| Healthpartners Medical Group | |
|
4730 Chicago Ave Minneapolis MN 55407-3570 | |
| (952) 967-7485 | |
| (612) 313-0004 |
| Full Name | Healthpartners Medical Group |
|---|---|
| Speciality | Clinic/Center |
| Location | 4730 Chicago Ave, Minneapolis, Minnesota |
| Authorized Official Name and Position | Lisa Bjorkman (DIRECTOR) |
| Authorized Official Contact | 9528837469 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthpartners Medical Group 8170 33rd Ave S Mail Stop 21110q Bloomington MN 55425-4516 Ph: (952) 883-7469 | Healthpartners Medical Group 4730 Chicago Ave Minneapolis MN 55407-3570 Ph: (952) 967-7485 |
| NPI Number | 1710924683 |
|---|---|
| Provider Enumeration Date | 06/01/2006 |
| Last Update Date | 09/24/2024 |
| Medicare PECOS PAC ID | 1759293954 |
|---|---|
| Medicare Enrollment ID | O20031105000417 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710924683 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Secondary |
| Provider Name | Yong-yi Pan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700850740 PECOS PAC ID: 7810801222 Enrollment ID: I20031118001002 |
| Provider Name | Xiao Y Young |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750356309 PECOS PAC ID: 8729992151 Enrollment ID: I20031118001057 |
| Provider Name | Bruce A Bennett |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1750356622 PECOS PAC ID: 0749194066 Enrollment ID: I20031119000380 |
| Provider Name | Nha P Nguyen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578595617 PECOS PAC ID: 3577467596 Enrollment ID: I20031121000373 |
| Provider Name | James A Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447226410 PECOS PAC ID: 3375447030 Enrollment ID: I20031124000492 |
| Provider Name | Rita A Wolf |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710970090 PECOS PAC ID: 0547164238 Enrollment ID: I20031124000647 |
| Provider Name | Warren Goodman |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1316906746 PECOS PAC ID: 2163326752 Enrollment ID: I20031125000365 |
| Provider Name | Jannica L Groom |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1831162395 PECOS PAC ID: 9931003530 Enrollment ID: I20031125000395 |
| Provider Name | Melissa Ann Geller |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1265466809 PECOS PAC ID: 0446154959 Enrollment ID: I20031125000480 |
| Provider Name | Krista K Graven |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1982678405 PECOS PAC ID: 8325942766 Enrollment ID: I20031126000253 |
| Provider Name | Margaret M Szondy |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1992769640 PECOS PAC ID: 3375448624 Enrollment ID: I20031201000547 |
| Provider Name | Franklin Lipman Rimell |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1235150491 PECOS PAC ID: 8123923711 Enrollment ID: I20031205000520 |
| Provider Name | Tara L Schlattman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609853415 PECOS PAC ID: 5193621522 Enrollment ID: I20031208000916 |
| Provider Name | Scott B Marston |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1649244989 PECOS PAC ID: 9739086810 Enrollment ID: I20031217000119 |
| Provider Name | Linda Amaikwu-rushing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376514737 PECOS PAC ID: 6608774872 Enrollment ID: I20031224000091 |
| Provider Name | Christopher L Balgobin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124085121 PECOS PAC ID: 6709785389 Enrollment ID: I20040102000348 |
| Provider Name | Sinon B Janay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689630923 PECOS PAC ID: 5395644827 Enrollment ID: I20040105000338 |
| Provider Name | Michael B Adams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629054481 PECOS PAC ID: 6305745308 Enrollment ID: I20040108000463 |
| Provider Name | Beth A Adams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609852102 PECOS PAC ID: 1557260460 Enrollment ID: I20040108000557 |
| Provider Name | Mary J Ehresman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629053004 PECOS PAC ID: 8325949241 Enrollment ID: I20040115000078 |
| Provider Name | Kamiab Delfanian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043229438 PECOS PAC ID: 2365343779 Enrollment ID: I20040119000386 |
| Provider Name | Jess Olson |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1326012824 PECOS PAC ID: 3779484902 Enrollment ID: I20040120000284 |
| Provider Name | Jerome C Siy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043282817 PECOS PAC ID: 5496656530 Enrollment ID: I20040120000810 |
| Provider Name | Melissa J Mohrenweiser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790784718 PECOS PAC ID: 7719889815 Enrollment ID: I20040121000046 |
| Provider Name | Timothy A Myers |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1598725699 PECOS PAC ID: 8022910173 Enrollment ID: I20040122000252 |
| Provider Name | Peter A Cole |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1811966617 PECOS PAC ID: 6608778113 Enrollment ID: I20040124000131 |
| Provider Name | Jennifer Deming |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275521700 PECOS PAC ID: 1355243692 Enrollment ID: I20040126000643 |
| Provider Name | Denver N Ulland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952354268 PECOS PAC ID: 5294638458 Enrollment ID: I20040127001046 |
| Provider Name | Eric J Korbach |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1912971771 PECOS PAC ID: 5799688032 Enrollment ID: I20040202000632 |
| Provider Name | Kurt M Isenberger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225003882 PECOS PAC ID: 1153224415 Enrollment ID: I20040202000772 |
| Provider Name | Myriah M Hanno |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417929670 PECOS PAC ID: 4587567854 Enrollment ID: I20040202000789 |
| Provider Name | Leena Ranade |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609806884 PECOS PAC ID: 1850284969 Enrollment ID: I20040203001035 |
| Provider Name | Kristen M Kopski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386699049 PECOS PAC ID: 8224922778 Enrollment ID: I20040214000078 |
| Provider Name | Gina L Ruesch |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1275538753 PECOS PAC ID: 0446145163 Enrollment ID: I20040220000023 |
| Provider Name | Stephen M Mitrione |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972539369 PECOS PAC ID: 1850286493 Enrollment ID: I20040220000920 |
| Provider Name | Elizabeth Bilyk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376519413 PECOS PAC ID: 6406742022 Enrollment ID: I20040223000298 |
| Provider Name | Brett Adams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497721765 PECOS PAC ID: 1456248145 Enrollment ID: I20040227000859 |
| Provider Name | Julie R Zwiener |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013983576 PECOS PAC ID: 1759278104 Enrollment ID: I20040302000115 |
| Provider Name | Vicki M Anderson |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1598738817 PECOS PAC ID: 8729975750 Enrollment ID: I20040303000546 |
| Provider Name | Kefeng Gu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538249412 PECOS PAC ID: 5890683379 Enrollment ID: I20040306000251 |
| Provider Name | Thom G Dahle |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1760458673 PECOS PAC ID: 4688564081 Enrollment ID: I20040318001068 |
| Provider Name | Onaiza Ansar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871560656 PECOS PAC ID: 4587554852 Enrollment ID: I20040318001592 |
| Provider Name | Mark G Warnken |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912966441 PECOS PAC ID: 9931090032 Enrollment ID: I20040319001587 |
| Provider Name | Sarah J Dheilly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306873369 PECOS PAC ID: 0244121416 Enrollment ID: I20040324001557 |
| Provider Name | Susan J Lavell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215907803 PECOS PAC ID: 2961394598 Enrollment ID: I20040327000116 |
| Provider Name | Robert H Dybvig |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538277314 PECOS PAC ID: 9234021783 Enrollment ID: I20040329000576 |
| Provider Name | Shaun Douglas Frost |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982677308 PECOS PAC ID: 5193717973 Enrollment ID: I20040401000264 |
| Provider Name | Mustafa Orhan Ucer |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1558335307 PECOS PAC ID: 4082606769 Enrollment ID: I20040401001007 |
| Provider Name | Ryan Pfannenstein |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1801862875 PECOS PAC ID: 1557353109 Enrollment ID: I20040401001500 |
| Provider Name | Levi Stanford Downs |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1700816311 PECOS PAC ID: 3779576970 Enrollment ID: I20040405000957 |
| Provider Name | Michael Thurmes |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518944875 PECOS PAC ID: 2860487477 Enrollment ID: I20040414001751 |
| Provider Name | Thomas E Kottke |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255307617 PECOS PAC ID: 3476548041 Enrollment ID: I20040415000140 |
| Provider Name | Michael D Brunner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093794349 PECOS PAC ID: 9335134816 Enrollment ID: I20040415000254 |
| Provider Name | Ann M Settgast |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801814553 PECOS PAC ID: 7719972959 Enrollment ID: I20040417000316 |
| Provider Name | Robyn M Casey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114984135 PECOS PAC ID: 2860488145 Enrollment ID: I20040422000413 |
| Provider Name | Donald W Kjome |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588749642 PECOS PAC ID: 7618964750 Enrollment ID: I20040429000544 |
| Provider Name | Alex Solovey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154396471 PECOS PAC ID: 2062401060 Enrollment ID: I20040506000762 |
| Provider Name | Stacey M Ehlers-millett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689636615 PECOS PAC ID: 8022007814 Enrollment ID: I20040507000577 |
| Provider Name | Blair M Anderson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1902874613 PECOS PAC ID: 4587653142 Enrollment ID: I20040510000049 |
| Provider Name | Zena Khalil |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1568435410 PECOS PAC ID: 1557351566 Enrollment ID: I20040513000114 |
| Provider Name | Julie A Thompson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962462085 PECOS PAC ID: 7416947288 Enrollment ID: I20040513001277 |
| Provider Name | Marco Guerrero |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1184662967 PECOS PAC ID: 1456341239 Enrollment ID: I20040513001333 |
| Provider Name | Roan S Precilla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811968480 PECOS PAC ID: 8628068228 Enrollment ID: I20040515000165 |
| Provider Name | Janis D Keil-day |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1942276787 PECOS PAC ID: 2466443718 Enrollment ID: I20040524001130 |
| Provider Name | Peter A Hilger |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1790770196 PECOS PAC ID: 4385625391 Enrollment ID: I20040526000629 |
| Provider Name | Amy Sievert-okeefe |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1356313514 PECOS PAC ID: 5698756641 Enrollment ID: I20040526000936 |
| Provider Name | Vathsala Ganeshan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982688016 PECOS PAC ID: 0244212553 Enrollment ID: I20040602000112 |
| Provider Name | Darin S Epstein |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1942285135 PECOS PAC ID: 1456333202 Enrollment ID: I20040604000212 |
| Provider Name | Shaban Nazarian |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1831381854 PECOS PAC ID: 1254313778 Enrollment ID: I20040607000922 |
| Provider Name | Carrie J Kremer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205811387 PECOS PAC ID: 4880677962 Enrollment ID: I20040610000100 |
| Provider Name | Mark R Sannes |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1174592729 PECOS PAC ID: 2062495666 Enrollment ID: I20040612000115 |
| Provider Name | Ranjit John |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1720183171 PECOS PAC ID: 4385628759 Enrollment ID: I20040614001613 |
| Provider Name | Laura S Mayer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114995131 PECOS PAC ID: 7113901331 Enrollment ID: I20040615001787 |
| Provider Name | Nancy J Roberts |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1083689954 PECOS PAC ID: 6608852439 Enrollment ID: I20040624000756 |
| Provider Name | Michael R Butner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053362426 PECOS PAC ID: 3476539974 Enrollment ID: I20040625000565 |
| Provider Name | Jennifer L Oldham |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1578514212 PECOS PAC ID: 8921084245 Enrollment ID: I20040628000629 |
| Provider Name | James A Young |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538126107 PECOS PAC ID: 1355327362 Enrollment ID: I20040629000447 |
| Provider Name | Stephen Tan |
|---|---|
| Provider Type | Practitioner - Micrographic Dermatologic Surgery (mds) |
| Provider Identifiers | NPI Number: 1669446415 PECOS PAC ID: 3173500873 Enrollment ID: I20040701000084 |
| Provider Name | Rolf C Hanson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992896906 PECOS PAC ID: 5597742957 Enrollment ID: I20040702000544 |
| Provider Name | Patrick J Brod |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942209911 PECOS PAC ID: 2264419282 Enrollment ID: I20040707000504 |
| Provider Name | Chi-chi Ayika |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750358586 PECOS PAC ID: 9638157753 Enrollment ID: I20040713001240 |
| Provider Name | Christine R Stanson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801851209 PECOS PAC ID: 8527046655 Enrollment ID: I20040713001326 |
| Provider Name | Monica M Overkamp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063489144 PECOS PAC ID: 1254319395 Enrollment ID: I20040713001390 |
| Provider Name | Sonia M Helmy Gercheva |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295707792 PECOS PAC ID: 7911986914 Enrollment ID: I20040714000938 |
| Provider Name | Omobosola O Akinsete |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1891749214 PECOS PAC ID: 8224000120 Enrollment ID: I20040811000374 |
| Provider Name | Alexia Passe Knapp |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1710951199 PECOS PAC ID: 4789657941 Enrollment ID: I20040816001122 |
| Provider Name | Dieter Heinz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669451837 PECOS PAC ID: 6002889151 Enrollment ID: I20040817000409 |
| Provider Name | Petr Bachan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1093779100 PECOS PAC ID: 2961475991 Enrollment ID: I20040817000994 |
| Provider Name | Carol A Soutor |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1023084241 PECOS PAC ID: 8022082304 Enrollment ID: I20040823000953 |
| Provider Name | Lisa Capell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609816925 PECOS PAC ID: 1658346481 Enrollment ID: I20040826000550 |
| Provider Name | Kristen M Gilleo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598766677 PECOS PAC ID: 3779559059 Enrollment ID: I20040908000803 |
| Provider Name | Barry Howland Taylor |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1043394455 PECOS PAC ID: 2365418365 Enrollment ID: I20040909000881 |
| Provider Name | David R Hardten |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1508851387 PECOS PAC ID: 6204726565 Enrollment ID: I20040909001392 |
| Provider Name | Jagdeep Bijwadia |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1861468639 PECOS PAC ID: 4486621208 Enrollment ID: I20040913000244 |
| Provider Name | Marlane S Brown |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1982699740 PECOS PAC ID: 8921075763 Enrollment ID: I20040913000385 |
| Provider Name | Deborah L Lacroix |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235153313 PECOS PAC ID: 4587631338 Enrollment ID: I20040913000457 |
| Provider Name | Derek J Schmidt |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1801856588 PECOS PAC ID: 7911967328 Enrollment ID: I20041011000578 |
| Provider Name | Michael J Damato |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1356458988 PECOS PAC ID: 0840183026 Enrollment ID: I20041012001090 |
| Provider Name | Thomas W Samuelson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1265427918 PECOS PAC ID: 2668362922 Enrollment ID: I20041013000235 |
| Provider Name | William J Lipham |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1528053717 PECOS PAC ID: 5496740532 Enrollment ID: I20041013000403 |
| Provider Name | Christopher A Darnell |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1245204627 PECOS PAC ID: 6305806183 Enrollment ID: I20041015000419 |
| Provider Name | Kristin K Christiansen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225065279 PECOS PAC ID: 4688635774 Enrollment ID: I20041021001010 |
| Provider Name | Beena Kumar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629044698 PECOS PAC ID: 2264494731 Enrollment ID: I20041028000258 |
| Provider Name | Ahmad S Abdulkarim |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1578522991 PECOS PAC ID: 5395707772 Enrollment ID: I20041028000385 |
| Provider Name | Theodore J Haland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407819832 PECOS PAC ID: 0547222952 Enrollment ID: I20041028000549 |
| Provider Name | Jennifer M Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427026426 PECOS PAC ID: 5496717811 Enrollment ID: I20041028000596 |
| Provider Name | Robert M Ahrens |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619085032 PECOS PAC ID: 7113989856 Enrollment ID: I20041103001050 |
| Provider Name | Charles Burton Erickson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265409569 PECOS PAC ID: 8921061680 Enrollment ID: I20041104000663 |
| Provider Name | Clarice R Decker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669441960 PECOS PAC ID: 3476516915 Enrollment ID: I20041105000812 |
| Provider Name | Yelena K Jahnsen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467424648 PECOS PAC ID: 6406819580 Enrollment ID: I20041109001156 |
| Provider Name | Alvin Clark Holm |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265546188 PECOS PAC ID: 1850380734 Enrollment ID: I20041110000594 |
| Provider Name | Roman Smulka |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043284268 PECOS PAC ID: 4082677083 Enrollment ID: I20041110000914 |
| Provider Name | Michael Maurice |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851369961 PECOS PAC ID: 8224091137 Enrollment ID: I20041110001033 |
| Provider Name | Randall C Warren |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538135504 PECOS PAC ID: 5597728410 Enrollment ID: I20041110001117 |
| Provider Name | Kristen M Conner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629083068 PECOS PAC ID: 6002879830 Enrollment ID: I20041111000613 |
| Provider Name | Paul J Lysne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912971706 PECOS PAC ID: 6608830294 Enrollment ID: I20041113000233 |
| Provider Name | Timothy G Larson |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1326130204 PECOS PAC ID: 0446214985 Enrollment ID: I20041115001253 |
| Provider Name | Radha Krishna Kumar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649258658 PECOS PAC ID: 1254395635 Enrollment ID: I20041116000257 |
| Provider Name | Kevin J Sheridan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326134214 PECOS PAC ID: 1456315613 Enrollment ID: I20041117000315 |
| Provider Name | Nathan Robert Norquist |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740254960 PECOS PAC ID: 7416911672 Enrollment ID: I20041117000343 |
| Provider Name | Lourdes R Borges Ruiz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104885391 PECOS PAC ID: 6901861632 Enrollment ID: I20041122001189 |
| Provider Name | Karolyn J Paulson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609964915 PECOS PAC ID: 1355306838 Enrollment ID: I20041123001101 |
| Provider Name | Maria Mulet Pradera |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1457452617 PECOS PAC ID: 9032174321 Enrollment ID: I20041129000503 |
| Provider Name | Celerina Gonzalez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588639207 PECOS PAC ID: 7214992361 Enrollment ID: I20041130000910 |
| Provider Name | Paul F Holten |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215909494 PECOS PAC ID: 3072578046 Enrollment ID: I20041201000714 |
| Provider Name | Gwendolyn Hunter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295704013 PECOS PAC ID: 2163489139 Enrollment ID: I20041213000127 |
| Provider Name | Scott A Oakman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003889544 PECOS PAC ID: 1658358627 Enrollment ID: I20041222000142 |
| Provider Name | Olufemi O Banjoko |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1073590519 PECOS PAC ID: 1759349087 Enrollment ID: I20050103000617 |
| Provider Name | Christopher P Haynes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275523193 PECOS PAC ID: 3870564743 Enrollment ID: I20050105000556 |
| Provider Name | Patricia A Opal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619942281 PECOS PAC ID: 3971551052 Enrollment ID: I20050105000557 |
| Provider Name | Timothy Deaconson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679559355 PECOS PAC ID: 6507759602 Enrollment ID: I20050105000595 |
| Provider Name | Lan Nguyen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184686800 PECOS PAC ID: 1759330145 Enrollment ID: I20050112000706 |
| Provider Name | William H Rabe |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225004203 PECOS PAC ID: 7416906813 Enrollment ID: I20050112000776 |
| Provider Name | Mary A Warne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720075062 PECOS PAC ID: 0244280253 Enrollment ID: I20050127000584 |
| Provider Name | David D Hamlar |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1720044357 PECOS PAC ID: 2860443413 Enrollment ID: I20050201000795 |
| Provider Name | Peter J Terry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659390490 PECOS PAC ID: 5092766113 Enrollment ID: I20050207000504 |
| Provider Name | Steven E Calvin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912976564 PECOS PAC ID: 8921050089 Enrollment ID: I20050216000839 |
| Provider Name | Gregory T Mucha |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1215902119 PECOS PAC ID: 2860444965 Enrollment ID: I20050217000136 |
| Provider Name | Georgia E Panopoulos |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578537692 PECOS PAC ID: 4183676968 Enrollment ID: I20050221000452 |
| Provider Name | Janelle R Keplinger |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023083649 PECOS PAC ID: 7618920505 Enrollment ID: I20050303000153 |
| Provider Name | Erin K Micallef |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396838066 PECOS PAC ID: 1658325667 Enrollment ID: I20050311000286 |
| Provider Name | Heather M Berg-patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063484590 PECOS PAC ID: 0446205140 Enrollment ID: I20050315001088 |
| Provider Name | Muhammad Janjua |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1265474068 PECOS PAC ID: 9931154325 Enrollment ID: I20050318000186 |
| Provider Name | Kevin J Bjork |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1538144365 PECOS PAC ID: 3779495031 Enrollment ID: I20050321000609 |
| Provider Name | Michael D Alter |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1225072812 PECOS PAC ID: 3173579257 Enrollment ID: I20050323000185 |
| Provider Name | Gene Stringer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417933474 PECOS PAC ID: 8921904210 Enrollment ID: I20050323000290 |
| Provider Name | Jane Wilkens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447240924 PECOS PAC ID: 6901702208 Enrollment ID: I20050323000306 |
| Provider Name | Heather R Cichanowski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295701548 PECOS PAC ID: 0244286110 Enrollment ID: I20050323001028 |
| Provider Name | Christian M Daleiden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912998469 PECOS PAC ID: 5991751844 Enrollment ID: I20050324000157 |
| Provider Name | Linda K Ferrario |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235198078 PECOS PAC ID: 4082660816 Enrollment ID: I20050324000866 |
| Provider Name | Jeanne M Poulton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912983982 PECOS PAC ID: 7911803366 Enrollment ID: I20050325000172 |
| Provider Name | Andrew E Dorwart |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174513659 PECOS PAC ID: 3870499221 Enrollment ID: I20050328000076 |
| Provider Name | Donald W Wessel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538142518 PECOS PAC ID: 0648176941 Enrollment ID: I20050328000086 |
| Provider Name | Wendy J Heck |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740263714 PECOS PAC ID: 3779539358 Enrollment ID: I20050328000093 |
| Provider Name | Barbara Ann Strohbehn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558346080 PECOS PAC ID: 4587610175 Enrollment ID: I20050328000111 |
| Provider Name | Andrea Tipple |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811973886 PECOS PAC ID: 4385540681 Enrollment ID: I20050328000125 |
| Provider Name | Laura A Dean |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952387722 PECOS PAC ID: 6507762945 Enrollment ID: I20050328000152 |
| Provider Name | Michael R Bourne |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1164412649 PECOS PAC ID: 1951357540 Enrollment ID: I20050328000193 |
| Provider Name | Timothy G Balder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104801638 PECOS PAC ID: 6406752849 Enrollment ID: I20050328000376 |
| Provider Name | Wayne D Carlson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730164880 PECOS PAC ID: 9638075070 Enrollment ID: I20050328000523 |
| Provider Name | Brian L Cress |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861477382 PECOS PAC ID: 3072419415 Enrollment ID: I20050328000625 |
| Provider Name | Susan M Asch |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841275377 PECOS PAC ID: 8224934658 Enrollment ID: I20050328000779 |
| Provider Name | Martha Sanford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184609703 PECOS PAC ID: 3274439625 Enrollment ID: I20050328001038 |
| Provider Name | Charles H Stevens |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346224144 PECOS PAC ID: 3971409327 Enrollment ID: I20050329000309 |
| Provider Name | William H Anderson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457338006 PECOS PAC ID: 8123074408 Enrollment ID: I20050330000184 |
| Provider Name | Peter A Argenta |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1316981541 PECOS PAC ID: 3971559253 Enrollment ID: I20050330000224 |
| Provider Name | Peter B Meier |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1518980192 PECOS PAC ID: 5890742035 Enrollment ID: I20050331000393 |
| Provider Name | Xoua Thao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558487041 PECOS PAC ID: 9032166996 Enrollment ID: I20050401000898 |
| Provider Name | Bijan Shayegan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932184694 PECOS PAC ID: 8325938186 Enrollment ID: I20050404000155 |
| Provider Name | Raymond A Watts |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972533263 PECOS PAC ID: 4981651809 Enrollment ID: I20050404000355 |
| Provider Name | Bhavin I Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689646960 PECOS PAC ID: 9335196021 Enrollment ID: I20050405000742 |
| Provider Name | Pamela J Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194791467 PECOS PAC ID: 6002863701 Enrollment ID: I20050405000804 |
| Provider Name | Mary W Ericksen |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1346218559 PECOS PAC ID: 8325095029 Enrollment ID: I20050405000845 |
| Provider Name | Denise M Brown |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1184699928 PECOS PAC ID: 4486601192 Enrollment ID: I20050405000874 |
| Provider Name | Heidi Gunderson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1730154600 PECOS PAC ID: 2961459680 Enrollment ID: I20050405000927 |
| Provider Name | Robert C Droullard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760454219 PECOS PAC ID: 0547217267 Enrollment ID: I20050405000981 |
| Provider Name | George E Belzer |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1972580330 PECOS PAC ID: 5799732228 Enrollment ID: I20050406000511 |
| Provider Name | Michelle Marie Blaeser |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1619954963 PECOS PAC ID: 0840247193 Enrollment ID: I20050407001096 |
| Provider Name | James P Morrison |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1871567974 PECOS PAC ID: 1658318738 Enrollment ID: I20050411000556 |
| Provider Name | David W Johnson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1811964117 PECOS PAC ID: 1052358140 Enrollment ID: I20050411000610 |
| Provider Name | Anne L Weiss |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912972852 PECOS PAC ID: 2365489473 Enrollment ID: I20050411000769 |
| Provider Name | Leann M West |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013989128 PECOS PAC ID: 0345287454 Enrollment ID: I20050411000788 |
| Provider Name | Mark A Kapphahn |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1912979006 PECOS PAC ID: 9133166275 Enrollment ID: I20050411000999 |
| Provider Name | Maria C Wolff |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1124093836 PECOS PAC ID: 7517904659 Enrollment ID: I20050411001075 |
| Provider Name | Patrick P Sullivan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063491819 PECOS PAC ID: 6305750019 Enrollment ID: I20050412000595 |
| Provider Name | Marjorie J Belisle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336146455 PECOS PAC ID: 9830136613 Enrollment ID: I20050413000458 |
| Provider Name | Rebecca A Bartlett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851378319 PECOS PAC ID: 1951349901 Enrollment ID: I20050420000500 |
| Provider Name | Cathleen R Clouse |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346204120 PECOS PAC ID: 3577501410 Enrollment ID: I20050420001198 |
| Provider Name | Arthur P Wineman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225014319 PECOS PAC ID: 0941248603 Enrollment ID: I20050422000170 |
| Provider Name | Jill M Galassi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720048671 PECOS PAC ID: 1759320799 Enrollment ID: I20050428000601 |
| Provider Name | Craig J Leesman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619943909 PECOS PAC ID: 7012956923 Enrollment ID: I20050429000667 |
