran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255718573 PECOS PAC ID: 8123322625 Enrollment ID: I20160808000593 |
| Provider Name | Derek W Eklund |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255774733 PECOS PAC ID: 6800194580 Enrollment ID: I20160810001586 |
| Provider Name | Daniel Joseph Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194104075 PECOS PAC ID: 5597060905 Enrollment ID: I20160810001741 |
| Provider Name | David James Shrake |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003295726 PECOS PAC ID: 7012211519 Enrollment ID: I20160810002060 |
| Provider Name | Anne D Sheehan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053770784 PECOS PAC ID: 5890089775 Enrollment ID: I20160816001789 |
| Provider Name | Stacie Marie Knutson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720304439 PECOS PAC ID: 8820394299 Enrollment ID: I20160816003028 |
| Provider Name | Parisa Salehi |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1083973630 PECOS PAC ID: 1951606631 Enrollment ID: I20160820000205 |
| Provider Name | Elizabeth J Mclean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043668494 PECOS PAC ID: 8729373311 Enrollment ID: I20160822001056 |
| Provider Name | Madhuri Vasudev Rao |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1295997641 PECOS PAC ID: 0840585329 Enrollment ID: I20160823001478 |
| Provider Name | Joshua R Rhein |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1710182621 PECOS PAC ID: 7810282324 Enrollment ID: I20160823002216 |
| Provider Name | Jacob Kohlenberg |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1306225990 PECOS PAC ID: 7810208477 Enrollment ID: I20160825000244 |
| Provider Name | Jena M Labine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366893331 PECOS PAC ID: 4082909353 Enrollment ID: I20160825001069 |
| Provider Name | Alexandra S Snell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720490535 PECOS PAC ID: 7315169356 Enrollment ID: I20160830001969 |
| Provider Name | Mithun R Suresh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326483702 PECOS PAC ID: 7315242856 Enrollment ID: I20160830002979 |
| Provider Name | Alex Michael Ng |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1083933675 PECOS PAC ID: 8921250291 Enrollment ID: I20160909000013 |
| Provider Name | Heather Bacon |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1235261389 PECOS PAC ID: 6103112685 Enrollment ID: I20160909000139 |
| Provider Name | Daniel A Ayana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679926927 PECOS PAC ID: 8729374129 Enrollment ID: I20160912001301 |
| Provider Name | Casey Loyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831541564 PECOS PAC ID: 9436445582 Enrollment ID: I20160915002018 |
| Provider Name | Melissa E Kitzman |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1730592759 PECOS PAC ID: 2860712452 Enrollment ID: I20160919001590 |
| Provider Name | Monica Bajracharya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548602865 PECOS PAC ID: 2062709033 Enrollment ID: I20160920001427 |
| Provider Name | Katharine R Parker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659710390 PECOS PAC ID: 4587960778 Enrollment ID: I20161003000639 |
| Provider Name | Yuriy Zgherea |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1891941373 PECOS PAC ID: 2567680531 Enrollment ID: I20161003001895 |
| Provider Name | Hlee Moua |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861949661 PECOS PAC ID: 2264720366 Enrollment ID: I20161005000789 |
| Provider Name | Nitika Ghattaura |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1356748495 PECOS PAC ID: 4082902069 Enrollment ID: I20161006000688 |
| Provider Name | Lobsang Trasar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821432360 PECOS PAC ID: 9830487883 Enrollment ID: I20161007000559 |
| Provider Name | Abdulqadir A Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366707556 PECOS PAC ID: 4880984475 Enrollment ID: I20161007001522 |
| Provider Name | Christopher Neville Ussher |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1568559888 PECOS PAC ID: 4981848074 Enrollment ID: I20161017001425 |
| Provider Name | Elizabeth R Lehner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174965172 PECOS PAC ID: 8628389590 Enrollment ID: I20161018001959 |
| Provider Name | Ali A Pitafi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023115615 PECOS PAC ID: 8921250044 Enrollment ID: I20161025002435 |
| Provider Name | Nicole M Siddons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467803403 PECOS PAC ID: 7113205923 Enrollment ID: I20161031000174 |
| Provider Name | Chime Yangzom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639624927 PECOS PAC ID: 4880972215 Enrollment ID: I20161104001794 |
| Provider Name | Stephen Contag |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710963707 PECOS PAC ID: 8123029774 Enrollment ID: I20161115000596 |
| Provider Name | Marian L Keillor |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1295283075 PECOS PAC ID: 8325327331 Enrollment ID: I20161115002495 |
| Provider Name | Michael S Borofsky |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1629202197 PECOS PAC ID: 7517183569 Enrollment ID: I20161116000395 |
| Provider Name | Christopher M Kobe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093192494 PECOS PAC ID: 0941508527 Enrollment ID: I20161116001265 |
| Provider Name | Kelly M Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295289064 PECOS PAC ID: 4981983632 Enrollment ID: I20161121000541 |
| Provider Name | Shalini Ravella |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1942444724 PECOS PAC ID: 0446404586 Enrollment ID: I20161205000474 |
| Provider Name | Kelly M Awes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619429180 PECOS PAC ID: 4587944665 Enrollment ID: I20161207000455 |
| Provider Name | Sumit Bhandari |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336452572 PECOS PAC ID: 2264627553 Enrollment ID: I20161208002529 |
| Provider Name | Rebecca P Spaeth |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1275080947 PECOS PAC ID: 5092096628 Enrollment ID: I20161220000007 |
| Provider Name | Alexis A Rupp |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073065538 PECOS PAC ID: 3678854965 Enrollment ID: I20161228001200 |
| Provider Name | Ani C Anwer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417215708 PECOS PAC ID: 1658682448 Enrollment ID: I20170103000273 |
| Provider Name | Marshall A Mazepa |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1174569354 PECOS PAC ID: 2163663519 Enrollment ID: I20170103001822 |
| Provider Name | Judy K Pauletich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528500360 PECOS PAC ID: 1254382757 Enrollment ID: I20170104000058 |
| Provider Name | Wen Zhong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356381537 PECOS PAC ID: 7810980752 Enrollment ID: I20170104001399 |
| Provider Name | Haruka M Torok |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518150580 PECOS PAC ID: 8820144132 Enrollment ID: I20170104001817 |
| Provider Name | Surabhi Thakar |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1063722767 PECOS PAC ID: 4789965575 Enrollment ID: I20170110002826 |
| Provider Name | Theresa E Sundstrom |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841741618 PECOS PAC ID: 2163704826 Enrollment ID: I20170113000578 |
| Provider Name | Andrea Marie Balsimo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912352188 PECOS PAC ID: 0345522819 Enrollment ID: I20170117001967 |
| Provider Name | Neil Eric Brown |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1457332934 PECOS PAC ID: 0042276933 Enrollment ID: I20170117002543 |
| Provider Name | Angela J Chircop |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831633130 PECOS PAC ID: 6901188424 Enrollment ID: I20170118001364 |
| Provider Name | Emily A Brunner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659579712 PECOS PAC ID: 5799936852 Enrollment ID: I20170118001624 |
| Provider Name | Thomas G Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316495401 PECOS PAC ID: 4284916727 Enrollment ID: I20170118002240 |
| Provider Name | Kristan M Lam |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1386028181 PECOS PAC ID: 4789998618 Enrollment ID: I20170119001119 |
| Provider Name | Amber N Bakke |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942752571 PECOS PAC ID: 2961784129 Enrollment ID: I20170123002762 |
| Provider Name | Jeremy R Allred |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821485095 PECOS PAC ID: 2961708193 Enrollment ID: I20170124001301 |
| Provider Name | Rachael Lenore Niemeyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598148918 PECOS PAC ID: 3577879378 Enrollment ID: I20170124002896 |
| Provider Name | Kylie M Vincent |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245772953 PECOS PAC ID: 8820371248 Enrollment ID: I20170209001699 |
| Provider Name | Valor Hopes |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1780651620 PECOS PAC ID: 2163705351 Enrollment ID: I20170214001326 |
| Provider Name | Johanes I Prawira |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932337706 PECOS PAC ID: 9830368786 Enrollment ID: I20170216001155 |
| Provider Name | Heidi M Woxland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396008231 PECOS PAC ID: 5092962571 Enrollment ID: I20170216002092 |
| Provider Name | Nicholas Alexander Zorko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972990182 PECOS PAC ID: 2466755293 Enrollment ID: I20170216002633 |
| Provider Name | Pilar A Boril |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417493396 PECOS PAC ID: 5092099788 Enrollment ID: I20170223002375 |
| Provider Name | Megan C Roth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952739351 PECOS PAC ID: 3173753639 Enrollment ID: I20170228002172 |
| Provider Name | Jennifer A Novak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023557352 PECOS PAC ID: 3072897446 Enrollment ID: I20170302001156 |
| Provider Name | Natalie N. Jacobson-dunlop |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1598934689 PECOS PAC ID: 2961687330 Enrollment ID: I20170303000141 |
| Provider Name | David P Darrow |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1649614496 PECOS PAC ID: 8729382213 Enrollment ID: I20170306002249 |
| Provider Name | Martha M Ording |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1255527826 PECOS PAC ID: 4385731710 Enrollment ID: I20170308001726 |
| Provider Name | Susan Cuny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225576101 PECOS PAC ID: 7214211317 Enrollment ID: I20170309002509 |
| Provider Name | Caroline W Kuria |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801346093 PECOS PAC ID: 6406130426 Enrollment ID: I20170310001005 |
| Provider Name | Kelly J Hedblad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992256382 PECOS PAC ID: 5799069720 Enrollment ID: I20170310001403 |
| Provider Name | Lindsey A Dahm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629420070 PECOS PAC ID: 5496030496 Enrollment ID: I20170313002248 |
| Provider Name | Christin L Radtke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730621467 PECOS PAC ID: 6103101761 Enrollment ID: I20170322000149 |
| Provider Name | Cody W Wendlandt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972915882 PECOS PAC ID: 8325334964 Enrollment ID: I20170328000417 |
| Provider Name | James W Johns |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053859934 PECOS PAC ID: 3779869870 Enrollment ID: I20170403002501 |
| Provider Name | Kaitlin Anderson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1376973958 PECOS PAC ID: 3274819081 Enrollment ID: I20170410002578 |
| Provider Name | Michael John Helfman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487194957 PECOS PAC ID: 4284910779 Enrollment ID: I20170418001211 |
| Provider Name | Alyssa P Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841737814 PECOS PAC ID: 5698051993 Enrollment ID: I20170421001975 |
| Provider Name | Ashley M Zilles |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871858639 PECOS PAC ID: 2062731755 Enrollment ID: I20170502002455 |
| Provider Name | Samuel C Dudley |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568575173 PECOS PAC ID: 3274602420 Enrollment ID: I20170510001046 |
| Provider Name | James Norby Porter |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437521614 PECOS PAC ID: 8426335910 Enrollment ID: I20170510002982 |
| Provider Name | Barbara J Schmitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558802660 PECOS PAC ID: 9032496377 Enrollment ID: I20170515001817 |
| Provider Name | Cresta W Jones |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235146556 PECOS PAC ID: 9436181393 Enrollment ID: I20170516001984 |
| Provider Name | Hayder Abbood |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922448141 PECOS PAC ID: 2668768649 Enrollment ID: I20170518002310 |
| Provider Name | Lydia Nyakonu Sherman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013457381 PECOS PAC ID: 5698042711 Enrollment ID: I20170522000571 |
| Provider Name | Jameel Justin Winter |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699066357 PECOS PAC ID: 1557599560 Enrollment ID: I20170523000100 |
| Provider Name | Daniel Keys |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1710159975 PECOS PAC ID: 2466696919 Enrollment ID: I20170530000632 |
| Provider Name | Ilknur Can |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1558514661 PECOS PAC ID: 3274800917 Enrollment ID: I20170530001739 |
| Provider Name | Lindsay G Otte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013386994 PECOS PAC ID: 7315248309 Enrollment ID: I20170608000962 |
| Provider Name | Benjamin T Webber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780094912 PECOS PAC ID: 1759688096 Enrollment ID: I20170608000965 |
| Provider Name | Pawel Andrzej Mroz |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1740575125 PECOS PAC ID: 8224338884 Enrollment ID: I20170608001458 |
| Provider Name | Shannon Marie Mooney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508397290 PECOS PAC ID: 3173891454 Enrollment ID: I20170608001939 |
| Provider Name | Rupa P Austria |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1861835217 PECOS PAC ID: 6901101773 Enrollment ID: I20170608002122 |
| Provider Name | Raghavendra R Nayak |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1043654072 PECOS PAC ID: 7113222951 Enrollment ID: I20170609001284 |
| Provider Name | Andrew W Shaffer |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1609039742 PECOS PAC ID: 4486885951 Enrollment ID: I20170612003026 |
| Provider Name | Marat Yanavitski |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1558599712 PECOS PAC ID: 7810265998 Enrollment ID: I20170613002626 |
| Provider Name | Stephanie E Standal |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1588007116 PECOS PAC ID: 2769787597 Enrollment ID: I20170613002963 |
| Provider Name | Joseph Zabell |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1164747085 PECOS PAC ID: 2466767579 Enrollment ID: I20170620000487 |
| Provider Name | Molly F Wyman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144665027 PECOS PAC ID: 4183922909 Enrollment ID: I20170623000023 |
| Provider Name | Kathryn M Pendleton |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1659666287 PECOS PAC ID: 4486955846 Enrollment ID: I20170627001881 |
| Provider Name | Aneliya M Miltcheva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205378403 PECOS PAC ID: 5991074379 Enrollment ID: I20170627003340 |
| Provider Name | Christopher James Tignanelli |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477780245 PECOS PAC ID: 3072738509 Enrollment ID: I20170628002837 |
| Provider Name | Sarah Nicole Olson Venning |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003255472 PECOS PAC ID: 6406125723 Enrollment ID: I20170629002920 |
| Provider Name | Reem Mahdawi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396151056 PECOS PAC ID: 3971805854 Enrollment ID: I20170630001375 |
| Provider Name | Michael A Sundberg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306111414 PECOS PAC ID: 8426296765 Enrollment ID: I20170703000907 |
| Provider Name | Melissa A Lewis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386172609 PECOS PAC ID: 4183993736 Enrollment ID: I20170713000684 |
| Provider Name | Jeremy Scott Markowitz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1033438601 PECOS PAC ID: 6901176478 Enrollment ID: I20170717003576 |
| Provider Name | Clark C. Chen |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1437149523 PECOS PAC ID: 5395825632 Enrollment ID: I20170719001350 |
| Provider Name | Matthew Yocum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497199236 PECOS PAC ID: 8426354812 Enrollment ID: I20170724002812 |
| Provider Name | Eugenia Shmidt |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1003102989 PECOS PAC ID: 0143477695 Enrollment ID: I20170727003786 |
| Provider Name | Catherine E. Porter |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154564409 PECOS PAC ID: 9537302740 Enrollment ID: I20170728001281 |
| Provider Name | Misbah Y Palla |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255726261 PECOS PAC ID: 5991089161 Enrollment ID: I20170728001940 |
| Provider Name | Angelique M Ruff |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1295020311 PECOS PAC ID: 4486870557 Enrollment ID: I20170731002948 |
| Provider Name | Erik John Kraska |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154772556 PECOS PAC ID: 8628349255 Enrollment ID: I20170801000587 |
| Provider Name | Jeffrey Oli Grosland |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1154619211 PECOS PAC ID: 4284919267 Enrollment ID: I20170802001575 |
| Provider Name | Afanwi Lumsina Kube |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306367172 PECOS PAC ID: 6800167834 Enrollment ID: I20170809000706 |
| Provider Name | Robert W Gould |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1740218916 PECOS PAC ID: 0345147021 Enrollment ID: I20170811002046 |
| Provider Name | Andrew Jose Garcia |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1801214499 PECOS PAC ID: 7315246261 Enrollment ID: I20170812000001 |
| Provider Name | Jonathan C Homans |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588919526 PECOS PAC ID: 6709192313 Enrollment ID: I20170814000409 |
| Provider Name | Kenneth R Leeson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992225866 PECOS PAC ID: 1759652530 Enrollment ID: I20170814000757 |
| Provider Name | Lindsay N Williams Palaniappan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568816189 PECOS PAC ID: 0749572535 Enrollment ID: I20170814002604 |
| Provider Name | Jacob Jennings Orme |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1275997926 PECOS PAC ID: 7214220177 Enrollment ID: I20170814003337 |
| Provider Name | Dame Idossa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538523121 PECOS PAC ID: 9830481878 Enrollment ID: I20170815000546 |
| Provider Name | Jonathan Snitzer |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1831456953 PECOS PAC ID: 2961774740 Enrollment ID: I20170815001989 |
| Provider Name | Avraham Sofer |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1386969152 PECOS PAC ID: 3678714011 Enrollment ID: I20170816002280 |
| Provider Name | James Edward Hougas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780812651 PECOS PAC ID: 6406095686 Enrollment ID: I20170819000205 |
| Provider Name | Marie Hu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417311895 PECOS PAC ID: 4183914302 Enrollment ID: I20170821001900 |
| Provider Name | Brett Gregory Aplin |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1215164959 PECOS PAC ID: 4981900461 Enrollment ID: I20170821003512 |