| Provider Name | Mary D Mclaurin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1003879917 PECOS PAC ID: 4587563648 Enrollment ID: I20050504000060 |
| Provider Name | Pamela R Paulsen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1245293166 PECOS PAC ID: 9032018197 Enrollment ID: I20050504000078 |
| Provider Name | Andrew G L Mcginn |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1821056037 PECOS PAC ID: 0345280921 Enrollment ID: I20050504000091 |
| Provider Name | Amy M Larsen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720168537 PECOS PAC ID: 0840230918 Enrollment ID: I20050509000232 |
| Provider Name | Anthony N Coffey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639155690 PECOS PAC ID: 1052351079 Enrollment ID: I20050510000342 |
| Provider Name | Lyle J Swenson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1679558977 PECOS PAC ID: 6608865597 Enrollment ID: I20050512000104 |
| Provider Name | Ann E Lavers |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1568448926 PECOS PAC ID: 6305887407 Enrollment ID: I20050519000106 |
| Provider Name | Richard A Peterson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699717561 PECOS PAC ID: 5991747081 Enrollment ID: I20050531000293 |
| Provider Name | Teresa C Mccarthy |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1922184035 PECOS PAC ID: 3678516341 Enrollment ID: I20050603000208 |
| Provider Name | Laura E Hart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720072234 PECOS PAC ID: 7214970946 Enrollment ID: I20050603000655 |
| Provider Name | Himanshu S Sharma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720040900 PECOS PAC ID: 7911940168 Enrollment ID: I20050608000424 |
| Provider Name | Christine M Mcdonnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265404438 PECOS PAC ID: 4082657283 Enrollment ID: I20050608000888 |
| Provider Name | Mark Veldman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538188511 PECOS PAC ID: 6305889478 Enrollment ID: I20050609000274 |
| Provider Name | Renae A Kain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871523449 PECOS PAC ID: 7113961814 Enrollment ID: I20050614000533 |
| Provider Name | Andrew Nottleson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295700854 PECOS PAC ID: 2365486842 Enrollment ID: I20050615000579 |
| Provider Name | Jamie Lyn Miller Reinschmidt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841267739 PECOS PAC ID: 3678517182 Enrollment ID: I20050615000820 |
| Provider Name | Julie G Zimmerman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154396786 PECOS PAC ID: 1153365556 Enrollment ID: I20050616000528 |
| Provider Name | Frank G Ondrey |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1508941428 PECOS PAC ID: 7517901937 Enrollment ID: I20050616000631 |
| Provider Name | Sean T Thayer |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1619972197 PECOS PAC ID: 9830134998 Enrollment ID: I20050621000136 |
| Provider Name | Michael Richard Walsh |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1275510059 PECOS PAC ID: 8820033780 Enrollment ID: I20050622000519 |
| Provider Name | Manuela Fina |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1811952336 PECOS PAC ID: 1759332687 Enrollment ID: I20050627000046 |
| Provider Name | Neeraja Maddi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467425231 PECOS PAC ID: 4981640919 Enrollment ID: I20050630000073 |
| Provider Name | Shehbana Mahmood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447229455 PECOS PAC ID: 3971549908 Enrollment ID: I20050630000086 |
| Provider Name | Karen A Moeller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679545453 PECOS PAC ID: 1557307410 Enrollment ID: I20050630000384 |
| Provider Name | Shelley T Weier |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548231996 PECOS PAC ID: 5193751972 Enrollment ID: I20050713000216 |
| Provider Name | Jon-ano A White |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861420648 PECOS PAC ID: 7416983069 Enrollment ID: I20050714000530 |
| Provider Name | Steven H Reed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336125772 PECOS PAC ID: 6204863475 Enrollment ID: I20050719001032 |
| Provider Name | Heidi J Greenwaldt |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1891760799 PECOS PAC ID: 8527096940 Enrollment ID: I20050727001055 |
| Provider Name | Cassandra A Palmer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1568438877 PECOS PAC ID: 7113955543 Enrollment ID: I20050727001077 |
| Provider Name | Sou-pan Wu |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1114993961 PECOS PAC ID: 9931137213 Enrollment ID: I20050728000378 |
| Provider Name | Gavin Pittman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1578581351 PECOS PAC ID: 5597748434 Enrollment ID: I20050811000194 |
| Provider Name | Gregory Siwek |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1437125317 PECOS PAC ID: 7214967389 Enrollment ID: I20050818000141 |
| Provider Name | Bernt R Christianson |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1407820251 PECOS PAC ID: 9436189412 Enrollment ID: I20050818001065 |
| Provider Name | Pamela K Baribeau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366437105 PECOS PAC ID: 8426089277 Enrollment ID: I20050822001269 |
| Provider Name | Lance Kansas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770672875 PECOS PAC ID: 9032140819 Enrollment ID: I20050823000054 |
| Provider Name | Lori A Ricke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871553461 PECOS PAC ID: 6507897154 Enrollment ID: I20050824000294 |
| Provider Name | Christine D Kwasniewski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487760013 PECOS PAC ID: 7214968254 Enrollment ID: I20050830000033 |
| Provider Name | Meher K Rahman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1689654048 PECOS PAC ID: 7911942339 Enrollment ID: I20050906001034 |
| Provider Name | Jennifer B Mcdermott |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568510824 PECOS PAC ID: 0749212801 Enrollment ID: I20050909000166 |
| Provider Name | Karin A Hagen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1326016924 PECOS PAC ID: 0042243057 Enrollment ID: I20050912000245 |
| Provider Name | Gwendolyn M Kosevich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013901875 PECOS PAC ID: 2365475282 Enrollment ID: I20050912001244 |
| Provider Name | Cathleen Haring |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699749234 PECOS PAC ID: 2466485263 Enrollment ID: I20050913000517 |
| Provider Name | Jonathan S Sellman |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1306806351 PECOS PAC ID: 0143253765 Enrollment ID: I20050914000948 |
| Provider Name | Lisa M Bowman |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1861479065 PECOS PAC ID: 2567495898 Enrollment ID: I20050916000032 |
| Provider Name | Suchitra Rondla |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326007659 PECOS PAC ID: 5395779433 Enrollment ID: I20050919000920 |
| Provider Name | Elie Gertner |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1336114040 PECOS PAC ID: 1052345741 Enrollment ID: I20050922000148 |
| Provider Name | Ellen R Shammash |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1760455208 PECOS PAC ID: 9032143722 Enrollment ID: I20050922000169 |
| Provider Name | Anthony J Pfaff |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1386610731 PECOS PAC ID: 8325072051 Enrollment ID: I20050922000440 |
| Provider Name | Mohamed A Hagi Aden |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093786469 PECOS PAC ID: 3274515945 Enrollment ID: I20050922000630 |
| Provider Name | Gail M Rudberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720050834 PECOS PAC ID: 7517991029 Enrollment ID: I20050923000703 |
| Provider Name | Koken Ozdogan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679545842 PECOS PAC ID: 1355375619 Enrollment ID: I20050926000683 |
| Provider Name | Steven M Debol |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1699789883 PECOS PAC ID: 4981638137 Enrollment ID: I20050927000180 |
| Provider Name | Jeffrey S Phelan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497734123 PECOS PAC ID: 1254245954 Enrollment ID: I20051007000143 |
| Provider Name | William M Stauffer |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1093781049 PECOS PAC ID: 2264457332 Enrollment ID: I20051007000274 |
| Provider Name | Patrick John Rukavina |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1295761187 PECOS PAC ID: 3779508692 Enrollment ID: I20051011000087 |
| Provider Name | Allison R Keuning |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992912760 PECOS PAC ID: 6204852288 Enrollment ID: I20051019000423 |
| Provider Name | Shannon J Parkos |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578534269 PECOS PAC ID: 6103843636 Enrollment ID: I20051025000048 |
| Provider Name | Donna M Koning |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205883964 PECOS PAC ID: 6406874007 Enrollment ID: I20051102000665 |
| Provider Name | Christopher T Kodl |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1174580336 PECOS PAC ID: 5193743615 Enrollment ID: I20051103000391 |
| Provider Name | Yeng M Yang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962434050 PECOS PAC ID: 9335167436 Enrollment ID: I20051108000067 |
| Provider Name | Galina L Koldoba |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265409098 PECOS PAC ID: 3375561335 Enrollment ID: I20051108000579 |
| Provider Name | Ursula I Amiot |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1578646592 PECOS PAC ID: 8527087832 Enrollment ID: I20051116000413 |
| Provider Name | Alyssa V Schaefer |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1639115694 PECOS PAC ID: 6406875673 Enrollment ID: I20051116000865 |
| Provider Name | Sandra J Schultz |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1972621951 PECOS PAC ID: 9931128105 Enrollment ID: I20051116000883 |
| Provider Name | Debbra L Spexet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366460677 PECOS PAC ID: 7214956374 Enrollment ID: I20051117000498 |
| Provider Name | Steve G Applebaum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033179866 PECOS PAC ID: 6709805609 Enrollment ID: I20051121000752 |
| Provider Name | Miguel A Ruiz-diaz |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1659342012 PECOS PAC ID: 1850312588 Enrollment ID: I20051209000346 |
| Provider Name | Judy Lyn Rognli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821058462 PECOS PAC ID: 7517988751 Enrollment ID: I20051215000084 |
| Provider Name | Trisha L Menke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841205606 PECOS PAC ID: 9436171105 Enrollment ID: I20051221000789 |
| Provider Name | Robert G Sonntag |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1699741397 PECOS PAC ID: 8628090289 Enrollment ID: I20051222000537 |
| Provider Name | Sarah A Mazig |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194754853 PECOS PAC ID: 8820010143 Enrollment ID: I20051229000417 |
| Provider Name | Gang K Zhang |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1447238373 PECOS PAC ID: 5092737288 Enrollment ID: I20060103000260 |
| Provider Name | James P Davig |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255383824 PECOS PAC ID: 9032133293 Enrollment ID: I20060116000377 |
| Provider Name | David P Dillon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063527570 PECOS PAC ID: 9537183694 Enrollment ID: I20060117000727 |
| Provider Name | Alfred L Clavel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841263696 PECOS PAC ID: 0345211264 Enrollment ID: I20060123000325 |
| Provider Name | Kim M Waterbury |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023215720 PECOS PAC ID: 2860416112 Enrollment ID: I20060125000630 |
| Provider Name | Bradley A Helms |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1255390449 PECOS PAC ID: 3375557747 Enrollment ID: I20060206000746 |
| Provider Name | Aynsley D Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972687234 PECOS PAC ID: 2264446657 Enrollment ID: I20060206000900 |
| Provider Name | Ladonna R Meinecke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568436525 PECOS PAC ID: 7012922172 Enrollment ID: I20060209000705 |
| Provider Name | Jennifer G Hines |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437112703 PECOS PAC ID: 0042258717 Enrollment ID: I20060220000451 |
| Provider Name | Timothy H Lind |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1891760690 PECOS PAC ID: 7719993211 Enrollment ID: I20060221000468 |
| Provider Name | Patrick M Lalley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942276902 PECOS PAC ID: 2264448554 Enrollment ID: I20060223000360 |
| Provider Name | Rebecca Jones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093857146 PECOS PAC ID: 1658388038 Enrollment ID: I20060309000258 |
| Provider Name | Christopher J Pensinger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285671644 PECOS PAC ID: 4082621040 Enrollment ID: I20060315000699 |
| Provider Name | Scott Carmody Dulebohn |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1528009198 PECOS PAC ID: 2668480658 Enrollment ID: I20060403000402 |
| Provider Name | Thomas H Blee |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184690638 PECOS PAC ID: 7618985417 Enrollment ID: I20060404000695 |
| Provider Name | Parker Eberwein |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1255421129 PECOS PAC ID: 6507876042 Enrollment ID: I20060428000212 |
| Provider Name | Shelley M Lennox |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1003833815 PECOS PAC ID: 4880604214 Enrollment ID: I20060501000355 |
| Provider Name | Michelle E Tomes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265484679 PECOS PAC ID: 8921019365 Enrollment ID: I20060522000023 |
| Provider Name | Asima Yasin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073568093 PECOS PAC ID: 9032120191 Enrollment ID: I20060606000070 |
| Provider Name | Nathan P Anderson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568429645 PECOS PAC ID: 0547272684 Enrollment ID: I20060608000094 |
| Provider Name | Zurya S Anjum |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376581785 PECOS PAC ID: 7618989641 Enrollment ID: I20060612000233 |
| Provider Name | Kimberly K Rathmann |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134174717 PECOS PAC ID: 2769494525 Enrollment ID: I20060616000005 |
| Provider Name | Kathleen D Siechen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1821043894 PECOS PAC ID: 8527070309 Enrollment ID: I20060616000124 |
| Provider Name | Harley S Dresner |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1619921731 PECOS PAC ID: 4587676366 Enrollment ID: I20060616000144 |
| Provider Name | Stacey A Mackay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760469175 PECOS PAC ID: 4587677182 Enrollment ID: I20060727000223 |
| Provider Name | Michael D Zwank |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194774091 PECOS PAC ID: 0648283267 Enrollment ID: I20060727000466 |
| Provider Name | Donna Marko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275565434 PECOS PAC ID: 9638182173 Enrollment ID: I20060728000187 |
| Provider Name | Jennifer A Ramsey |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1881626414 PECOS PAC ID: 8123031531 Enrollment ID: I20060731000485 |
| Provider Name | Kimberly S Glynn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528090891 PECOS PAC ID: 9638182017 Enrollment ID: I20060802000076 |
| Provider Name | Jennifer Y Goldberg |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1881619526 PECOS PAC ID: 7618970641 Enrollment ID: I20060814000090 |
| Provider Name | Mengnai Li |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1538189733 PECOS PAC ID: 6608879630 Enrollment ID: I20060814000099 |
| Provider Name | Jon O Olson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1881666162 PECOS PAC ID: 5395748065 Enrollment ID: I20060818000095 |
| Provider Name | Robert C Hoch |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1396717245 PECOS PAC ID: 7214930742 Enrollment ID: I20060822000573 |
| Provider Name | Joel B Jensen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861477226 PECOS PAC ID: 7113823568 Enrollment ID: I20060825000199 |
| Provider Name | Don E Wiese |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114908159 PECOS PAC ID: 7810971843 Enrollment ID: I20060830000035 |
| Provider Name | David Kalb |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1982646451 PECOS PAC ID: 2264402213 Enrollment ID: I20060831000139 |
| Provider Name | Thomas S Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326011743 PECOS PAC ID: 0042214686 Enrollment ID: I20060913000076 |
| Provider Name | John Fedje Johnston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265419238 PECOS PAC ID: 1557342243 Enrollment ID: I20060921000600 |
| Provider Name | Priya Kumar |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1578501847 PECOS PAC ID: 8527063676 Enrollment ID: I20060922000271 |
| Provider Name | Maoxing Shen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477662088 PECOS PAC ID: 5496750507 Enrollment ID: I20060925000124 |
| Provider Name | Sara L Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912009556 PECOS PAC ID: 7719982826 Enrollment ID: I20060925000160 |
| Provider Name | Kurt C Demel |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1760588958 PECOS PAC ID: 4284639022 Enrollment ID: I20060928000498 |
| Provider Name | Rebecca W Li |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1790725729 PECOS PAC ID: 3577569953 Enrollment ID: I20061006000364 |
| Provider Name | Joshua O Zimmerman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023062379 PECOS PAC ID: 9830125392 Enrollment ID: I20061011000066 |
| Provider Name | Suzanne S Parrino |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730113671 PECOS PAC ID: 1658341870 Enrollment ID: I20061012000098 |
| Provider Name | Danielle Y Maclaurin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629168158 PECOS PAC ID: 6507863917 Enrollment ID: I20061027000232 |
| Provider Name | Lisa D Buckingham |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1811008675 PECOS PAC ID: 4688671092 Enrollment ID: I20061027000238 |
| Provider Name | Robin L Yardic |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1285745026 PECOS PAC ID: 7214934504 Enrollment ID: I20061030000393 |
| Provider Name | Laura J Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043272370 PECOS PAC ID: 5092713560 Enrollment ID: I20061116000192 |
| Provider Name | Christina L Bender |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1811008907 PECOS PAC ID: 0345248837 Enrollment ID: I20061116000363 |
| Provider Name | David J Hirsh |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1295846392 PECOS PAC ID: 3971501461 Enrollment ID: I20061116000366 |
| Provider Name | Silvia Hugec |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932210994 PECOS PAC ID: 6204834617 Enrollment ID: I20061120000183 |
| Provider Name | Chad R Fait |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144303454 PECOS PAC ID: 3173521374 Enrollment ID: I20061127000012 |
| Provider Name | Lissa N Chipeco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265529663 PECOS PAC ID: 3274531272 Enrollment ID: I20061130000291 |
| Provider Name | Farhad Gounili |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1043316375 PECOS PAC ID: 3072511922 Enrollment ID: I20061201000254 |
| Provider Name | Mary L Anderson |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1831200674 PECOS PAC ID: 4981602836 Enrollment ID: I20061201000256 |
| Provider Name | Sofia M Ali |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851335194 PECOS PAC ID: 8921006883 Enrollment ID: I20061201000310 |
| Provider Name | Theresa Marie Gunnarson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427026780 PECOS PAC ID: 7618949876 Enrollment ID: I20061207000196 |
| Provider Name | Johannes Brechtken |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1427088392 PECOS PAC ID: 3375542020 Enrollment ID: I20061207000266 |
| Provider Name | Julie L Becker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023077625 PECOS PAC ID: 9335185784 Enrollment ID: I20061215000300 |
| Provider Name | Azhar T Ali |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538187786 PECOS PAC ID: 0143228809 Enrollment ID: I20061227000270 |
| Provider Name | Seth A Myles |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154393122 PECOS PAC ID: 4789684325 Enrollment ID: I20070105000180 |
| Provider Name | Patricia J Hinck |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1629140066 PECOS PAC ID: 5395745731 Enrollment ID: I20070108000538 |
| Provider Name | Mary Jane Setterberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578518767 PECOS PAC ID: 3476578279 Enrollment ID: I20070111000128 |
| Provider Name | Theodore W Ruzanic |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932273943 PECOS PAC ID: 6002816113 Enrollment ID: I20070112000338 |
| Provider Name | David T Chang |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1336116052 PECOS PAC ID: 2466423330 Enrollment ID: I20070112000359 |
| Provider Name | Brett Hendel-paterson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407813686 PECOS PAC ID: 1254331374 Enrollment ID: I20070112000381 |
| Provider Name | Annie Laura Ideker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891775847 PECOS PAC ID: 3577594639 Enrollment ID: I20070112000398 |
| Provider Name | Rachel S Burton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770507998 PECOS PAC ID: 8729089842 Enrollment ID: I20070116000338 |
| Provider Name | Yer Xiong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659442176 PECOS PAC ID: 8628079746 Enrollment ID: I20070116000348 |
| Provider Name | Mary T Dierich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346345717 PECOS PAC ID: 1153322193 Enrollment ID: I20070118000268 |
| Provider Name | Susan M Scanlon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538134473 PECOS PAC ID: 5395649123 Enrollment ID: I20070118000419 |
| Provider Name | Peter Kumasaka |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063489029 PECOS PAC ID: 7618978586 Enrollment ID: I20070118000554 |
| Provider Name | Paul R Haller |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487622890 PECOS PAC ID: 8628042009 Enrollment ID: I20070123000585 |
| Provider Name | Neal A Foman |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1235103607 PECOS PAC ID: 4587665914 Enrollment ID: I20070126000468 |
| Provider Name | Saharla A Jama |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1912003203 PECOS PAC ID: 5092716407 Enrollment ID: I20070129000296 |
| Provider Name | Rebecca L Mitchell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962574863 PECOS PAC ID: 2365443678 Enrollment ID: I20070129000419 |
| Provider Name | Karen A Quaday |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598730533 PECOS PAC ID: 4183625411 Enrollment ID: I20070129000541 |
| Provider Name | Brenda E Reiter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033149778 PECOS PAC ID: 6507851839 Enrollment ID: I20070207000234 |
| Provider Name | Laurel E Cederberg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073588273 PECOS PAC ID: 4284636804 Enrollment ID: I20070212000418 |
| Provider Name | Kristen M Dennis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619039757 PECOS PAC ID: 5597767012 Enrollment ID: I20070212000493 |
| Provider Name | Donelle L King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528028677 PECOS PAC ID: 9133017288 Enrollment ID: I20070213000515 |
| Provider Name | Kavitha B Karukurichi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457426090 PECOS PAC ID: 5698777076 Enrollment ID: I20070214000105 |
| Provider Name | Ruth K Fothergill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316009178 PECOS PAC ID: 3274535661 Enrollment ID: I20070214000224 |
| 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 | Chokchai Chareandee |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1730184078 PECOS PAC ID: 7315845831 Enrollment ID: I20070227000547 |
| Provider Name | Kandice L Tolic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598840159 PECOS PAC ID: 8224130810 Enrollment ID: I20070228000510 |
| Provider Name | Helen Nc Fu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891899845 PECOS PAC ID: 2567565526 Enrollment ID: I20070312000388 |
| Provider Name | Gary J Rosenthal |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1265491278 PECOS PAC ID: 8729181631 Enrollment ID: I20070314000389 |
| Provider Name | Terry R Barclay |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770637431 PECOS PAC ID: 5395849400 Enrollment ID: I20070329000504 |
| Provider Name | Shafqat Ullah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194798538 PECOS PAC ID: 2466556576 Enrollment ID: I20070329000527 |
| Provider Name | Sara F Hall |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1275549339 PECOS PAC ID: 8921102658 Enrollment ID: I20070405000074 |
| Provider Name | Kreegan J Reierson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457490500 PECOS PAC ID: 9739283383 Enrollment ID: I20070409000463 |
| Provider Name | Katherine A Niemann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073559340 PECOS PAC ID: 8527163872 Enrollment ID: I20070416000579 |
| Provider Name | Vishal Sagar |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1619023918 PECOS PAC ID: 8527015825 Enrollment ID: I20070511000142 |
| Provider Name | Natalie J Ough |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245459247 PECOS PAC ID: 5991801763 Enrollment ID: I20070511000160 |
| Provider Name | Nicholas H Benson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1710935895 PECOS PAC ID: 6507963063 Enrollment ID: I20070517000115 |
| Provider Name | Rebecca C Rossom |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992887186 PECOS PAC ID: 1153429279 Enrollment ID: I20070613000053 |
| Provider Name | Chiatuogu A Ukaga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720296635 PECOS PAC ID: 9133228935 Enrollment ID: I20070620000024 |
| Provider Name | Michael P Mcgrail |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831166867 PECOS PAC ID: 1759480361 Enrollment ID: I20070622000237 |
| Provider Name | Joseph C Madigan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477685121 PECOS PAC ID: 2466551825 Enrollment ID: I20070626000226 |
| Provider Name | Katherine A Severson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952429599 PECOS PAC ID: 2860591088 Enrollment ID: I20070628000178 |
| Provider Name | Amy M Hanson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1396707360 PECOS PAC ID: 2163521345 Enrollment ID: I20070629000063 |
| Provider Name | Kamalini Das |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922076132 PECOS PAC ID: 9739280256 Enrollment ID: I20070726000817 |
| Provider Name | Jawali B Jaranilla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457484982 PECOS PAC ID: 4082715404 Enrollment ID: I20070728000106 |
| Provider Name | Mohamed Y Maray |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396864765 PECOS PAC ID: 4385735521 Enrollment ID: I20070802000326 |
| Provider Name | Seth C Janus |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1982747515 PECOS PAC ID: 0042301657 Enrollment ID: I20070811000068 |
| Provider Name | Tessie L Barrett |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417158361 PECOS PAC ID: 7214028828 Enrollment ID: I20070811000074 |
| Provider Name | Sally A Mullany |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1871572909 PECOS PAC ID: 6608967054 Enrollment ID: I20070814000554 |
| Provider Name | Laura A Morrison |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1093751356 PECOS PAC ID: 5597857995 Enrollment ID: I20070815000183 |
| Provider Name | John T Knapp |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1962525501 PECOS PAC ID: 4981796174 Enrollment ID: I20070817000048 |
| Provider Name | Candy A Corey |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1699740696 PECOS PAC ID: 1658463641 Enrollment ID: I20070822000862 |
| Provider Name | Daniel M Ries |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134329592 PECOS PAC ID: 0446342463 Enrollment ID: I20070822001202 |
| Provider Name | Ruth L Merid |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730223983 PECOS PAC ID: 7911091327 Enrollment ID: I20070917000128 |
| Provider Name | Alexis A Forsberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215133525 PECOS PAC ID: 5991899304 Enrollment ID: I20070917000144 |
| Provider Name | John Kuzma |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518952274 PECOS PAC ID: 0143211615 Enrollment ID: I20070927000503 |
| Provider Name | Soumathy Prosper |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629271671 PECOS PAC ID: 0143315630 Enrollment ID: I20070928000070 |
| Provider Name | Kevin F Jund |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1619937471 PECOS PAC ID: 5890881288 Enrollment ID: I20071017000108 |
| Provider Name | Sadia A Jama |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275742199 PECOS PAC ID: 4880780741 Enrollment ID: I20071023000797 |
| Provider Name | Debra J Mcdermott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346433125 PECOS PAC ID: 9830286640 Enrollment ID: I20071025000521 |
| Provider Name | Saima M Ahmer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174642540 PECOS PAC ID: 1153418496 Enrollment ID: I20071102000081 |
| Provider Name | Karla J Hansen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679768048 PECOS PAC ID: 8123116050 Enrollment ID: I20071110000032 |
| Provider Name | Jennifer A Beissel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447443130 PECOS PAC ID: 6103914494 Enrollment ID: I20071120000600 |
| Provider Name | Bret C Haake |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851318711 PECOS PAC ID: 0042308256 Enrollment ID: I20071121000106 |
| Provider Name | Jennifer M Hierlinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285829754 PECOS PAC ID: 6002904190 Enrollment ID: I20071127000398 |
| Provider Name | Pamela A Wathum-ocama-wreh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619163995 PECOS PAC ID: 6608965793 Enrollment ID: I20071127000440 |
| Provider Name | Agnes M Boksa |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437224839 PECOS PAC ID: 9537258140 Enrollment ID: I20071205000196 |
| Provider Name | Sheryl R Erenberg |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1508050774 PECOS PAC ID: 0749370450 Enrollment ID: I20071219000172 |
| Provider Name | Balkrishna N Jahagirdar |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1265542526 PECOS PAC ID: 6507956059 Enrollment ID: I20071220000264 |
| Provider Name | Linda Ramsay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255526273 PECOS PAC ID: 9133219629 Enrollment ID: I20071220000529 |
| Provider Name | Sudhir J Reddy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194910406 PECOS PAC ID: 0648360156 Enrollment ID: I20071220000687 |
| Provider Name | Jaclyn F Chaffee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477745198 PECOS PAC ID: 5496845752 Enrollment ID: I20071226000460 |
| Provider Name | Deborah S Cuper |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689855355 PECOS PAC ID: 0840370698 Enrollment ID: I20080107000031 |
| Provider Name | Shivani Rawal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699807420 PECOS PAC ID: 0941380430 Enrollment ID: I20080109000791 |
| Provider Name | Kathryn A Huseth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366637670 PECOS PAC ID: 7719067198 Enrollment ID: I20080110000608 |
| Provider Name | Thomas J Stormont |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1184611063 PECOS PAC ID: 2961583240 Enrollment ID: I20080111000570 |
| Provider Name | Jana M Dahn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154504678 PECOS PAC ID: 5597846469 Enrollment ID: I20080116000750 |
| Provider Name | David A Tomb |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639269269 PECOS PAC ID: 2769563386 Enrollment ID: I20080121000227 |
| Provider Name | Anna K Clayton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992980346 PECOS PAC ID: 2062594237 Enrollment ID: I20080126000034 |
| Provider Name | Joseph A Browning |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1689796583 PECOS PAC ID: 0840372785 Enrollment ID: I20080130000602 |
| Provider Name | Janet L Bijwadia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346420916 PECOS PAC ID: 4789631458 Enrollment ID: I20080201000139 |
| Provider Name | Lucas J Hammell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528252764 PECOS PAC ID: 7315020641 Enrollment ID: I20080211000254 |
| Provider Name | Asif Rahman |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1841398914 PECOS PAC ID: 1355425851 Enrollment ID: I20080221000604 |
| Provider Name | Rebecca A Weber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699982876 PECOS PAC ID: 0446334593 Enrollment ID: I20080227000602 |
| Provider Name | Amy Clark |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700955259 PECOS PAC ID: 8123102191 Enrollment ID: I20080228000718 |
| Provider Name | Abejide O Fawole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497939565 PECOS PAC ID: 8022192095 Enrollment ID: I20080303000815 |
| Provider Name | Rita F Mckee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598733107 PECOS PAC ID: 5092890723 Enrollment ID: I20080305000508 |
| Provider Name | Zulfiqar Mohammad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902834633 PECOS PAC ID: 6103879960 Enrollment ID: I20080312000079 |
| Provider Name | Melanie J Gregan |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1730364548 PECOS PAC ID: 9638255169 Enrollment ID: I20080325000331 |
| Provider Name | Venkata S Vundamati |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861676025 PECOS PAC ID: 6103902184 Enrollment ID: I20080401000300 |
| Provider Name | Jason R Maxwell-wiggins |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215905427 PECOS PAC ID: 9032296868 Enrollment ID: I20080403000439 |
| Provider Name | Richard J Young |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255517256 PECOS PAC ID: 3173600582 Enrollment ID: I20080409000769 |
| Provider Name | Abbey Kanzer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861544132 PECOS PAC ID: 3375620669 Enrollment ID: I20080410000756 |
| Provider Name | Hart P Garner |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1497808422 PECOS PAC ID: 8224116314 Enrollment ID: I20080415000154 |
| Provider Name | Janice F Chevrette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326223397 PECOS PAC ID: 1759469745 Enrollment ID: I20080416000184 |
| Provider Name | Matthew J Roszkowski |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1134225469 PECOS PAC ID: 5193894475 Enrollment ID: I20080513000776 |
| Provider Name | Robert M Maland |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1619073939 PECOS PAC ID: 9234208349 Enrollment ID: I20080515000324 |
| Provider Name | Patti Y Kunze |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518022722 PECOS PAC ID: 5496757353 Enrollment ID: I20080515000764 |
| Provider Name | Ann Marie Burgeson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740394824 PECOS PAC ID: 8628147642 Enrollment ID: I20080516000544 |
| Provider Name | Stephanie D Stanton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053354076 PECOS PAC ID: 4284703885 Enrollment ID: I20080522000385 |
| Provider Name | Jody A Ford |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1598935348 PECOS PAC ID: 3971672494 Enrollment ID: I20080522000626 |
| Provider Name | Jessica A Drapcho |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1255414504 PECOS PAC ID: 7416026935 Enrollment ID: I20080522000644 |
| Provider Name | Sally A Johnson |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1609979103 PECOS PAC ID: 4688743107 Enrollment ID: I20080522000653 |
| Provider Name | Michael B Mcgowan |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1992816755 PECOS PAC ID: 1951470475 Enrollment ID: I20080522000662 |
| Provider Name | Mary Jane K Turnbull |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891761367 PECOS PAC ID: 4082784368 Enrollment ID: I20080529000092 |
| Provider Name | Faizullah Khan |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1831200690 PECOS PAC ID: 5597835868 Enrollment ID: I20080529000806 |
| Provider Name | Keith H Wittenberg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154300929 PECOS PAC ID: 3173437886 Enrollment ID: I20080530000327 |
| Provider Name | Susan M Truman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356320105 PECOS PAC ID: 6507859840 Enrollment ID: I20080530000403 |
| Provider Name | Alexandra L Muschenheim |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184603607 PECOS PAC ID: 2668452335 Enrollment ID: I20080531000068 |
| Provider Name | Edith Kang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720066848 PECOS PAC ID: 9032023726 Enrollment ID: I20080602000052 |
| Provider Name | Todd M Arsenault |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902890726 PECOS PAC ID: 4688588619 Enrollment ID: I20080602000082 |
| Provider Name | John M Caspers |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750369989 PECOS PAC ID: 2567376221 Enrollment ID: I20080602000293 |
| Provider Name | Matthew T Baldwin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487632725 PECOS PAC ID: 5496669426 Enrollment ID: I20080602000307 |
| Provider Name | James L Gowan |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1164539706 PECOS PAC ID: 7810067865 Enrollment ID: I20080602000915 |
| Provider Name | Duane L Haugen |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1184735284 PECOS PAC ID: 0547330599 Enrollment ID: I20080602000919 |
| Provider Name | John P Knoedler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023097078 PECOS PAC ID: 7911811609 Enrollment ID: I20080603000224 |
| Provider Name | Gregory M Powers |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1477664563 PECOS PAC ID: 2365512084 Enrollment ID: I20080605000881 |
| Provider Name | David R Louis |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1063523801 PECOS PAC ID: 5294806741 Enrollment ID: I20080611000497 |
| Provider Name | Paul R Musherure |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1558472316 PECOS PAC ID: 8022189505 Enrollment ID: I20080611000827 |
| Provider Name | Khuong M Vuong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093874232 PECOS PAC ID: 8426129792 Enrollment ID: I20080612000868 |
| Provider Name | Michael R Bauer |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1932210796 PECOS PAC ID: 5991876096 Enrollment ID: I20080617000701 |
| Provider Name | Darren Bray |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023046828 PECOS PAC ID: 6608881099 Enrollment ID: I20080618000520 |
| Provider Name | Bjorn C Westgard |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609042167 PECOS PAC ID: 9436220316 Enrollment ID: I20080620000046 |
| Provider Name | Anne Weisensee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992784755 PECOS PAC ID: 8729992433 Enrollment ID: I20080620000583 |
| Provider Name | Janice C Go |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972597938 PECOS PAC ID: 9931270584 Enrollment ID: I20080625000393 |
| Provider Name | Paul M Lafferty |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1578756508 PECOS PAC ID: 3678645041 Enrollment ID: I20080630000167 |
| Provider Name | Terese A Lalomia |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1144331257 PECOS PAC ID: 6406928894 Enrollment ID: I20080630000338 |
| Provider Name | Gerald A Brost |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1023111549 PECOS PAC ID: 8123190527 Enrollment ID: I20080630000455 |
| Provider Name | Ololade O Marek |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1477664233 PECOS PAC ID: 8729150149 Enrollment ID: I20080630000595 |
| Provider Name | Gregory R Liebsch |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1255442091 PECOS PAC ID: 1355413774 Enrollment ID: I20080630000613 |
| Provider Name | Thomas L Kollodge |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1710098819 PECOS PAC ID: 0345312765 Enrollment ID: I20080630000620 |
| Provider Name | Anand K Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457342131 PECOS PAC ID: 8820160187 Enrollment ID: I20080701000345 |
| Provider Name | Christina H Frazel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528239233 PECOS PAC ID: 5991877268 Enrollment ID: I20080701000358 |
| Provider Name | Laura K Eklund |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1336316199 PECOS PAC ID: 5193897205 Enrollment ID: I20080707000703 |
| Provider Name | Donald C Worley |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1326146481 PECOS PAC ID: 4486726379 Enrollment ID: I20080709000685 |
| Provider Name | Shawn S Everts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992772628 PECOS PAC ID: 3274599949 Enrollment ID: I20080709000695 |
| Provider Name | Pamela Glamm |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1750548616 PECOS PAC ID: 7012089907 Enrollment ID: I20080709000700 |
| Provider Name | Ford C Erickson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508964388 PECOS PAC ID: 6608949367 Enrollment ID: I20080715000122 |
| Provider Name | Tracy L Newell |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1821258781 PECOS PAC ID: 6901979582 Enrollment ID: I20080715000384 |
| Provider Name | David E Schneider |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164579017 PECOS PAC ID: 2567535131 Enrollment ID: I20080716000252 |
| Provider Name | Kevin N Nakagaki |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1417058603 PECOS PAC ID: 5496828923 Enrollment ID: I20080716000845 |
| Provider Name | Bruce H Hansen |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1588775670 PECOS PAC ID: 6204909732 Enrollment ID: I20080716000855 |
| Provider Name | Matthew R Nelson |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1124125372 PECOS PAC ID: 6103999511 Enrollment ID: I20080717000775 |
| Provider Name | Amy E M Nygaard |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619021110 PECOS PAC ID: 7719050053 Enrollment ID: I20080721000455 |
| Provider Name | Rosemarie B Ramirez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851435804 PECOS PAC ID: 8820161888 Enrollment ID: I20080723000910 |
| Provider Name | Joel E Barbato |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1770663536 PECOS PAC ID: 9133293947 Enrollment ID: I20080728000586 |
| Provider Name | Amy M.s. Miller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376735134 PECOS PAC ID: 3779657911 Enrollment ID: I20080805000878 |
| Provider Name | Paul H Sufka |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1962695023 PECOS PAC ID: 7416022520 Enrollment ID: I20080822000715 |
| Provider Name | Douglas D Hodgkin |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1154384071 PECOS PAC ID: 6305745464 Enrollment ID: I20080825000119 |
| Provider Name | Cherrie A Heinrich |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1942492244 PECOS PAC ID: 7810062866 Enrollment ID: I20080826000572 |
| Provider Name | Craig W Amundson |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1083712152 PECOS PAC ID: 2860589207 Enrollment ID: I20080910000646 |
| Provider Name | Claire A Saad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831366079 PECOS PAC ID: 2961578257 Enrollment ID: I20080910000648 |
| Provider Name | Abrina K Korman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194981357 PECOS PAC ID: 6800962911 Enrollment ID: I20080912000496 |
| Provider Name | Deepti Torri |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1861650061 PECOS PAC ID: 4789751892 Enrollment ID: I20080915000662 |
| Provider Name | Christopher W Hilton |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1295878817 PECOS PAC ID: 0042387920 Enrollment ID: I20080918000094 |
| Provider Name | Alpana Tiwari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427224971 PECOS PAC ID: 5395812127 Enrollment ID: I20080922000039 |
| Provider Name | Sarah A Anderson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1700935517 PECOS PAC ID: 0840399184 Enrollment ID: I20080923000776 |
| Provider Name | David S Gesko |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1730284134 PECOS PAC ID: 0941372288 Enrollment ID: I20080930000747 |
| Provider Name | Christy I Zender |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194811133 PECOS PAC ID: 8123196367 Enrollment ID: I20081001000421 |
| Provider Name | Patrick A Pederson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336321348 PECOS PAC ID: 0244308906 Enrollment ID: I20081007000885 |
| Provider Name | In-lin Tuan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336300409 PECOS PAC ID: 2365510898 Enrollment ID: I20081009000757 |
| Provider Name | Andrea D Bergstrom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013179217 PECOS PAC ID: 1254409782 Enrollment ID: I20081009000773 |
| Provider Name | Janene M Widen |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1255391215 PECOS PAC ID: 3779651120 Enrollment ID: I20081013000110 |
| Provider Name | Oladepo Fasoranti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003939968 PECOS PAC ID: 6406914795 Enrollment ID: I20081014000741 |
| Provider Name | Mpho P Sebonego |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477709822 PECOS PAC ID: 6901964147 Enrollment ID: I20081016000609 |
| Provider Name | Subhashini Mahipathi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508032780 PECOS PAC ID: 4082772223 Enrollment ID: I20081016000616 |
| Provider Name | Frederick W Endorf |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063529881 PECOS PAC ID: 5698872331 Enrollment ID: I20081017000658 |
| Provider Name | Dina R Blumenfield |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396904538 PECOS PAC ID: 5294893301 Enrollment ID: I20081017000681 |
| Provider Name | Susan M Holt |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1932201639 PECOS PAC ID: 8628136579 Enrollment ID: I20081021000446 |
| Provider Name | Gary W Freeman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649245283 PECOS PAC ID: 0648338533 Enrollment ID: I20081021000827 |
| Provider Name | Bonnie J Dillon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609970250 PECOS PAC ID: 8921020629 Enrollment ID: I20081022000526 |
| Provider Name | Teresa A Tran-lim |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295756518 PECOS PAC ID: 3072671536 Enrollment ID: I20081028000231 |
| Provider Name | Melina Koch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376716407 PECOS PAC ID: 2163580580 Enrollment ID: I20081028000857 |
| Provider Name | Vivian Orey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699748558 PECOS PAC ID: 3375601701 Enrollment ID: I20081029000037 |
| Provider Name | Demetris Yannopoulos |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1821143629 PECOS PAC ID: 7911065396 Enrollment ID: I20081029000604 |
| Provider Name | Samuel J Stellpflug |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235316605 PECOS PAC ID: 4981776432 Enrollment ID: I20081030000194 |
| Provider Name | Laura Zontelli |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1285830885 PECOS PAC ID: 5698750495 Enrollment ID: I20081106000270 |
| Provider Name | Alejandro Mendez |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1306863949 PECOS PAC ID: 3779535828 Enrollment ID: I20081117000619 |
| Provider Name | Paul C Amundson |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1851312250 PECOS PAC ID: 3375603418 Enrollment ID: I20081119000916 |
| Provider Name | Agatha E Reiners |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982670451 PECOS PAC ID: 7911067715 Enrollment ID: I20081124000808 |
| Provider Name | Tarek S Hamieh |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1962604892 PECOS PAC ID: 1759480031 Enrollment ID: I20081203000919 |
| Provider Name | Endea J Curry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073782207 PECOS PAC ID: 2668533456 Enrollment ID: I20081211000801 |
| 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 | Ahmed R Mohamed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326167792 PECOS PAC ID: 1052473790 Enrollment ID: I20081215000481 |
| Provider Name | Emily W Hall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457539553 PECOS PAC ID: 5193887875 Enrollment ID: I20081215000776 |
| Provider Name | Evan J Veire |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1447415047 PECOS PAC ID: 8921175563 Enrollment ID: I20081231000428 |
| Provider Name | Donald C Oxenhandler |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1669408662 PECOS PAC ID: 1052492386 Enrollment ID: I20081231000452 |
| Provider Name | Boris J Winterhoff |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1225158132 PECOS PAC ID: 9537221379 Enrollment ID: I20090102000409 |
| Provider Name | Matthew A Mundy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336327873 PECOS PAC ID: 1052474806 Enrollment ID: I20090106000412 |
| Provider Name | Fotis Gregory Souslian |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1518159557 PECOS PAC ID: 1254494909 Enrollment ID: I20090107000383 |
| Provider Name | Lydia Y Sahara |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1295879245 PECOS PAC ID: 8628131190 Enrollment ID: I20090108000776 |
| Provider Name | Christopher F Heck |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1699726752 PECOS PAC ID: 9739242603 Enrollment ID: I20090120000696 |
| Provider Name | Kimberly A Feehan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265684898 PECOS PAC ID: 1658435029 Enrollment ID: I20090129000357 |
| Provider Name | Emily A Wolfe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851541239 PECOS PAC ID: 9032274097 Enrollment ID: I20090209000252 |
| Provider Name | Heidi M Pazlar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851366793 PECOS PAC ID: 9436214921 Enrollment ID: I20090217000461 |
| Provider Name | Kevin M Steadland |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1417917204 PECOS PAC ID: 5991861569 Enrollment ID: I20090305000536 |
| Provider Name | Jill N Lyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376788968 PECOS PAC ID: 2961568555 Enrollment ID: I20090305000736 |
| Provider Name | Mary M Sharkey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770733347 PECOS PAC ID: 3577629880 Enrollment ID: I20090311000219 |
| Provider Name | Kristin A Witte |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013118173 PECOS PAC ID: 0143313882 Enrollment ID: I20090319000158 |
| Provider Name | Jeffrey Dichter |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1609845742 PECOS PAC ID: 6103730106 Enrollment ID: I20090325000755 |
| Provider Name | Katie A Moriarty |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1487741534 PECOS PAC ID: 7618981366 Enrollment ID: I20090327000488 |
| Provider Name | Karla S Rosenman |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1013943505 PECOS PAC ID: 7517900400 Enrollment ID: I20090402000241 |
| Provider Name | John M Ryden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578589255 PECOS PAC ID: 9032266168 Enrollment ID: I20090407000444 |
| Provider Name | Irshad Jafri |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1255308243 PECOS PAC ID: 7113074154 Enrollment ID: I20090409000223 |
| Provider Name | Erin Lynn Florin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013995570 PECOS PAC ID: 3072575075 Enrollment ID: I20090415000303 |
| Provider Name | Donna L Cole |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669627006 PECOS PAC ID: 9234287525 Enrollment ID: I20090424000104 |
| Provider Name | Kambiz Farbakhsh |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1861446015 PECOS PAC ID: 4284536988 Enrollment ID: I20090514000141 |
| Provider Name | Pamela A Voelker |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1134312416 PECOS PAC ID: 6608827241 Enrollment ID: I20090519000070 |
| Provider Name | Sheetal Kaul |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1124095013 PECOS PAC ID: 6709896541 Enrollment ID: I20090610000679 |
| Provider Name | Leeann I Hubbard |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740323377 PECOS PAC ID: 0446300164 Enrollment ID: I20090617000712 |
| Provider Name | Marijo N Aguilera |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316073448 PECOS PAC ID: 5092866517 Enrollment ID: I20090623000767 |
| Provider Name | Ajay Rawal |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1831281641 PECOS PAC ID: 3971654179 Enrollment ID: I20090630000063 |
| Provider Name | Joel L Esmay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598736944 PECOS PAC ID: 3375695075 Enrollment ID: I20090709000737 |
| Provider Name | Sarah A Privette |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1386888907 PECOS PAC ID: 6901958313 Enrollment ID: I20090716000118 |
| Provider Name | Katie J Krumwiede |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285777144 PECOS PAC ID: 6305998725 Enrollment ID: I20090716000181 |
| Provider Name | Timothy J Kroshus |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1205896750 PECOS PAC ID: 4789736851 Enrollment ID: I20090721000384 |
| Provider Name | Catherine A Crowley |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1295700185 PECOS PAC ID: 8325191521 Enrollment ID: I20090805000769 |
| Provider Name | Branden G Duffey |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1598801235 PECOS PAC ID: 6507919537 Enrollment ID: I20090807000597 |
| Provider Name | Christian M Ogilvie |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1902847601 PECOS PAC ID: 2668526476 Enrollment ID: I20090813000190 |
| Provider Name | Chhavi Chadha |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1952593451 PECOS PAC ID: 5597819995 Enrollment ID: I20090819000843 |
| Provider Name | Mary S Kochendorfer |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1235364209 PECOS PAC ID: 5092860106 Enrollment ID: I20090825000616 |
| Provider Name | Knut Eichhorn |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1831253509 PECOS PAC ID: 9537233473 Enrollment ID: I20090826000609 |
| Provider Name | Gregory Weber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629265079 PECOS PAC ID: 3678628344 Enrollment ID: I20090901000501 |
| Provider Name | Christina M Knutson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1578700134 PECOS PAC ID: 5193870590 Enrollment ID: I20090909000313 |
| Provider Name | Karen L Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477731271 PECOS PAC ID: 8325194327 Enrollment ID: I20090916000353 |
| Provider Name | Christina M Ward |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1659581627 PECOS PAC ID: 8123186335 Enrollment ID: I20090916000791 |
| Provider Name | Kelly K Bowlin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477582880 PECOS PAC ID: 5193871150 Enrollment ID: I20090917000104 |
| Provider Name | Andrew L Schakel |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1659506996 PECOS PAC ID: 4981750858 Enrollment ID: I20090917000233 |
| Provider Name | Dionysia Kalogeropoulou |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1679765762 PECOS PAC ID: 4789730383 Enrollment ID: I20090923000577 |
| Provider Name | Matthew C Turner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407043227 PECOS PAC ID: 9032265632 Enrollment ID: I20090923000598 |
| Provider Name | Matthew T Bauer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1316177348 PECOS PAC ID: 0648326108 Enrollment ID: I20090924000363 |
| Provider Name | Alicia C Dykstra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285863316 PECOS PAC ID: 6204972409 Enrollment ID: I20091001000166 |
| Provider Name | Valery A Hoover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649415811 PECOS PAC ID: 5395881130 Enrollment ID: I20091007000694 |
| Provider Name | Michael S Towey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376553164 PECOS PAC ID: 3577609114 Enrollment ID: I20091012000499 |
| Provider Name | Inga Forde |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1235360140 PECOS PAC ID: 4486790896 Enrollment ID: I20091014000791 |
| Provider Name | Ruth S Thompson Klabunde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609842756 PECOS PAC ID: 4880731249 Enrollment ID: I20091019000018 |
| Provider Name | Gemma L Storvick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811127210 PECOS PAC ID: 7911044821 Enrollment ID: I20091027000073 |
| Provider Name | Lisa A Bishop |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376775437 PECOS PAC ID: 7618014325 Enrollment ID: I20091029000387 |
| Provider Name | Scott J Hoffman |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1316197809 PECOS PAC ID: 0143367730 Enrollment ID: I20091030000490 |
| Provider Name | Pamela A Droberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619108891 PECOS PAC ID: 2365580776 Enrollment ID: I20091104000715 |
| Provider Name | Ralph S Bovard |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1194785279 PECOS PAC ID: 5890834857 Enrollment ID: I20091203000696 |
| Provider Name | Kyle T Darnall |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699924142 PECOS PAC ID: 5193864908 Enrollment ID: I20091207000639 |
| Provider Name | Randi L Salter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205169901 PECOS PAC ID: 7911048699 Enrollment ID: I20091231000416 |
| Provider Name | Rachel S Darling |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790972446 PECOS PAC ID: 9436290012 Enrollment ID: I20100104000715 |
| Provider Name | Karen S Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316178379 PECOS PAC ID: 8729129176 Enrollment ID: I20100106000877 |
| Provider Name | Lily Ghuman Rodgers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093989899 PECOS PAC ID: 9931240058 Enrollment ID: I20100111000569 |
| Provider Name | Debra D Johnson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124093265 PECOS PAC ID: 7719029610 Enrollment ID: I20100114000612 |
| Provider Name | Sharon J Momanyi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811128226 PECOS PAC ID: 6800938663 Enrollment ID: I20100118000145 |
| Provider Name | Lori L Cleland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801862198 PECOS PAC ID: 9537201280 Enrollment ID: I20100119000730 |
| Provider Name | Ann Marie Fox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952637514 PECOS PAC ID: 8123160884 Enrollment ID: I20100119000775 |
| Provider Name | Britta R Reierson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629054390 PECOS PAC ID: 3577605757 Enrollment ID: I20100126000846 |
| Provider Name | Christine M Mccarthy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518943117 PECOS PAC ID: 2163565110 Enrollment ID: I20100130000088 |
| Provider Name | Robert J Tierney |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1992782882 PECOS PAC ID: 5698818409 Enrollment ID: I20100202000568 |
| Provider Name | Katie E Thompson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881860443 PECOS PAC ID: 9133262314 Enrollment ID: I20100210000511 |
| Provider Name | Lori Ann Pykkonen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881759629 PECOS PAC ID: 3779673280 Enrollment ID: I20100210000750 |
| Provider Name | Ahsan M Bhatti |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1518934736 PECOS PAC ID: 3678616703 Enrollment ID: I20100211000287 |
| Provider Name | Bethel Averbeck |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013987882 PECOS PAC ID: 5698819522 Enrollment ID: I20100216000717 |
| Provider Name | Franklin C Fleming |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245205962 PECOS PAC ID: 7315081254 Enrollment ID: I20100216000736 |
| Provider Name | Angela M Medina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710953864 PECOS PAC ID: 7214071158 Enrollment ID: I20100216000749 |
| Provider Name | Paula K Skarda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942276993 PECOS PAC ID: 9830233774 Enrollment ID: I20100216000771 |
| Provider Name | Floyd E Knight |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1902871577 PECOS PAC ID: 6800930744 Enrollment ID: I20100216000804 |
| Provider Name | Tracy A Tomac |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427008515 PECOS PAC ID: 4385788140 Enrollment ID: I20100217000092 |
| Provider Name | Anne E Reiber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821009671 PECOS PAC ID: 4082758768 Enrollment ID: I20100218000466 |
| Provider Name | Brian C Grubbs |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1134105596 PECOS PAC ID: 3375687825 Enrollment ID: I20100222000234 |
| Provider Name | Maria Lynn Thrall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184601106 PECOS PAC ID: 3072657527 Enrollment ID: I20100222000264 |