| Provider Name | Jaimi L Weber |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1336594498 PECOS PAC ID: 4587958095 Enrollment ID: I20170821003523 |
| Provider Name | Christopher C Roe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669554358 PECOS PAC ID: 1456453778 Enrollment ID: I20170824000678 |
| Provider Name | Fardows Salim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114344587 PECOS PAC ID: 4183926116 Enrollment ID: I20170824001375 |
| Provider Name | Joel S Jurantee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548560659 PECOS PAC ID: 3678709839 Enrollment ID: I20170825002385 |
| Provider Name | Yoftahe Abebe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396156881 PECOS PAC ID: 6800172040 Enrollment ID: I20170828001760 |
| Provider Name | Keith Wirth |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336568617 PECOS PAC ID: 6406150267 Enrollment ID: I20170828003956 |
| Provider Name | John Mccormick-deaton |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1699074229 PECOS PAC ID: 8921225962 Enrollment ID: I20170830001183 |
| Provider Name | Katherine Ann Vellabati |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1902320500 PECOS PAC ID: 0345513172 Enrollment ID: I20170830001477 |
| Provider Name | Matthew Richard Soule |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1437393113 PECOS PAC ID: 5395041800 Enrollment ID: I20170830003748 |
| Provider Name | Edriss Ali Charaf |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1629267588 PECOS PAC ID: 3072652783 Enrollment ID: I20170901001102 |
| Provider Name | Katie-anne Swenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225588668 PECOS PAC ID: 2860765385 Enrollment ID: I20170906000085 |
| Provider Name | Bonnie Kathleen Keane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508248121 PECOS PAC ID: 5991019440 Enrollment ID: I20170908000243 |
| Provider Name | Jennifer E Robinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700206109 PECOS PAC ID: 3072733674 Enrollment ID: I20170919000617 |
| Provider Name | Jennilynn M Gunn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174990089 PECOS PAC ID: 6002180668 Enrollment ID: I20170920001434 |
| Provider Name | Anne Lovell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720407695 PECOS PAC ID: 2769609155 Enrollment ID: I20170921001787 |
| Provider Name | Bridget M Kingsley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386167286 PECOS PAC ID: 5799059267 Enrollment ID: I20170921002333 |
| Provider Name | Opeyemi Agboola |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558775429 PECOS PAC ID: 0648544726 Enrollment ID: I20170928001695 |
| Provider Name | David Allen Supik |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1154767366 PECOS PAC ID: 0345532701 Enrollment ID: I20170929000727 |
| Provider Name | Justin Houston |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528479888 PECOS PAC ID: 7113240417 Enrollment ID: I20171003005253 |
| Provider Name | Katherine M Satrom |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588955199 PECOS PAC ID: 6103121934 Enrollment ID: I20171009000127 |
| Provider Name | Nasreen S Quadri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992182158 PECOS PAC ID: 3678877719 Enrollment ID: I20171009002310 |
| Provider Name | Sarah Marie Olson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811434038 PECOS PAC ID: 9234404674 Enrollment ID: I20171010003652 |
| Provider Name | Catherine A Passe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073050704 PECOS PAC ID: 7517233521 Enrollment ID: I20171018003579 |
| Provider Name | Nicholas Villarreal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609392695 PECOS PAC ID: 7618243460 Enrollment ID: I20171023000252 |
| Provider Name | Theang T Ho |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528412038 PECOS PAC ID: 7315228475 Enrollment ID: I20171023002010 |
| Provider Name | Steven L Feng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255759403 PECOS PAC ID: 5890093595 Enrollment ID: I20171027001996 |
| Provider Name | Kathleen P Lane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649681115 PECOS PAC ID: 3678870284 Enrollment ID: I20171027002077 |
| Provider Name | Alanna Jade Jirschele |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1497265698 PECOS PAC ID: 4385900554 Enrollment ID: I20171106000694 |
| Provider Name | Daniel Hinderaker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467908277 PECOS PAC ID: 8628334687 Enrollment ID: I20171107001522 |
| Provider Name | Tiffany J Radke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730588823 PECOS PAC ID: 9638399470 Enrollment ID: I20171110000621 |
| Provider Name | Erin Marie Crosby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164952479 PECOS PAC ID: 5890051627 Enrollment ID: I20171113000336 |
| Provider Name | Roma Teekamdas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245673714 PECOS PAC ID: 8527346857 Enrollment ID: I20171127001621 |
| Provider Name | Richard S Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891106100 PECOS PAC ID: 8729384227 Enrollment ID: I20171130000505 |
| Provider Name | Vanessa Marie Hauge |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1386191948 PECOS PAC ID: 3173880929 Enrollment ID: I20171201002787 |
| Provider Name | Jessica Whelan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679866099 PECOS PAC ID: 4981844131 Enrollment ID: I20171204001450 |
| Provider Name | Pamela Jo Shultz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043373426 PECOS PAC ID: 7012275258 Enrollment ID: I20171218001750 |
| Provider Name | Theresa M Havalad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942649181 PECOS PAC ID: 1557595105 Enrollment ID: I20180102001037 |
| Provider Name | Eric E Steinbrueck |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134485022 PECOS PAC ID: 9133436207 Enrollment ID: I20180103000344 |
| Provider Name | Jeremy Taylor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295189991 PECOS PAC ID: 4284993882 Enrollment ID: I20180104001381 |
| Provider Name | Andrew G Wu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467839332 PECOS PAC ID: 1456655141 Enrollment ID: I20180110000042 |
| Provider Name | Becca C Sample |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538600440 PECOS PAC ID: 4284993619 Enrollment ID: I20180110003047 |
| Provider Name | Jenna M Rossow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790296267 PECOS PAC ID: 0840559779 Enrollment ID: I20180122001814 |
| Provider Name | Lucas R. Frohreich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710402706 PECOS PAC ID: 6709146376 Enrollment ID: I20180131001040 |
| Provider Name | Amy Reed |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1285602805 PECOS PAC ID: 8628064201 Enrollment ID: I20180208002443 |
| Provider Name | Rahul Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497910186 PECOS PAC ID: 3870768385 Enrollment ID: I20180208002910 |
| Provider Name | Patrick Henry Nachman |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1912075144 PECOS PAC ID: 5395871016 Enrollment ID: I20180212000012 |
| Provider Name | Maria Kathleen Horne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144733551 PECOS PAC ID: 1153681135 Enrollment ID: I20180213000865 |
| Provider Name | Kendall R Mceachron |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053798728 PECOS PAC ID: 2264736024 Enrollment ID: I20180219001986 |
| Provider Name | Karl W Eckberg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356738850 PECOS PAC ID: 7618273939 Enrollment ID: I20180221002662 |
| Provider Name | Justin Halbe |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1356667984 PECOS PAC ID: 8123347713 Enrollment ID: I20180306002750 |
| Provider Name | Cassandra Anne Albrecht |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992216683 PECOS PAC ID: 7911269832 Enrollment ID: I20180313000099 |
| Provider Name | Nathan Andrew Koppe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992219570 PECOS PAC ID: 4183986060 Enrollment ID: I20180314000241 |
| Provider Name | Harumi L Hachiya |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760436166 PECOS PAC ID: 1951324326 Enrollment ID: I20180314000430 |
| Provider Name | Mary C Hughes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942238811 PECOS PAC ID: 4688761083 Enrollment ID: I20180319000657 |
| Provider Name | Kristin A Lentz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750783908 PECOS PAC ID: 0345566428 Enrollment ID: I20180320000140 |
| Provider Name | Meghan Kerry Dunnigan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376059188 PECOS PAC ID: 5890057087 Enrollment ID: I20180328002038 |
| Provider Name | Rao Watson |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1386953479 PECOS PAC ID: 2668784349 Enrollment ID: I20180328002734 |
| Provider Name | David M Wilhelm |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386637882 PECOS PAC ID: 6901707355 Enrollment ID: I20180329001546 |
| Provider Name | Kelly Ann Pearson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992216618 PECOS PAC ID: 5597028506 Enrollment ID: I20180404001000 |
| Provider Name | Jennifer S Gioia |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1952644841 PECOS PAC ID: 8022371913 Enrollment ID: I20180405001633 |
| Provider Name | Riley J Odom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437659190 PECOS PAC ID: 1850654641 Enrollment ID: I20180409001188 |
| Provider Name | Jessica Ann Hane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114374881 PECOS PAC ID: 9537446117 Enrollment ID: I20180412002915 |
| Provider Name | Rawson James Valentine |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1356304075 PECOS PAC ID: 1658321641 Enrollment ID: I20180418001575 |
| Provider Name | Brian Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316263064 PECOS PAC ID: 9032339627 Enrollment ID: I20180423002386 |
| Provider Name | Jesse Cramer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225435167 PECOS PAC ID: 5092038919 Enrollment ID: I20180426001774 |
| Provider Name | Elizabeth Emily Bennett |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1427347418 PECOS PAC ID: 3476817446 Enrollment ID: I20180430001276 |
| Provider Name | Jan K Czyzyk |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1285617407 PECOS PAC ID: 3870764004 Enrollment ID: I20180514002492 |
| Provider Name | Ilitch Diaz Gutierrez |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1629209366 PECOS PAC ID: 7911132105 Enrollment ID: I20180522002742 |
| Provider Name | Joan C Mezera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376851741 PECOS PAC ID: 2365625746 Enrollment ID: I20180523002151 |
| Provider Name | Akilan Selvaraju |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1992955751 PECOS PAC ID: 1557655420 Enrollment ID: I20180524000001 |
| Provider Name | Robben Andrew Schat |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164765822 PECOS PAC ID: 6103121124 Enrollment ID: I20180606000910 |
| Provider Name | Chuen-fu Lin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043328818 PECOS PAC ID: 2365695624 Enrollment ID: I20180607000865 |
| Provider Name | Jerry W Tu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477963734 PECOS PAC ID: 8921377326 Enrollment ID: I20180613000269 |
| Provider Name | Olufunmilola Okanla |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841626132 PECOS PAC ID: 4981959954 Enrollment ID: I20180614001748 |
| Provider Name | Bryan D Hinck |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1467728881 PECOS PAC ID: 6507168556 Enrollment ID: I20180618000771 |
| Provider Name | Nirjhar Dutta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104292978 PECOS PAC ID: 6002193950 Enrollment ID: I20180619000551 |
| Provider Name | Rahul Kapur |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1295931962 PECOS PAC ID: 2668573247 Enrollment ID: I20180620000002 |
| Provider Name | Wei-han Wayne Hsiao |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1043599327 PECOS PAC ID: 3678715810 Enrollment ID: I20180626001586 |
| Provider Name | Abijah Muthyala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528465655 PECOS PAC ID: 7214291764 Enrollment ID: I20180710001309 |
| Provider Name | Roy Lee Joe Kao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407058076 PECOS PAC ID: 5395918072 Enrollment ID: I20180710001872 |
| Provider Name | Nick Huynh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023490414 PECOS PAC ID: 5092007328 Enrollment ID: I20180712000035 |
| Provider Name | Jetter Thomas Robertson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760802508 PECOS PAC ID: 1254636160 Enrollment ID: I20180712000663 |
| Provider Name | Daniel L Cortez |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1336414309 PECOS PAC ID: 5092959254 Enrollment ID: I20180713002650 |
| Provider Name | Victoria C Valena |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1851360671 PECOS PAC ID: 3971850470 Enrollment ID: I20180714000000 |
| Provider Name | Jereoha C Nwobodo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316358518 PECOS PAC ID: 7012264237 Enrollment ID: I20180719000980 |
| Provider Name | Oksana Ag Bohn |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1720349384 PECOS PAC ID: 3870890999 Enrollment ID: I20180719002826 |
| Provider Name | Christopher Steevens |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1992094064 PECOS PAC ID: 1951607555 Enrollment ID: I20180720001003 |
| Provider Name | Richie K Huynh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801282447 PECOS PAC ID: 8820369010 Enrollment ID: I20180724001132 |
| Provider Name | Dennis Ea |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114450988 PECOS PAC ID: 9638447964 Enrollment ID: I20180728000016 |
| Provider Name | Sadik Abdikadir Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811377229 PECOS PAC ID: 6305193996 Enrollment ID: I20180730000213 |
| Provider Name | Khalid Abdiaziz Mohamood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275950461 PECOS PAC ID: 7214160415 Enrollment ID: I20180730002514 |
| Provider Name | Zaki H Khan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700058849 PECOS PAC ID: 9335336361 Enrollment ID: I20180731000760 |
| Provider Name | Jennifer Kay Rieger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174015986 PECOS PAC ID: 9739437237 Enrollment ID: I20180731001385 |
| Provider Name | Matthew G Robertson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942688205 PECOS PAC ID: 3870897630 Enrollment ID: I20180731003270 |
| Provider Name | Fiona C. He |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1730440140 PECOS PAC ID: 8426271032 Enrollment ID: I20180801000440 |
| Provider Name | Cameron Blegen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548791585 PECOS PAC ID: 3375812308 Enrollment ID: I20180801003575 |
| Provider Name | Kairav Pramesh Vakil |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467600403 PECOS PAC ID: 3678889045 Enrollment ID: I20180802000500 |
| Provider Name | Kayla A Harris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992236681 PECOS PAC ID: 8628347697 Enrollment ID: I20180802001196 |
| Provider Name | Benjamin Satterfield |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1083147128 PECOS PAC ID: 0941572515 Enrollment ID: I20180802001633 |
| Provider Name | Christina Rose Werman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336671205 PECOS PAC ID: 4587933429 Enrollment ID: I20180802002634 |
| Provider Name | Nailah Cash-obannon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144755323 PECOS PAC ID: 6901164342 Enrollment ID: I20180804000083 |
| Provider Name | Sheila Kathleen Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710218151 PECOS PAC ID: 5991941692 Enrollment ID: I20180804000198 |
| Provider Name | Haley L Stewart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659802510 PECOS PAC ID: 2163791989 Enrollment ID: I20180806001704 |
| Provider Name | Alyson Ann Montplaisir |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467952986 PECOS PAC ID: 5496003576 Enrollment ID: I20180806003114 |
| Provider Name | Benjamin Eli Rosenstein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346771920 PECOS PAC ID: 8820367790 Enrollment ID: I20180808001130 |
| Provider Name | Russ Patrick Gervais |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760917660 PECOS PAC ID: 4385916782 Enrollment ID: I20180809000471 |
| Provider Name | Gabriel Jerome Greseth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609367150 PECOS PAC ID: 8921357526 Enrollment ID: I20180815000903 |
| Provider Name | Oloruntobi Moses Rahaman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881013704 PECOS PAC ID: 4082963509 Enrollment ID: I20180816002184 |
| Provider Name | Abbie J Metzler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114452471 PECOS PAC ID: 4981973476 Enrollment ID: I20180824001813 |
| Provider Name | Matthew D Torgeson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497192066 PECOS PAC ID: 4789811662 Enrollment ID: I20180827002200 |
| Provider Name | Deanna Marie Heine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831677780 PECOS PAC ID: 2264781038 Enrollment ID: I20180828001920 |
| Provider Name | Katelyn E Nichols |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801389911 PECOS PAC ID: 2769732494 Enrollment ID: I20180830000722 |
| Provider Name | Mohammad Taha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588862346 PECOS PAC ID: 9537354279 Enrollment ID: I20180831000927 |
| Provider Name | Timothy Edmiston |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982021549 PECOS PAC ID: 7517267313 Enrollment ID: I20180831001024 |
| Provider Name | Emily Diane Escue |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1407295124 PECOS PAC ID: 5890919013 Enrollment ID: I20180901000044 |
| Provider Name | Ashley Husebye |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1114345923 PECOS PAC ID: 0042509804 Enrollment ID: I20180905000513 |
| Provider Name | Sarwat Khalil |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1982950218 PECOS PAC ID: 8123269941 Enrollment ID: I20180906000693 |
| Provider Name | Nicole Roeder |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1568737716 PECOS PAC ID: 5698094761 Enrollment ID: I20180910001647 |
| Provider Name | Nicholas Alexander Cooley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801270798 PECOS PAC ID: 9032403530 Enrollment ID: I20180913000078 |
| Provider Name | Ryan Heywood Ban |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154701282 PECOS PAC ID: 2163772013 Enrollment ID: I20180913002898 |
| Provider Name | Breeanna Marie Mccarthy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609252410 PECOS PAC ID: 5799084265 Enrollment ID: I20180915000012 |
| Provider Name | Melissa A Plesac |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659750503 PECOS PAC ID: 2365748803 Enrollment ID: I20180917000162 |
| Provider Name | Brian F Allen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679950968 PECOS PAC ID: 1153680566 Enrollment ID: I20180919002856 |
| Provider Name | Jessica Marsh Schmitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609357151 PECOS PAC ID: 6608127899 Enrollment ID: I20180927001643 |
| Provider Name | Travis Fahrenkamp |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194168500 PECOS PAC ID: 7012223613 Enrollment ID: I20181001001266 |
| Provider Name | Jennifer J Weinberg |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174830194 PECOS PAC ID: 4082901681 Enrollment ID: I20181003001799 |
| Provider Name | Taylor Kristine Hart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730624479 PECOS PAC ID: 1456603364 Enrollment ID: I20181003003352 |