| Provider Name | Edwin H Funk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922083799 PECOS PAC ID: 8325182876 Enrollment ID: I20100222000289 |
| Provider Name | Sara E Berg-mcconville |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518291251 PECOS PAC ID: 8921143660 Enrollment ID: I20100304000990 |
| Provider Name | Janine K Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417921529 PECOS PAC ID: 0244375996 Enrollment ID: I20100304001058 |
| Provider Name | John J Degelau |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1063489375 PECOS PAC ID: 4789729435 Enrollment ID: I20100304001064 |
| Provider Name | Gayl L Gustafson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164496246 PECOS PAC ID: 4688719339 Enrollment ID: I20100304001075 |
| Provider Name | James L Epperson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831160290 PECOS PAC ID: 8123163870 Enrollment ID: I20100304001090 |
| Provider Name | Sotirios A Parashos |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104873314 PECOS PAC ID: 3072694413 Enrollment ID: I20100306000274 |
| Provider Name | Elizabeth A Reeve |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275506131 PECOS PAC ID: 1557406113 Enrollment ID: I20100306000338 |
| Provider Name | Paul Bloomberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902878010 PECOS PAC ID: 2365587920 Enrollment ID: I20100306000351 |
| Provider Name | Richard G Mahr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851363634 PECOS PAC ID: 4082759642 Enrollment ID: I20100306000355 |
| Provider Name | Claudia F Clark |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366416844 PECOS PAC ID: 7113062555 Enrollment ID: I20100309000935 |
| Provider Name | Christine M Colbach |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1003880477 PECOS PAC ID: 8022153469 Enrollment ID: I20100309000936 |
| Provider Name | Teresa M Tawil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912973884 PECOS PAC ID: 0840335287 Enrollment ID: I20100309000938 |
| Provider Name | Kara V Cundy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962473520 PECOS PAC ID: 7315082641 Enrollment ID: I20100310000984 |
| Provider Name | Vivian K Fink |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558335034 PECOS PAC ID: 3678618907 Enrollment ID: I20100310000992 |
| Provider Name | Mark L. Brancel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417924481 PECOS PAC ID: 9032254362 Enrollment ID: I20100310000996 |
| Provider Name | Shehla Alavi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508838533 PECOS PAC ID: 5799810917 Enrollment ID: I20100312000795 |
| Provider Name | Lauren B Baker |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1679545198 PECOS PAC ID: 5698800811 Enrollment ID: I20100312000805 |
| Provider Name | Stephanie C Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457546509 PECOS PAC ID: 7618040320 Enrollment ID: I20100315000654 |
| Provider Name | Stephen C Riendl |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1982670766 PECOS PAC ID: 8123920774 Enrollment ID: I20100317000588 |
| Provider Name | Mary F Cady |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598728065 PECOS PAC ID: 3971638636 Enrollment ID: I20100319000251 |
| Provider Name | Jeffrey A Pastir |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700851508 PECOS PAC ID: 4880729318 Enrollment ID: I20100322000953 |
| Provider Name | Julie K Meyer |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1659346534 PECOS PAC ID: 9638204407 Enrollment ID: I20100322000957 |
| Provider Name | Bruce H Field |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023084076 PECOS PAC ID: 7517092042 Enrollment ID: I20100322000958 |
| Provider Name | Elizabeth T Jordan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1396717922 PECOS PAC ID: 0244365773 Enrollment ID: I20100322000963 |
| Provider Name | Maureen C Lowe |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1205897980 PECOS PAC ID: 1153456686 Enrollment ID: I20100322000964 |
| Provider Name | Antoine B Khoury |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1659345064 PECOS PAC ID: 2062547599 Enrollment ID: I20100322000966 |
| Provider Name | Antonio L Jhocson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295709855 PECOS PAC ID: 3274668694 Enrollment ID: I20100323000953 |
| Provider Name | William B Nelson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497728711 PECOS PAC ID: 4082749403 Enrollment ID: I20100323000962 |
| Provider Name | Jodi K Milburn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083691158 PECOS PAC ID: 1355476771 Enrollment ID: I20100323000974 |
| 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 | Samuel B Emmons |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639154909 PECOS PAC ID: 2163558099 Enrollment ID: I20100330001339 |
| Provider Name | Richard J Hilger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164493516 PECOS PAC ID: 9436285038 Enrollment ID: I20100408000164 |
| Provider Name | Thomas J Yacovella |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700858081 PECOS PAC ID: 1658407192 Enrollment ID: I20100410000112 |
| Provider Name | Lisa Davidson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568436939 PECOS PAC ID: 2668509068 Enrollment ID: I20100415000904 |
| Provider Name | Graham M Oxnard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386628253 PECOS PAC ID: 2365579778 Enrollment ID: I20100415000949 |
| Provider Name | Susan Kinnee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376517755 PECOS PAC ID: 0547397895 Enrollment ID: I20100420000014 |
| Provider Name | Scott A Bammann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396711859 PECOS PAC ID: 0244367126 Enrollment ID: I20100424000048 |
| Provider Name | Jennifer K Ross |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558347492 PECOS PAC ID: 5092842864 Enrollment ID: I20100427000708 |
| Provider Name | Susan M Ferron |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982715884 PECOS PAC ID: 1355318841 Enrollment ID: I20100428000750 |
| Provider Name | Amy P Barger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225009681 PECOS PAC ID: 8628105202 Enrollment ID: I20100430000329 |
| Provider Name | James W Haefemeyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891762993 PECOS PAC ID: 0143357731 Enrollment ID: I20100430000381 |
| Provider Name | Margaret B Stein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194793281 PECOS PAC ID: 1951438548 Enrollment ID: I20100430000392 |
| Provider Name | Victor M Sandler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306814991 PECOS PAC ID: 5395792857 Enrollment ID: I20100503000043 |
| Provider Name | Amy F Larson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003883018 PECOS PAC ID: 6204964786 Enrollment ID: I20100504000088 |
| Provider Name | Christine M Duncan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497730931 PECOS PAC ID: 3072641380 Enrollment ID: I20100506000932 |
| Provider Name | William J Hamilton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194715748 PECOS PAC ID: 4688702806 Enrollment ID: I20100510000372 |
| Provider Name | Richard L Manka |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1992743488 PECOS PAC ID: 6901934934 Enrollment ID: I20100512000219 |
| Provider Name | John A Sebas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275500233 PECOS PAC ID: 4880722800 Enrollment ID: I20100512001067 |
| Provider Name | Sarah M Evert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013992213 PECOS PAC ID: 2163550047 Enrollment ID: I20100513000816 |
| Provider Name | Sharon Hepler |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1356324818 PECOS PAC ID: 8325176175 Enrollment ID: I20100514000580 |
| Provider Name | Laura Y Li |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1811984958 PECOS PAC ID: 8921050121 Enrollment ID: I20100514000629 |
| Provider Name | Elisabeth M Peterson |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1508094244 PECOS PAC ID: 8729117320 Enrollment ID: I20100519000790 |
| Provider Name | Arkadiusz Z Dudek |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1538197181 PECOS PAC ID: 1355470600 Enrollment ID: I20100525000088 |
| Provider Name | Marcel Hungs |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114022332 PECOS PAC ID: 1355379454 Enrollment ID: I20100525001033 |
| Provider Name | Megan E Morri |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750605861 PECOS PAC ID: 0042349169 Enrollment ID: I20100528000356 |
| Provider Name | Lynn M Convery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649244021 PECOS PAC ID: 2567591506 Enrollment ID: I20100601000047 |
| Provider Name | Haritha R Katta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053388363 PECOS PAC ID: 5799814547 Enrollment ID: I20100603000745 |
| Provider Name | Michelle A Devereaux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164496535 PECOS PAC ID: 8022147883 Enrollment ID: I20100603000793 |
| Provider Name | Sheila K Billstein |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1932171014 PECOS PAC ID: 0244369007 Enrollment ID: I20100603000864 |
| Provider Name | Jason M Robertson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972575256 PECOS PAC ID: 7416086285 Enrollment ID: I20100603000884 |
| Provider Name | Zhong S Zhao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821069287 PECOS PAC ID: 0042349813 Enrollment ID: I20100603000901 |
| Provider Name | Brian H Rank |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1851361588 PECOS PAC ID: 3375456429 Enrollment ID: I20100603000909 |
| Provider Name | Kimberely K Swain De Pop |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972575074 PECOS PAC ID: 2769511534 Enrollment ID: I20100603000923 |
| Provider Name | Troy J Boffeli |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1578539615 PECOS PAC ID: 4486783255 Enrollment ID: I20100603000943 |
| Provider Name | Lawrence D Deshaw |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326005976 PECOS PAC ID: 3476683293 Enrollment ID: I20100604000604 |
| Provider Name | Brian M Flagstad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629040993 PECOS PAC ID: 7810027430 Enrollment ID: I20100608000883 |
| Provider Name | Randolph W Hurley |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1033184239 PECOS PAC ID: 7719017334 Enrollment ID: I20100608000897 |
| Provider Name | Dale J Meyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023089430 PECOS PAC ID: 2163552787 Enrollment ID: I20100608000915 |
| Provider Name | Douglas A Olson |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1396711321 PECOS PAC ID: 9133259625 Enrollment ID: I20100609000904 |
| Provider Name | Colleen T Morton |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1770557159 PECOS PAC ID: 8123158615 Enrollment ID: I20100609000911 |
| Provider Name | Georgeanne T Croft |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1295708154 PECOS PAC ID: 9335279629 Enrollment ID: I20100614000091 |
| Provider Name | Rewati Teeparti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902872047 PECOS PAC ID: 3577693712 Enrollment ID: I20100614000782 |
| Provider Name | Karen B Jansons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740255892 PECOS PAC ID: 2567592710 Enrollment ID: I20100614000935 |
| Provider Name | Henry E Fink |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912979352 PECOS PAC ID: 1052441276 Enrollment ID: I20100615000698 |
| Provider Name | Lois E Cannon |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1093780397 PECOS PAC ID: 9739219858 Enrollment ID: I20100615000886 |
| Provider Name | Susan Schoenecker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912973470 PECOS PAC ID: 7719017847 Enrollment ID: I20100615000933 |
| Provider Name | Terrence J Maag |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407821754 PECOS PAC ID: 6608906771 Enrollment ID: I20100616000546 |
| Provider Name | Martha H Nicoloff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629044599 PECOS PAC ID: 4688704752 Enrollment ID: I20100616000567 |
| Provider Name | Michelle M Vosejpka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225002264 PECOS PAC ID: 2062542145 Enrollment ID: I20100616000653 |
| Provider Name | Herbert A Holman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700854924 PECOS PAC ID: 0143242693 Enrollment ID: I20100616000870 |
| Provider Name | Thomas L Vonsternberg |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1104885441 PECOS PAC ID: 4789714890 Enrollment ID: I20100616000938 |
| Provider Name | Kelly Frisch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679547624 PECOS PAC ID: 6406986512 Enrollment ID: I20100616000959 |
| Provider Name | Kenneth Engberg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952376527 PECOS PAC ID: 1850421967 Enrollment ID: I20100616000964 |
| Provider Name | David Caccamo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972575470 PECOS PAC ID: 6507996576 Enrollment ID: I20100617000870 |
| Provider Name | Lori Geddes |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1306813654 PECOS PAC ID: 4183755853 Enrollment ID: I20100623001027 |
| Provider Name | Eric W Trygstad |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417921107 PECOS PAC ID: 6103957857 Enrollment ID: I20100624000843 |
| Provider Name | Carol E Novak |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144294091 PECOS PAC ID: 0446381198 Enrollment ID: I20100624000864 |
| Provider Name | John C Halla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285874222 PECOS PAC ID: 8325020241 Enrollment ID: I20100626000166 |
| Provider Name | Hope C Ukatu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366415903 PECOS PAC ID: 2163553702 Enrollment ID: I20100626000216 |
| Provider Name | Michelle A Larson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1326001884 PECOS PAC ID: 7214068469 Enrollment ID: I20100701000632 |
| Provider Name | Susan D Bugel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972820264 PECOS PAC ID: 0840322699 Enrollment ID: I20100714001047 |
| Provider Name | Christine St George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376517334 PECOS PAC ID: 4284766775 Enrollment ID: I20100719000936 |
| Provider Name | Daniel H Lussenhop |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1861476491 PECOS PAC ID: 6204968530 Enrollment ID: I20100721000768 |
| Provider Name | Michael H Rosenbloom |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255454393 PECOS PAC ID: 3375615701 Enrollment ID: I20100722000928 |
| Provider Name | Piyush Das |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1265639140 PECOS PAC ID: 7214060763 Enrollment ID: I20100804000287 |
| Provider Name | Brian J Peterson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174762397 PECOS PAC ID: 2264565761 Enrollment ID: I20100804000941 |
| Provider Name | Janielle R Nordell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255523932 PECOS PAC ID: 5193859767 Enrollment ID: I20100818000287 |
| Provider Name | Winston Cavert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013995356 PECOS PAC ID: 8921132473 Enrollment ID: I20100818001393 |
| Provider Name | Matthew E Leafblad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629223623 PECOS PAC ID: 9931265626 Enrollment ID: I20100819000907 |
| Provider Name | Rosemary F Kelly |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1811008543 PECOS PAC ID: 9830213024 Enrollment ID: I20100824001306 |
| Provider Name | Mark Yamaguchi |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1033313580 PECOS PAC ID: 6305946773 Enrollment ID: I20100824001312 |
| Provider Name | Jennifer C Koziol Wozniak |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1588707137 PECOS PAC ID: 7618091844 Enrollment ID: I20100825000429 |
| Provider Name | Monica C Stiles |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1437265444 PECOS PAC ID: 5991702458 Enrollment ID: I20100825001119 |
| Provider Name | William M Manzel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508095381 PECOS PAC ID: 7719001841 Enrollment ID: I20100826000586 |
| Provider Name | Benjamin L Mitlyng |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1548434210 PECOS PAC ID: 3577687177 Enrollment ID: I20100903000322 |
| Provider Name | Joseph R Kalugdan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386769735 PECOS PAC ID: 1658495007 Enrollment ID: I20100908000063 |
| Provider Name | Elizabeth A Frankman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821297987 PECOS PAC ID: 8729103106 Enrollment ID: I20100909000610 |
| Provider Name | Sara Shumway |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1164527503 PECOS PAC ID: 5193840379 Enrollment ID: I20100910000850 |
| Provider Name | Gregory G Mevissen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1295763837 PECOS PAC ID: 8628165891 Enrollment ID: I20100910001096 |
| Provider Name | Edward James Mauch |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407082639 PECOS PAC ID: 9739204868 Enrollment ID: I20100914000197 |
| Provider Name | Poornima K Kavathekar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467596148 PECOS PAC ID: 2860517869 Enrollment ID: I20100914001263 |
| Provider Name | Daniel J Virnig |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1801072830 PECOS PAC ID: 0648395657 Enrollment ID: I20100914001332 |
| Provider Name | Paula Hedin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114125317 PECOS PAC ID: 3173648078 Enrollment ID: I20100915001138 |
| Provider Name | Michelle Kai Ullery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972824290 PECOS PAC ID: 2961528476 Enrollment ID: I20100921001475 |
| Provider Name | Ositadinma C. Anene |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194925313 PECOS PAC ID: 9739217795 Enrollment ID: I20100923001343 |
| Provider Name | Jana M Ostrand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538202759 PECOS PAC ID: 7113959107 Enrollment ID: I20100925000069 |
| Provider Name | Mark E George |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063642965 PECOS PAC ID: 8729104971 Enrollment ID: I20100925000175 |
| Provider Name | James M Welters |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992786735 PECOS PAC ID: 7517859465 Enrollment ID: I20100927001500 |
| Provider Name | Anders L Carlson |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1720254725 PECOS PAC ID: 9032302278 Enrollment ID: I20101020001391 |
| Provider Name | Louis J Sonstegard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427010214 PECOS PAC ID: 9830382712 Enrollment ID: I20101023000241 |
| Provider Name | Karen P Ta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629040639 PECOS PAC ID: 0042404139 Enrollment ID: I20101102001488 |
| Provider Name | Fozia A Abrar |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1912973371 PECOS PAC ID: 2769676857 Enrollment ID: I20101102001501 |
| Provider Name | Thomas L Thul |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669443222 PECOS PAC ID: 9931393022 Enrollment ID: I20101102001512 |
| Provider Name | Sharmishtha Raikar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447227541 PECOS PAC ID: 1557555646 Enrollment ID: I20101102001541 |
| Provider Name | Gretchen M Ibele |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1225004385 PECOS PAC ID: 0749181147 Enrollment ID: I20101102001548 |
| Provider Name | Nathan E Lueck |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1306056064 PECOS PAC ID: 6608061189 Enrollment ID: I20101110000206 |
| Provider Name | Ariel R Centurion |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225206642 PECOS PAC ID: 7315132826 Enrollment ID: I20101110000618 |
| Provider Name | Carola A Jerney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295902740 PECOS PAC ID: 8325233869 Enrollment ID: I20101110000903 |
| Provider Name | Rae Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205806254 PECOS PAC ID: 1557556842 Enrollment ID: I20101111001554 |
| Provider Name | Jason C Carvalho |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1659494342 PECOS PAC ID: 8022163781 Enrollment ID: I20101116000462 |
| Provider Name | Katherine G Shafto |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063615474 PECOS PAC ID: 1254526247 Enrollment ID: I20101116001103 |
| Provider Name | Kenneth M Smith |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1982807350 PECOS PAC ID: 0244425247 Enrollment ID: I20101116001126 |
| Provider Name | Bernard R Quebral |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235100892 PECOS PAC ID: 0547456436 Enrollment ID: I20101117001395 |
| Provider Name | Buvana R Reddy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881665297 PECOS PAC ID: 4183810088 Enrollment ID: I20101117001416 |
| Provider Name | John A Simon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831164490 PECOS PAC ID: 4082800982 Enrollment ID: I20101117001434 |
| Provider Name | Thomas E Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316939564 PECOS PAC ID: 0749387462 Enrollment ID: I20101119001080 |
| Provider Name | Roderick Adams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659345619 PECOS PAC ID: 2466648738 Enrollment ID: I20101129000546 |
| Provider Name | Patricia Walker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548221419 PECOS PAC ID: 4082790282 Enrollment ID: I20101129000585 |
| Provider Name | Dennis Zhu |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1558338699 PECOS PAC ID: 7416143789 Enrollment ID: I20101129000608 |
| Provider Name | Thamrong Suwan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1558333195 PECOS PAC ID: 6002002318 Enrollment ID: I20101129001083 |
| Provider Name | Karen K Warren |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790746485 PECOS PAC ID: 9638365943 Enrollment ID: I20101129001086 |
| Provider Name | Lora J Bodell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306151725 PECOS PAC ID: 7012103211 Enrollment ID: I20101130001136 |
| Provider Name | Roger J Cornetto |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609844992 PECOS PAC ID: 8527254648 Enrollment ID: I20101130001442 |
| Provider Name | John M Salter |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184697427 PECOS PAC ID: 2163619107 Enrollment ID: I20101203000186 |
| Provider Name | Zacharia G Ogwang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427367093 PECOS PAC ID: 9133317902 Enrollment ID: I20101221000062 |
| Provider Name | Patrick S Inveen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134394182 PECOS PAC ID: 6406044205 Enrollment ID: I20101221000478 |
| Provider Name | Taimur Rashid Malik |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194879791 PECOS PAC ID: 5092903674 Enrollment ID: I20101223000306 |
| Provider Name | Adrienne L Richardson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447443932 PECOS PAC ID: 5193914364 Enrollment ID: I20110104001238 |
| Provider Name | Gwendolyn B Simon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346212495 PECOS PAC ID: 5597954776 Enrollment ID: I20110104001322 |
| Provider Name | Rhonda I Bakke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093026528 PECOS PAC ID: 5991994964 Enrollment ID: I20110105001315 |
| Provider Name | Colleen R Walsh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144299215 PECOS PAC ID: 7618166588 Enrollment ID: I20110106001264 |
| Provider Name | Matthew M Kang |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1427134865 PECOS PAC ID: 1153510847 Enrollment ID: I20110111000965 |
| Provider Name | Victoria A Eddy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265404420 PECOS PAC ID: 0143419838 Enrollment ID: I20110111000976 |
| Provider Name | Michael Stiffman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093787103 PECOS PAC ID: 7911196555 Enrollment ID: I20110112000689 |
| Provider Name | Warren Schubert |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1609840669 PECOS PAC ID: 5092628149 Enrollment ID: I20110118001348 |
| Provider Name | Mohammad Ali D Rizvi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316910060 PECOS PAC ID: 9335328699 Enrollment ID: I20110119001022 |
| Provider Name | Barbara J Polk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376503326 PECOS PAC ID: 7214116292 Enrollment ID: I20110124000076 |
| Provider Name | Daniel M Anderson |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1710949920 PECOS PAC ID: 1153340435 Enrollment ID: I20110124000416 |
| Provider Name | Fatima Nisar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285814319 PECOS PAC ID: 3678752441 Enrollment ID: I20110125001281 |
| Provider Name | Salma S Mohsin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194799213 PECOS PAC ID: 4486614435 Enrollment ID: I20110126001175 |
| Provider Name | Chhabilall T Sharma |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356518906 PECOS PAC ID: 7416136114 Enrollment ID: I20110127000281 |
| Provider Name | Ann L. Rinehart |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1922063338 PECOS PAC ID: 5395825822 Enrollment ID: I20110127000941 |
| Provider Name | Caroline Tahara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669446423 PECOS PAC ID: 2062691496 Enrollment ID: I20110131001035 |
| Provider Name | Rhea Ford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285890871 PECOS PAC ID: 0840470241 Enrollment ID: I20110201000953 |
| Provider Name | Dale R Schurle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861464398 PECOS PAC ID: 6709066178 Enrollment ID: I20110202000838 |
| Provider Name | Avani S Desai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831163856 PECOS PAC ID: 6608056957 Enrollment ID: I20110203001077 |
| Provider Name | Seth I Wolpert |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164498564 PECOS PAC ID: 7315127677 Enrollment ID: I20110203001094 |
| Provider Name | John D Nelson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1417928359 PECOS PAC ID: 4385557438 Enrollment ID: I20110203001162 |
| Provider Name | James M Risser |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1710959085 PECOS PAC ID: 8527248889 Enrollment ID: I20110203001166 |
| Provider Name | Alvina M Janda |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1881668317 PECOS PAC ID: 2264612381 Enrollment ID: I20110207000936 |
| Provider Name | Stephen Lukasewycz |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1891989422 PECOS PAC ID: 8325194467 Enrollment ID: I20110209001039 |
| Provider Name | Stephanie L J Bailey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174747018 PECOS PAC ID: 9638359292 Enrollment ID: I20110214000968 |
| Provider Name | David J Dries |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1770558520 PECOS PAC ID: 1658414115 Enrollment ID: I20110222001153 |
| Provider Name | Shari L. Rolandson Wentz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144530387 PECOS PAC ID: 0749461853 Enrollment ID: I20110223000204 |
| Provider Name | Nghia H La |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013199553 PECOS PAC ID: 3870774847 Enrollment ID: I20110223001040 |
| Provider Name | Paul T Schaefer |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1174767123 PECOS PAC ID: 1951582931 Enrollment ID: I20110223001183 |
| Provider Name | Richard D Steinberg |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1013981844 PECOS PAC ID: 0345421335 Enrollment ID: I20110223001267 |
| Provider Name | Michelle L Knight |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376515536 PECOS PAC ID: 5496936361 Enrollment ID: I20110224000986 |
| Provider Name | Khoula B Sikander |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427258938 PECOS PAC ID: 8426143751 Enrollment ID: I20110224001010 |
| Provider Name | Bonnie J Rohr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124136924 PECOS PAC ID: 6709917859 Enrollment ID: I20110301000406 |
| Provider Name | Peggy L Neubeck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568430023 PECOS PAC ID: 5496936080 Enrollment ID: I20110302000742 |
| Provider Name | Elsa N Keeler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801850219 PECOS PAC ID: 9931381407 Enrollment ID: I20110305000060 |
| Provider Name | Christopher W Thiel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932171469 PECOS PAC ID: 6800078155 Enrollment ID: I20110308001052 |
| Provider Name | Douglas P Forgit |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346572062 PECOS PAC ID: 7315134855 Enrollment ID: I20110309000820 |
| Provider Name | Jessica L Touray |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1861649360 PECOS PAC ID: 8224210315 Enrollment ID: I20110310000679 |
| Provider Name | Raina L Young |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700858974 PECOS PAC ID: 8628250511 Enrollment ID: I20110314001082 |
| Provider Name | David B Kloehn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952375370 PECOS PAC ID: 6406038280 Enrollment ID: I20110315001084 |
| Provider Name | Rebecca M Koerner |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1063487924 PECOS PAC ID: 7810179561 Enrollment ID: I20110316000889 |
| Provider Name | Amina M Warfa |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912199829 PECOS PAC ID: 9133301807 Enrollment ID: I20110316001088 |
| Provider Name | Carol R Fox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871547109 PECOS PAC ID: 3678755345 Enrollment ID: I20110316001105 |
| Provider Name | John W Hering |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033187745 PECOS PAC ID: 6507049228 Enrollment ID: I20110317000670 |
| Provider Name | Barbara J Hyer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669440954 PECOS PAC ID: 2769665488 Enrollment ID: I20110317000691 |
| Provider Name | Nasrin H Sanei |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1417922386 PECOS PAC ID: 0941483671 Enrollment ID: I20110317000811 |
| Provider Name | Kristine R Tromiczak |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1114993581 PECOS PAC ID: 5799968319 Enrollment ID: I20110319000052 |
| Provider Name | Amarnath Subramanian |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1245205186 PECOS PAC ID: 1254514763 Enrollment ID: I20110321001055 |
| Provider Name | Suzanne Keel |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1740253699 PECOS PAC ID: 1153405410 Enrollment ID: I20110322000999 |
| Provider Name | Teresa Ann Jarvis |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1851610661 PECOS PAC ID: 7618150616 Enrollment ID: I20110329000894 |
| Provider Name | James R Grinols |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033137245 PECOS PAC ID: 6204019219 Enrollment ID: I20110329000975 |
| Provider Name | John J Marini |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1306810361 PECOS PAC ID: 4789867540 Enrollment ID: I20110331000899 |
| Provider Name | Karen L Campbell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427263243 PECOS PAC ID: 2769666460 Enrollment ID: I20110404000865 |
| Provider Name | Christine L Johns |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1861564320 PECOS PAC ID: 5496939191 Enrollment ID: I20110404000867 |
| Provider Name | Matthew A Hofkens |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1568605210 PECOS PAC ID: 9931383635 Enrollment ID: I20110404000871 |
| Provider Name | Brittany Dokter |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801088778 PECOS PAC ID: 3870777394 Enrollment ID: I20110407000619 |
| Provider Name | Melissa Christensen Froehlich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023193778 PECOS PAC ID: 5698730752 Enrollment ID: I20110408000411 |
| Provider Name | Brenda Lw Abraham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255302642 PECOS PAC ID: 1759565153 Enrollment ID: I20110408000582 |
| Provider Name | Audra L Mintz |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1124215132 PECOS PAC ID: 3779767819 Enrollment ID: I20110413000946 |
| Provider Name | Paul D Kleinschmidt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154454858 PECOS PAC ID: 7315013513 Enrollment ID: I20110415000575 |
| Provider Name | Leesa Cachuela |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407153570 PECOS PAC ID: 3072798776 Enrollment ID: I20110422000158 |
| Provider Name | Michele G Stegeman |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1528031374 PECOS PAC ID: 1254516842 Enrollment ID: I20110425000842 |
| Provider Name | Amir A Moheet |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093754921 PECOS PAC ID: 1355344482 Enrollment ID: I20110427000269 |
| 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 | Janet A Zander |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558334094 PECOS PAC ID: 8426233404 Enrollment ID: I20110506000661 |
| Provider Name | Sarah M Frenning |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043345887 PECOS PAC ID: 1850577891 Enrollment ID: I20110509000744 |
| Provider Name | Leila Tabibian |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1821176629 PECOS PAC ID: 3678531233 Enrollment ID: I20110509000806 |
| Provider Name | Tim A Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881821619 PECOS PAC ID: 1254517113 Enrollment ID: I20110511000323 |
| Provider Name | Benji K Mathews |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750616157 PECOS PAC ID: 6608052147 Enrollment ID: I20110517000484 |
| Provider Name | Julie Laidig |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609068832 PECOS PAC ID: 1153464433 Enrollment ID: I20110524000761 |
| Provider Name | Bryan S Michalowicz |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1306909023 PECOS PAC ID: 6901082072 Enrollment ID: I20110525000796 |
| Provider Name | Charles A Bruen |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1740442995 PECOS PAC ID: 3678750585 Enrollment ID: I20110601000836 |
| Provider Name | Tasma Harindhanavudhi |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1528277100 PECOS PAC ID: 9931386679 Enrollment ID: I20110607000466 |
| Provider Name | Lemuel Vawter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447400312 PECOS PAC ID: 8426235912 Enrollment ID: I20110609000685 |
| Provider Name | Heather P Gammon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093907859 PECOS PAC ID: 7719164151 Enrollment ID: I20110610000542 |
| Provider Name | Happy T Reynolds |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841324241 PECOS PAC ID: 6002093259 Enrollment ID: I20110615000689 |
| Provider Name | Nicole R Amundson |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1477715514 PECOS PAC ID: 5496933632 Enrollment ID: I20110617000117 |
| Provider Name | Vanessa A Burton |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1649455890 PECOS PAC ID: 2668650813 Enrollment ID: I20110617000244 |
| Provider Name | Kristina F Jelacic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558666446 PECOS PAC ID: 9638357817 Enrollment ID: I20110620000043 |
| Provider Name | Hashim B Nemat |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1760788830 PECOS PAC ID: 8022296912 Enrollment ID: I20110623000559 |
| Provider Name | Samantha Kae Pullen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609017714 PECOS PAC ID: 7618155516 Enrollment ID: I20110623000632 |
| Provider Name | Sara A Spilseth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528229754 PECOS PAC ID: 1153509864 Enrollment ID: I20110629000091 |
| Provider Name | Karla J Nockleby |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669615613 PECOS PAC ID: 3375721939 Enrollment ID: I20110629000722 |
| Provider Name | Elizabeth A Canepa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053494476 PECOS PAC ID: 9537211099 Enrollment ID: I20110629000772 |
| Provider Name | Keith W Spears |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285895623 PECOS PAC ID: 4486832045 Enrollment ID: I20110629000808 |
| Provider Name | Mohammad Nurulqadr Jameel |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1114071602 PECOS PAC ID: 3375721731 Enrollment ID: I20110707000303 |
| Provider Name | Kate Sann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053571109 PECOS PAC ID: 3375668593 Enrollment ID: I20110714000284 |
| Provider Name | Kristi L Albers |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1588962161 PECOS PAC ID: 3072781038 Enrollment ID: I20110718000301 |
| Provider Name | Kate Mg Schneider |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215134515 PECOS PAC ID: 6608044508 Enrollment ID: I20110720000457 |
| Provider Name | Natalia Dorf-biderman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548453947 PECOS PAC ID: 8022286764 Enrollment ID: I20110722000493 |
| Provider Name | Ankit Mehta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487810792 PECOS PAC ID: 4880862481 Enrollment ID: I20110726000868 |
| Provider Name | Michael Scott Floyd |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1881813434 PECOS PAC ID: 9234261264 Enrollment ID: I20110726000916 |
| Provider Name | Andrew E Kummer |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1205098464 PECOS PAC ID: 7911176227 Enrollment ID: I20110802000760 |
| Provider Name | Mary Noonan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619149804 PECOS PAC ID: 2860543394 Enrollment ID: I20110803000920 |
| Provider Name | Todd E Thierer |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1851408165 PECOS PAC ID: 3274702204 Enrollment ID: I20110809000573 |
| Provider Name | Abby Meyer |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1477696995 PECOS PAC ID: 3577695816 Enrollment ID: I20110809000682 |
| Provider Name | Elizabeth Ann Baldwin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497948731 PECOS PAC ID: 8325217227 Enrollment ID: I20110810000594 |
| Provider Name | Marifel Mitzi F Fernandez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881858439 PECOS PAC ID: 3870667389 Enrollment ID: I20110811000780 |
| Provider Name | Matthew G Abeln |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386884401 PECOS PAC ID: 0840469631 Enrollment ID: I20110811000876 |
| Provider Name | Peter G Lindstam |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336303627 PECOS PAC ID: 7012186802 Enrollment ID: I20110811000886 |
| Provider Name | Pawan Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518114594 PECOS PAC ID: 5991974503 Enrollment ID: I20110815000938 |
| Provider Name | Wafa A Qureshi |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1710098553 PECOS PAC ID: 1052580594 Enrollment ID: I20110817000870 |
| Provider Name | Abigail E Hood |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1396906681 PECOS PAC ID: 1759550205 Enrollment ID: I20110817000915 |
| Provider Name | Megan A Iverson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457516932 PECOS PAC ID: 4880863356 Enrollment ID: I20110818000251 |
| Provider Name | James E Black |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639147069 PECOS PAC ID: 4587556089 Enrollment ID: I20110825000325 |
| Provider Name | Keith A Moench |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1861635435 PECOS PAC ID: 1456521442 Enrollment ID: I20110830000753 |
| Provider Name | David A Solfelt |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1467747832 PECOS PAC ID: 5597935445 Enrollment ID: I20110831000780 |
| Provider Name | Vanessa N Handler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942492764 PECOS PAC ID: 1153591029 Enrollment ID: I20110901000188 |
| Provider Name | Katherine E Brick |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1124344825 PECOS PAC ID: 8426228347 Enrollment ID: I20110901000714 |
| Provider Name | Suveer Deepak Bagwe |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1154531952 PECOS PAC ID: 4486840196 Enrollment ID: I20110906000141 |
| Provider Name | Patricia K Geisen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619264801 PECOS PAC ID: 0143491605 Enrollment ID: I20110914000407 |
| Provider Name | Eric Chau |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598082786 PECOS PAC ID: 6709057268 Enrollment ID: I20110914000497 |
| Provider Name | Tou S Vang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164666707 PECOS PAC ID: 2961673330 Enrollment ID: I20110914000652 |
| Provider Name | Teresa A Gonzaga |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1073776928 PECOS PAC ID: 1456522812 Enrollment ID: I20110915000859 |
| Provider Name | Daniel W Giles |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487988903 PECOS PAC ID: 7618148875 Enrollment ID: I20110919000753 |
| Provider Name | Deanna Teoh |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1659407708 PECOS PAC ID: 7618027970 Enrollment ID: I20110920000844 |
| Provider Name | Melinda B Berg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285950451 PECOS PAC ID: 3375714447 Enrollment ID: I20110921000314 |
| Provider Name | Jacklyn Mae Ellickson |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1538395496 PECOS PAC ID: 5991976011 Enrollment ID: I20110922000086 |
| Provider Name | Steven E Mccormack |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1861618373 PECOS PAC ID: 0143491290 Enrollment ID: I20110923000066 |
| Provider Name | Ann D Casanova |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700164738 PECOS PAC ID: 2365613155 Enrollment ID: I20110928000291 |
| Provider Name | Victoria C Tuen-behm |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649595240 PECOS PAC ID: 6002087806 Enrollment ID: I20110928000417 |
| Provider Name | Kiley E Black |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306989405 PECOS PAC ID: 0749452316 Enrollment ID: I20111004000835 |
| Provider Name | Howard J Stang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184698938 PECOS PAC ID: 5193997351 Enrollment ID: I20111012000020 |
| Provider Name | Amber Marie Winkelman |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1235457763 PECOS PAC ID: 2567634660 Enrollment ID: I20111014000343 |
| Provider Name | Demian Gitnacht |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1679899579 PECOS PAC ID: 1456523471 Enrollment ID: I20111017000184 |
| Provider Name | Andree-maude Dubois-lebel |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1629277330 PECOS PAC ID: 9032381934 Enrollment ID: I20111019000685 |
| Provider Name | Ayman Ali |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760644934 PECOS PAC ID: 8729250592 Enrollment ID: I20111020000768 |
| Provider Name | Kimberly D Yung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710265368 PECOS PAC ID: 1254504061 Enrollment ID: I20111021000557 |
| Provider Name | Brian Alan Palmer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750417168 PECOS PAC ID: 3779636014 Enrollment ID: I20111027000025 |
| Provider Name | Chrisanne Kae Timpe Dupuis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972795060 PECOS PAC ID: 7113190596 Enrollment ID: I20111031000450 |
| Provider Name | Jennifer M Vesely |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124346465 PECOS PAC ID: 8820261167 Enrollment ID: I20111101000454 |
| Provider Name | Kevin T Behm |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1043521685 PECOS PAC ID: 8224201462 Enrollment ID: I20111102000910 |
| Provider Name | Elizabeth Sonnier |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881652568 PECOS PAC ID: 7517130735 Enrollment ID: I20111103000886 |
| Provider Name | Michael J Westerhaus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396882759 PECOS PAC ID: 1850586009 Enrollment ID: I20111104000084 |
| Provider Name | Felix D Zamora |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1467646091 PECOS PAC ID: 9335312453 Enrollment ID: I20111104000114 |
| Provider Name | Jane C Dever |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720269673 PECOS PAC ID: 3375716343 Enrollment ID: I20111108000337 |
| Provider Name | Jennifer M H Mccormack |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083889414 PECOS PAC ID: 5890968788 Enrollment ID: I20111110000065 |
| Provider Name | Randa Dincer |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1144428285 PECOS PAC ID: 9032201454 Enrollment ID: I20111129000784 |
| Provider Name | Sarah E Osendorf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073808325 PECOS PAC ID: 0749455798 Enrollment ID: I20111202000565 |
| Provider Name | Nicole R Nelson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811188709 PECOS PAC ID: 4082889928 Enrollment ID: I20111205000762 |
| Provider Name | Michael F Tiffany |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033226147 PECOS PAC ID: 5890889570 Enrollment ID: I20111208000336 |
| Provider Name | Melissa Samuelsson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548273303 PECOS PAC ID: 2466647045 Enrollment ID: I20111214000905 |
| Provider Name | Sunil N Patel |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1881657286 PECOS PAC ID: 1658364849 Enrollment ID: I20111221000342 |
| Provider Name | Nathan T Chomilo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063656593 PECOS PAC ID: 1456527456 Enrollment ID: I20111221000566 |
| Provider Name | Eric S Nussbaum |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1306813092 PECOS PAC ID: 5395787360 Enrollment ID: I20111221000799 |
| Provider Name | Rita Richardson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770675100 PECOS PAC ID: 7012044738 Enrollment ID: I20111230000527 |
| Provider Name | Jeffrry P Jaffe |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1063485928 PECOS PAC ID: 4880597194 Enrollment ID: I20120103000579 |
| Provider Name | Glenn A Nickele |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093781452 PECOS PAC ID: 2567364128 Enrollment ID: I20120103000597 |
| Provider Name | Melissa B King-biggs |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1306811500 PECOS PAC ID: 2365509791 Enrollment ID: I20120106000132 |
| Provider Name | Danica L Holscher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770861585 PECOS PAC ID: 7810163102 Enrollment ID: I20120109000711 |
| Provider Name | Katherine L Spencer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1649242066 PECOS PAC ID: 1254233828 Enrollment ID: I20120110000682 |
| Provider Name | Mukesh Kumar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992966188 PECOS PAC ID: 9133396385 Enrollment ID: I20120111000744 |
| Provider Name | Avi Nahum |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1831163328 PECOS PAC ID: 3577465277 Enrollment ID: I20120113000035 |
| Provider Name | Derek A Moline |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1588630925 PECOS PAC ID: 2769659721 Enrollment ID: I20120117000283 |
| Provider Name | Denise A Christiansen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780966671 PECOS PAC ID: 0840467692 Enrollment ID: I20120118000672 |
| Provider Name | Paulose John |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457370918 PECOS PAC ID: 7315940533 Enrollment ID: I20120118000844 |
| Provider Name | Christopher J Chow |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1295908036 PECOS PAC ID: 7719154467 Enrollment ID: I20120119000911 |
| Provider Name | Bjorn K Peterson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477781235 PECOS PAC ID: 1254508799 Enrollment ID: I20120124000359 |
| Provider Name | Kara A Engelbrektson |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1629398532 PECOS PAC ID: 7416124987 Enrollment ID: I20120124000724 |
| Provider Name | Donald B Rindal |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1962593269 PECOS PAC ID: 8820265192 Enrollment ID: I20120127000364 |
| Provider Name | Tenbit Emiru |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1598957409 PECOS PAC ID: 9032376348 Enrollment ID: I20120127000908 |
| Provider Name | Jean Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518242064 PECOS PAC ID: 1557528817 Enrollment ID: I20120130000449 |
| Provider Name | Jonathan D Shelver |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1407174857 PECOS PAC ID: 8022275908 Enrollment ID: I20120203000597 |
| Provider Name | Henry Chang |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1023102118 PECOS PAC ID: 4587753793 Enrollment ID: I20120206000602 |
| Provider Name | Sara E Erickson |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1902903693 PECOS PAC ID: 8123019791 Enrollment ID: I20120312000440 |
| Provider Name | Abimbola Olajumoke Osagie |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457516734 PECOS PAC ID: 9133294127 Enrollment ID: I20120327000499 |
| Provider Name | Byron J Marquez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497714455 PECOS PAC ID: 0446355267 Enrollment ID: I20120411000821 |
| Provider Name | Malinda M Jorgensen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215161757 PECOS PAC ID: 7618138660 Enrollment ID: I20120418000429 |
| Provider Name | Steven Greer |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1326136714 PECOS PAC ID: 6103843743 Enrollment ID: I20120425000441 |
| Provider Name | Claude Douglas Lees |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1770572349 PECOS PAC ID: 1850330473 Enrollment ID: I20120517000565 |
| Provider Name | Charlene E Mcevoy |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1295708931 PECOS PAC ID: 6103986088 Enrollment ID: I20120518000382 |
| Provider Name | Marty M Mertens |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1558555896 PECOS PAC ID: 6406019587 Enrollment ID: I20120530000297 |
| Provider Name | Tracy J Irons-dieterle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386910479 PECOS PAC ID: 4183888563 Enrollment ID: I20120614000754 |
| Provider Name | Eric James Saterbak |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114105376 PECOS PAC ID: 6406010818 Enrollment ID: I20120615000182 |
| Provider Name | Pamela R Portschy |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1962636043 PECOS PAC ID: 7810153913 Enrollment ID: I20120717000629 |
| Provider Name | Katherine A Montealegre |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1295097277 PECOS PAC ID: 6507022514 Enrollment ID: I20120719000158 |
| Provider Name | Gloria A Ramirez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326275157 PECOS PAC ID: 5294991253 Enrollment ID: I20120720000039 |
| Provider Name | Gene W Chen |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1790836633 PECOS PAC ID: 1456429968 Enrollment ID: I20120801000651 |
| Provider Name | Laura A Hase |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992097844 PECOS PAC ID: 7719133883 Enrollment ID: I20120804000099 |
| Provider Name | Matthew M Hansmeier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396036893 PECOS PAC ID: 0446406516 Enrollment ID: I20120804000105 |
| Provider Name | Joan Laes |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1619104445 PECOS PAC ID: 3678729530 Enrollment ID: I20120808000440 |
| Provider Name | Lisa M Guetzko |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831388974 PECOS PAC ID: 0840446670 Enrollment ID: I20120810000460 |
| Provider Name | Lisa A Gill |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740574995 PECOS PAC ID: 9537315288 Enrollment ID: I20120810000763 |
| Provider Name | Kristi Sue Borowski |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851408728 PECOS PAC ID: 1153328869 Enrollment ID: I20120816000709 |
| Provider Name | Andrew Ian Franks-kelly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669736633 PECOS PAC ID: 6507012978 Enrollment ID: I20120820000206 |
| 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 | Kristin N Ritter |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1902040637 PECOS PAC ID: 0941457121 Enrollment ID: I20120822000649 |
| Provider Name | Rochus K Voeller |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1750465290 PECOS PAC ID: 0446260863 Enrollment ID: I20120823000547 |
| Provider Name | Puneet D Narang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609021930 PECOS PAC ID: 3476700543 Enrollment ID: I20120823000971 |
| Provider Name | Xiao Feng |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376787861 PECOS PAC ID: 5294982369 Enrollment ID: I20120823000973 |
| Provider Name | Ryan M. Carlson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720221963 PECOS PAC ID: 6406003409 Enrollment ID: I20120827000667 |
| Provider Name | Sara M Champlin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689804619 PECOS PAC ID: 5597912337 Enrollment ID: I20120829000533 |
| Provider Name | Robyn M Kaiser |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1114105004 PECOS PAC ID: 3375790017 Enrollment ID: I20120830000690 |
| Provider Name | Ingrid B Kaijage |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285868190 PECOS PAC ID: 6709033483 Enrollment ID: I20120831000372 |
| Provider Name | Katharine S Pico |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1194918961 PECOS PAC ID: 7214184910 Enrollment ID: I20120831000536 |
| Provider Name | Gaurav K Guliani |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659564946 PECOS PAC ID: 2062669633 Enrollment ID: I20120904000757 |
| Provider Name | Mark A Ciagne |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1861670028 PECOS PAC ID: 3577710003 Enrollment ID: I20120905000744 |
| Provider Name | Isaac T Marsolek |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1073788519 PECOS PAC ID: 0345497897 Enrollment ID: I20120906000078 |
| Provider Name | Gregory Poduska |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871723767 PECOS PAC ID: 7416105754 Enrollment ID: I20120912000164 |
| Provider Name | Ian G Kenning |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356544092 PECOS PAC ID: 2961543400 Enrollment ID: I20120913000743 |
| Provider Name | John E Selickman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659500585 PECOS PAC ID: 9931357001 Enrollment ID: I20120914000078 |
| Provider Name | Linda M Christinsen-rengel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861720062 PECOS PAC ID: 2961650908 Enrollment ID: I20120917000095 |
| Provider Name | Andrew E Schneider |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942596820 PECOS PAC ID: 4486802428 Enrollment ID: I20120917000134 |
| Provider Name | Mary L Fredrickson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851525836 PECOS PAC ID: 7214185289 Enrollment ID: I20120917000466 |
| Provider Name | David N Johnson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245443571 PECOS PAC ID: 0244304657 Enrollment ID: I20120917000571 |
| Provider Name | Melissa Kriscunas |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578735262 PECOS PAC ID: 3577711431 Enrollment ID: I20120918000658 |
| Provider Name | Ivo C Ditah |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1265667778 PECOS PAC ID: 0749439149 Enrollment ID: I20120928000238 |
| Provider Name | Todd C Johnson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1225220494 PECOS PAC ID: 0648429043 Enrollment ID: I20120928000250 |
| Provider Name | Raydah Jokhadar |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396909602 PECOS PAC ID: 1052560380 Enrollment ID: I20121002000513 |
| Provider Name | Abigail M Heller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619140597 PECOS PAC ID: 5092964288 Enrollment ID: I20121003000499 |
| Provider Name | David R. Henly |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1962481812 PECOS PAC ID: 6204840887 Enrollment ID: I20121003000582 |
| Provider Name | Bridget Marie Mcconnell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780805218 PECOS PAC ID: 6709035785 Enrollment ID: I20121008000288 |
| Provider Name | Sushant Nangrani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558597377 PECOS PAC ID: 8022159581 Enrollment ID: I20121012000524 |
| Provider Name | Tonia A Poirier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538422175 PECOS PAC ID: 0840440194 Enrollment ID: I20121022000537 |
| Provider Name | Muaj C Lo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487644985 PECOS PAC ID: 8921051277 Enrollment ID: I20121022000596 |
| Provider Name | Amy C Fox |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1962573022 PECOS PAC ID: 1456520451 Enrollment ID: I20121025000293 |
| Provider Name | Anna F Valerio |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255526968 PECOS PAC ID: 0143394445 Enrollment ID: I20121026000314 |
| Provider Name | Pao Vang |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1932174745 PECOS PAC ID: 2062306376 Enrollment ID: I20121030000144 |
| Provider Name | Victoria I Lossen |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1447549589 PECOS PAC ID: 0042460826 Enrollment ID: I20121101000646 |
| Provider Name | Anna B Schmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487943247 PECOS PAC ID: 7012168842 Enrollment ID: I20121103000025 |
| Provider Name | Julia C Johnson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942413273 PECOS PAC ID: 2062606163 Enrollment ID: I20121128000314 |
| Provider Name | Padma Yarrapureddy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043449663 PECOS PAC ID: 6002068616 Enrollment ID: I20121205000580 |
| Provider Name | Julie A Cavey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255603015 PECOS PAC ID: 4183883101 Enrollment ID: I20121206000023 |
| 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 | Matthew E Ballenthin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861745176 PECOS PAC ID: 2769634922 Enrollment ID: I20121214000408 |
| Provider Name | Jess L Boysen |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1780862862 PECOS PAC ID: 0143346148 Enrollment ID: I20121215000004 |
| Provider Name | Yazmin M Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538411855 PECOS PAC ID: 3577716570 Enrollment ID: I20121226000054 |
| Provider Name | Salahudin Maalim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447578083 PECOS PAC ID: 6204089881 Enrollment ID: I20130109000782 |
| Provider Name | Anna M.b. Milner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902153240 PECOS PAC ID: 9830342435 Enrollment ID: I20130110000067 |
| Provider Name | Aaron K Graumann |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194042887 PECOS PAC ID: 4183877566 Enrollment ID: I20130115000289 |
| Provider Name | Rashi Arora |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205848892 PECOS PAC ID: 2668478801 Enrollment ID: I20130116000315 |
| Provider Name | Gretchen M Niemioja |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1376707836 PECOS PAC ID: 2264686393 Enrollment ID: I20130125000205 |
| Provider Name | Melissa C Scanlan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285963496 PECOS PAC ID: 4082868880 Enrollment ID: I20130201000373 |
| Provider Name | Margaret R Johnson |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1851651699 PECOS PAC ID: 9830343649 Enrollment ID: I20130201000452 |
| Provider Name | Kimberly S Heckmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811241326 PECOS PAC ID: 9931353612 Enrollment ID: I20130205000195 |
| Provider Name | Victor C Van Hee |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1134281892 PECOS PAC ID: 1759480122 Enrollment ID: I20130211000304 |
| Provider Name | Preetika Arora |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1568776862 PECOS PAC ID: 4284889726 Enrollment ID: I20130306000410 |
| Provider Name | Wanda J Ethen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154365393 PECOS PAC ID: 1658336177 Enrollment ID: I20130313000528 |
| Provider Name | Bhaskar C Kolla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659535615 PECOS PAC ID: 8325187982 Enrollment ID: I20130318000316 |
| Provider Name | Brian M Gray |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1871813857 PECOS PAC ID: 0749425866 Enrollment ID: I20130320000538 |
| Provider Name | Jessica L Franks-kelly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467792945 PECOS PAC ID: 6406091941 Enrollment ID: I20130403000637 |
| Provider Name | Lyudmila M Islyamoua |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821231168 PECOS PAC ID: 4688851678 Enrollment ID: I20130415000187 |
| Provider Name | Elena Brett Metcalf |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508093337 PECOS PAC ID: 5698911691 Enrollment ID: I20130417000683 |
| Provider Name | Korpo N Hanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306199799 PECOS PAC ID: 6305082314 Enrollment ID: I20130417000728 |
| Provider Name | Kathryn H Gillen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356635007 PECOS PAC ID: 4284870932 Enrollment ID: I20130424000971 |
| Provider Name | Alison J Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124367701 PECOS PAC ID: 0648416172 Enrollment ID: I20130429000228 |
| Provider Name | Jamal A Qureshi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154502805 PECOS PAC ID: 6406093947 Enrollment ID: I20130501000097 |
| Provider Name | Jessica Sanchez-alfaro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821278953 PECOS PAC ID: 7719124155 Enrollment ID: I20130502000455 |
| Provider Name | Taryn R Sellers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548443617 PECOS PAC ID: 4183861438 Enrollment ID: I20130506000479 |