| Provider Name | Luke William Leblanc |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346771326 PECOS PAC ID: 9335418474 Enrollment ID: I20181005002352 |
| Provider Name | Andrew Scott Jensen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245610633 PECOS PAC ID: 9537448675 Enrollment ID: I20181009000049 |
| Provider Name | Vanessa Rose Kasper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801373063 PECOS PAC ID: 9335491067 Enrollment ID: I20181009000405 |
| Provider Name | Yauhen Alexander Tarbunou |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1265721757 PECOS PAC ID: 8527310267 Enrollment ID: I20181009000832 |
| Provider Name | Stephanie Lynae Gulbranson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043793144 PECOS PAC ID: 2062764608 Enrollment ID: I20181010001405 |
| Provider Name | Jenna L. Potter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720495484 PECOS PAC ID: 5799902276 Enrollment ID: I20181012002132 |
| Provider Name | Danielle Green |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538551247 PECOS PAC ID: 1658679352 Enrollment ID: I20181016000017 |
| Provider Name | Steven D Skolasinski |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1396005864 PECOS PAC ID: 7416252341 Enrollment ID: I20181024002446 |
| Provider Name | Carmen Barnes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689928871 PECOS PAC ID: 1658624309 Enrollment ID: I20181025001672 |
| Provider Name | Kevin J Dirksen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063992857 PECOS PAC ID: 8527311299 Enrollment ID: I20181025002306 |
| Provider Name | Prasuna Gnana Dubagunta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376573014 PECOS PAC ID: 7618930017 Enrollment ID: I20181030000731 |
| Provider Name | Adriana Dhawan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952712333 PECOS PAC ID: 6901102029 Enrollment ID: I20181102000506 |
| Provider Name | Leah Jeane Jensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225503055 PECOS PAC ID: 6103170337 Enrollment ID: I20181107000183 |
| Provider Name | Mark Daniel Folkertsma |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902162985 PECOS PAC ID: 1850520339 Enrollment ID: I20181107000896 |
| Provider Name | Courtney Jean Moore |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1649651639 PECOS PAC ID: 4587918453 Enrollment ID: I20181112001940 |
| Provider Name | Ashley Erin Trudell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467927954 PECOS PAC ID: 9032463948 Enrollment ID: I20181113000678 |
| Provider Name | Kerwin T Chan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639367865 PECOS PAC ID: 1456545177 Enrollment ID: I20181115000458 |
| Provider Name | Kahoua Caroline Lochungvu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609288828 PECOS PAC ID: 0941570394 Enrollment ID: I20181115001431 |
| Provider Name | Harsh Rai Aggarwal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427210673 PECOS PAC ID: 9830327501 Enrollment ID: I20181115002920 |
| Provider Name | Parveen Kumar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558522003 PECOS PAC ID: 0143498550 Enrollment ID: I20181127001487 |
| Provider Name | Joshua Allan Thompson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710372032 PECOS PAC ID: 6204126758 Enrollment ID: I20181128001745 |
| Provider Name | Annika Lee Blaine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699253468 PECOS PAC ID: 0345584520 Enrollment ID: I20181128001835 |
| Provider Name | Rupesh Ranjan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1861766693 PECOS PAC ID: 7214252915 Enrollment ID: I20181201000293 |
| Provider Name | Christopher Erickson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477647261 PECOS PAC ID: 2264525161 Enrollment ID: I20181205001233 |
| Provider Name | Timothy Paul Capecchi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508159054 PECOS PAC ID: 7315232956 Enrollment ID: I20181213001650 |
| Provider Name | Kayley L Szondy |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1184986010 PECOS PAC ID: 3173868155 Enrollment ID: I20181219001663 |
| Provider Name | Nzube C Okonkwo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154708022 PECOS PAC ID: 5991001471 Enrollment ID: I20181219003002 |
| Provider Name | Ossama Al Masalmeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851654776 PECOS PAC ID: 0648571182 Enrollment ID: I20190103001138 |
| Provider Name | Ahmed M.a. Dirweesh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619348430 PECOS PAC ID: 2062758477 Enrollment ID: I20190107000521 |
| Provider Name | Nandita Sharma |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639434806 PECOS PAC ID: 5991087371 Enrollment ID: I20190111000212 |
| Provider Name | Shannon M Goecke-watson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205307659 PECOS PAC ID: 2062758873 Enrollment ID: I20190116001290 |
| Provider Name | Samuel Patrick Pf Otis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1619452075 PECOS PAC ID: 8325385651 Enrollment ID: I20190124002554 |
| Provider Name | Jessica L Mcadam |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003383878 PECOS PAC ID: 6305183559 Enrollment ID: I20190125000038 |
| Provider Name | Hillary L Harrison |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1437626215 PECOS PAC ID: 1658618731 Enrollment ID: I20190128001817 |
| Provider Name | Eric Glen Trembath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689143414 PECOS PAC ID: 8426395443 Enrollment ID: I20190130000048 |
| Provider Name | Ruben J Crespo-diaz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477908804 PECOS PAC ID: 8022355882 Enrollment ID: I20190131003419 |
| Provider Name | Kristine Domingo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922426147 PECOS PAC ID: 3173820065 Enrollment ID: I20190219001899 |
| Provider Name | David Thomas Martin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427348291 PECOS PAC ID: 1951689702 Enrollment ID: I20190220000003 |
| Provider Name | Chimaobi Anugwom |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1477931483 PECOS PAC ID: 6800192311 Enrollment ID: I20190226000969 |
| Provider Name | Quinn James Kirchner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841672219 PECOS PAC ID: 9739494717 Enrollment ID: I20190311000144 |
| Provider Name | Admatha Winfred |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003105552 PECOS PAC ID: 8325358575 Enrollment ID: I20190325000142 |
| Provider Name | Yuka Furuya |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1558655399 PECOS PAC ID: 4082834684 Enrollment ID: I20190327000096 |
| Provider Name | Oyedele A Adeyi |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1376008755 PECOS PAC ID: 6406196419 Enrollment ID: I20190328001505 |
| Provider Name | Jo E Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881164804 PECOS PAC ID: 2961743786 Enrollment ID: I20190404001317 |
| Provider Name | Jessica Jane Kolb |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083029920 PECOS PAC ID: 6709172273 Enrollment ID: I20190408000606 |
| Provider Name | Anthony Roosevelt Washington |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093002768 PECOS PAC ID: 7517186695 Enrollment ID: I20190408001624 |
| Provider Name | Salma Shaker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164842456 PECOS PAC ID: 8224333646 Enrollment ID: I20190409000459 |
| Provider Name | Brooke Ann Loeffler |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1396206959 PECOS PAC ID: 0042551376 Enrollment ID: I20190413000032 |
| Provider Name | Maureen Stormont Cannon |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1457810855 PECOS PAC ID: 8123369261 Enrollment ID: I20190418000150 |
| Provider Name | Jodi Lynn Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942762828 PECOS PAC ID: 1254672348 Enrollment ID: I20190418001902 |
| Provider Name | Megan L Hydukovich |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1710446695 PECOS PAC ID: 1658613740 Enrollment ID: I20190418002574 |
| Provider Name | Scott Robert Gilles |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1346684750 PECOS PAC ID: 4587968540 Enrollment ID: I20190422000453 |
| Provider Name | Catherine J Steingraeber |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801100102 PECOS PAC ID: 9133351844 Enrollment ID: I20190422002373 |
| Provider Name | Samuel R Mitz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619948213 PECOS PAC ID: 2466436159 Enrollment ID: I20190429000293 |
| Provider Name | Jonathan R Eklof |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982995973 PECOS PAC ID: 9638320708 Enrollment ID: I20190430002554 |
| Provider Name | Ruby Juneja |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1306309042 PECOS PAC ID: 7719229269 Enrollment ID: I20190502000405 |
| Provider Name | Paige Holm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730647728 PECOS PAC ID: 7315289873 Enrollment ID: I20190502000994 |
| Provider Name | Chiara Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619434255 PECOS PAC ID: 4284976630 Enrollment ID: I20190503001888 |
| Provider Name | Kathleen Suzanne Mahan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1184068298 PECOS PAC ID: 0042585903 Enrollment ID: I20190503002439 |
| Provider Name | Jeffrey Charles Ames |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861810129 PECOS PAC ID: 9739484858 Enrollment ID: I20190506000252 |
| Provider Name | Fnu Neha |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437584091 PECOS PAC ID: 1052609997 Enrollment ID: I20190507000856 |
| Provider Name | Elliot Dean Backer |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1336407113 PECOS PAC ID: 8325289390 Enrollment ID: I20190509000439 |
| Provider Name | Abdel Ghani El Rafei |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184079469 PECOS PAC ID: 2466706585 Enrollment ID: I20190514001775 |
| Provider Name | Raghu Gandhi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558776930 PECOS PAC ID: 9133427370 Enrollment ID: I20190515001872 |
| Provider Name | Abdurkedir Woliyi Geda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780038216 PECOS PAC ID: 0143563981 Enrollment ID: I20190520001625 |
| Provider Name | Fahad Lodhi |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1053773176 PECOS PAC ID: 3870826050 Enrollment ID: I20190603000644 |
| Provider Name | Sara Hawks Monahan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902268634 PECOS PAC ID: 1456643543 Enrollment ID: I20190604001372 |
| Provider Name | Lindsay J Willgohs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740618768 PECOS PAC ID: 3173750973 Enrollment ID: I20190605000473 |
| Provider Name | Timothy L Roach |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104203397 PECOS PAC ID: 3476835448 Enrollment ID: I20190607000046 |
| Provider Name | Anthony R Prisco |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1881048635 PECOS PAC ID: 6901139831 Enrollment ID: I20190610000702 |
| Provider Name | Kristin Marie Mcbeath |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1073855367 PECOS PAC ID: 5799095170 Enrollment ID: I20190613001801 |
| Provider Name | Jessalyn A Weaver |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861854549 PECOS PAC ID: 8123311594 Enrollment ID: I20190614000224 |
| Provider Name | Rebecca Ruth Miller |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154638526 PECOS PAC ID: 3678768868 Enrollment ID: I20190617002220 |
| Provider Name | Varun Aggarwal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801141502 PECOS PAC ID: 4385978725 Enrollment ID: I20190619000498 |
| Provider Name | Darin Ruanpeng |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1528472628 PECOS PAC ID: 2163721010 Enrollment ID: I20190620000771 |
| Provider Name | Zhen Hua Geng |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154779007 PECOS PAC ID: 2264728526 Enrollment ID: I20190620001350 |
| Provider Name | Shruti Vakil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720391493 PECOS PAC ID: 1951531904 Enrollment ID: I20190620002046 |
| Provider Name | Andrew Caraganis |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1013271352 PECOS PAC ID: 8123267887 Enrollment ID: I20190621001271 |
| Provider Name | Aaron K Ho |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1962745216 PECOS PAC ID: 8628291200 Enrollment ID: I20190626001646 |
| Provider Name | Richard James Mcgeehan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437511193 PECOS PAC ID: 3375836471 Enrollment ID: I20190628000400 |
| Provider Name | Robin Rae Davis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477968634 PECOS PAC ID: 6507143419 Enrollment ID: I20190628003008 |
| Provider Name | James M Grace |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215354204 PECOS PAC ID: 7618270372 Enrollment ID: I20190703000160 |
| Provider Name | Andrea Smiens O'shea |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588922488 PECOS PAC ID: 7618116823 Enrollment ID: I20190703001927 |
| Provider Name | Malvi Bipin Savani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649704198 PECOS PAC ID: 0840566014 Enrollment ID: I20190709000726 |
| Provider Name | Leo Booker Laub |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396199741 PECOS PAC ID: 6709121916 Enrollment ID: I20190709002364 |
| Provider Name | Narendran Neelakantachar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235419631 PECOS PAC ID: 0446544092 Enrollment ID: I20190710000451 |
| Provider Name | Alice Lehman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033563572 PECOS PAC ID: 4082958715 Enrollment ID: I20190711000576 |
| Provider Name | Minakshee Mohanty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639528813 PECOS PAC ID: 8628303765 Enrollment ID: I20190712000014 |
| Provider Name | Monique Maria Montenegro |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1467957290 PECOS PAC ID: 3779831748 Enrollment ID: I20190712000605 |
| Provider Name | Ryan Christopher Knoper |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1376836031 PECOS PAC ID: 7618274218 Enrollment ID: I20190712000645 |
| Provider Name | Elizabeth Jean Krebsbach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194387902 PECOS PAC ID: 5991030843 Enrollment ID: I20190715001344 |
| Provider Name | William Hoyt Amundson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1225304215 PECOS PAC ID: 2769795228 Enrollment ID: I20190715001651 |
| Provider Name | Sara Jennerjohn |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1023670882 PECOS PAC ID: 1254666043 Enrollment ID: I20190716003660 |
| Provider Name | Terrie-ann Sanya Benjamin |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1922241371 PECOS PAC ID: 5496043549 Enrollment ID: I20190717000426 |
| Provider Name | Khalid A Azzam |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1811128416 PECOS PAC ID: 0042436917 Enrollment ID: I20190717002624 |
| Provider Name | Islam Zineldin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326402256 PECOS PAC ID: 8729372917 Enrollment ID: I20190717003021 |
| Provider Name | Aahd F Kubbara |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1942564398 PECOS PAC ID: 3870889033 Enrollment ID: I20190717004048 |
| Provider Name | Dana Alexandra Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902294358 PECOS PAC ID: 9638487325 Enrollment ID: I20190718000212 |
| Provider Name | Anisha Rimal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003270489 PECOS PAC ID: 6002109162 Enrollment ID: I20190725000866 |
| Provider Name | Zachary Deutsch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396260840 PECOS PAC ID: 3577820406 Enrollment ID: I20190730000812 |
| Provider Name | Nolan C Cirillo-penn |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1093210262 PECOS PAC ID: 4486902541 Enrollment ID: I20190807000047 |
| Provider Name | Scott J Bray |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962850149 PECOS PAC ID: 1951694207 Enrollment ID: I20190807000089 |
| Provider Name | Chee Lor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861999195 PECOS PAC ID: 9032467147 Enrollment ID: I20190808000102 |
| Provider Name | Brandon R Edlund |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255821377 PECOS PAC ID: 3072851922 Enrollment ID: I20190808002149 |
| Provider Name | Timothy Franklin Steinmetz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043203540 PECOS PAC ID: 6800797259 Enrollment ID: I20190808003919 |
| Provider Name | Scott Lawrence Mcnairy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912096728 PECOS PAC ID: 9739416736 Enrollment ID: I20190814001761 |
| Provider Name | Ramachandra Pras Bongu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487003075 PECOS PAC ID: 1355634411 Enrollment ID: I20190814004062 |
| Provider Name | Stephanie V Aldrin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144718917 PECOS PAC ID: 1951654987 Enrollment ID: I20190815000038 |
| Provider Name | Nathaniel William Thompson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881043602 PECOS PAC ID: 6204129935 Enrollment ID: I20190815003340 |
| Provider Name | Katherine E Hawkins |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336409978 PECOS PAC ID: 4880992346 Enrollment ID: I20190820001530 |
| Provider Name | Matthew Martin Nygren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902461601 PECOS PAC ID: 0345578019 Enrollment ID: I20190820002531 |
| Provider Name | Shelly A Hansen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114983749 PECOS PAC ID: 6103154786 Enrollment ID: I20190820003479 |
| Provider Name | Markus F Meyer |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1003871955 PECOS PAC ID: 8123031291 Enrollment ID: I20190820003633 |
| Provider Name | Amelia Rose Solei |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861059719 PECOS PAC ID: 9537497169 Enrollment ID: I20190821000991 |
| Provider Name | Jaskanwal Deep Sara |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1710417779 PECOS PAC ID: 8426321779 Enrollment ID: I20190822003673 |
| Provider Name | Audrey Wells Gurule |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1417122862 PECOS PAC ID: 4587702238 Enrollment ID: I20190823000017 |
| Provider Name | Courtney Elizabeth Pickel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811541865 PECOS PAC ID: 7911235346 Enrollment ID: I20190823000489 |
| Provider Name | Joseph Stephen Renier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093210049 PECOS PAC ID: 1951658251 Enrollment ID: I20190827004184 |
| Provider Name | Ellie Huynh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861750572 PECOS PAC ID: 4385945047 Enrollment ID: I20190828000130 |
| Provider Name | Kathryn Horner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396245593 PECOS PAC ID: 3779845698 Enrollment ID: I20190829000270 |
| Provider Name | Emily A Becker |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1215348701 PECOS PAC ID: 2466756945 Enrollment ID: I20190829000713 |
| Provider Name | Sameh M Hozayen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992060966 PECOS PAC ID: 3577846237 Enrollment ID: I20190829003648 |
| Provider Name | Brienne L Sauvageau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356994404 PECOS PAC ID: 9234468158 Enrollment ID: I20190831000259 |
| Provider Name | Susan E Orlowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740782549 PECOS PAC ID: 3476804071 Enrollment ID: I20190903000763 |
| Provider Name | Alex Suginaka |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1629496112 PECOS PAC ID: 8921317918 Enrollment ID: I20190903001021 |
| Provider Name | Lindsey L Dawes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154975514 PECOS PAC ID: 1254660111 Enrollment ID: I20190903001725 |