| Provider Name | Emily Judith Doss |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871724203 PECOS PAC ID: 4183861222 Enrollment ID: I20130509000613 |
| Provider Name | Michael W Herde |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1619238722 PECOS PAC ID: 8820246689 Enrollment ID: I20130516000528 |
| Provider Name | Ying X Jin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295056497 PECOS PAC ID: 8123266962 Enrollment ID: I20130606000106 |
| Provider Name | Eric W Ling |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740509777 PECOS PAC ID: 3971742966 Enrollment ID: I20130624000660 |
| Provider Name | Lindsey E Klocke |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1114189313 PECOS PAC ID: 6608015409 Enrollment ID: I20130626000389 |
| Provider Name | Ehren N Rudolph |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1952628604 PECOS PAC ID: 7618117417 Enrollment ID: I20130627000610 |
| Provider Name | Katherine M Neu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245676402 PECOS PAC ID: 3476793100 Enrollment ID: I20130701000387 |
| Provider Name | Brent S Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487643813 PECOS PAC ID: 1355581984 Enrollment ID: I20130702000767 |
| Provider Name | Wendy Rangitsch Woster |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487966370 PECOS PAC ID: 1355581885 Enrollment ID: I20130705000483 |
| Provider Name | Bridgette M Suri |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003134677 PECOS PAC ID: 5991945420 Enrollment ID: I20130705000487 |
| Provider Name | Sarah C Yamaguchi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437477114 PECOS PAC ID: 5597905927 Enrollment ID: I20130709000252 |
| Provider Name | Mary Jane Richter |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1508109661 PECOS PAC ID: 3678713013 Enrollment ID: I20130709000395 |
| Provider Name | Rachel C Collier |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1013221415 PECOS PAC ID: 3072753292 Enrollment ID: I20130711000899 |
| Provider Name | Matthew J Borgo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932424421 PECOS PAC ID: 4981680824 Enrollment ID: I20130718000309 |
| Provider Name | Ana Hanrahan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720399553 PECOS PAC ID: 5698916476 Enrollment ID: I20130719000469 |
| Provider Name | Ahmad Shahzad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982983557 PECOS PAC ID: 0648443440 Enrollment ID: I20130720000162 |
| Provider Name | Cynthia Tompkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780925958 PECOS PAC ID: 4587805247 Enrollment ID: I20130723001050 |
| Provider Name | Abbey L Mello |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710120746 PECOS PAC ID: 7113168774 Enrollment ID: I20130724000099 |
| Provider Name | Junqing Xin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558688184 PECOS PAC ID: 8325289911 Enrollment ID: I20130724000415 |
| Provider Name | Erin Locante Darosa |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1669720660 PECOS PAC ID: 6901047539 Enrollment ID: I20130724000854 |
| Provider Name | Angela M Veire |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1225195837 PECOS PAC ID: 5092956565 Enrollment ID: I20130725000367 |
| Provider Name | Allison L Williams |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801882436 PECOS PAC ID: 2365421062 Enrollment ID: I20130729000031 |
| Provider Name | Robert D Rupprecht |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1336370444 PECOS PAC ID: 3072754399 Enrollment ID: I20130730000389 |
| Provider Name | Brittany K Beeson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730446477 PECOS PAC ID: 7719128925 Enrollment ID: I20130731000626 |
| Provider Name | Katie M Lewis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184063968 PECOS PAC ID: 0042451122 Enrollment ID: I20130801000435 |
| Provider Name | Charles M Hausman |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1497060099 PECOS PAC ID: 4082890009 Enrollment ID: I20130801000730 |
| Provider Name | Christopher F Adams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649208240 PECOS PAC ID: 2668555418 Enrollment ID: I20130805000058 |
| Provider Name | Yukiko Nakajima |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922389790 PECOS PAC ID: 1951543909 Enrollment ID: I20130805000296 |
| Provider Name | Donald E Wiger |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427285253 PECOS PAC ID: 1052565488 Enrollment ID: I20130807000088 |
| Provider Name | Maren E Flynn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134362809 PECOS PAC ID: 5597907204 Enrollment ID: I20130808000871 |
| Provider Name | Alison C Wing |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306076260 PECOS PAC ID: 0345482865 Enrollment ID: I20130813000864 |
| Provider Name | Derrick Steven Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659631372 PECOS PAC ID: 3577705649 Enrollment ID: I20130820000689 |
| Provider Name | Frank J Raab |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1487720983 PECOS PAC ID: 6800039942 Enrollment ID: I20130821000565 |
| Provider Name | Connie J Wang |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1477508281 PECOS PAC ID: 0143216523 Enrollment ID: I20130821000692 |
| Provider Name | Eduardo W Fernandez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336348218 PECOS PAC ID: 0941394597 Enrollment ID: I20130823000266 |
| Provider Name | Wojciech Kraszkiewicz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003134636 PECOS PAC ID: 1759524705 Enrollment ID: I20130823000772 |
| Provider Name | Erin E Carlson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1588928543 PECOS PAC ID: 3476792136 Enrollment ID: I20130823001258 |
| Provider Name | Kristen A Benedict |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083056055 PECOS PAC ID: 4385887272 Enrollment ID: I20130824000134 |
| Provider Name | Katherine Mary Martin |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1356782007 PECOS PAC ID: 9335382142 Enrollment ID: I20130827000294 |
| Provider Name | Shamoli R Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114239415 PECOS PAC ID: 2668615303 Enrollment ID: I20130828000973 |
| Provider Name | Carissa K Ohara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457693657 PECOS PAC ID: 0446494330 Enrollment ID: I20130916000116 |
| Provider Name | Sara Marie Genutis Blackburn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265602478 PECOS PAC ID: 7719017763 Enrollment ID: I20130925000054 |
| Provider Name | Yonatan Platt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346500923 PECOS PAC ID: 8729222179 Enrollment ID: I20130925000165 |
| Provider Name | Catherine C Van De Velde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487099016 PECOS PAC ID: 2264666593 Enrollment ID: I20130927000659 |
| Provider Name | Marit E Thorsgard |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1841436383 PECOS PAC ID: 1658505532 Enrollment ID: I20131008001110 |
| Provider Name | Gretchen S Strobel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114369717 PECOS PAC ID: 3678707585 Enrollment ID: I20131009000060 |
| Provider Name | Tiffany N Ling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437581824 PECOS PAC ID: 0749414324 Enrollment ID: I20131015000648 |
| Provider Name | Matthew D Wise |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1295944932 PECOS PAC ID: 2961636568 Enrollment ID: I20131015001204 |
| Provider Name | Carly E Kilgore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033551486 PECOS PAC ID: 2466686076 Enrollment ID: I20131015001756 |
| Provider Name | Laura M Furda-raine |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1912147075 PECOS PAC ID: 8224262688 Enrollment ID: I20131018000206 |
| Provider Name | Jennifer R Schomaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720342033 PECOS PAC ID: 4688808066 Enrollment ID: I20131018000846 |
| Provider Name | Vaani Jegapragasan |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1295950756 PECOS PAC ID: 7012175672 Enrollment ID: I20131018001443 |
| Provider Name | Jennifer D Mezzenga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871935056 PECOS PAC ID: 0244465698 Enrollment ID: I20131021001392 |
| Provider Name | Annie L Meares |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1497982615 PECOS PAC ID: 0244465425 Enrollment ID: I20131023001770 |
| Provider Name | Rebecca A Krill |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992020762 PECOS PAC ID: 3577715630 Enrollment ID: I20131024001910 |
| Provider Name | Colleen Lynn Quesnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659707289 PECOS PAC ID: 4789819533 Enrollment ID: I20131101000771 |
| Provider Name | Laura M Gandrud Pickett |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1578522009 PECOS PAC ID: 1850374802 Enrollment ID: I20131113000506 |
| Provider Name | Meysam A Kebriaei |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1255452926 PECOS PAC ID: 8123254554 Enrollment ID: I20131113001192 |
| Provider Name | Amanda M Elliott |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699107722 PECOS PAC ID: 7911133129 Enrollment ID: I20131118001239 |
| Provider Name | Stephanie J Garofalo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811324437 PECOS PAC ID: 9234365370 Enrollment ID: I20131120001555 |
| Provider Name | Elizabeth B Padilla |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568898831 PECOS PAC ID: 5395971345 Enrollment ID: I20131121000291 |
| Provider Name | Carley A Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932536224 PECOS PAC ID: 0749417392 Enrollment ID: I20131205001833 |
| Provider Name | Mark R Roberts |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386740843 PECOS PAC ID: 3678561305 Enrollment ID: I20131218001613 |
| Provider Name | Cecilia F Placencia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770666174 PECOS PAC ID: 2961493135 Enrollment ID: I20131226000933 |
| Provider Name | Kerrie H Samayoa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457316424 PECOS PAC ID: 7315174182 Enrollment ID: I20131226001348 |
| Provider Name | Elizabeth R Oman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538501622 PECOS PAC ID: 2466689104 Enrollment ID: I20131230000358 |
| Provider Name | Sonal M Koratkar |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1053431411 PECOS PAC ID: 8527296961 Enrollment ID: I20140110001441 |
| Provider Name | Suzanne M Carlson-shimon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952731986 PECOS PAC ID: 4688802960 Enrollment ID: I20140113000944 |
| Provider Name | Mark W Bettes |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1497712970 PECOS PAC ID: 7911135058 Enrollment ID: I20140116001244 |
| Provider Name | Aparna Narang |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1215201678 PECOS PAC ID: 8527298553 Enrollment ID: I20140313000093 |
| Provider Name | Meghan Terese Black |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1932547064 PECOS PAC ID: 6406087006 Enrollment ID: I20140325000670 |
| Provider Name | Ali M Wells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467877688 PECOS PAC ID: 2860624566 Enrollment ID: I20140411000882 |
| Provider Name | Laura M Schuller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023433109 PECOS PAC ID: 7719119130 Enrollment ID: I20140416001701 |
| Provider Name | Darrell G Boychuk |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1962698340 PECOS PAC ID: 8628168531 Enrollment ID: I20140422001578 |
| Provider Name | Paul Anderson |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1699960401 PECOS PAC ID: 0446482699 Enrollment ID: I20140422001859 |
| Provider Name | Sheffey N Massey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609834365 PECOS PAC ID: 8426151937 Enrollment ID: I20140430001236 |
| Provider Name | Michelle C Hicks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003232273 PECOS PAC ID: 2163655879 Enrollment ID: I20140505001217 |
| Provider Name | Sarah L Storrs |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1013178300 PECOS PAC ID: 9830322445 Enrollment ID: I20140506002308 |
| Provider Name | Alison Jane Forney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104989664 PECOS PAC ID: 3476445024 Enrollment ID: I20140512000167 |
| Provider Name | Laura Kamugisha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598950743 PECOS PAC ID: 2264509397 Enrollment ID: I20140513000627 |
| Provider Name | Judson B Pollock |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1376591826 PECOS PAC ID: 2769371392 Enrollment ID: I20140520000082 |
| Provider Name | Jennifer M Taves |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629344023 PECOS PAC ID: 4284857269 Enrollment ID: I20140520000833 |
| Provider Name | Ashish Y Mahajan |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1801858428 PECOS PAC ID: 2668657537 Enrollment ID: I20140521001334 |
| Provider Name | Sofia Lyford-pike |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1801004866 PECOS PAC ID: 7012166283 Enrollment ID: I20140522001468 |
| Provider Name | Daniel J Townsend |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649530163 PECOS PAC ID: 3072736404 Enrollment ID: I20140603001354 |
| Provider Name | Margaret M Hildebrand |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417272147 PECOS PAC ID: 1850515826 Enrollment ID: I20140612001847 |
| Provider Name | Mollie K Malaney |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215253869 PECOS PAC ID: 3971741190 Enrollment ID: I20140627000072 |
| Provider Name | Cyrus Jahansouz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1073926705 PECOS PAC ID: 9830314988 Enrollment ID: I20140702002358 |
| Provider Name | Neha Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871866095 PECOS PAC ID: 5698990539 Enrollment ID: I20140708002341 |
| Provider Name | Katherine Clare Picel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891089629 PECOS PAC ID: 2466677166 Enrollment ID: I20140715000187 |
| Provider Name | Allan D Rau |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1477963288 PECOS PAC ID: 8628294238 Enrollment ID: I20140716002011 |
| Provider Name | Shannon E Hayes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053600585 PECOS PAC ID: 8820214224 Enrollment ID: I20140721001206 |
| Provider Name | Jeremy John Hunt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891139069 PECOS PAC ID: 0042436297 Enrollment ID: I20140723001827 |
| Provider Name | Deependra R Khanal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164652814 PECOS PAC ID: 4385808948 Enrollment ID: I20140728000968 |
| Provider Name | Maria R Stitzel |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1811187065 PECOS PAC ID: 7810148269 Enrollment ID: I20140729001291 |
| Provider Name | Uroghupatei P Iyegha |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760617641 PECOS PAC ID: 8224254123 Enrollment ID: I20140730001008 |
| Provider Name | David E Niccum |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1316110869 PECOS PAC ID: 4789849712 Enrollment ID: I20140731002969 |
| Provider Name | Leticia Perondi Luz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1770619967 PECOS PAC ID: 4587798087 Enrollment ID: I20140801001378 |
| Provider Name | Sarah R Peglow |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1598930331 PECOS PAC ID: 3375760002 Enrollment ID: I20140804001495 |
| Provider Name | Kirsten L Hoyme |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1528409414 PECOS PAC ID: 2466679113 Enrollment ID: I20140804002186 |
| Provider Name | Mueni C Mualuko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083027536 PECOS PAC ID: 2567689706 Enrollment ID: I20140811002720 |
| Provider Name | David J Finnessy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699114488 PECOS PAC ID: 1759522725 Enrollment ID: I20140905000108 |
| Provider Name | Minh-doan Nguyen |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1780806166 PECOS PAC ID: 7113087024 Enrollment ID: I20140908000950 |
| Provider Name | Sarah Margaret Nicolai |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1558534990 PECOS PAC ID: 3779721436 Enrollment ID: I20140908001924 |
| Provider Name | Kelly Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154732360 PECOS PAC ID: 7416176250 Enrollment ID: I20140910000826 |
| Provider Name | Carrie L Eckstam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780979088 PECOS PAC ID: 7012136757 Enrollment ID: I20140911001905 |
| Provider Name | Andrea U Martin |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1659714285 PECOS PAC ID: 2567681133 Enrollment ID: I20140912001114 |
| Provider Name | Eric J Nitz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295078061 PECOS PAC ID: 8820218712 Enrollment ID: I20140926001489 |
| Provider Name | Andrea G Olson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1689835977 PECOS PAC ID: 0042446775 Enrollment ID: I20140929001933 |
| Provider Name | Crystal J Knutson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043531437 PECOS PAC ID: 4688894488 Enrollment ID: I20140930000039 |
| Provider Name | Caitlin R Kajer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740696632 PECOS PAC ID: 0749400323 Enrollment ID: I20141002000415 |
| Provider Name | Joseph Gerard Johnson |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1861620908 PECOS PAC ID: 9133361215 Enrollment ID: I20141002000999 |
| Provider Name | Bailey R Peterka |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1528393600 PECOS PAC ID: 0042430688 Enrollment ID: I20141003000222 |
| Provider Name | Kristen J Klevan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639495286 PECOS PAC ID: 6406076983 Enrollment ID: I20141006000077 |
| Provider Name | Jessica A Ranallo |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1013256734 PECOS PAC ID: 2466695762 Enrollment ID: I20141007001079 |
| Provider Name | Kristi J Winkels |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1316348733 PECOS PAC ID: 1557581873 Enrollment ID: I20141008000513 |
| Provider Name | Carina Noecker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144629726 PECOS PAC ID: 3779703848 Enrollment ID: I20141013002264 |
| Provider Name | Elizabeth C Mcginley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245647395 PECOS PAC ID: 5597986620 Enrollment ID: I20141015000180 |
| Provider Name | Russell Benjamin Spingarn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922441278 PECOS PAC ID: 7416178298 Enrollment ID: I20141020001739 |
| Provider Name | Douglas R Baldwin |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1104853092 PECOS PAC ID: 3971597386 Enrollment ID: I20141027002604 |
| Provider Name | Harish Koratkar |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1508986969 PECOS PAC ID: 6002037421 Enrollment ID: I20141028000472 |
| Provider Name | Alicia Vandenberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023410107 PECOS PAC ID: 8628299088 Enrollment ID: I20141028001835 |
| Provider Name | Steven D Jackson |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1942418538 PECOS PAC ID: 3072752393 Enrollment ID: I20141104000057 |
| Provider Name | Kathleen A Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558763136 PECOS PAC ID: 7113149733 Enrollment ID: I20141117000561 |
| Provider Name | Haley Bawek |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497161913 PECOS PAC ID: 2769704832 Enrollment ID: I20141126000696 |
| Provider Name | Theresa L Hurley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689077232 PECOS PAC ID: 2769704725 Enrollment ID: I20141201002346 |
| Provider Name | Clemence M Sullivan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225354681 PECOS PAC ID: 7416279278 Enrollment ID: I20141204002451 |
| Provider Name | Michelle D Rice |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1659622322 PECOS PAC ID: 5799938577 Enrollment ID: I20141210000593 |
| Provider Name | Laura K Dryjanski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962805119 PECOS PAC ID: 2365764867 Enrollment ID: I20141212001054 |
| Provider Name | Neel A Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285927301 PECOS PAC ID: 7810219284 Enrollment ID: I20141215001181 |
| Provider Name | Loretta V Pfannes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295095784 PECOS PAC ID: 8325362536 Enrollment ID: I20150116001937 |
| Provider Name | Laura A Nespbor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629143359 PECOS PAC ID: 9032433040 Enrollment ID: I20150122001888 |
| Provider Name | Robin Stanfield |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134158439 PECOS PAC ID: 6002097649 Enrollment ID: I20150202000281 |
| Provider Name | Leigh Rowan Kelly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790987709 PECOS PAC ID: 6305997834 Enrollment ID: I20150218001727 |
| Provider Name | Prabha Nanjundamurthy Dakshayini |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265842199 PECOS PAC ID: 9931425428 Enrollment ID: I20150227000427 |
| Provider Name | Ting Ting Brenner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437547213 PECOS PAC ID: 8123344538 Enrollment ID: I20150302002230 |
| Provider Name | Nicholas F Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235429515 PECOS PAC ID: 3173840923 Enrollment ID: I20150316002513 |
| Provider Name | Ifrah Abdi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467629485 PECOS PAC ID: 0749439644 Enrollment ID: I20150401000126 |
| Provider Name | Shelly Tran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770973760 PECOS PAC ID: 9739406687 Enrollment ID: I20150402001233 |
| Provider Name | Sarah Jayne Anderson Williams |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1316265176 PECOS PAC ID: 7719205574 Enrollment ID: I20150408000978 |
| Provider Name | Crystal Shores |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023401452 PECOS PAC ID: 9830417237 Enrollment ID: I20150415001275 |
| Provider Name | Islam Enver Khan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1568677755 PECOS PAC ID: 0941458814 Enrollment ID: I20150416000636 |
| Provider Name | William Christopher Watson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679524599 PECOS PAC ID: 2264689660 Enrollment ID: I20150429001134 |
| Provider Name | Tyler J Ulbrich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801139795 PECOS PAC ID: 8224357975 Enrollment ID: I20150501000818 |
| Provider Name | Lul A Kassim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194111450 PECOS PAC ID: 8224357454 Enrollment ID: I20150508002268 |
| Provider Name | Kelsey N Carignan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396898367 PECOS PAC ID: 9739408931 Enrollment ID: I20150511001916 |
| Provider Name | Marjorie M Voelker |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1073711008 PECOS PAC ID: 6800116658 Enrollment ID: I20150520000114 |
| Provider Name | Zachary P Kaltenborn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790077873 PECOS PAC ID: 3971823667 Enrollment ID: I20150520001810 |
| Provider Name | Travis Greiman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205271376 PECOS PAC ID: 8527388933 Enrollment ID: I20150527001278 |
| Provider Name | Michael E Brogan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1982848412 PECOS PAC ID: 7810218914 Enrollment ID: I20150601002388 |
| Provider Name | Meghan E Mccabe |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1295963767 PECOS PAC ID: 4486835436 Enrollment ID: I20150602002234 |
| Provider Name | Karen J Portis |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1639231681 PECOS PAC ID: 6800117839 Enrollment ID: I20150603000651 |
| Provider Name | Terry G Orr |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1780754341 PECOS PAC ID: 7618298571 Enrollment ID: I20150603001722 |
| Provider Name | Lois F Duerst |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1063510188 PECOS PAC ID: 7315268182 Enrollment ID: I20150604001926 |
| Provider Name | Cesar A Cobarruvias |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659492189 PECOS PAC ID: 4981764339 Enrollment ID: I20150605000624 |
| Provider Name | Zeke J Mckinney |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1316237712 PECOS PAC ID: 5092036608 Enrollment ID: I20150608003068 |
| Provider Name | Rachel R Raab |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053798827 PECOS PAC ID: 4981925344 Enrollment ID: I20150610001903 |
| Provider Name | Dana M Hagen |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1538556287 PECOS PAC ID: 9133430457 Enrollment ID: I20150612000992 |
| Provider Name | Adannia Chidumga Enyioha |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841551751 PECOS PAC ID: 5294046520 Enrollment ID: I20150612001165 |
| Provider Name | Lana J Dirksen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316381965 PECOS PAC ID: 9436460565 Enrollment ID: I20150616002506 |
| Provider Name | Elizabeth A Slagle |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407146509 PECOS PAC ID: 5991016859 Enrollment ID: I20150618000857 |
| Provider Name | Tracy F Obrien |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1437402237 PECOS PAC ID: 8325359169 Enrollment ID: I20150619000480 |
| Provider Name | Carlton R Kimmerle |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1932427606 PECOS PAC ID: 4082925763 Enrollment ID: I20150622002227 |
| Provider Name | Courtney K Rohloff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659776755 PECOS PAC ID: 3971814666 Enrollment ID: I20150622002638 |
| Provider Name | Sarah Susan Asch |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1972731933 PECOS PAC ID: 3072744705 Enrollment ID: I20150623002334 |
| Provider Name | Anne M Mcdonald |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801275672 PECOS PAC ID: 0244541639 Enrollment ID: I20150626000284 |
| Provider Name | Meiling Parker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033372321 PECOS PAC ID: 0648411330 Enrollment ID: I20150626000755 |
| Provider Name | Roopa Sharma |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699015024 PECOS PAC ID: 7113146648 Enrollment ID: I20150630001921 |
| Provider Name | Sam A Miotke |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972860880 PECOS PAC ID: 5395057566 Enrollment ID: I20150630002061 |
| Provider Name | Anders K Osthus |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043654643 PECOS PAC ID: 7416269642 Enrollment ID: I20150701000790 |
| Provider Name | Cara S Nguyen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871971226 PECOS PAC ID: 2769794866 Enrollment ID: I20150702000343 |
| 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 | Connie R Thach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023427168 PECOS PAC ID: 7517187982 Enrollment ID: I20150710000715 |
| Provider Name | Daniel K Hesse |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1730560319 PECOS PAC ID: 2961714423 Enrollment ID: I20150713000457 |
| Provider Name | Vijay Neelamegam Premnath |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285834614 PECOS PAC ID: 0648443283 Enrollment ID: I20150717000698 |
| Provider Name | Emily J Graesser |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336551506 PECOS PAC ID: 8820301070 Enrollment ID: I20150717001032 |
| Provider Name | Louis J Christensen |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1992091904 PECOS PAC ID: 8426361577 Enrollment ID: I20150717001227 |
| Provider Name | Mikki J Rothbauer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548642770 PECOS PAC ID: 6608189626 Enrollment ID: I20150721000273 |
| Provider Name | Jasleen Gill |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528405834 PECOS PAC ID: 6103139951 Enrollment ID: I20150722004741 |
| Provider Name | Benjamin A Willenbring |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407140403 PECOS PAC ID: 4486876653 Enrollment ID: I20150723006994 |
| Provider Name | Jeanette L Steffl |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1144505298 PECOS PAC ID: 7618194739 Enrollment ID: I20150723007254 |
| Provider Name | Robert Charles Hlavacek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730509936 PECOS PAC ID: 1456664135 Enrollment ID: I20150723009603 |
| Provider Name | Mehr N Karamat |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518253285 PECOS PAC ID: 2567685209 Enrollment ID: I20150724011520 |
| Provider Name | Jenna Catherine Keller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669882791 PECOS PAC ID: 6103139787 Enrollment ID: I20150727000380 |
| Provider Name | Hildalicia Guerra |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114333408 PECOS PAC ID: 9830317072 Enrollment ID: I20150727002075 |
| Provider Name | Liu Ying Luo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528318136 PECOS PAC ID: 6507170156 Enrollment ID: I20150728003233 |
| Provider Name | Garry J Allen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093199630 PECOS PAC ID: 9234443417 Enrollment ID: I20150731016021 |
| Provider Name | Jessica M Blackford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346624319 PECOS PAC ID: 4981918869 Enrollment ID: I20150805009281 |
| Provider Name | Malini B Desilva |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679715221 PECOS PAC ID: 1355655168 Enrollment ID: I20150806010227 |
| Provider Name | Abby E Wagstrom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366827552 PECOS PAC ID: 4688989346 Enrollment ID: I20150811003678 |
| Provider Name | Lauren Angela Katkish Shaw |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043553753 PECOS PAC ID: 4284949959 Enrollment ID: I20150811004103 |
| Provider Name | Jonathan R Herseth |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1063739407 PECOS PAC ID: 1254646755 Enrollment ID: I20150812008603 |
| Provider Name | Kara L Burrow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235176975 PECOS PAC ID: 5496813578 Enrollment ID: I20150813010165 |
| Provider Name | Edward Shewwood Yee |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1912929241 PECOS PAC ID: 0446289292 Enrollment ID: I20150813010623 |
| Provider Name | Sarah N Stroik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679955884 PECOS PAC ID: 8325353717 Enrollment ID: I20150813011429 |
| Provider Name | Kimberly Northwick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871921049 PECOS PAC ID: 9234365339 Enrollment ID: I20150814013601 |
| Provider Name | Sarah J Seyfer |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1659635845 PECOS PAC ID: 2163737487 Enrollment ID: I20150817000720 |