| Provider Name | Mary Laleen Oothoudt |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1679139893 PECOS PAC ID: 8224367917 Enrollment ID: I20190905001194 |
| Provider Name | Anne Marie Kouri |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1639460439 PECOS PAC ID: 6709026719 Enrollment ID: I20190905001790 |
| Provider Name | Rose Tsai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376906461 PECOS PAC ID: 7618261835 Enrollment ID: I20190910003444 |
| Provider Name | Samuel Kebede |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790177129 PECOS PAC ID: 6204100977 Enrollment ID: I20190911000824 |
| Provider Name | Deepa Rosetta Ovian |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194033407 PECOS PAC ID: 6305080797 Enrollment ID: I20190912001807 |
| Provider Name | Nakita Grace Natala |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699114975 PECOS PAC ID: 9133439276 Enrollment ID: I20190912002114 |
| Provider Name | Jorge L Capdevila |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225491897 PECOS PAC ID: 1052604196 Enrollment ID: I20190912003489 |
| Provider Name | Gail L Clifford |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750336137 PECOS PAC ID: 1951369784 Enrollment ID: I20190913001064 |
| Provider Name | Tyson John Sievers |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457795775 PECOS PAC ID: 7012246168 Enrollment ID: I20190916000296 |
| Provider Name | Susanne U Trost |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1376622613 PECOS PAC ID: 9537167572 Enrollment ID: I20190917004288 |
| Provider Name | Brenda K Lundeen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083658157 PECOS PAC ID: 2365772290 Enrollment ID: I20190919001257 |
| Provider Name | Paul Joseph Smaciarz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497303911 PECOS PAC ID: 2860722345 Enrollment ID: I20190926000100 |
| Provider Name | Paul S Stadem |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679060750 PECOS PAC ID: 3971852146 Enrollment ID: I20190926002284 |
| Provider Name | Kristin Alecia Verhoeven |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659923688 PECOS PAC ID: 0840520045 Enrollment ID: I20191002000858 |
| Provider Name | Chauntel Spalj |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376061408 PECOS PAC ID: 1355672478 Enrollment ID: I20191003002300 |
| Provider Name | Srinivasa Reddy Vaka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184863938 PECOS PAC ID: 3971775974 Enrollment ID: I20191010001272 |
| Provider Name | Susan L Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457506677 PECOS PAC ID: 0840356713 Enrollment ID: I20191016000828 |
| Provider Name | Victoria Rosina Pechacek |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1437718673 PECOS PAC ID: 2668703901 Enrollment ID: I20191017000870 |
| Provider Name | Maryyam Ali |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1518386093 PECOS PAC ID: 0244531978 Enrollment ID: I20191021002118 |
| Provider Name | Colleen Lynn Quesnell |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1659707289 PECOS PAC ID: 4789819533 Enrollment ID: I20191022001249 |
| Provider Name | Kristen E Herscher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225687551 PECOS PAC ID: 7012249170 Enrollment ID: I20191023001587 |
| Provider Name | Jean R Newby Lovelace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790988913 PECOS PAC ID: 4183667298 Enrollment ID: I20191024000849 |
| Provider Name | Matthew William Diehl |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548529654 PECOS PAC ID: 7214244953 Enrollment ID: I20191024001026 |
| Provider Name | Libbie L Nyarangi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306498597 PECOS PAC ID: 7214264548 Enrollment ID: I20191029000519 |
| Provider Name | Crystal Sue Hambley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790126837 PECOS PAC ID: 6002050283 Enrollment ID: I20191031002723 |
| Provider Name | Shahnaz Sultan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1790868925 PECOS PAC ID: 2769409903 Enrollment ID: I20191031003179 |
| Provider Name | Anthony J Christnovich |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972923423 PECOS PAC ID: 0749585651 Enrollment ID: I20191112000010 |
| Provider Name | Lindsey K Wagenbach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548818370 PECOS PAC ID: 6002248994 Enrollment ID: I20191114001468 |
| Provider Name | Johanna Kristen Fox |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922426329 PECOS PAC ID: 4385945849 Enrollment ID: I20191116000015 |
| Provider Name | Amy C Klopp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508007378 PECOS PAC ID: 5698822393 Enrollment ID: I20191120000485 |
| Provider Name | Kavisha Milesh Shah |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346506961 PECOS PAC ID: 7315177052 Enrollment ID: I20191121000654 |
| Provider Name | Marit Leigh Throntveit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992340194 PECOS PAC ID: 4880026384 Enrollment ID: I20191121003215 |
| Provider Name | Robert W Stuart |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104880236 PECOS PAC ID: 7214820786 Enrollment ID: I20191204000063 |
| Provider Name | Jeffrey Yang Cui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356705412 PECOS PAC ID: 6002141272 Enrollment ID: I20191204002163 |
| Provider Name | Yekaterina A Kuzmenko |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1326281056 PECOS PAC ID: 1254582844 Enrollment ID: I20191205002041 |
| Provider Name | Alissa J Pool |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073163515 PECOS PAC ID: 7517390230 Enrollment ID: I20191210001577 |
| Provider Name | Holly Hieb |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831483973 PECOS PAC ID: 1759504327 Enrollment ID: I20191211001525 |
| Provider Name | Douglas Michael Whiteside |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346280971 PECOS PAC ID: 6103852850 Enrollment ID: I20191212001290 |
| Provider Name | Nirmalla Mattson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417395302 PECOS PAC ID: 5698919918 Enrollment ID: I20191212001857 |
| Provider Name | Sophie M Hapak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538694245 PECOS PAC ID: 6901148675 Enrollment ID: I20191231001096 |
| Provider Name | Alicia Marie Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245875111 PECOS PAC ID: 8325473838 Enrollment ID: I20200110000316 |
| Provider Name | Katherine Marie Betzel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427694926 PECOS PAC ID: 5890120109 Enrollment ID: I20200115000182 |
| Provider Name | Nathan Bertelsen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649437179 PECOS PAC ID: 9032387154 Enrollment ID: I20200122002289 |
| Provider Name | Satchel J Iten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992341796 PECOS PAC ID: 0941635825 Enrollment ID: I20200123000406 |
| Provider Name | Christina Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932742400 PECOS PAC ID: 2264867951 Enrollment ID: I20200128001070 |
| Provider Name | Yan Dong |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1043507577 PECOS PAC ID: 6305088410 Enrollment ID: I20200128002967 |
| Provider Name | Kelly A Tate |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790323756 PECOS PAC ID: 8628404217 Enrollment ID: I20200129002518 |
| Provider Name | Ashley Ashbacher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083984850 PECOS PAC ID: 7315373719 Enrollment ID: I20200203002329 |
| Provider Name | Victor R Schuring |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710532718 PECOS PAC ID: 0244666428 Enrollment ID: I20200206001731 |
| Provider Name | Emma Yang |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629327630 PECOS PAC ID: 3870929938 Enrollment ID: I20200207002484 |
| Provider Name | Marjorie R Keyes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972869527 PECOS PAC ID: 2860775566 Enrollment ID: I20200220003058 |
| Provider Name | Sandra Germain Malone |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174645220 PECOS PAC ID: 1759718703 Enrollment ID: I20200303002625 |
| Provider Name | Dreylana Shatori Hill Taylor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871936906 PECOS PAC ID: 7911229281 Enrollment ID: I20200304001417 |
| Provider Name | Sapana Shakya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922639392 PECOS PAC ID: 5890123038 Enrollment ID: I20200320002736 |
| Provider Name | Hang T Vu |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1730140476 PECOS PAC ID: 7810921137 Enrollment ID: I20200402001375 |
| Provider Name | Silvia Haydee Bernstrom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972893717 PECOS PAC ID: 5799114013 Enrollment ID: I20200407001505 |
| Provider Name | Emily Schafhauser |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1578889424 PECOS PAC ID: 1557509577 Enrollment ID: I20200410000094 |
| Provider Name | Joseph Kriz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295276921 PECOS PAC ID: 3375813371 Enrollment ID: I20200410001478 |
| Provider Name | Greta I Ortega |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841821436 PECOS PAC ID: 3274963640 Enrollment ID: I20200427000950 |
| Provider Name | Michelle R. Didio |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1154497634 PECOS PAC ID: 1759343098 Enrollment ID: I20200428001674 |
| Provider Name | Emilee Kay Pierson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053931964 PECOS PAC ID: 8123459344 Enrollment ID: I20200504000207 |
| Provider Name | Patrick Bartholomew Herson |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1689170805 PECOS PAC ID: 5890717532 Enrollment ID: I20200506001537 |
| Provider Name | Can Ozutemiz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396195517 PECOS PAC ID: 3678846037 Enrollment ID: I20200508002157 |
| Provider Name | Jennifer L Wong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538587175 PECOS PAC ID: 6800199597 Enrollment ID: I20200509000212 |
| Provider Name | Abir Naguib Abdallah |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1295086643 PECOS PAC ID: 8820376825 Enrollment ID: I20200511001238 |
| Provider Name | Bryan P Labore |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124559893 PECOS PAC ID: 6002169513 Enrollment ID: I20200519000247 |
| Provider Name | Erica M Levine |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427581925 PECOS PAC ID: 2466717343 Enrollment ID: I20200520002955 |
| Provider Name | Hem Hemantbhai Desai |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1316352446 PECOS PAC ID: 6204189673 Enrollment ID: I20200522002295 |
| Provider Name | Shahidali Jaffer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538513890 PECOS PAC ID: 6800140054 Enrollment ID: I20200604000496 |
| Provider Name | Amy Beckman |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1164809166 PECOS PAC ID: 1456655786 Enrollment ID: I20200615000808 |
| Provider Name | Amit Kulkarni |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1417374406 PECOS PAC ID: 2668605494 Enrollment ID: I20200615003423 |
| Provider Name | Evan Douglas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952930976 PECOS PAC ID: 1355763699 Enrollment ID: I20200616000027 |
| Provider Name | Lucky Vang |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053627364 PECOS PAC ID: 7517277205 Enrollment ID: I20200616001862 |
| Provider Name | Jens J Lillevold |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770015752 PECOS PAC ID: 3375814767 Enrollment ID: I20200616002152 |
| Provider Name | Jennifer Marie Rathousky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265881528 PECOS PAC ID: 3274823786 Enrollment ID: I20200616003372 |
| Provider Name | Aditya Kler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144642869 PECOS PAC ID: 1850679077 Enrollment ID: I20200617000991 |
| Provider Name | Alison Scharber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861926446 PECOS PAC ID: 3375815590 Enrollment ID: I20200624000973 |
| Provider Name | Florence John |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1548614464 PECOS PAC ID: 6406148014 Enrollment ID: I20200624003412 |
| Provider Name | Pitcha Chompoopong |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629420542 PECOS PAC ID: 1557783230 Enrollment ID: I20200625002125 |
| Provider Name | Mahmood Gharib |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1174889729 PECOS PAC ID: 6800022617 Enrollment ID: I20200626000381 |
| Provider Name | Takumi Yamada |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205135381 PECOS PAC ID: 3173791951 Enrollment ID: I20200630002958 |
| Provider Name | Laura Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811512601 PECOS PAC ID: 1557784741 Enrollment ID: I20200707000502 |
| Provider Name | Margy Elise Mccullough-hicks |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861805004 PECOS PAC ID: 9436460029 Enrollment ID: I20200714000070 |
| Provider Name | Kara Wheeler |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1396134763 PECOS PAC ID: 1456654797 Enrollment ID: I20200714002319 |
| Provider Name | Jacob John Wagner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700266079 PECOS PAC ID: 5597076406 Enrollment ID: I20200715002278 |
| Provider Name | Rajat Kalra |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1346680188 PECOS PAC ID: 3678715026 Enrollment ID: I20200717000486 |
| Provider Name | Stefan Kim |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1952500191 PECOS PAC ID: 0345331435 Enrollment ID: I20200717000663 |
| Provider Name | Deborah A Hudleston |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1578959607 PECOS PAC ID: 8224333059 Enrollment ID: I20200721000780 |
| Provider Name | Luis Felipe Nascimento Kazmirczak |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1619255890 PECOS PAC ID: 2961826920 Enrollment ID: I20200723000506 |
| Provider Name | Madeline Paul |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104359843 PECOS PAC ID: 6507190899 Enrollment ID: I20200728001694 |
| Provider Name | Heather Anne Bateman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659906048 PECOS PAC ID: 5193140556 Enrollment ID: I20200731001780 |
| Provider Name | Saleha Raajpoot |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275066813 PECOS PAC ID: 3173895349 Enrollment ID: I20200803000509 |
| Provider Name | Julia Lister |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376999722 PECOS PAC ID: 0840585659 Enrollment ID: I20200804000595 |
| Provider Name | Bimaje Akpa |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1144583642 PECOS PAC ID: 6406164409 Enrollment ID: I20200804003417 |
| Provider Name | Michael E Aberra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699207472 PECOS PAC ID: 0840615845 Enrollment ID: I20200807002354 |
| Provider Name | Julie Johnson Rolfes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174883995 PECOS PAC ID: 5698046647 Enrollment ID: I20200808000105 |
| Provider Name | Mackenzie C Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225554496 PECOS PAC ID: 3870857329 Enrollment ID: I20200811003757 |
| Provider Name | Michael K Wempe |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1780900647 PECOS PAC ID: 9436454287 Enrollment ID: I20200812003791 |
| Provider Name | Bethany Ann Sabol |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346582558 PECOS PAC ID: 7214179555 Enrollment ID: I20200813002365 |
| Provider Name | Daniel E Kendrick |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1730479882 PECOS PAC ID: 7517212004 Enrollment ID: I20200814000110 |
| Provider Name | William Kirke Rogers |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407020241 PECOS PAC ID: 4688802283 Enrollment ID: I20200814000739 |
| Provider Name | Subodh K Regmi |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1922599737 PECOS PAC ID: 4789925215 Enrollment ID: I20200820000062 |
| Provider Name | Ying Gibbens |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548721434 PECOS PAC ID: 8426383944 Enrollment ID: I20200820001299 |
| Provider Name | Matthew Theodore Stuart |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851824163 PECOS PAC ID: 6002232048 Enrollment ID: I20200820001976 |
| Provider Name | Mung Ting Yung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962856708 PECOS PAC ID: 1254601610 Enrollment ID: I20200827001127 |
| Provider Name | Jeffrey J Larson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255864823 PECOS PAC ID: 5496172942 Enrollment ID: I20200828000507 |
| Provider Name | Brent Edward White |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1902163892 PECOS PAC ID: 6709019474 Enrollment ID: I20200828001140 |
| Provider Name | Matthew F Pullen |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1841633898 PECOS PAC ID: 8527359637 Enrollment ID: I20200902000631 |
| Provider Name | Allyson Stevenson-king |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568817146 PECOS PAC ID: 0244573939 Enrollment ID: I20200902000632 |
| Provider Name | Julie Duke |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1043553803 PECOS PAC ID: 3870810120 Enrollment ID: I20200910000438 |
| Provider Name | Andrea Elliott |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1801114392 PECOS PAC ID: 5395011134 Enrollment ID: I20200910000533 |
| Provider Name | Anne M White |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578983672 PECOS PAC ID: 2860810611 Enrollment ID: I20200911000091 |
| Provider Name | Liam Chen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1396935482 PECOS PAC ID: 7113182007 Enrollment ID: I20200914000410 |
| Provider Name | Sarah Anne Wernimont |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275970402 PECOS PAC ID: 3476797531 Enrollment ID: I20200914001580 |
| Provider Name | Joshua A Sloan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114289873 PECOS PAC ID: 8022373240 Enrollment ID: I20200915000127 |
| Provider Name | Morgan Buda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689161663 PECOS PAC ID: 9234494485 Enrollment ID: I20200916001449 |
| Provider Name | Luke J O'neil |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114450368 PECOS PAC ID: 6901224096 Enrollment ID: I20200922003263 |
| Provider Name | Lindsey Sloan |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1073991840 PECOS PAC ID: 5991083933 Enrollment ID: I20200923000430 |
| Provider Name | Erik A Kuross |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932632155 PECOS PAC ID: 9739459330 Enrollment ID: I20200928001221 |
| Provider Name | Stephen A Selinsky |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528414869 PECOS PAC ID: 7315281029 Enrollment ID: I20200929000174 |
| Provider Name | Michael William Thorp |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1407267248 PECOS PAC ID: 1153674114 Enrollment ID: I20200929003495 |
| Provider Name | Ibrahim A Elemo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831478627 PECOS PAC ID: 0345465894 Enrollment ID: I20201001000532 |
| Provider Name | Alanna Marie Wallerstein |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1245846542 PECOS PAC ID: 1254750458 Enrollment ID: I20201007000251 |
| Provider Name | Rachel Elizabeth Kraemer |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1518572254 PECOS PAC ID: 0749600278 Enrollment ID: I20201021002155 |
| Provider Name | Nikolay Genchev Kolev |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699951699 PECOS PAC ID: 5496837171 Enrollment ID: I20201027000317 |
| Provider Name | Gregory Goblirsch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821081316 PECOS PAC ID: 8628979077 Enrollment ID: I20201028001147 |
| Provider Name | Bauj S Yang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215540810 PECOS PAC ID: 3375953227 Enrollment ID: I20201103003044 |
| Provider Name | Margot Zarin-pass |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356795926 PECOS PAC ID: 7810241973 Enrollment ID: I20201113000637 |
| Provider Name | Deirdre E Milligan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467984344 PECOS PAC ID: 8729323407 Enrollment ID: I20201118002278 |
| Provider Name | Sarah Halloran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629531363 PECOS PAC ID: 4486985157 Enrollment ID: I20201127000106 |
| Provider Name | Evan Jungbauer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841853769 PECOS PAC ID: 4183956568 Enrollment ID: I20201130001322 |
| Provider Name | Anna L Nybo |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366050080 PECOS PAC ID: 3274944855 Enrollment ID: I20201203001172 |
| Provider Name | Margaret Olubunmi Daramola |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114126117 PECOS PAC ID: 4789729278 Enrollment ID: I20201207001203 |
| Provider Name | Lauren E Mcpherson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912439985 PECOS PAC ID: 5890067631 Enrollment ID: I20201208001492 |
| Provider Name | Emily K Ongaga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962009548 PECOS PAC ID: 0345653762 Enrollment ID: I20210104001195 |
| Provider Name | Jon Stoffer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134783871 PECOS PAC ID: 3476888918 Enrollment ID: I20210106002447 |
| Provider Name | Melissa G Elumba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366989154 PECOS PAC ID: 7416233424 Enrollment ID: I20210111001530 |
| Provider Name | Mark B Juckett |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1750357604 PECOS PAC ID: 2860557170 Enrollment ID: I20210118000488 |
| Provider Name | Kathleen Elizabeth Kopp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346838687 PECOS PAC ID: 3870907348 Enrollment ID: I20210122002683 |
| Provider Name | Larry Lindenbaum |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1205922911 PECOS PAC ID: 0042402984 Enrollment ID: I20210126000228 |
| Provider Name | Alexandra Lee Arakawa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124622444 PECOS PAC ID: 2163836552 Enrollment ID: I20210126001917 |
| Provider Name | John M Fox |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1447662705 PECOS PAC ID: 1153675046 Enrollment ID: I20210127003451 |
| Provider Name | Amber Lee Pearson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457951238 PECOS PAC ID: 8729492707 Enrollment ID: I20210203000497 |
| Provider Name | John Christopher H Goodnow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184288524 PECOS PAC ID: 7517292964 Enrollment ID: I20210204002258 |
| Provider Name | Irene M Ottoson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619568912 PECOS PAC ID: 0749694529 Enrollment ID: I20210208001110 |
| Provider Name | Lindsey Ann Sahli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528664067 PECOS PAC ID: 8921413519 Enrollment ID: I20210211002699 |
| Provider Name | Jacquelyn Cameron |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700345881 PECOS PAC ID: 8921331380 Enrollment ID: I20210211003102 |
| Provider Name | Bikash Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750541132 PECOS PAC ID: 6103096672 Enrollment ID: I20210216003365 |
| Provider Name | Rachel Oludiji |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588282545 PECOS PAC ID: 1557776804 Enrollment ID: I20210218000843 |
| Provider Name | Simon M Kang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851917264 PECOS PAC ID: 6002221264 Enrollment ID: I20210219002555 |
| Provider Name | Lucas Kuzj |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639632441 PECOS PAC ID: 9234464017 Enrollment ID: I20210222000750 |
| Provider Name | Nicholas A Myslicki |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386132389 PECOS PAC ID: 9931456399 Enrollment ID: I20210226002180 |
| Provider Name | Kellie Jean Rusch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780297218 PECOS PAC ID: 7618383563 Enrollment ID: I20210302000091 |
| Provider Name | Lindsey C Graff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467871525 PECOS PAC ID: 2860615440 Enrollment ID: I20210302002447 |
| Provider Name | Claire Ryden Maxey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104421627 PECOS PAC ID: 3870909518 Enrollment ID: I20210304001068 |
| Provider Name | Elizabeth Christine Ester |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1124264353 PECOS PAC ID: 4587071568 Enrollment ID: I20210319000497 |
| Provider Name | Allison Groenewold Ho |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780031195 PECOS PAC ID: 1759674898 Enrollment ID: I20210319001923 |
| Provider Name | Ioana Moisini |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1083930689 PECOS PAC ID: 8527371970 Enrollment ID: I20210323000821 |
| Provider Name | Jennifer Marie Stong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922561307 PECOS PAC ID: 7315276730 Enrollment ID: I20210326001335 |
| Provider Name | Siddhartha Sen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1538513684 PECOS PAC ID: 0547552374 Enrollment ID: I20210409000451 |
| Provider Name | Kyle Maurer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053773671 PECOS PAC ID: 4981998549 Enrollment ID: I20210416001117 |
| Provider Name | Valmiki Rishi Maharaj |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1215355284 PECOS PAC ID: 5991007445 Enrollment ID: I20210420001474 |
| Provider Name | Ashley R Forstrom |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639732837 PECOS PAC ID: 6800127721 Enrollment ID: I20210427001008 |
| Provider Name | Meagan O'neal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740862333 PECOS PAC ID: 9537578414 Enrollment ID: I20210505000960 |
| Provider Name | Madeleine Grosland Sather |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841753688 PECOS PAC ID: 3476884271 Enrollment ID: I20210517001681 |
| Provider Name | Amit Justin Sood |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1588079768 PECOS PAC ID: 3375765969 Enrollment ID: I20210519002474 |
| Provider Name | Mehmet Levent Guler |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1255839692 PECOS PAC ID: 2466715222 Enrollment ID: I20210525001634 |
| Provider Name | Yasoda Meesala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548551039 PECOS PAC ID: 3870711468 Enrollment ID: I20210608001938 |
| Provider Name | Hannah Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427583137 PECOS PAC ID: 8820365620 Enrollment ID: I20210610000271 |
| Provider Name | Garrett Michael Fitzpatrick |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1336645811 PECOS PAC ID: 7113263666 Enrollment ID: I20210610002702 |
| Provider Name | Elizabeth M Davis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558858761 PECOS PAC ID: 6002160231 Enrollment ID: I20210617001026 |
| Provider Name | Luke A Krystosek |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568857639 PECOS PAC ID: 2062718646 Enrollment ID: I20210617001797 |
| Provider Name | Kiril Dimitrov |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639663750 PECOS PAC ID: 2668723446 Enrollment ID: I20210617002384 |
| Provider Name | Vikas Le-kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487159000 PECOS PAC ID: 7315291606 Enrollment ID: I20210618000883 |
| Provider Name | Zachary Lauer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043606999 PECOS PAC ID: 9133425887 Enrollment ID: I20210622000392 |
| Provider Name | Lisha Thomas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780079640 PECOS PAC ID: 0042611550 Enrollment ID: I20210622001033 |
| Provider Name | Krista E Bratt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740711068 PECOS PAC ID: 0244563427 Enrollment ID: I20210623000341 |
| Provider Name | Amy Beth Sibley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144894528 PECOS PAC ID: 1153722590 Enrollment ID: I20210623002131 |
| Provider Name | Alejandra Gutierrez Bernal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1487074597 PECOS PAC ID: 6800297086 Enrollment ID: I20210624003373 |
| Provider Name | Azmath Mohammed |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811284425 PECOS PAC ID: 9830320357 Enrollment ID: I20210628003242 |
| Provider Name | Lauren Stribling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841645033 PECOS PAC ID: 7517253156 Enrollment ID: I20210706002859 |
| Provider Name | Akinbowale Ayeni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639782626 PECOS PAC ID: 1951703867 Enrollment ID: I20210715000855 |
| Provider Name | Azza Mohammad-elbagi Ahmed |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1861807547 PECOS PAC ID: 8325268162 Enrollment ID: I20210715004118 |
| Provider Name | Allison Newman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497186019 PECOS PAC ID: 3971877721 Enrollment ID: I20210716000057 |
| Provider Name | Tooba Rehman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356871073 PECOS PAC ID: 2668874462 Enrollment ID: I20210716000332 |
| Provider Name | Hamed Ahmadi |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1750700654 PECOS PAC ID: 5698992535 Enrollment ID: I20210720003932 |
| Provider Name | Mehrnoosh Tashakori |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1366838732 PECOS PAC ID: 1759784929 Enrollment ID: I20210726002030 |
| Provider Name | Erica Ting |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497280101 PECOS PAC ID: 0446527378 Enrollment ID: I20210726002799 |
| Provider Name | Monika Kakol |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1861807794 PECOS PAC ID: 7416255526 Enrollment ID: I20210728000731 |
| Provider Name | Megan Kristan |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1821483967 PECOS PAC ID: 6002148327 Enrollment ID: I20210729001369 |
| Provider Name | Ashley Evelyn Green |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194294439 PECOS PAC ID: 9739583543 Enrollment ID: I20210802000423 |
| Provider Name | Michael Thomas Churchwell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306075270 PECOS PAC ID: 9032341276 Enrollment ID: I20210816000986 |
| Provider Name | Amila William |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1356585236 PECOS PAC ID: 9739493891 Enrollment ID: I20210816001644 |
| Provider Name | Ludmil Lazarov |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285826404 PECOS PAC ID: 1254407729 Enrollment ID: I20210816003909 |
| Provider Name | Sharon Li |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700318268 PECOS PAC ID: 5496022196 Enrollment ID: I20210818003587 |
| Provider Name | Benjamin Joseph Smith |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326579517 PECOS PAC ID: 7517238520 Enrollment ID: I20210820002487 |
| Provider Name | Hector Marcano |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1851504666 PECOS PAC ID: 3274665906 Enrollment ID: I20210825000809 |
| Provider Name | Alexander J Baxa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972009199 PECOS PAC ID: 5294086161 Enrollment ID: I20210826002454 |
| Provider Name | Abby Fredrickson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376063370 PECOS PAC ID: 0547685125 Enrollment ID: I20210830002352 |
| Provider Name | Michelle Stoffel |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1487040127 PECOS PAC ID: 2668740234 Enrollment ID: I20210902001775 |
| Provider Name | Toy Elaine Amanda Hess |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306334040 PECOS PAC ID: 6305242033 Enrollment ID: I20210904000015 |
| Provider Name | Chinyere Ihunnah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821683525 PECOS PAC ID: 8729496351 Enrollment ID: I20210909000044 |
| Provider Name | Miheret Tamirat Gebreyohannes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477043388 PECOS PAC ID: 6204232440 Enrollment ID: I20210914000172 |
| Provider Name | Kacie Roth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801419700 PECOS PAC ID: 4789080805 Enrollment ID: I20210914003654 |
| Provider Name | Emily Rose Moe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215601026 PECOS PAC ID: 5597161687 Enrollment ID: I20210915002650 |
| Provider Name | Chetan Narendra Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306132139 PECOS PAC ID: 7416277223 Enrollment ID: I20210917001505 |
| Provider Name | Michael Dohm |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1548252976 PECOS PAC ID: 3375574643 Enrollment ID: I20210929003786 |
| Provider Name | Abdisamad Mohamed Ibrahim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922538834 PECOS PAC ID: 6002185667 Enrollment ID: I20211006001516 |
| Provider Name | Melanie Faith Mccormick |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1275020331 PECOS PAC ID: 3678829421 Enrollment ID: I20211007000024 |
| Provider Name | Lauren Mcclure Yauch |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295120020 PECOS PAC ID: 1557665635 Enrollment ID: I20211007000131 |
| Provider Name | Ramtin Ramsey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225244221 PECOS PAC ID: 8325193527 Enrollment ID: I20211007003342 |
| Provider Name | Courtney Lauren Marie Eskridge |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649840240 PECOS PAC ID: 1850799560 Enrollment ID: I20211011002660 |
| Provider Name | Ashley Lane Richardson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356862536 PECOS PAC ID: 0446658017 Enrollment ID: I20211012002305 |
| Provider Name | Curt Pinchuck |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275532871 PECOS PAC ID: 2668420399 Enrollment ID: I20211012003245 |
| Provider Name | Tony Zhengyu Cui |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528688157 PECOS PAC ID: 9032534144 Enrollment ID: I20211013001897 |
| Provider Name | Kayla Chandra Dasrath |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841810801 PECOS PAC ID: 8527484336 Enrollment ID: I20211013001954 |
| Provider Name | Gladys Ayiera Ndege |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659045391 PECOS PAC ID: 7719385293 Enrollment ID: I20211014000025 |
| Provider Name | Rebecca L Kummer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043717317 PECOS PAC ID: 3870844640 Enrollment ID: I20211014001555 |
| Provider Name | Azie J Khan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265012629 PECOS PAC ID: 1557769858 Enrollment ID: I20211015002568 |
| Provider Name | Gary Gross |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1760434252 PECOS PAC ID: 2860594330 Enrollment ID: I20211018001015 |
| Provider Name | Andrea Jean Louise Kirk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639847437 PECOS PAC ID: 6800294182 Enrollment ID: I20211018002824 |
| Provider Name | Brian Van Wie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689345779 PECOS PAC ID: 5597153866 Enrollment ID: I20211020000118 |
| Provider Name | Edith N Nyangoma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265920680 PECOS PAC ID: 0244589349 Enrollment ID: I20211020000321 |
| Provider Name | Timothy J Darby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245906494 PECOS PAC ID: 8921496878 Enrollment ID: I20211026000476 |
| Provider Name | Fnu Shakuntulla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710437470 PECOS PAC ID: 0941539860 Enrollment ID: I20211026001653 |
| Provider Name | Jason Ho |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1215297411 PECOS PAC ID: 7618303843 Enrollment ID: I20211028001169 |
| Provider Name | Dan Marian Danila |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700096914 PECOS PAC ID: 9335276138 Enrollment ID: I20211101001820 |
| Provider Name | Mustaf Mohamed Shariff |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760986988 PECOS PAC ID: 6204189459 Enrollment ID: I20211110000177 |
| Provider Name | Swetha Padmini Karturi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841546009 PECOS PAC ID: 4183859838 Enrollment ID: I20211115002957 |
| Provider Name | Tom Paul Vadakara |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255771689 PECOS PAC ID: 9335439496 Enrollment ID: I20211117002613 |
| Provider Name | Brenda Shua Her |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972009603 PECOS PAC ID: 4082961420 Enrollment ID: I20211117002755 |
| Provider Name | Dillon C Euler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396946554 PECOS PAC ID: 4587980446 Enrollment ID: I20211129000283 |
| Provider Name | Tareq Al Saadi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568967420 PECOS PAC ID: 2163812587 Enrollment ID: I20211129001732 |
| Provider Name | Anna Ruth Larson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023771243 PECOS PAC ID: 4587054812 Enrollment ID: I20211201000340 |
| Provider Name | Svetoslav Plamenov Hristov |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336333590 PECOS PAC ID: 5890819841 Enrollment ID: I20211203000437 |
| Provider Name | Jason B Marsh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255596037 PECOS PAC ID: 0749356137 Enrollment ID: I20211204000273 |
| Provider Name | Andrew Dahl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003436106 PECOS PAC ID: 6103241070 Enrollment ID: I20211207000399 |
| Provider Name | Amy Pennig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831853225 PECOS PAC ID: 7810387636 Enrollment ID: I20211209000436 |
| Provider Name | Lily Rkl Bastian |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1104140029 PECOS PAC ID: 5496145187 Enrollment ID: I20211213001534 |
| Provider Name | Marissa Stridiron |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154635811 PECOS PAC ID: 2668664251 Enrollment ID: I20211213002759 |
| Provider Name | Brittany Lynn Conrad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487311254 PECOS PAC ID: 7012308455 Enrollment ID: I20211220001605 |
| Provider Name | Scott E Ladd |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770977027 PECOS PAC ID: 1153631163 Enrollment ID: I20211221000762 |
| Provider Name | Courtney Moore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720572449 PECOS PAC ID: 8325394174 Enrollment ID: I20211221001026 |
| Provider Name | Mackenzie Stice |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629632799 PECOS PAC ID: 7810221496 Enrollment ID: I20211221001471 |
| Provider Name | David M Hanrahan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033347125 PECOS PAC ID: 2163835398 Enrollment ID: I20211221002802 |
| Provider Name | Hannah Marie Maeck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740952084 PECOS PAC ID: 3072904259 Enrollment ID: I20211222002441 |
| Provider Name | Hetal Brahmbhatt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841283199 PECOS PAC ID: 7012958580 Enrollment ID: I20220106000431 |
| Provider Name | Anand Patani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396921342 PECOS PAC ID: 9436209608 Enrollment ID: I20220118000771 |
| Provider Name | Erin M Batdorff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245763077 PECOS PAC ID: 3476896614 Enrollment ID: I20220118000995 |
| Provider Name | Musaddiq Tariq |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326465436 PECOS PAC ID: 7012338924 Enrollment ID: I20220125000874 |
| Provider Name | Adam Stivala |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467738617 PECOS PAC ID: 7315376910 Enrollment ID: I20220125002548 |
| Provider Name | Kevin O Turner |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1184874125 PECOS PAC ID: 9739327719 Enrollment ID: I20220126002648 |
| Provider Name | Elizabeth Cabrera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437477981 PECOS PAC ID: 1557500451 Enrollment ID: I20220127000779 |
| Provider Name | Katrina Lee Hull |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801557145 PECOS PAC ID: 5991198772 Enrollment ID: I20220201000682 |
| Provider Name | Andrea Laurel Dupre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679159990 PECOS PAC ID: 0446643860 Enrollment ID: I20220208001493 |