| Provider Name | Zachary A Lerner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386924553 PECOS PAC ID: 1052572468 Enrollment ID: I20150819009532 |
| Provider Name | Jessica B Connolly Russow |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1952786576 PECOS PAC ID: 3072828995 Enrollment ID: I20150820010930 |
| Provider Name | Mark Eilers |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1356643175 PECOS PAC ID: 0840430468 Enrollment ID: I20150824001985 |
| Provider Name | Laura A Ruhlmann |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619351202 PECOS PAC ID: 2163738675 Enrollment ID: I20150828001765 |
| Provider Name | Scott J Gorham |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831575299 PECOS PAC ID: 2062728462 Enrollment ID: I20150831002389 |
| Provider Name | Bryan P Svobodny |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851659395 PECOS PAC ID: 7012223324 Enrollment ID: I20150901002904 |
| Provider Name | Melanie K Richert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912382193 PECOS PAC ID: 8628385481 Enrollment ID: I20150911001225 |
| Provider Name | Carrie R Lucio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962879916 PECOS PAC ID: 4688981459 Enrollment ID: I20150911001416 |
| Provider Name | Michelle L Schorn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205212107 PECOS PAC ID: 6103133871 Enrollment ID: I20150911001887 |
| Provider Name | Scott Meyer |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1124123880 PECOS PAC ID: 0840234076 Enrollment ID: I20150914000971 |
| Provider Name | Alexander M Mason |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1275758039 PECOS PAC ID: 6901998582 Enrollment ID: I20150914003035 |
| Provider Name | Jessica S Lecy-hunter |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1750766184 PECOS PAC ID: 1052628534 Enrollment ID: I20150916000469 |
| Provider Name | Margaret W Doose |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134411176 PECOS PAC ID: 4880901313 Enrollment ID: I20150916001877 |
| Provider Name | Promise C Amajiri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164898953 PECOS PAC ID: 9638486178 Enrollment ID: I20150916002481 |
| Provider Name | Britta K Rosenow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386012466 PECOS PAC ID: 1456668896 Enrollment ID: I20150916002931 |
| Provider Name | Kevin O'halloran |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1316243538 PECOS PAC ID: 2961719315 Enrollment ID: I20150916003126 |
| 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 | Tegist Z Ayalew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972991354 PECOS PAC ID: 1759699580 Enrollment ID: I20150929000467 |
| Provider Name | Olusola O Adegoke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619311586 PECOS PAC ID: 0547578932 Enrollment ID: I20151005002194 |
| Provider Name | Matthew K Turner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700229507 PECOS PAC ID: 4183932494 Enrollment ID: I20151007001161 |
| Provider Name | Oana Dickinson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225380421 PECOS PAC ID: 5496063695 Enrollment ID: I20151008001423 |
| Provider Name | Meatta Ellen Gaypia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295118297 PECOS PAC ID: 8426366535 Enrollment ID: I20151008002098 |
| Provider Name | John R Grittner |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1164734976 PECOS PAC ID: 2668781550 Enrollment ID: I20151015000996 |
| Provider Name | Cheryl Weber |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356590384 PECOS PAC ID: 8729397260 Enrollment ID: I20151022001961 |
| Provider Name | Shveta Setia |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1730595729 PECOS PAC ID: 1658680012 Enrollment ID: I20151026001332 |
| Provider Name | Susannah B Okutoro Ketter |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1578848586 PECOS PAC ID: 6709195068 Enrollment ID: I20151027003312 |
| Provider Name | Aline M Niehues |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225405392 PECOS PAC ID: 2163731399 Enrollment ID: I20151028002844 |
| Provider Name | Beth K Thielen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831458793 PECOS PAC ID: 3971813189 Enrollment ID: I20151029002921 |
| Provider Name | Jena L Uherka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346671914 PECOS PAC ID: 3678880226 Enrollment ID: I20151103000466 |
| Provider Name | Jennifer L Danielson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831560986 PECOS PAC ID: 1759691561 Enrollment ID: I20151106001584 |
| Provider Name | Mahesh Kumar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871835900 PECOS PAC ID: 6002126588 Enrollment ID: I20151112002744 |
| Provider Name | Jared A Tomlinson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1932323052 PECOS PAC ID: 7810297090 Enrollment ID: I20151124001928 |
| 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 | Hindi O Hussein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306280250 PECOS PAC ID: 6002116613 Enrollment ID: I20151204000420 |
| Provider Name | Janice L James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407187511 PECOS PAC ID: 1951601400 Enrollment ID: I20151204002283 |
| Provider Name | Sarah M Melquist |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497127237 PECOS PAC ID: 9133420938 Enrollment ID: I20151221002099 |
| Provider Name | Megan T Meisinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578938601 PECOS PAC ID: 3971804584 Enrollment ID: I20151223000533 |
| Provider Name | Megan G Berger |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871856005 PECOS PAC ID: 6800198268 Enrollment ID: I20151231001967 |
| Provider Name | Anna Lin Bzdok |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1649521154 PECOS PAC ID: 0749434025 Enrollment ID: I20160112002846 |
| Provider Name | Emily C Moody |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699035055 PECOS PAC ID: 6002119427 Enrollment ID: I20160119001996 |
| Provider Name | Amy A Olmschenk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912327297 PECOS PAC ID: 7416250600 Enrollment ID: I20160121001892 |
| Provider Name | Brian S Hilliard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659715613 PECOS PAC ID: 2466755483 Enrollment ID: I20160126001690 |
| Provider Name | Allison R Coindreau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649593310 PECOS PAC ID: 3678604600 Enrollment ID: I20160301001421 |
| Provider Name | Dawn C Babcock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134594310 PECOS PAC ID: 5496051971 Enrollment ID: I20160309001376 |
| Provider Name | Ellen A Overson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770903429 PECOS PAC ID: 4486958105 Enrollment ID: I20160310000409 |
| Provider Name | James R Verner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073956041 PECOS PAC ID: 1850695693 Enrollment ID: I20160310001580 |
| Provider Name | Kathryn A Baxstrom |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386987535 PECOS PAC ID: 9436455656 Enrollment ID: I20160314001235 |
| Provider Name | Mollie Lyle Alpern |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1467794644 PECOS PAC ID: 3678870557 Enrollment ID: I20160323002330 |
| Provider Name | Marc W Nolan |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1679916837 PECOS PAC ID: 8224335633 Enrollment ID: I20160330001915 |
| Provider Name | Tammi J Tallarico |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750758645 PECOS PAC ID: 5991002297 Enrollment ID: I20160331002635 |
| Provider Name | Leah D Vizenor |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184084022 PECOS PAC ID: 5092013128 Enrollment ID: I20160406000440 |
| 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 | Nicole Te Poel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346560034 PECOS PAC ID: 3779719380 Enrollment ID: I20160419000829 |
| Provider Name | Jared F Bielanski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922462746 PECOS PAC ID: 8426357310 Enrollment ID: I20160427001387 |
| Provider Name | Laura E Moench |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1104146406 PECOS PAC ID: 0244539146 Enrollment ID: I20160427001706 |
| Provider Name | Sinan Simsir |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1528142445 PECOS PAC ID: 5698728889 Enrollment ID: I20160429001623 |
| Provider Name | Christopher S Hipp |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1851445498 PECOS PAC ID: 2062711575 Enrollment ID: I20160505000640 |
| Provider Name | Stephen S Clifford |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1588863203 PECOS PAC ID: 5698074029 Enrollment ID: I20160505001859 |
| Provider Name | Demetrios Thomas Andrisani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912327115 PECOS PAC ID: 8224337654 Enrollment ID: I20160505001870 |
| Provider Name | Kathy A Trumbull |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720067630 PECOS PAC ID: 6103924618 Enrollment ID: I20160506000982 |
| Provider Name | Joseph Savarese |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700200953 PECOS PAC ID: 7911128657 Enrollment ID: I20160512000286 |
| Provider Name | Sunnie F Adsitt |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1437417227 PECOS PAC ID: 1153610068 Enrollment ID: I20160517000830 |
| Provider Name | Donna J Stenberg |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1578990321 PECOS PAC ID: 2860781788 Enrollment ID: I20160517000959 |
| Provider Name | Anika S Phillips |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1003132440 PECOS PAC ID: 7214197334 Enrollment ID: I20160531000905 |
| Provider Name | Mark J Harrington |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1215159611 PECOS PAC ID: 9739479684 Enrollment ID: I20160606000200 |
| Provider Name | Matthew Lentz Goers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033552583 PECOS PAC ID: 5799075693 Enrollment ID: I20160606001583 |
| Provider Name | Brett A Oestreich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023384211 PECOS PAC ID: 6901031780 Enrollment ID: I20160607000541 |
| Provider Name | Omer J Iqbal |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1386807824 PECOS PAC ID: 3577614510 Enrollment ID: I20160609002499 |
| Provider Name | Miriam Elaine Brown |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568726693 PECOS PAC ID: 7911136189 Enrollment ID: I20160610000439 |
| Provider Name | Michael A Blackburn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619389525 PECOS PAC ID: 8729378260 Enrollment ID: I20160613000266 |
| Provider Name | Lynn B Cattanach |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275981201 PECOS PAC ID: 4385935600 Enrollment ID: I20160616001701 |
| Provider Name | John Robert Harris |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1962794354 PECOS PAC ID: 4082931050 Enrollment ID: I20160622000692 |
| Provider Name | Gregory Ivan Kelts |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1144529066 PECOS PAC ID: 7911298948 Enrollment ID: I20160622002781 |
| Provider Name | Andre Montoya Barthelemy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992048672 PECOS PAC ID: 9638461023 Enrollment ID: I20160705001329 |
| Provider Name | Erika L Ruud |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518220649 PECOS PAC ID: 8022314731 Enrollment ID: I20160707000894 |
| Provider Name | Christine A Morley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114363124 PECOS PAC ID: 4082855366 Enrollment ID: I20160707001457 |
| Provider Name | Lisa A Hanson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437510633 PECOS PAC ID: 2264724343 Enrollment ID: I20160711001080 |
| Provider Name | Scott M Haskins |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1770878142 PECOS PAC ID: 8426206426 Enrollment ID: I20160719000482 |
| Provider Name | Garjae Dayan Lavien |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1659695310 PECOS PAC ID: 2860703394 Enrollment ID: I20160721000385 |
| Provider Name | Jason A Pates |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376742346 PECOS PAC ID: 5395938062 Enrollment ID: I20160721001147 |
| Provider Name | Michelle Defazio |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1962894683 PECOS PAC ID: 9335432392 Enrollment ID: I20160728000517 |
| Provider Name | Tarrek H Hegab |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770826430 PECOS PAC ID: 4284927278 Enrollment ID: I20160728001437 |
| Provider Name | Heather R Phillips |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083973804 PECOS PAC ID: 4385949833 Enrollment ID: I20160728001854 |
| Provider Name | Ashley Marie Tekippe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811251507 PECOS PAC ID: 7810217460 Enrollment ID: I20160728002167 |
| Provider Name | Temitope A Dawodu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306296967 PECOS PAC ID: 6002109964 Enrollment ID: I20160729001155 |
| Provider Name | Andrea Marie Brekke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528417490 PECOS PAC ID: 5092008953 Enrollment ID: I20160729001167 |
| Provider Name | Anjali A Wilcox |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760748099 PECOS PAC ID: 5597060848 Enrollment ID: I20160801001239 |
| Provider Name | Jeremy J Gatto |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255462321 PECOS PAC ID: 3476640723 Enrollment ID: I20160802001240 |
| Provider Name | Yan Ji |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1225355829 PECOS PAC ID: 9234435934 Enrollment ID: I20160802003280 |
| Provider Name | Nicole James |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356728331 PECOS PAC ID: 4082908777 Enrollment ID: I20160803000622 |
| Provider Name | Antoine Heni Chaanine |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1114180429 PECOS PAC ID: 3678628419 Enrollment ID: I20160804000089 |
| Provider Name | Melissa Lorie Pavek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821476821 PECOS PAC ID: 9638475114 Enrollment ID: I20160805001050 |
| Provider Name | Sagar R Shroff |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1841511243 PECOS PAC ID: 4284937186 Enrollment ID: I20160805002261 |
| Provider Name | Cheryl L Goldenberg |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598865354 PECOS PAC ID: 1951695212 Enrollment ID: I20160809001750 |
| Provider Name | Matthew S Runde |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598144891 PECOS PAC ID: 8628372786 Enrollment ID: I20160810002581 |
| Provider Name | Kimberly A Ollinger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184980518 PECOS PAC ID: 5991937757 Enrollment ID: I20160816000017 |
| Provider Name | Gregory R Hildebrand |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1255656229 PECOS PAC ID: 6002121068 Enrollment ID: I20160816001205 |
| Provider Name | Anne D Sheehan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053770784 PECOS PAC ID: 5890089775 Enrollment ID: I20160816001789 |
| Provider Name | Brian P Cunningham |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1447489430 PECOS PAC ID: 9436460698 Enrollment ID: I20160817001055 |
| Provider Name | Margaret A Sweeney |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154687093 PECOS PAC ID: 0042515389 Enrollment ID: I20160822001012 |
| Provider Name | Rachel Becker-warner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083065080 PECOS PAC ID: 4880989110 Enrollment ID: I20160825000009 |
| Provider Name | Steven J. Skube |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1154765493 PECOS PAC ID: 7416251285 Enrollment ID: I20160825002334 |
| Provider Name | Zainah M Shaker |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1083007744 PECOS PAC ID: 2163717471 Enrollment ID: I20160825002468 |
| Provider Name | Firas S Elmufdi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1295966125 PECOS PAC ID: 3779880893 Enrollment ID: I20160829000733 |
| Provider Name | Karisa Etter |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1821479403 PECOS PAC ID: 0941517866 Enrollment ID: I20160901000306 |
| Provider Name | Alan H Cherkasky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568511970 PECOS PAC ID: 1456258094 Enrollment ID: I20160902000012 |
| Provider Name | Shawna Doyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811442569 PECOS PAC ID: 1153617923 Enrollment ID: I20160902000055 |
| Provider Name | Brittany J Gordon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861844482 PECOS PAC ID: 0244526069 Enrollment ID: I20160902001904 |
| Provider Name | Robert Finn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851845283 PECOS PAC ID: 3173819687 Enrollment ID: I20160909001255 |
| Provider Name | Meghan Marie Scheibe |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1346549508 PECOS PAC ID: 9537455936 Enrollment ID: I20160912001348 |
| Provider Name | Megan M Schroeder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376098806 PECOS PAC ID: 1456648518 Enrollment ID: I20160919000472 |
| Provider Name | Katherine W Black |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1699041848 PECOS PAC ID: 9436454865 Enrollment ID: I20160920002889 |
| Provider Name | Dina O Salman |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1295186427 PECOS PAC ID: 8224325139 Enrollment ID: I20160921000234 |
| Provider Name | James E Mapellentz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073959888 PECOS PAC ID: 1355649724 Enrollment ID: I20160921001550 |
| Provider Name | Huiying Guo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003293101 PECOS PAC ID: 1052618022 Enrollment ID: I20160921002022 |
| Provider Name | Allison R Cranston |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366735482 PECOS PAC ID: 1052580008 Enrollment ID: I20160922001441 |
| Provider Name | Ryan F Treml |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1023490273 PECOS PAC ID: 0749577716 Enrollment ID: I20160923000094 |
| Provider Name | Paige A. Sams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205274032 PECOS PAC ID: 7113160300 Enrollment ID: I20160928001091 |
| Provider Name | Sheri Madison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346797404 PECOS PAC ID: 7810284072 Enrollment ID: I20161003001240 |
| Provider Name | Elisha Arata |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093071508 PECOS PAC ID: 2961790175 Enrollment ID: I20161004000544 |
| Provider Name | Peter R Letourneau |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1699899609 PECOS PAC ID: 0840488623 Enrollment ID: I20161006000161 |
| Provider Name | Nitika Ghattaura |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1356748495 PECOS PAC ID: 4082902069 Enrollment ID: I20161006000688 |
| Provider Name | Kelley Puppe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942756754 PECOS PAC ID: 2264720176 Enrollment ID: I20161010000822 |
| Provider Name | Amanda Whiteley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750421756 PECOS PAC ID: 9133270044 Enrollment ID: I20161014001106 |
| Provider Name | Denise M Shannon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184174898 PECOS PAC ID: 9739467051 Enrollment ID: I20161020001350 |
| Provider Name | Peter Cathcart |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407115538 PECOS PAC ID: 3678851524 Enrollment ID: I20161027000040 |
| Provider Name | Laura Melcher |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982962387 PECOS PAC ID: 8325326259 Enrollment ID: I20161028000065 |
| Provider Name | Yaria I Bangura |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235680836 PECOS PAC ID: 5698053346 Enrollment ID: I20161031001967 |
| Provider Name | Kyle W Abben |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1225321839 PECOS PAC ID: 3870807373 Enrollment ID: I20161109002077 |
| Provider Name | Tina Coyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376095448 PECOS PAC ID: 2466731500 Enrollment ID: I20161114001743 |
| Provider Name | Emily Katherine Rumsey |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1043670144 PECOS PAC ID: 3375822422 Enrollment ID: I20161114002139 |
| Provider Name | Dharma Sunjaya |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1053790329 PECOS PAC ID: 3274844931 Enrollment ID: I20161121000860 |
| Provider Name | Jessica L Mcalpine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144779612 PECOS PAC ID: 0941580112 Enrollment ID: I20161205001005 |
| Provider Name | Noah Aron Maddy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780098483 PECOS PAC ID: 2062792773 Enrollment ID: I20161214001330 |
| Provider Name | Kristin R Hanson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205110574 PECOS PAC ID: 9436374741 Enrollment ID: I20161219000165 |
| Provider Name | Joseph S Bert |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1760776512 PECOS PAC ID: 8022241652 Enrollment ID: I20161219000400 |
| Provider Name | Chandrawatie Khemraj |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164964334 PECOS PAC ID: 6103107784 Enrollment ID: I20161220001846 |
| Provider Name | Aaron Means |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003369737 PECOS PAC ID: 6608158928 Enrollment ID: I20170123000987 |
| Provider Name | Lara Wandling |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295174746 PECOS PAC ID: 8820231061 Enrollment ID: I20170124000951 |
| Provider Name | Augusto V Saldarriaga |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1740512995 PECOS PAC ID: 4789980772 Enrollment ID: I20170201001154 |
| Provider Name | Shawn M Ronan |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1386762227 PECOS PAC ID: 3072699461 Enrollment ID: I20170201001861 |
| 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 | Michael Joseph Schnaus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336569961 PECOS PAC ID: 6103122676 Enrollment ID: I20170216002513 |
| Provider Name | Jacob Sundberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629456215 PECOS PAC ID: 1355646365 Enrollment ID: I20170216002758 |
| Provider Name | Britta Marie Lundberg |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861815490 PECOS PAC ID: 7517241433 Enrollment ID: I20170221001245 |
| Provider Name | Jennifer A Novak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023557352 PECOS PAC ID: 3072897446 Enrollment ID: I20170302001156 |
| Provider Name | Juliana K Huber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679016000 PECOS PAC ID: 7719261122 Enrollment ID: I20170303000286 |
| Provider Name | Emily S Scollon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164966123 PECOS PAC ID: 5092099333 Enrollment ID: I20170303001627 |
| Provider Name | David P Darrow |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1649614496 PECOS PAC ID: 8729382213 Enrollment ID: I20170306002249 |
| Provider Name | Rebecca Omeara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376996736 PECOS PAC ID: 6103100367 Enrollment ID: I20170307001490 |
| Provider Name | Lindsay M Olson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427287747 PECOS PAC ID: 2062796261 Enrollment ID: I20170308000314 |
| Provider Name | Samantha Warner |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104206846 PECOS PAC ID: 7214211382 Enrollment ID: I20170309001072 |
| Provider Name | Sherry Huber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790220424 PECOS PAC ID: 4981988052 Enrollment ID: I20170309001418 |
| Provider Name | Melanie M Kraushaar |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669775342 PECOS PAC ID: 9739463837 Enrollment ID: I20170309002658 |
| Provider Name | Allison Marie Nitzkorski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356696355 PECOS PAC ID: 9537443635 Enrollment ID: I20170309002714 |
| Provider Name | Michaelen E Sundstrom |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376904698 PECOS PAC ID: 4082998018 Enrollment ID: I20170310001350 |
| Provider Name | Chad E Reil |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336285725 PECOS PAC ID: 2062796097 Enrollment ID: I20170310001390 |
| Provider Name | Carrie Justice Fernandez |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508990532 PECOS PAC ID: 0941585939 Enrollment ID: I20170313001817 |
| Provider Name | Jennifer J Solin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790053460 PECOS PAC ID: 9335424985 Enrollment ID: I20170321002342 |
| Provider Name | Tyler J Koivisto |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1588002430 PECOS PAC ID: 8224313879 Enrollment ID: I20170321002406 |
| Provider Name | Steven J Palm |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154411221 PECOS PAC ID: 4284690140 Enrollment ID: I20170322002884 |
| Provider Name | Nicole R Hoisser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740720812 PECOS PAC ID: 9739464264 Enrollment ID: I20170324002062 |
| Provider Name | Rachel Elizabeth Tellez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245391432 PECOS PAC ID: 4385731975 Enrollment ID: I20170328000605 |
| 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 | James E Tatkon-coker |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1295723468 PECOS PAC ID: 6901833763 Enrollment ID: I20170405002054 |
| Provider Name | Nhu Wong |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861528705 PECOS PAC ID: 5890071823 Enrollment ID: I20170405002768 |
| Provider Name | Loren Nathan Bach |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1205279650 PECOS PAC ID: 7618272865 Enrollment ID: I20170406000489 |
| 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 | Jennifer A Gambucci |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588195598 PECOS PAC ID: 6002192697 Enrollment ID: I20170413002404 |
| Provider Name | Cheryl Settimi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003368689 PECOS PAC ID: 4981980570 Enrollment ID: I20170413002666 |
| Provider Name | Vanessa D Gil |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073955043 PECOS PAC ID: 2365751161 Enrollment ID: I20170425001186 |
| Provider Name | Francis Edward Banfield |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285636597 PECOS PAC ID: 4082793104 Enrollment ID: I20170426000355 |
| Provider Name | Suzanne Elizabeth Shane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013291434 PECOS PAC ID: 8123293081 Enrollment ID: I20170503000936 |
| Provider Name | Ashley E Diamond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619377835 PECOS PAC ID: 6901119775 Enrollment ID: I20170503002256 |
| Provider Name | Anna Margaret Dang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104192459 PECOS PAC ID: 6800190349 Enrollment ID: I20170503002397 |
| Provider Name | Alexandra M Lacey |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1740608462 PECOS PAC ID: 1456657535 Enrollment ID: I20170503002900 |
| Provider Name | Karen D Corrigan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790883825 PECOS PAC ID: 9133406937 Enrollment ID: I20170504000610 |
| Provider Name | Jason A Bartos |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1366755878 PECOS PAC ID: 1355646290 Enrollment ID: I20170515001048 |
| Provider Name | Christine Burke Taylor |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1427310176 PECOS PAC ID: 7214214550 Enrollment ID: I20170515001814 |
| Provider Name | Barbara J Schmitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558802660 PECOS PAC ID: 9032496377 Enrollment ID: I20170515001817 |
| Provider Name | Rachel M Petersen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568869667 PECOS PAC ID: 6305113580 Enrollment ID: I20170518000025 |
| Provider Name | Katrina M Nelson Phelan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407179955 PECOS PAC ID: 4688704729 Enrollment ID: I20170523000884 |
| Provider Name | Anthony D Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013329689 PECOS PAC ID: 1052617503 Enrollment ID: I20170523002750 |
| Provider Name | Annie M Jacobsen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780002592 PECOS PAC ID: 3577831973 Enrollment ID: I20170607001589 |
| Provider Name | Lourdes Villaume |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376737619 PECOS PAC ID: 9133262132 Enrollment ID: I20170608002565 |
| Provider Name | Eddie Tang |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1093729691 PECOS PAC ID: 3870562267 Enrollment ID: I20170627001413 |
| Provider Name | Paul Danial Frydenlund |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1912327644 PECOS PAC ID: 4183929524 Enrollment ID: I20170707001763 |
| Provider Name | Teresa Fox |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144649005 PECOS PAC ID: 5193021517 Enrollment ID: I20170711002802 |
| Provider Name | Matthew L Mielke |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811331119 PECOS PAC ID: 6103120688 Enrollment ID: I20170712001570 |
| Provider Name | Lacey Rae Urness |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831553197 PECOS PAC ID: 0446529044 Enrollment ID: I20170712002660 |
| Provider Name | Parham K Ghavami |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386819480 PECOS PAC ID: 0345314076 Enrollment ID: I20170717000655 |
| Provider Name | Japs A Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356514657 PECOS PAC ID: 9739350539 Enrollment ID: I20170720002692 |
| Provider Name | Estella M Dennis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376081133 PECOS PAC ID: 8224308226 Enrollment ID: I20170725000818 |
| Provider Name | Ingrid Beck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366855421 PECOS PAC ID: 7113146218 Enrollment ID: I20170726002444 |
| Provider Name | Pierre Tawfik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467839878 PECOS PAC ID: 2062717929 Enrollment ID: I20170727000059 |
| Provider Name | Angelique M Ruff |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1295020311 PECOS PAC ID: 4486870557 Enrollment ID: I20170731002948 |
| Provider Name | Anna M Shukla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295265353 PECOS PAC ID: 7315218948 Enrollment ID: I20170801000723 |
| Provider Name | Daniel Jordan Stephens |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1144464223 PECOS PAC ID: 2961706726 Enrollment ID: I20170802000954 |
| Provider Name | Austin Heare |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1811253347 PECOS PAC ID: 9830331743 Enrollment ID: I20170802003153 |
| Provider Name | Sarah E Henry |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1730396946 PECOS PAC ID: 4486746534 Enrollment ID: I20170803003374 |
| Provider Name | Jason A Hughes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952396160 PECOS PAC ID: 2860386331 Enrollment ID: I20170804002591 |