| Provider Name | Mohsan M Chaudhry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285163212 PECOS PAC ID: 2062781750 Enrollment ID: I20220214002060 |
| Provider Name | Chaithanya Bhaskar |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1306193925 PECOS PAC ID: 2163730631 Enrollment ID: I20220216000291 |
| Provider Name | Jessica Parker Goldberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073080727 PECOS PAC ID: 7214320134 Enrollment ID: I20220216002451 |
| Provider Name | William Black |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780785949 PECOS PAC ID: 9335176692 Enrollment ID: I20220216002753 |
| Provider Name | Michael Thomas Kalinoski-dubose |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629432711 PECOS PAC ID: 7315230836 Enrollment ID: I20220218000972 |
| Provider Name | Kenneth Starks |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487799110 PECOS PAC ID: 4789572546 Enrollment ID: I20220223002070 |
| Provider Name | Sara Alcorn |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1871813204 PECOS PAC ID: 8729238431 Enrollment ID: I20220224001450 |
| Provider Name | Brent Ancona |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740615236 PECOS PAC ID: 5395031322 Enrollment ID: I20220224002489 |
| Provider Name | Michael P Hafertepe |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407388952 PECOS PAC ID: 0840541793 Enrollment ID: I20220302003015 |
| Provider Name | Kruti J Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043574262 PECOS PAC ID: 7012232218 Enrollment ID: I20220304002138 |
| Provider Name | Manicia Shundreal Liddell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568963866 PECOS PAC ID: 3779829908 Enrollment ID: I20220309000640 |
| Provider Name | Nicole Carpentier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457002321 PECOS PAC ID: 9830584846 Enrollment ID: I20220309001966 |
| Provider Name | Jenna Lanae Breidinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194478503 PECOS PAC ID: 7012302946 Enrollment ID: I20220311000781 |
| Provider Name | Megan Kayla Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750909388 PECOS PAC ID: 1658766365 Enrollment ID: I20220316000977 |
| Provider Name | Jonathan Edward Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033606587 PECOS PAC ID: 4486049863 Enrollment ID: I20220322000928 |
| Provider Name | Daniel Hugh Oleary |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851748685 PECOS PAC ID: 1557606837 Enrollment ID: I20220323001716 |
| Provider Name | Gwendolyn Roberson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558504191 PECOS PAC ID: 4880901198 Enrollment ID: I20220324002449 |
| Provider Name | Deborah Jean Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275095143 PECOS PAC ID: 1052706199 Enrollment ID: I20220328001026 |
| Provider Name | Shannon M Welter |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1386873958 PECOS PAC ID: 4880080514 Enrollment ID: I20220406001461 |
| Provider Name | Mary Agnes Dahl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609497973 PECOS PAC ID: 4486070208 Enrollment ID: I20220408000948 |
| Provider Name | Renee Zasada |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730840976 PECOS PAC ID: 9537555834 Enrollment ID: I20220414001056 |
| Provider Name | Nimo Abdullahi Ahmed |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1730832296 PECOS PAC ID: 5597152785 Enrollment ID: I20220418000620 |
| Provider Name | Praveen Hariharan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215458351 PECOS PAC ID: 4486928942 Enrollment ID: I20220419002675 |
| Provider Name | Fahma Osman Mohamed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538789276 PECOS PAC ID: 5698197317 Enrollment ID: I20220420002164 |
| Provider Name | Joella Kate Korpi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386301257 PECOS PAC ID: 8325435308 Enrollment ID: I20220421000118 |
| Provider Name | Jessica Namoi Schultz |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1124405543 PECOS PAC ID: 2769787696 Enrollment ID: I20220421000728 |
| Provider Name | Srikrishna Vulava |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821301367 PECOS PAC ID: 7517108889 Enrollment ID: I20220425001085 |
| Provider Name | Millicent Boa Amponsem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659858769 PECOS PAC ID: 1658615570 Enrollment ID: I20220425002618 |
| Provider Name | Daniel Zimmerman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063405561 PECOS PAC ID: 8527969989 Enrollment ID: I20220426001181 |
| Provider Name | Adam Raphael Lipschultz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1588198311 PECOS PAC ID: 2961812227 Enrollment ID: I20220428001219 |
| Provider Name | Amber Scheierl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720678147 PECOS PAC ID: 1254728868 Enrollment ID: I20220429001372 |
| Provider Name | Michael Patrick Greenwood |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1023379419 PECOS PAC ID: 8426272261 Enrollment ID: I20220503000424 |
| Provider Name | Kelash Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326499542 PECOS PAC ID: 2466739560 Enrollment ID: I20220510001986 |
| Provider Name | Krista Cleary |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1073668018 PECOS PAC ID: 3173878485 Enrollment ID: I20220512002468 |
| Provider Name | Robert J Dolan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447782453 PECOS PAC ID: 6507139045 Enrollment ID: I20220513001665 |
| Provider Name | Joshua R Trujeque |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497318679 PECOS PAC ID: 5698002830 Enrollment ID: I20220518002275 |
| Provider Name | Kelsey Lien |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699395707 PECOS PAC ID: 2466877477 Enrollment ID: I20220523000086 |
| Provider Name | Angelica Nicole Willis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932604246 PECOS PAC ID: 0446682223 Enrollment ID: I20220523001065 |
| Provider Name | Omar Jibril |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518444181 PECOS PAC ID: 2365779204 Enrollment ID: I20220524002118 |
| Provider Name | Zako Mohamed Ibrahim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720653652 PECOS PAC ID: 7810374279 Enrollment ID: I20220524002908 |
| Provider Name | Jacob C Cogan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1710341714 PECOS PAC ID: 5193103414 Enrollment ID: I20220527000672 |
| Provider Name | Kenneth Aduba |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437505245 PECOS PAC ID: 5991040297 Enrollment ID: I20220601002684 |
| Provider Name | Gabriel Nicolas Guzman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720576127 PECOS PAC ID: 0840535621 Enrollment ID: I20220602000120 |
| Provider Name | Rachel Witt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497135057 PECOS PAC ID: 0749536613 Enrollment ID: I20220606002876 |
| Provider Name | Arnes Huskic |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174987275 PECOS PAC ID: 2466751284 Enrollment ID: I20220607002112 |
| Provider Name | Amy Kaufman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114304839 PECOS PAC ID: 9032412317 Enrollment ID: I20220607002914 |
| Provider Name | Krista Yucuis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083192223 PECOS PAC ID: 7113305624 Enrollment ID: I20220610002137 |
| Provider Name | Alexandra Paige Hall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942863998 PECOS PAC ID: 5799012985 Enrollment ID: I20220613000303 |
| Provider Name | Aparna K Basu |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1306286356 PECOS PAC ID: 2062734239 Enrollment ID: I20220613001692 |
| Provider Name | Vishnuvardhan Ganesan |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1952833428 PECOS PAC ID: 3375922891 Enrollment ID: I20220614000173 |
| Provider Name | Lucas S Harvey |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1336670280 PECOS PAC ID: 3870972300 Enrollment ID: I20220614000832 |
| Provider Name | Sabrina C Burn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396125662 PECOS PAC ID: 9537464979 Enrollment ID: I20220617001689 |
| Provider Name | Erica Sue Swenson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578183042 PECOS PAC ID: 2769807858 Enrollment ID: I20220617001877 |
| Provider Name | Ornina Bachour |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073046298 PECOS PAC ID: 2163773011 Enrollment ID: I20220621002836 |
| Provider Name | Parrisha Laurence Roane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700389566 PECOS PAC ID: 2365821378 Enrollment ID: I20220622002165 |
| Provider Name | Kelsey Gagesch |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548795305 PECOS PAC ID: 4082984257 Enrollment ID: I20220624001683 |
| Provider Name | Seth Laporte |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528621109 PECOS PAC ID: 8729313085 Enrollment ID: I20220625000594 |
| Provider Name | Mo Valerie Paylen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508490558 PECOS PAC ID: 3577942168 Enrollment ID: I20220628003168 |
| Provider Name | Daniel Edwin Peck |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114344041 PECOS PAC ID: 7517235500 Enrollment ID: I20220629003314 |
| Provider Name | Sheetal Kumar |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1942682133 PECOS PAC ID: 8729380324 Enrollment ID: I20220701000981 |
| Provider Name | Ligogo Cesar Muholeza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033848817 PECOS PAC ID: 3870973183 Enrollment ID: I20220705001368 |
| Provider Name | Azeez Abayomi Akinlolu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609433861 PECOS PAC ID: 9638403702 Enrollment ID: I20220706000746 |
| Provider Name | Norman Nadir Aiad |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1154818250 PECOS PAC ID: 3173862638 Enrollment ID: I20220706003792 |
| Provider Name | Mary K Shoemaker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821652900 PECOS PAC ID: 4587998158 Enrollment ID: I20220708003141 |
| Provider Name | Alicia M Reichenbach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568070209 PECOS PAC ID: 4981084613 Enrollment ID: I20220712000632 |
| Provider Name | John Alexander Duffy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861997025 PECOS PAC ID: 9335493063 Enrollment ID: I20220712002341 |
| Provider Name | Andrea Patricia Espejo Freire |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1154776961 PECOS PAC ID: 2860873593 Enrollment ID: I20220713000650 |
| Provider Name | Kanishk Agnihotri |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1023427820 PECOS PAC ID: 2365718640 Enrollment ID: I20220719000901 |
| Provider Name | Edwin E Kwakugah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184033250 PECOS PAC ID: 5597035600 Enrollment ID: I20220719001313 |
| Provider Name | Michael Florie |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1700441102 PECOS PAC ID: 3678952884 Enrollment ID: I20220719003112 |
| Provider Name | David Brauer |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1962841049 PECOS PAC ID: 7113235730 Enrollment ID: I20220719003763 |
| Provider Name | Jacob J Ristow |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1285162883 PECOS PAC ID: 4981976669 Enrollment ID: I20220721002071 |
| Provider Name | Roxanna Pourmirzaie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881187151 PECOS PAC ID: 5193114171 Enrollment ID: I20220725003206 |
| Provider Name | Kalkidan T Shiferaw |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467942151 PECOS PAC ID: 5193127934 Enrollment ID: I20220727001036 |
| Provider Name | Priya Omprakash Pathak |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851800668 PECOS PAC ID: 1153697859 Enrollment ID: I20220728003174 |
| Provider Name | Anna E Grosse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366191066 PECOS PAC ID: 0446632004 Enrollment ID: I20220729001813 |
| Provider Name | Mackenzie Anne Lucca |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659035392 PECOS PAC ID: 6204218605 Enrollment ID: I20220802001085 |
| Provider Name | Rheanne Maravelas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629429758 PECOS PAC ID: 1658650700 Enrollment ID: I20220802001664 |
| Provider Name | Brian Lefchak |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265939961 PECOS PAC ID: 0244578078 Enrollment ID: I20220802004061 |
| Provider Name | Aastha Chauhan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1891146197 PECOS PAC ID: 9335432269 Enrollment ID: I20220808000253 |
| Provider Name | Erick Enrique Jimenez Granados |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487036851 PECOS PAC ID: 6800194358 Enrollment ID: I20220809001342 |
| Provider Name | Ryan Kimlong Huynh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407317415 PECOS PAC ID: 4880929801 Enrollment ID: I20220810003363 |
| Provider Name | Jessica Joanne Padniewski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225692007 PECOS PAC ID: 5496138372 Enrollment ID: I20220810003592 |
| Provider Name | Amel A Badr |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528262904 PECOS PAC ID: 8820156466 Enrollment ID: I20220812000686 |
| Provider Name | Allison Abell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306333844 PECOS PAC ID: 4981959400 Enrollment ID: I20220815001252 |
| Provider Name | Akinbolaji Akingbola |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1295228450 PECOS PAC ID: 1850642711 Enrollment ID: I20220818000649 |
| Provider Name | Mary Beth Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396477329 PECOS PAC ID: 2961885207 Enrollment ID: I20220818001641 |
| Provider Name | Amber Marie Servatius |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740440312 PECOS PAC ID: 0244400430 Enrollment ID: I20220819001128 |
| Provider Name | Roman Becicka |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083007322 PECOS PAC ID: 4789958638 Enrollment ID: I20220823003889 |
| Provider Name | Lauren Anna Buckley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952856056 PECOS PAC ID: 5991030132 Enrollment ID: I20220825001623 |
| Provider Name | Rachael Lauren Mangaudis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194229500 PECOS PAC ID: 1951659085 Enrollment ID: I20220826000993 |
| Provider Name | Yanli Ding |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1154680957 PECOS PAC ID: 7810129962 Enrollment ID: I20220831000605 |
| Provider Name | Tushar Murli Advani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881918415 PECOS PAC ID: 9739461484 Enrollment ID: I20220831000942 |
| Provider Name | Mai Ly Thor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902369705 PECOS PAC ID: 3274938907 Enrollment ID: I20220901001253 |
| Provider Name | Atul Kumar Mehta |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1770920209 PECOS PAC ID: 2961706817 Enrollment ID: I20220905000406 |
| Provider Name | Molly Helene Watkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164169751 PECOS PAC ID: 4284018565 Enrollment ID: I20220906001749 |
| Provider Name | Madison T Brickner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205496221 PECOS PAC ID: 1052647278 Enrollment ID: I20220914001025 |
| Provider Name | Mary E Hanks |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366947913 PECOS PAC ID: 4183976517 Enrollment ID: I20220915003001 |
| Provider Name | Christine S Lambert |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1972980142 PECOS PAC ID: 6406155019 Enrollment ID: I20220916000312 |
| Provider Name | Nathan Mebrahtu Mesfin |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1417305400 PECOS PAC ID: 0648563338 Enrollment ID: I20220916002765 |
| Provider Name | Christopher Michael Kissell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134849037 PECOS PAC ID: 7315322963 Enrollment ID: I20220916002800 |
| Provider Name | Madhav Vijaykumar Desai |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1316384704 PECOS PAC ID: 4082919287 Enrollment ID: I20220920003187 |
| Provider Name | Keyn Mun Joshua Wong |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1235490707 PECOS PAC ID: 9537545520 Enrollment ID: I20220928001692 |
| Provider Name | Kenan Tayssir Raddawi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699235333 PECOS PAC ID: 5496131385 Enrollment ID: I20220929002556 |
| Provider Name | Mickey Amos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942929658 PECOS PAC ID: 2769868587 Enrollment ID: I20221003000932 |
| Provider Name | Ryan Glen Etchison |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326571696 PECOS PAC ID: 3971927237 Enrollment ID: I20221003002786 |
| Provider Name | Tammam Beydoun |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1033349014 PECOS PAC ID: 0840501524 Enrollment ID: I20221009000018 |
| Provider Name | Jasvinder Autar Singh |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1619409240 PECOS PAC ID: 5496159808 Enrollment ID: I20221010001785 |
| Provider Name | Bradley Clark |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316107642 PECOS PAC ID: 6305007451 Enrollment ID: I20221018000568 |
| Provider Name | Anthony Grant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942923347 PECOS PAC ID: 8921474818 Enrollment ID: I20221018001121 |
| Provider Name | Ukana Bassey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356628812 PECOS PAC ID: 8527293331 Enrollment ID: I20221019002100 |
| Provider Name | Aaron Michael Klein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336875087 PECOS PAC ID: 8527434158 Enrollment ID: I20221021001378 |
| Provider Name | Diana Oramas Mogrovejo |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1982080982 PECOS PAC ID: 0941510945 Enrollment ID: I20221027000793 |
| Provider Name | Mayur Sharma |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1942637095 PECOS PAC ID: 8820227671 Enrollment ID: I20221027002007 |
| Provider Name | Evgeny Buharin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720467731 PECOS PAC ID: 4284998485 Enrollment ID: I20221028002531 |
| Provider Name | Molly Marie Huggins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528784394 PECOS PAC ID: 5496122392 Enrollment ID: I20221107000894 |
| Provider Name | Roxanne Dujour |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255642856 PECOS PAC ID: 2769507029 Enrollment ID: I20221108001957 |
| Provider Name | Mopelola Idowu Isola |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073514808 PECOS PAC ID: 2567456221 Enrollment ID: I20221110001999 |
| Provider Name | Megan Elizabeth Voss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457943847 PECOS PAC ID: 1557739950 Enrollment ID: I20221116000034 |
| Provider Name | Julia Elise Sobaszkiewicz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376262725 PECOS PAC ID: 8123496544 Enrollment ID: I20221116001101 |
| Provider Name | Alison Hockenberry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700435609 PECOS PAC ID: 8820466253 Enrollment ID: I20221116001249 |
| Provider Name | Mohsin Salih |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326488594 PECOS PAC ID: 3274835020 Enrollment ID: I20221117003321 |
| Provider Name | Collin Jon Beyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639750060 PECOS PAC ID: 6103226857 Enrollment ID: I20221119000271 |
| Provider Name | Bryan A Roller |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1467848770 PECOS PAC ID: 4688910375 Enrollment ID: I20221119000335 |
| Provider Name | Anna Marie Revolinski |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1962124594 PECOS PAC ID: 5698143816 Enrollment ID: I20221119000423 |
| Provider Name | Christopher J Jones |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1841610326 PECOS PAC ID: 2668894288 Enrollment ID: I20221123000108 |
| Provider Name | Megan Anderegg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932828977 PECOS PAC ID: 5092183095 Enrollment ID: I20221123000593 |
| Provider Name | Ashley Marie Wolfgram |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003537820 PECOS PAC ID: 3971971979 Enrollment ID: I20221123000716 |
| Provider Name | Juan Carlos Samayoa Escobar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629411970 PECOS PAC ID: 8123319860 Enrollment ID: I20221123001024 |
| Provider Name | Jonathan Lee Poquiz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346815792 PECOS PAC ID: 1557739489 Enrollment ID: I20221123002437 |
| Provider Name | Vanessa Tevy Seng-kapadia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952862500 PECOS PAC ID: 2860727815 Enrollment ID: I20221128000278 |
| Provider Name | John G Hawkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235107335 PECOS PAC ID: 8123053048 Enrollment ID: I20221201003240 |
| Provider Name | Nicole Irene Hunter |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1326534108 PECOS PAC ID: 5890164453 Enrollment ID: I20221205000691 |
| Provider Name | Ramneesh Baweja |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548525413 PECOS PAC ID: 8729344874 Enrollment ID: I20221209000826 |
| Provider Name | Jeremiah Brewer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679968697 PECOS PAC ID: 8426366378 Enrollment ID: I20221209000873 |
| Provider Name | Laura Mary Tess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154039865 PECOS PAC ID: 1850760042 Enrollment ID: I20221209002296 |
| Provider Name | Erika Re'nee Hart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184334617 PECOS PAC ID: 6204205305 Enrollment ID: I20221213000310 |
| Provider Name | Alexandra Lee |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1174230098 PECOS PAC ID: 2567831696 Enrollment ID: I20221213001769 |
| Provider Name | Nabil Karroum |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104985118 PECOS PAC ID: 0749185973 Enrollment ID: I20221214001485 |
| Provider Name | Usama Sabzwari |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811055684 PECOS PAC ID: 3072515584 Enrollment ID: I20221221001417 |
| Provider Name | Thomas Gerald Reimann |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992331870 PECOS PAC ID: 3173946084 Enrollment ID: I20221229000501 |
| Provider Name | Reann Jo Mcguire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073233292 PECOS PAC ID: 7618347998 Enrollment ID: I20230102000108 |
| Provider Name | Matthew Jonathan Wesley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265894489 PECOS PAC ID: 3173812773 Enrollment ID: I20230103001998 |
| Provider Name | Chesney Burgweger Siems |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083101059 PECOS PAC ID: 8820344021 Enrollment ID: I20230105001418 |
| Provider Name | Ming Yuan Lien |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588010177 PECOS PAC ID: 7719257617 Enrollment ID: I20230109002085 |
| Provider Name | Long Le |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588010870 PECOS PAC ID: 6406197136 Enrollment ID: I20230111001192 |
| Provider Name | Sean Larsen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467985200 PECOS PAC ID: 2860743911 Enrollment ID: I20230117002547 |
| Provider Name | Swathi Nemani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568824654 PECOS PAC ID: 8921305012 Enrollment ID: I20230117002579 |
| Provider Name | Emily Anna Merchant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013535350 PECOS PAC ID: 9335548379 Enrollment ID: I20230117002889 |
| Provider Name | Diane Begley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881662088 PECOS PAC ID: 0648163618 Enrollment ID: I20230119000613 |
| Provider Name | Zainab Al-lawati |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1588219737 PECOS PAC ID: 8527476399 Enrollment ID: I20230125000393 |
| Provider Name | Matthew Rich |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1538656467 PECOS PAC ID: 5496002420 Enrollment ID: I20230125001218 |
| Provider Name | Maria Borrero |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235635772 PECOS PAC ID: 5890048292 Enrollment ID: I20230125002866 |
| Provider Name | Kalpana Vennila Gopalswamy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558789453 PECOS PAC ID: 1759686629 Enrollment ID: I20230126000515 |
| Provider Name | Steven Shuo Qi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548616428 PECOS PAC ID: 5597048330 Enrollment ID: I20230201000471 |
| Provider Name | Ajay Dhadwal |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1629206032 PECOS PAC ID: 6800921362 Enrollment ID: I20230201001619 |
| Provider Name | Kimberly Jo Lundeen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437731361 PECOS PAC ID: 8527467125 Enrollment ID: I20230208000057 |
| Provider Name | Stephen Chiramukathu John |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780212217 PECOS PAC ID: 7719303015 Enrollment ID: I20230208002213 |
| Provider Name | Rachael W Starcher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164914503 PECOS PAC ID: 8123374659 Enrollment ID: I20230214000667 |
| Provider Name | Sashi Niranjan Nair |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578068987 PECOS PAC ID: 6507119039 Enrollment ID: I20230215000632 |
| Provider Name | Claire Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033722129 PECOS PAC ID: 7214357623 Enrollment ID: I20230217000651 |
| Provider Name | Zalaya Keyena Ivy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104314590 PECOS PAC ID: 6002288156 Enrollment ID: I20230217002193 |
| Provider Name | Ancy S Mohan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134650419 PECOS PAC ID: 5092085191 Enrollment ID: I20230301002479 |
| Provider Name | Robert Daniel Odze |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1205873999 PECOS PAC ID: 4385686708 Enrollment ID: I20230313002715 |
| Provider Name | Oluwaseun Basit Ogunbona |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1790282713 PECOS PAC ID: 2163766106 Enrollment ID: I20230314001326 |
| Provider Name | Isadora L Felling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558077024 PECOS PAC ID: 3072987718 Enrollment ID: I20230321001750 |
| Provider Name | Sevak Keshishyan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1841586013 PECOS PAC ID: 4587910930 Enrollment ID: I20230322001585 |
| Provider Name | Kayla Rene Promes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740981158 PECOS PAC ID: 9032583422 Enrollment ID: I20230327001415 |
| Provider Name | Kalyan Sajja |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346682861 PECOS PAC ID: 1052542347 Enrollment ID: I20230327002546 |
| Provider Name | Aiham H Jbeli |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1912326950 PECOS PAC ID: 0749407740 Enrollment ID: I20230329000533 |
| Provider Name | Nora N Ekeanya |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154749844 PECOS PAC ID: 8628370467 Enrollment ID: I20230329003318 |
| Provider Name | Ryan J Martinez |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1710476478 PECOS PAC ID: 8123376241 Enrollment ID: I20230331000642 |
| Provider Name | Jesse M Reiter |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992202709 PECOS PAC ID: 5799034021 Enrollment ID: I20230331001324 |
| Provider Name | Yasemin Koksel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922659028 PECOS PAC ID: 4880925304 Enrollment ID: I20230331001529 |
| Provider Name | Cathy Marie O'neil |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003955279 PECOS PAC ID: 6608834387 Enrollment ID: I20230403000311 |
| Provider Name | Maddie Marie Frederick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760100424 PECOS PAC ID: 2860867769 Enrollment ID: I20230406001520 |
| Provider Name | Emily Claire Quigley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548974447 PECOS PAC ID: 2769857416 Enrollment ID: I20230411000858 |
| Provider Name | Jeffrey Kubiak |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1184187627 PECOS PAC ID: 1850620162 Enrollment ID: I20230414002080 |
| Provider Name | Kevin Klee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750888459 PECOS PAC ID: 6800147687 Enrollment ID: I20230414002116 |
| Provider Name | Jennifer Michelle Vanhorn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760191944 PECOS PAC ID: 6002281300 Enrollment ID: I20230418001515 |
| Provider Name | Thomas Charles Mchale |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336646306 PECOS PAC ID: 2365845526 Enrollment ID: I20230420001605 |
| Provider Name | Amrith Shettigar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366007528 PECOS PAC ID: 6709110380 Enrollment ID: I20230425000738 |
| Provider Name | Sandhyarani Dasaraju |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1659804094 PECOS PAC ID: 8022473172 Enrollment ID: I20230425002666 |
| Provider Name | Christopher Hesh |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1740642354 PECOS PAC ID: 7618275140 Enrollment ID: I20230427001547 |
| Provider Name | Naveen Premnath |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1205380375 PECOS PAC ID: 3779829056 Enrollment ID: I20230429000018 |
| Provider Name | Alesia Gene Autumn Eaton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477587426 PECOS PAC ID: 1951655117 Enrollment ID: I20230501001522 |
| Provider Name | Nirmal N Lumpkin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093003709 PECOS PAC ID: 3072914381 Enrollment ID: I20230502000183 |
| Provider Name | Minghao Zhong |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1467637025 PECOS PAC ID: 6103081575 Enrollment ID: I20230502001097 |
| Provider Name | Bhavadharini Ramu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1699906941 PECOS PAC ID: 4082901947 Enrollment ID: I20230502001355 |
| Provider Name | Benjamin Michael Manning |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1104352541 PECOS PAC ID: 8123414935 Enrollment ID: I20230502001370 |
| Provider Name | Colie Marie Purpur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477262459 PECOS PAC ID: 2769847433 Enrollment ID: I20230502002240 |
| Provider Name | Karlyn Stoltman Messer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659878775 PECOS PAC ID: 9133470743 Enrollment ID: I20230503003260 |
| Provider Name | Cameron S Mcdonald-hyman |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1457845828 PECOS PAC ID: 4789930785 Enrollment ID: I20230504001392 |
| Provider Name | Kyle Aaron Kitzman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689162067 PECOS PAC ID: 0244581049 Enrollment ID: I20230504002903 |
| Provider Name | Ruben Alexanian |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1760748354 PECOS PAC ID: 3375776800 Enrollment ID: I20230508001029 |
| Provider Name | Kelli Dawn Guth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891313862 PECOS PAC ID: 8426413873 Enrollment ID: I20230508002327 |
| Provider Name | Binoy Yohannan |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1750778510 PECOS PAC ID: 6204188246 Enrollment ID: I20230516000796 |
| Provider Name | Tyson A Burningham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417584061 PECOS PAC ID: 1557773710 Enrollment ID: I20230517001975 |
| Provider Name | Vanessa Elene Slots |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740506203 PECOS PAC ID: 6406829217 Enrollment ID: I20230519002590 |
| Provider Name | Henrik Slots |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679899892 PECOS PAC ID: 2163668690 Enrollment ID: I20230520000222 |
| Provider Name | Hannah Scheel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699489997 PECOS PAC ID: 0749646545 Enrollment ID: I20230522001158 |
| Provider Name | Supriya Gupta |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1124540604 PECOS PAC ID: 3072979657 Enrollment ID: I20230524002289 |
| Provider Name | Alysen Demzik |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1437541299 PECOS PAC ID: 7416202270 Enrollment ID: I20230525002932 |
| Provider Name | Abiy Abebe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154855104 PECOS PAC ID: 3274958384 Enrollment ID: I20230530002755 |
| Provider Name | Anupam Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982835567 PECOS PAC ID: 3375832587 Enrollment ID: I20230530003315 |
| Provider Name | Nicholas G Reason |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093212391 PECOS PAC ID: 0446595201 Enrollment ID: I20230531001906 |
| Provider Name | Bethlehem Bekele Atoma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619597911 PECOS PAC ID: 9739546003 Enrollment ID: I20230531002715 |
| Provider Name | Logan Kathleen White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558002063 PECOS PAC ID: 9830576875 Enrollment ID: I20230601000709 |
| Provider Name | Milind Bhagat |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1245646108 PECOS PAC ID: 8022309137 Enrollment ID: I20230602000066 |
| Provider Name | Carrie Bailey |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730529546 PECOS PAC ID: 4981969557 Enrollment ID: I20230605002206 |
| Provider Name | John Maurer |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1285121152 PECOS PAC ID: 3072864982 Enrollment ID: I20230605002469 |
| Provider Name | Michael Sean Mulvihill |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1508109604 PECOS PAC ID: 7618334707 Enrollment ID: I20230605003112 |
| Provider Name | Hannah Louise Heinzerling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760174312 PECOS PAC ID: 4688031628 Enrollment ID: I20230606002033 |
| Provider Name | Katherine Elisabeth Hoekstra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699858225 PECOS PAC ID: 2466433743 Enrollment ID: I20230606003125 |
| Provider Name | Nermine M Abdelwahab |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871158600 PECOS PAC ID: 9436486750 Enrollment ID: I20230607001424 |
| Provider Name | Sarah Copelas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073140877 PECOS PAC ID: 0941622898 Enrollment ID: I20230608001232 |
| Provider Name | Saad Jameel Gondal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306379243 PECOS PAC ID: 6406270214 Enrollment ID: I20230609002249 |
| Provider Name | Sasha Zheng Prisco |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255785002 PECOS PAC ID: 9436435856 Enrollment ID: I20230613001888 |
| Provider Name | Kari Malia Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700499662 PECOS PAC ID: 9032538491 Enrollment ID: I20230613002065 |
| Provider Name | Perpetua Okechukwu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194345611 PECOS PAC ID: 2062835234 Enrollment ID: I20230613002326 |
| Provider Name | Randal Rovinski |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1932620473 PECOS PAC ID: 6002180700 Enrollment ID: I20230614000604 |
| Provider Name | John Frank Galatowitsch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922637461 PECOS PAC ID: 0648692129 Enrollment ID: I20230614004067 |
| Provider Name | Manaswita Tappata |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346860616 PECOS PAC ID: 2466870811 Enrollment ID: I20230622000563 |
| Provider Name | Jelena Licina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316921687 PECOS PAC ID: 5092706366 Enrollment ID: I20230623001601 |
| Provider Name | Christopher Graham |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1962864538 PECOS PAC ID: 1355614322 Enrollment ID: I20230626002505 |
| Provider Name | Marisa Bartley |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1104480359 PECOS PAC ID: 9638405442 Enrollment ID: I20230626002715 |
| Provider Name | Abdulla M Shereef Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396307724 PECOS PAC ID: 8921466780 Enrollment ID: I20230627000378 |
| Provider Name | Ismail Elbaz Younes |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1811419344 PECOS PAC ID: 8022389238 Enrollment ID: I20230628000373 |
| Provider Name | Gaurav Sanjay Suryawanshi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164042446 PECOS PAC ID: 8123445418 Enrollment ID: I20230628002507 |
| Provider Name | Esther Zujia Chen Etchison |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1134682081 PECOS PAC ID: 8022344282 Enrollment ID: I20230629001525 |
| Provider Name | Krupali Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942614045 PECOS PAC ID: 4082903299 Enrollment ID: I20230703000938 |
| Provider Name | Rhoda Leichter |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1548286958 PECOS PAC ID: 5799794103 Enrollment ID: I20230704000123 |
| Provider Name | Sana Fatima Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598385668 PECOS PAC ID: 7810315884 Enrollment ID: I20230705002531 |
| Provider Name | Austin Burdge |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477900066 PECOS PAC ID: 8123372935 Enrollment ID: I20230707000996 |
| Provider Name | Jordan Mattson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639527856 PECOS PAC ID: 2466745831 Enrollment ID: I20230711000640 |
| Provider Name | David Y Balser |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1003303801 PECOS PAC ID: 6002164456 Enrollment ID: I20230711004230 |
| Provider Name | Zhilan Xiao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235768862 PECOS PAC ID: 7012339005 Enrollment ID: I20230712003329 |
| Provider Name | Lauren Taylor Thornton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780180034 PECOS PAC ID: 5698026466 Enrollment ID: I20230712003465 |
| Provider Name | Marlena R Mueller |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1922504281 PECOS PAC ID: 5294083077 Enrollment ID: I20230712004336 |
| Provider Name | Aparna Das |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1447602297 PECOS PAC ID: 2264727866 Enrollment ID: I20230713001348 |
| Provider Name | Jonathan Cudnik |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1285920538 PECOS PAC ID: 7113173337 Enrollment ID: I20230713002135 |
| Provider Name | Shruthi Vinayaga Subramaniam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881223451 PECOS PAC ID: 0042635575 Enrollment ID: I20230717001389 |
| Provider Name | Alexandra Therese Tarabochia-gast |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134651433 PECOS PAC ID: 9638440043 Enrollment ID: I20230718002302 |
| Provider Name | Matthew Gerard Traxler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962995316 PECOS PAC ID: 6002167764 Enrollment ID: I20230718002931 |
| Provider Name | Beau Rigstad |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811517501 PECOS PAC ID: 5092138230 Enrollment ID: I20230719001575 |
| Provider Name | Marta Agnieszka Michalska-smith |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1568996304 PECOS PAC ID: 7012284482 Enrollment ID: I20230719001722 |
| Provider Name | Waleed Saadedeen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871112284 PECOS PAC ID: 8224498415 Enrollment ID: I20230719003347 |
| Provider Name | Shruthi Ponnala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831711191 PECOS PAC ID: 9931569977 Enrollment ID: I20230721001836 |
| Provider Name | Saiara Choudhury |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093202954 PECOS PAC ID: 1951789767 Enrollment ID: I20230724002726 |
| Provider Name | Gyongyi Okechuku |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215261623 PECOS PAC ID: 5092946004 Enrollment ID: I20230726003058 |
| Provider Name | Kelsey Marie Jensen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538725981 PECOS PAC ID: 5698002368 Enrollment ID: I20230727000076 |
| Provider Name | Aniruddha Sunit, Paranjpe |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588185649 PECOS PAC ID: 9830468859 Enrollment ID: I20230801000866 |
| Provider Name | Michael J Larson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801424544 PECOS PAC ID: 7012339625 Enrollment ID: I20230801001487 |
| Provider Name | Vanessa Moll |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1346565702 PECOS PAC ID: 9931321106 Enrollment ID: I20230801002535 |
| Provider Name | Anne Kathryn Wieck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932887742 PECOS PAC ID: 8729449806 Enrollment ID: I20230806000036 |
| Provider Name | Dominic Jamil Haddad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215566609 PECOS PAC ID: 9234553660 Enrollment ID: I20230808000983 |
| Provider Name | Sean M Mcnitt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508480302 PECOS PAC ID: 8426461369 Enrollment ID: I20230808001688 |
| Provider Name | Sankalpa Bandi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417324583 PECOS PAC ID: 0345596854 Enrollment ID: I20230808004036 |
| Provider Name | Gregory Paul Thompson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346878097 PECOS PAC ID: 8224450879 Enrollment ID: I20230810002383 |
| Provider Name | Martina Burn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033565775 PECOS PAC ID: 0840584678 Enrollment ID: I20230815001933 |
| Provider Name | Kristin Michele Bil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740992809 PECOS PAC ID: 6305208844 Enrollment ID: I20230815001951 |
| Provider Name | Katherine Blomquist |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568099745 PECOS PAC ID: 5799107421 Enrollment ID: I20230823001844 |
| Provider Name | Rachel Elizabeth Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770265647 PECOS PAC ID: 8224491212 Enrollment ID: I20230823003200 |
| Provider Name | Javier Andres Suarez Oliveros |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275907156 PECOS PAC ID: 9739410002 Enrollment ID: I20230824001334 |
| Provider Name | Ravi Moghe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497374227 PECOS PAC ID: 3577985381 Enrollment ID: I20230828001798 |
| Provider Name | Mihir Milind Joshi |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1760844179 PECOS PAC ID: 4385047257 Enrollment ID: I20230830002111 |
| Provider Name | Daniel Austin Huff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215565718 PECOS PAC ID: 0244653061 Enrollment ID: I20230830003857 |
| Provider Name | Leann Rose Ottomeyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952935512 PECOS PAC ID: 3971742750 Enrollment ID: I20230831002915 |
| Provider Name | Michael A Lew |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1720427768 PECOS PAC ID: 6204070964 Enrollment ID: I20230901001106 |
| Provider Name | Adrianne Leonardelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750968319 PECOS PAC ID: 3173986437 Enrollment ID: I20230905000616 |
| Provider Name | Sandeep Sharma |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1255730180 PECOS PAC ID: 9739484890 Enrollment ID: I20230906000687 |
| Provider Name | Jacob Laurence Tigner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952922148 PECOS PAC ID: 3971913989 Enrollment ID: I20230907001849 |
| Provider Name | Kirsten Lasley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588293260 PECOS PAC ID: 1759704083 Enrollment ID: I20230911002808 |
| Provider Name | Abby Manitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265117022 PECOS PAC ID: 3476917014 Enrollment ID: I20230914002160 |
| Provider Name | Michael Keegan Taylor |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467746818 PECOS PAC ID: 7113146861 Enrollment ID: I20230917000036 |
| Provider Name | Andrew J Sheehan |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1326500117 PECOS PAC ID: 2860720471 Enrollment ID: I20230920003034 |
| Provider Name | Tessa Maria Fontana Watt |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1144633488 PECOS PAC ID: 6305151929 Enrollment ID: I20230921000948 |
| Provider Name | Igor Sister |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518149467 PECOS PAC ID: 4981787975 Enrollment ID: I20230921001719 |
| Provider Name | June Sigman |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1003877192 PECOS PAC ID: 3870676216 Enrollment ID: I20230926001266 |
| Provider Name | Satoshi Miyairi |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1275140378 PECOS PAC ID: 6305224239 Enrollment ID: I20231005000324 |
| Provider Name | Titi Taiwo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033851209 PECOS PAC ID: 1153776877 Enrollment ID: I20231016000744 |
| Provider Name | Caleb Jung-jye Chiang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619434222 PECOS PAC ID: 3779818919 Enrollment ID: I20231016000889 |
| Provider Name | Jade Matraca Blaser |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316574866 PECOS PAC ID: 1759736457 Enrollment ID: I20231016002922 |
| Provider Name | Carrie Ann Warns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164205365 PECOS PAC ID: 4082060512 Enrollment ID: I20231019002236 |
| Provider Name | Goodness Chioma Chinweuba |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972181733 PECOS PAC ID: 4981004876 Enrollment ID: I20231020002773 |
| Provider Name | John Rhodes Martin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679954192 PECOS PAC ID: 2860703832 Enrollment ID: I20231020002874 |
| Provider Name | Neal Rajan Godse |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1326579350 PECOS PAC ID: 5991073363 Enrollment ID: I20231023001322 |
| Provider Name | Rachel B Bachman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144802943 PECOS PAC ID: 0547661779 Enrollment ID: I20231024000778 |
| Provider Name | Jacob Michael Lentner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962146928 PECOS PAC ID: 0244619807 Enrollment ID: I20231024001466 |
| Provider Name | Laura Lara |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942881412 PECOS PAC ID: 0840695979 Enrollment ID: I20231026003830 |
| Provider Name | Lauren E Lussenhop |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447832720 PECOS PAC ID: 7012318322 Enrollment ID: I20231027000165 |
| Provider Name | Quan Phung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609433689 PECOS PAC ID: 8921331695 Enrollment ID: I20231102001933 |
| Provider Name | Johnathone Yang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851915557 PECOS PAC ID: 8820419468 Enrollment ID: I20231102002333 |
| Provider Name | Marin Kay Stellner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265129340 PECOS PAC ID: 4385091917 Enrollment ID: I20231103001048 |
| Provider Name | Emanuela Donata Antonellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316725427 PECOS PAC ID: 2860849304 Enrollment ID: I20231106001798 |
| Provider Name | Elaine K Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750426979 PECOS PAC ID: 0143677609 Enrollment ID: I20231106002696 |
| Provider Name | Ali Novin |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1124674635 PECOS PAC ID: 3678909744 Enrollment ID: I20231109001018 |
| Provider Name | Janie Elizabeth Goodall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083838874 PECOS PAC ID: 9638253057 Enrollment ID: I20231110002158 |
| Provider Name | Samantha Rae Woehrle |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1629851332 PECOS PAC ID: 5890142822 Enrollment ID: I20231113000791 |
| Provider Name | Leyla Bille Warsame |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861844177 PECOS PAC ID: 3870824220 Enrollment ID: I20231113001730 |
| Provider Name | Margaret Singer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346877891 PECOS PAC ID: 5799101648 Enrollment ID: I20231121002480 |
| Provider Name | Jungjin Kim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528488376 PECOS PAC ID: 7618228891 Enrollment ID: I20231128000498 |
| Provider Name | Nichole Lee Zimdars |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548047434 PECOS PAC ID: 7315395563 Enrollment ID: I20231128002569 |
| Provider Name | Nancy Beal Waller |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508833419 PECOS PAC ID: 7517315641 Enrollment ID: I20231129002092 |
| Provider Name | Suman Pal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831611615 PECOS PAC ID: 9234554882 Enrollment ID: I20231129002215 |
| Provider Name | Kirsi Elizabeth Keener |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285406371 PECOS PAC ID: 8921456054 Enrollment ID: I20231129002327 |
| Provider Name | Jay Geerdes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568190825 PECOS PAC ID: 1254715972 Enrollment ID: I20231129003237 |
| Provider Name | Danielle Claire Hoven |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609659689 PECOS PAC ID: 3476901562 Enrollment ID: I20231130000505 |
| Provider Name | Alex Johnson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619466992 PECOS PAC ID: 4284988619 Enrollment ID: I20231204001983 |
| Provider Name | Hayley Jeanmarie Severson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285210310 PECOS PAC ID: 3779981188 Enrollment ID: I20231205001564 |
| Provider Name | Erica Johnson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518428192 PECOS PAC ID: 4880041342 Enrollment ID: I20231205002659 |
| Provider Name | Ali Chaudhry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982929758 PECOS PAC ID: 6305070046 Enrollment ID: I20231206002153 |
| Provider Name | Kerith Lijewski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093708588 PECOS PAC ID: 2961483763 Enrollment ID: I20231208001704 |
| Provider Name | Kayla Mcclanahan |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1134478928 PECOS PAC ID: 3375792898 Enrollment ID: I20231208002044 |
| Provider Name | Mitchell David Moe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023753415 PECOS PAC ID: 8527448117 Enrollment ID: I20231214001935 |
| Provider Name | Colleen M Mcguire |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376718403 PECOS PAC ID: 2567635626 Enrollment ID: I20231215002641 |
| Provider Name | Vijay Are |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710393780 PECOS PAC ID: 9234486317 Enrollment ID: I20231215002912 |
| Provider Name | Bryan Jarred Cole |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1053726117 PECOS PAC ID: 0244680130 Enrollment ID: I20231218004003 |
| Provider Name | Mandy Christensen-geraci |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689454407 PECOS PAC ID: 4789034604 Enrollment ID: I20231219000868 |
| Provider Name | Faiza Ali |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780337568 PECOS PAC ID: 1456722750 Enrollment ID: I20231220002057 |
| Provider Name | Timothy Leland Shih |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1023351830 PECOS PAC ID: 1850600032 Enrollment ID: I20231220003189 |
| Provider Name | Rachel Anne Wieland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407638828 PECOS PAC ID: 3072963529 Enrollment ID: I20231222002640 |
| Provider Name | Nicholas Charles Mcclellan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902674773 PECOS PAC ID: 8022468503 Enrollment ID: I20231226000307 |
| Provider Name | Nickolas Alan Steer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710620810 PECOS PAC ID: 5890175475 Enrollment ID: I20240102001135 |
| Provider Name | Ashley Marie O'hearn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659874782 PECOS PAC ID: 1052761103 Enrollment ID: I20240102001909 |
| Provider Name | Allison Flaherty |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386983807 PECOS PAC ID: 6305294083 Enrollment ID: I20240111002785 |
| Provider Name | Clayton Chen |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1598837569 PECOS PAC ID: 7214114099 Enrollment ID: I20240117003392 |
| Provider Name | Anisa Abdi Mohamud Suleiman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962085647 PECOS PAC ID: 2961804968 Enrollment ID: I20240122001676 |
| Provider Name | Khadra Mohamed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104276070 PECOS PAC ID: 4880046242 Enrollment ID: I20240122001894 |
| Provider Name | Mary Fahrmeier |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245252303 PECOS PAC ID: 4880657527 Enrollment ID: I20240122003058 |
| Provider Name | Tague Michael Thorson |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1922595206 PECOS PAC ID: 6204185655 Enrollment ID: I20240123000656 |
| Provider Name | Luke T Bushman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346716420 PECOS PAC ID: 3870946064 Enrollment ID: I20240124000806 |
| Provider Name | Grace Louise Hanssens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477323509 PECOS PAC ID: 3173976313 Enrollment ID: I20240124002564 |
| Provider Name | Chelsey Backer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841665304 PECOS PAC ID: 9234545971 Enrollment ID: I20240124003696 |
| Provider Name | Walid Aziz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417374372 PECOS PAC ID: 5496045767 Enrollment ID: I20240124003931 |
| Provider Name | Ian Jun Okazaki |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1841304409 PECOS PAC ID: 5496883548 Enrollment ID: I20240129004366 |
| Provider Name | Khoa Dang Nguyen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245674159 PECOS PAC ID: 3779784699 Enrollment ID: I20240206001525 |
| Provider Name | Dominique Wilson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083369490 PECOS PAC ID: 4688022205 Enrollment ID: I20240214000160 |
| Provider Name | Nicole White |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346677937 PECOS PAC ID: 7214385962 Enrollment ID: I20240214001448 |
| Provider Name | Alison Vail |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427627017 PECOS PAC ID: 1153765441 Enrollment ID: I20240214002483 |
| Provider Name | Shee Xiong |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932657624 PECOS PAC ID: 4385091073 Enrollment ID: I20240214003692 |
| Provider Name | Donald Baracskay |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760564207 PECOS PAC ID: 3072406891 Enrollment ID: I20240217000713 |
| Provider Name | Rebecca Prosen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295971422 PECOS PAC ID: 8426429325 Enrollment ID: I20240220002677 |
| Provider Name | Emily Mae Bergstedt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720721632 PECOS PAC ID: 9032598685 Enrollment ID: I20240220003145 |
| Provider Name | Daniel Zaiss |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871236794 PECOS PAC ID: 8729467659 Enrollment ID: I20240221001219 |
| Provider Name | Brittany Heaton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619488145 PECOS PAC ID: 2264889195 Enrollment ID: I20240221004366 |
| Provider Name | Angela Chen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699540716 PECOS PAC ID: 7113361619 Enrollment ID: I20240222002724 |
| Provider Name | Kristine Kathryn Labolt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598520678 PECOS PAC ID: 5193161693 Enrollment ID: I20240306003626 |
| Provider Name | Babatunde Safiriyu Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669073029 PECOS PAC ID: 3274979265 Enrollment ID: I20240313000858 |
| Provider Name | Darron Lewis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649767658 PECOS PAC ID: 6406181452 Enrollment ID: I20240313001700 |
| Provider Name | Rebekah Morgan Fiers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003551946 PECOS PAC ID: 5496136343 Enrollment ID: I20240320001080 |
| Provider Name | Reshma A Modi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588775902 PECOS PAC ID: 2860452455 Enrollment ID: I20240326000967 |
| Provider Name | Syed Muhammed Bilal Naqvi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1598865818 PECOS PAC ID: 3577525369 Enrollment ID: I20240326001216 |
| Provider Name | Sabo Uba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508106873 PECOS PAC ID: 4385889849 Enrollment ID: I20240326002926 |
| Provider Name | Benjamin Beatty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912324823 PECOS PAC ID: 7810118189 Enrollment ID: I20240327001036 |
| Provider Name | Kishore Raja Kishore Raja Raja |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255822268 PECOS PAC ID: 9537561428 Enrollment ID: I20240327003145 |
| Provider Name | Nicole Diane Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275392003 PECOS PAC ID: 7214375831 Enrollment ID: I20240402001999 |
| Provider Name | Paul Joseph Strain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124609201 PECOS PAC ID: 5193163699 Enrollment ID: I20240403001201 |
| Provider Name | Allison Morning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295282218 PECOS PAC ID: 8426336504 Enrollment ID: I20240405000464 |
| Provider Name | Tierra Simmons |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306306006 PECOS PAC ID: 5496100117 Enrollment ID: I20240405001207 |
| Provider Name | Ece Meram |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1932697091 PECOS PAC ID: 6305193293 Enrollment ID: I20240405002877 |
| Provider Name | Yan Zhou |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1952965071 PECOS PAC ID: 9931437746 Enrollment ID: I20240410001321 |
| Provider Name | Meghan L Mcdaniel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831956473 PECOS PAC ID: 3678911591 Enrollment ID: I20240410002825 |
| Provider Name | Russell Daniel Pluhm |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093378499 PECOS PAC ID: 1153758529 Enrollment ID: I20240416001128 |
| Provider Name | Victor C Montalvan Ayala |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629635503 PECOS PAC ID: 7911368808 Enrollment ID: I20240418000063 |
| Provider Name | Shari Lu Landreville |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689310294 PECOS PAC ID: 9133503667 Enrollment ID: I20240419002307 |
| Provider Name | Morenike Fanu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720548365 PECOS PAC ID: 5597105593 Enrollment ID: I20240424001676 |
| Provider Name | Hyacinth Escutin Hruby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306611967 PECOS PAC ID: 8628418522 Enrollment ID: I20240425001424 |
| Provider Name | Emma Muter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356953665 PECOS PAC ID: 3274974282 Enrollment ID: I20240508001876 |
| Provider Name | Hans Hesse |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356907992 PECOS PAC ID: 7012242159 Enrollment ID: I20240510001410 |
| Provider Name | Nina Mena |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306280664 PECOS PAC ID: 9133465222 Enrollment ID: I20240515003810 |
| Provider Name | Joseph Fotos |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710114186 PECOS PAC ID: 8426360835 Enrollment ID: I20240517002517 |
| Provider Name | Tonya King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144756586 PECOS PAC ID: 0446513220 Enrollment ID: I20240529002569 |
| Provider Name | Kyungjeen Paik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881196525 PECOS PAC ID: 4385067685 Enrollment ID: I20240604000976 |
| Provider Name | Victoria Sheree St Martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851034961 PECOS PAC ID: 6901286574 Enrollment ID: I20240610002016 |
Minnesota Natural Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3485 Willow Lake Blvd, #100, Vadnais Heights, MN 55110 Phone: 651-484-5567 | |
Northeast Pediatric Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4520 Centerville Rd, Vadnais Heights, MN 55127 Phone: 651-426-1141 | |
Entira Family Clinics-vadnais Heights Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3550 Labore Rd Ste 7, Vadnais Heights, MN 55110 Phone: 651-788-4444 Fax: 651-766-9451 | |
Northeast Pediatric Clinic P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4520 Centerville Rd, Vadnais Heights, MN 55127 Phone: 651-426-1141 Fax: 651-426-1705 | |
Allina Health Vadnais Heights Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1155 County Road E E, Suite 100, Vadnais Heights, MN 55110 Phone: 651-241-9200 Fax: 651-241-9203 |