| Provider Name | James Wesley Lloyd |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1720442486 PECOS PAC ID: 8022301969 Enrollment ID: I20170807001700 |
| Provider Name | Rachel E Stainbrook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184146102 PECOS PAC ID: 3173894201 Enrollment ID: I20170807003324 |
| Provider Name | Ashley V Dohlen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669884375 PECOS PAC ID: 0143526541 Enrollment ID: I20170807003624 |
| Provider Name | Megan Christine Everson |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1417311069 PECOS PAC ID: 8628368859 Enrollment ID: I20170809004222 |
| Provider Name | Carrie A Wesely |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851718993 PECOS PAC ID: 3072734367 Enrollment ID: I20170811002744 |
| Provider Name | Samantha Min Min Ngaw |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720432461 PECOS PAC ID: 8820379134 Enrollment ID: I20170814001024 |
| Provider Name | Jacque T Brumm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922537992 PECOS PAC ID: 9436421245 Enrollment ID: I20170814002414 |
| 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 | Jennifer A Willette |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972777571 PECOS PAC ID: 8527216480 Enrollment ID: I20170816000049 |
| Provider Name | Robert Miguel Wood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629053111 PECOS PAC ID: 0143316703 Enrollment ID: I20170816001341 |
| Provider Name | Alissa Marie Farrell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174812770 PECOS PAC ID: 2365714037 Enrollment ID: I20170816001965 |
| Provider Name | Samuel J Gervais |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1396150793 PECOS PAC ID: 6103123559 Enrollment ID: I20170816003271 |
| Provider Name | Michael Alexander Milshteyn |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1427318005 PECOS PAC ID: 2567734064 Enrollment ID: I20170817003349 |
| Provider Name | Kundan Verma |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700231438 PECOS PAC ID: 8921391194 Enrollment ID: I20170821003500 |
| Provider Name | Jaimi L Weber |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1336594498 PECOS PAC ID: 4587958095 Enrollment ID: I20170821003523 |
| Provider Name | Justin E Groenewold |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649681222 PECOS PAC ID: 8325310691 Enrollment ID: I20170821003547 |
| Provider Name | Julia Jesme |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730616756 PECOS PAC ID: 6002188273 Enrollment ID: I20170823000819 |
| Provider Name | Abigail R Madans |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1386973402 PECOS PAC ID: 6709183536 Enrollment ID: I20170823001173 |
| Provider Name | Kelsey Berndt |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083930515 PECOS PAC ID: 7315177417 Enrollment ID: I20170824001468 |
| Provider Name | Kayla Marie Fuller Stinger |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1487182432 PECOS PAC ID: 5496027328 Enrollment ID: I20170828000813 |
| Provider Name | Karen V Barcelon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346761087 PECOS PAC ID: 1456624261 Enrollment ID: I20170830000561 |
| Provider Name | Lauren E. Stennes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144494998 PECOS PAC ID: 7810165594 Enrollment ID: I20170830001841 |
| Provider Name | Michelle A Hilden |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1699125948 PECOS PAC ID: 2567735269 Enrollment ID: I20170831000574 |
| Provider Name | Corinne M Brown-robinson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881983237 PECOS PAC ID: 6002085008 Enrollment ID: I20170906001679 |
| Provider Name | Brianna J Conklin |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1326578162 PECOS PAC ID: 1759654064 Enrollment ID: I20170908001148 |
| Provider Name | Jennifer K Wittman |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1548785355 PECOS PAC ID: 1456624683 Enrollment ID: I20170908002309 |
| Provider Name | Andrea Langeveld |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1003270232 PECOS PAC ID: 4183916315 Enrollment ID: I20170911000196 |
| Provider Name | Patrick B Horrigan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1073805008 PECOS PAC ID: 3476857202 Enrollment ID: I20170912001195 |
| Provider Name | Lauren M Soukup |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1225568520 PECOS PAC ID: 0941574990 Enrollment ID: I20170914002888 |
| Provider Name | Joanna Hanlon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841711298 PECOS PAC ID: 1658645528 Enrollment ID: I20170918000236 |
| Provider Name | Kathryn Wyman-chick |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710118054 PECOS PAC ID: 6305110180 Enrollment ID: I20170918001052 |
| Provider Name | Laura Donatelle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326574732 PECOS PAC ID: 1951675784 Enrollment ID: I20170918002756 |
| Provider Name | Branden Pfefferkorn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326277815 PECOS PAC ID: 3577714849 Enrollment ID: I20170919000266 |
| Provider Name | Kathleen A Otremba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619499746 PECOS PAC ID: 1052685815 Enrollment ID: I20170919000383 |
| Provider Name | Thuy Tien B Le |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821418302 PECOS PAC ID: 4183921786 Enrollment ID: I20170919003752 |
| Provider Name | Spencer A Morse |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053724021 PECOS PAC ID: 3072819242 Enrollment ID: I20170919004239 |
| Provider Name | Peter Hurley |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1508159823 PECOS PAC ID: 3274839030 Enrollment ID: I20170921000166 |
| Provider Name | Neil Siekman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265851364 PECOS PAC ID: 4688979040 Enrollment ID: I20170923000039 |
| Provider Name | Hayley K Gindlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114449311 PECOS PAC ID: 9133493323 Enrollment ID: I20170927001641 |
| Provider Name | Nicholas Boysen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003236373 PECOS PAC ID: 8628373511 Enrollment ID: I20170928000034 |
| Provider Name | Kari L Halvorson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114371614 PECOS PAC ID: 5991086449 Enrollment ID: I20170929000075 |
| Provider Name | Liza Ortiz |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1376786079 PECOS PAC ID: 7618119785 Enrollment ID: I20170929001987 |
| Provider Name | Paige Josephine Halvorson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659698306 PECOS PAC ID: 6507085016 Enrollment ID: I20171004001056 |
| Provider Name | Maureen E Penning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932623592 PECOS PAC ID: 5698040228 Enrollment ID: I20171009001182 |
| Provider Name | Nasreen S Quadri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992182158 PECOS PAC ID: 3678877719 Enrollment ID: I20171009002310 |
| Provider Name | Rebecca M Horvath |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1417476185 PECOS PAC ID: 1153696489 Enrollment ID: I20171012000224 |
| Provider Name | Laura Jean Wallace |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841619848 PECOS PAC ID: 7315167848 Enrollment ID: I20171018000436 |
| Provider Name | William Wedin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134547847 PECOS PAC ID: 8921374976 Enrollment ID: I20171019001347 |
| Provider Name | Laura A Souslian |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1902121536 PECOS PAC ID: 3476859687 Enrollment ID: I20171025000491 |
| Provider Name | Kathryn Lynn Dauble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639698194 PECOS PAC ID: 2466728738 Enrollment ID: I20171101001499 |
| Provider Name | Erin Galegher |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1982132536 PECOS PAC ID: 1153687462 Enrollment ID: I20171101003637 |
| Provider Name | Kristen M A Kessler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649563750 PECOS PAC ID: 4880986942 Enrollment ID: I20171103002394 |
| Provider Name | Craig Mescher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629377874 PECOS PAC ID: 9931404860 Enrollment ID: I20171110000024 |
| Provider Name | Oreoluwa Temilade Oye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326560830 PECOS PAC ID: 8022374750 Enrollment ID: I20171113000970 |
| Provider Name | Angela R Fox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780084004 PECOS PAC ID: 4082970421 Enrollment ID: I20171117001037 |
| Provider Name | Allison M Brooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972022267 PECOS PAC ID: 5597031781 Enrollment ID: I20171117001717 |
| Provider Name | Kristina Popov |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639697527 PECOS PAC ID: 3971860396 Enrollment ID: I20171120001900 |
| Provider Name | Wendy A Tanner |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1437269693 PECOS PAC ID: 0143531020 Enrollment ID: I20171121001733 |
| Provider Name | Nathan W Foote |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003213299 PECOS PAC ID: 7719244805 Enrollment ID: I20171128000804 |
| Provider Name | Zachary Avir Lecrone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699199802 PECOS PAC ID: 6305103326 Enrollment ID: I20171129003420 |
| Provider Name | Stephanie Lynn Henigin |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1295246247 PECOS PAC ID: 5294092102 Enrollment ID: I20171201000712 |
| Provider Name | Anthony P Liebhard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609255645 PECOS PAC ID: 3577868496 Enrollment ID: I20171201002553 |
| Provider Name | Jacquelyn B Wright Wagner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528428398 PECOS PAC ID: 6305103110 Enrollment ID: I20171204002182 |
| Provider Name | Aditi Anil Velankar |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720507254 PECOS PAC ID: 2769749357 Enrollment ID: I20171207000716 |
| Provider Name | Rebecca J Petersen |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1053791954 PECOS PAC ID: 1658673207 Enrollment ID: I20171207002626 |
| Provider Name | Christopher Scott Leonard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992151393 PECOS PAC ID: 8426315912 Enrollment ID: I20171208002242 |
| Provider Name | Andrea C. Hillerud |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114012481 PECOS PAC ID: 6608866157 Enrollment ID: I20171211000493 |
| Provider Name | Kathleen E Bauer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760802151 PECOS PAC ID: 1355647660 Enrollment ID: I20171221000057 |
| Provider Name | Nancy Wiedmeyer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659651065 PECOS PAC ID: 7618235581 Enrollment ID: I20171222001153 |
| Provider Name | Darwin G Ramirez Abreu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972759082 PECOS PAC ID: 7315160108 Enrollment ID: I20171227002461 |
| Provider Name | Theresa M Havalad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942649181 PECOS PAC ID: 1557595105 Enrollment ID: I20180102001037 |
| Provider Name | Katie Lynn Knutson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619496288 PECOS PAC ID: 6002175262 Enrollment ID: I20180116000028 |
| Provider Name | Jennifer Susan Fury |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790294874 PECOS PAC ID: 3476812538 Enrollment ID: I20180117002267 |
| Provider Name | Caroline Abenakyo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164932570 PECOS PAC ID: 0345509477 Enrollment ID: I20180118001837 |
| Provider Name | Chad Myeroff |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1114211018 PECOS PAC ID: 9638473457 Enrollment ID: I20180122002026 |
| Provider Name | Stephanie Robinson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285005603 PECOS PAC ID: 0345500864 Enrollment ID: I20180201001006 |
| Provider Name | Elizabeth Gullotta Murchie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699905604 PECOS PAC ID: 1658520663 Enrollment ID: I20180205001966 |
| Provider Name | Anupama Upadhyaya Nookala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619251196 PECOS PAC ID: 0042570269 Enrollment ID: I20180208001952 |
| Provider Name | Jennifer M Finstad |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538667787 PECOS PAC ID: 8729348891 Enrollment ID: I20180209001282 |
| Provider Name | Orlando A Sanchez Diaz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235643545 PECOS PAC ID: 3274893276 Enrollment ID: I20180213001850 |
| Provider Name | Shannon Gabriel Griggs |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1255541223 PECOS PAC ID: 2860642311 Enrollment ID: I20180213002292 |
| Provider Name | Mehria Sayad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669829206 PECOS PAC ID: 6204197767 Enrollment ID: I20180223001567 |
| Provider Name | Deanna Niedenthal-duret |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1639224975 PECOS PAC ID: 4183608540 Enrollment ID: I20180226000192 |
| Provider Name | Nicole K Walkermarquette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962917799 PECOS PAC ID: 5496016818 Enrollment ID: I20180228000682 |
| Provider Name | Amanda Mickelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245744234 PECOS PAC ID: 9739440058 Enrollment ID: I20180301002443 |
| Provider Name | Elizabeth A Price |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922485598 PECOS PAC ID: 3072819556 Enrollment ID: I20180306000453 |
| Provider Name | Mary K English |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487951851 PECOS PAC ID: 4981966512 Enrollment ID: I20180320001556 |
| Provider Name | Kristen M Henley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316361272 PECOS PAC ID: 0345533436 Enrollment ID: I20180410003154 |
| Provider Name | Mardiya K Jaffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215436076 PECOS PAC ID: 1254695042 Enrollment ID: I20180502001710 |
| Provider Name | Hyejo Jun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982946547 PECOS PAC ID: 7517185481 Enrollment ID: I20180510001393 |
| Provider Name | Leslie Markowitz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124455324 PECOS PAC ID: 3072748136 Enrollment ID: I20180518000481 |
| Provider Name | Barbara B Eliason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194248203 PECOS PAC ID: 3476819780 Enrollment ID: I20180529002756 |
| Provider Name | Kelly De Leon Bran |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811230162 PECOS PAC ID: 3072878685 Enrollment ID: I20180601001478 |
| Provider Name | Evan Robert Olson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033419239 PECOS PAC ID: 9931396363 Enrollment ID: I20180605001398 |
| Provider Name | Susan M Lou |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1316387277 PECOS PAC ID: 5991003998 Enrollment ID: I20180606001970 |
| Provider Name | David Bryan Polley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205333275 PECOS PAC ID: 9032464003 Enrollment ID: I20180614001904 |
| Provider Name | Alexandra Cross |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1740695535 PECOS PAC ID: 1052536935 Enrollment ID: I20180618000029 |
| Provider Name | Andrew Daniel Martin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386900827 PECOS PAC ID: 7315231271 Enrollment ID: I20180618002638 |
| Provider Name | Adam C Sheka |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992192199 PECOS PAC ID: 6507160389 Enrollment ID: I20180619002102 |
| Provider Name | Elina Lipovskiy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538540109 PECOS PAC ID: 2769780683 Enrollment ID: I20180620001600 |
| Provider Name | Mary Stephens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083105308 PECOS PAC ID: 3375898760 Enrollment ID: I20180627000092 |
| Provider Name | Kevin Torkelson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003298548 PECOS PAC ID: 4284980186 Enrollment ID: I20180709002471 |
| Provider Name | Susan Amann |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912434309 PECOS PAC ID: 3274889704 Enrollment ID: I20180712003308 |
| Provider Name | Matthew Cossack |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1275948275 PECOS PAC ID: 1557662467 Enrollment ID: I20180713001551 |
| Provider Name | Christine Wei Yin Tran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326425471 PECOS PAC ID: 4981909579 Enrollment ID: I20180713001616 |
| Provider Name | Brian Mehus |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386025609 PECOS PAC ID: 1557617255 Enrollment ID: I20180717000085 |
| Provider Name | Anthony Frattalone |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912101114 PECOS PAC ID: 1052697836 Enrollment ID: I20180718000435 |
| Provider Name | Erin J Schmidt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730471517 PECOS PAC ID: 8123268026 Enrollment ID: I20180719000538 |
| Provider Name | Camille Robichaux |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1548647340 PECOS PAC ID: 2163779125 Enrollment ID: I20180720002989 |
| Provider Name | Kolawole Adediran |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578981239 PECOS PAC ID: 2567760499 Enrollment ID: I20180723000088 |
| Provider Name | Laura Lee Gile |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518989052 PECOS PAC ID: 3173870003 Enrollment ID: I20180723002890 |
| Provider Name | Erik Austin Lund |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1477813731 PECOS PAC ID: 4789817206 Enrollment ID: I20180724003136 |
| Provider Name | Brooke Elyssa Klaphake |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154817575 PECOS PAC ID: 3971850736 Enrollment ID: I20180725000675 |
| Provider Name | Danielle M Quallich |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396122065 PECOS PAC ID: 8426354663 Enrollment ID: I20180725000917 |
| Provider Name | Luke Tae Jong Moore |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1023452182 PECOS PAC ID: 1951674555 Enrollment ID: I20180727001981 |
| Provider Name | Elliot Mohr Johnson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639512866 PECOS PAC ID: 0749538304 Enrollment ID: I20180730003395 |
| Provider Name | Maja Margret Schiemo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457870594 PECOS PAC ID: 7810245396 Enrollment ID: I20180731000988 |
| Provider Name | Ruth Joy Barta |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1891063590 PECOS PAC ID: 6608172747 Enrollment ID: I20180731001414 |
| Provider Name | Erika M Pritchett |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033347612 PECOS PAC ID: 6406161678 Enrollment ID: I20180802000046 |
| Provider Name | Heather Anne Decker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336114529 PECOS PAC ID: 8527033703 Enrollment ID: I20180802001918 |
| Provider Name | Tara Sue Segedi |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1184688830 PECOS PAC ID: 3375891609 Enrollment ID: I20180802003164 |
| Provider Name | Rachael F Pickett Theel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598257982 PECOS PAC ID: 5890043830 Enrollment ID: I20180807002576 |
| Provider Name | Timothy Perkins |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1346507415 PECOS PAC ID: 7214229012 Enrollment ID: I20180808001000 |
| Provider Name | Julie M Jones |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1306833454 PECOS PAC ID: 5698719862 Enrollment ID: I20180810002424 |
| Provider Name | Andrew A Rischall |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1881089035 PECOS PAC ID: 4789977851 Enrollment ID: I20180813000206 |
| Provider Name | Erik A Engelbrektson |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1558793521 PECOS PAC ID: 5799033437 Enrollment ID: I20180813001007 |
| Provider Name | Daniel Denucci |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1548607666 PECOS PAC ID: 7719282441 Enrollment ID: I20180813001441 |
| Provider Name | Emily Geneva Beres |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982865028 PECOS PAC ID: 8921231515 Enrollment ID: I20180813002301 |
| Provider Name | Sharon Frattalone |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1891994067 PECOS PAC ID: 0042508590 Enrollment ID: I20180814001411 |
| Provider Name | Caitlin Claire Chambers |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1275896003 PECOS PAC ID: 3577867621 Enrollment ID: I20180814001620 |
| Provider Name | Katherine Merriweather Munck |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063832061 PECOS PAC ID: 4981953627 Enrollment ID: I20180814002056 |
| Provider Name | Gabriel Jerome Greseth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609367150 PECOS PAC ID: 8921357526 Enrollment ID: I20180815000903 |
| Provider Name | Asif Karimbhai Maknojia |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1013200666 PECOS PAC ID: 9537459060 Enrollment ID: I20180815002668 |
| Provider Name | Michael D Jose |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346650025 PECOS PAC ID: 2769798990 Enrollment ID: I20180815003647 |
| Provider Name | Jennifer Irene Almanza |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1457879595 PECOS PAC ID: 8022367291 Enrollment ID: I20180821002815 |
| Provider Name | Jennifer S Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487189718 PECOS PAC ID: 4880952134 Enrollment ID: I20180828000781 |
| Provider Name | Aditya Jain |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1588955843 PECOS PAC ID: 7517289648 Enrollment ID: I20180828002760 |
| Provider Name | David R Carlson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700378924 PECOS PAC ID: 7416207246 Enrollment ID: I20180829000868 |
| Provider Name | Ka Zoua Vang |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1205312832 PECOS PAC ID: 9537419783 Enrollment ID: I20180910000187 |
| Provider Name | Kerri Wing-hun Chung |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1548604846 PECOS PAC ID: 8426354903 Enrollment ID: I20180912000474 |
| Provider Name | Anne-marie Boller |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1538133038 PECOS PAC ID: 7012940166 Enrollment ID: I20180915000005 |
| Provider Name | Neli Mottey Augustson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528494564 PECOS PAC ID: 3577860493 Enrollment ID: I20180920001910 |
| Provider Name | Ari L Nahum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538503719 PECOS PAC ID: 3870890775 Enrollment ID: I20180921001160 |
| Provider Name | Emily Nicole Bernice Myer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356640031 PECOS PAC ID: 9830402213 Enrollment ID: I20180921001514 |
| Provider Name | Mary Gray |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578920823 PECOS PAC ID: 0648521021 Enrollment ID: I20180924003450 |
| Provider Name | Lauren Brin Hermans |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1013324227 PECOS PAC ID: 5294045423 Enrollment ID: I20180926002150 |
| Provider Name | Brian D Barsness |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1710994967 PECOS PAC ID: 8628329844 Enrollment ID: I20180926002184 |
| Provider Name | Aneudy Nicolas Nunez Pena |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396130456 PECOS PAC ID: 3971854191 Enrollment ID: I20180926002278 |
| Provider Name | Shireen Elizabeth Desamlazaro |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255621850 PECOS PAC ID: 3375780406 Enrollment ID: I20180927000056 |
| Provider Name | Jessica P Boarini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225416878 PECOS PAC ID: 0446556922 Enrollment ID: I20180927002161 |
| Provider Name | Edra Nordstrom |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063823987 PECOS PAC ID: 1850643800 Enrollment ID: I20181003000010 |
| Provider Name | Sara M Higginson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578852471 PECOS PAC ID: 9537457296 Enrollment ID: I20181009000890 |
| Provider Name | Maria T Gonzalez Bolanos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609259688 PECOS PAC ID: 0840589073 Enrollment ID: I20181009001604 |
| Provider Name | Sarang Narendra Patel |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1174865570 PECOS PAC ID: 8527386432 Enrollment ID: I20181010000025 |
| Provider Name | Sarah Grace Kirvida |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083194211 PECOS PAC ID: 1254683873 Enrollment ID: I20181010000876 |
| Provider Name | Matthew John Buehler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992296016 PECOS PAC ID: 4385996529 Enrollment ID: I20181016002459 |
| Provider Name | Brian S Myer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003115783 PECOS PAC ID: 1759681380 Enrollment ID: I20181017000555 |
| Provider Name | Owen D Vincent |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619263324 PECOS PAC ID: 3476782400 Enrollment ID: I20181017001044 |
| Provider Name | Shemal M Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346627080 PECOS PAC ID: 0941504492 Enrollment ID: I20181018001134 |
| Provider Name | Krystin Melissa Holody |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104211994 PECOS PAC ID: 0042519910 Enrollment ID: I20181023001116 |
| Provider Name | Callie Korliss Schnitker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295113249 PECOS PAC ID: 9133475916 Enrollment ID: I20181029002603 |
| Provider Name | Nadine H Yacoub |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1730679325 PECOS PAC ID: 7719230333 Enrollment ID: I20181030000554 |
| Provider Name | Daniel Seth Shapiro |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1578663829 PECOS PAC ID: 0143203414 Enrollment ID: I20181102000677 |
| 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 | Neng Yang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518243500 PECOS PAC ID: 5799930012 Enrollment ID: I20181113001547 |
| Provider Name | Kahoua Caroline Lochungvu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609288828 PECOS PAC ID: 0941570394 Enrollment ID: I20181115001431 |
| Provider Name | Ashley Bishop |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326425737 PECOS PAC ID: 9537426192 Enrollment ID: I20181127002609 |
| Provider Name | Andrea Mulhausen Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437536927 PECOS PAC ID: 6103192042 Enrollment ID: I20181128000594 |
| Provider Name | Alma Dzafic |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891182614 PECOS PAC ID: 6103160338 Enrollment ID: I20181129000444 |
| Provider Name | David Benjamin Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063995629 PECOS PAC ID: 7911241054 Enrollment ID: I20181205002969 |
| Provider Name | Charles T Pokora |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689051765 PECOS PAC ID: 7214236157 Enrollment ID: I20181211001189 |
| Provider Name | Shanna Weiss |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750850988 PECOS PAC ID: 0547505372 Enrollment ID: I20181221001954 |
| Provider Name | Marilynn K Hammond |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306837315 PECOS PAC ID: 1658348560 Enrollment ID: I20181228001488 |
| 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 | Jennifer Lynn Brakke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891278347 PECOS PAC ID: 6800132036 Enrollment ID: I20190109002174 |
| Provider Name | Leonardo E Candelario Perez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750767158 PECOS PAC ID: 4486990462 Enrollment ID: I20190111001615 |
| Provider Name | Kathryn R Connell |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1740696327 PECOS PAC ID: 8224330568 Enrollment ID: I20190211000097 |
| Provider Name | Molly Levy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023502697 PECOS PAC ID: 1951649946 Enrollment ID: I20190218001348 |
| Provider Name | Katherine B Oddi |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427583376 PECOS PAC ID: 1850668807 Enrollment ID: I20190220001709 |
| Provider Name | Darin Davis Vaughan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295706216 PECOS PAC ID: 4082617329 Enrollment ID: I20190220001946 |
| Provider Name | Chimaobi Anugwom |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1477931483 PECOS PAC ID: 6800192311 Enrollment ID: I20190226000969 |
| Provider Name | Steven A Rokeach |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1740290212 PECOS PAC ID: 5597711127 Enrollment ID: I20190226001168 |
| Provider Name | James Soyka |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851321848 PECOS PAC ID: 4486648557 Enrollment ID: I20190308000247 |
| Provider Name | Courtney Burnett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417349168 PECOS PAC ID: 1658647235 Enrollment ID: I20190312000178 |
| Provider Name | Julie Marie Jasken |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1508321225 PECOS PAC ID: 6800135765 Enrollment ID: I20190312000460 |
| Provider Name | Rachel Nicole Warren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063977957 PECOS PAC ID: 4082954920 Enrollment ID: I20190313000177 |
| Provider Name | Laura Anne Chilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104343607 PECOS PAC ID: 5991055253 Enrollment ID: I20190325002200 |
| Provider Name | Julie A Saxton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245210095 PECOS PAC ID: 3173863289 Enrollment ID: I20190327000010 |
| Provider Name | Mariel J Blomstrand |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730655564 PECOS PAC ID: 2365782497 Enrollment ID: I20190327000925 |
| Provider Name | Mustafa Abdulhusein |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104231992 PECOS PAC ID: 5395092548 Enrollment ID: I20190415001259 |
| Provider Name | Casey Lee Dickinson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366989113 PECOS PAC ID: 8628319738 Enrollment ID: I20190417001718 |
| Provider Name | Lisa B Howley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760538359 PECOS PAC ID: 8224226535 Enrollment ID: I20190418002444 |
| Provider Name | Stephen Alexander George |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1194014712 PECOS PAC ID: 3971845538 Enrollment ID: I20190430002710 |
| Provider Name | Callie Anne Zweber |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588036313 PECOS PAC ID: 0244531895 Enrollment ID: I20190501001201 |
| Provider Name | Alyssa Wehr |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306386107 PECOS PAC ID: 3375885841 Enrollment ID: I20190502001220 |
| Provider Name | Tsung-yen Hsieh |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1548505100 PECOS PAC ID: 9436491677 Enrollment ID: I20190508002007 |
| Provider Name | Patrick T Schoenecker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689132185 PECOS PAC ID: 9335482439 Enrollment ID: I20190513000887 |
| Provider Name | Joseph Michael Macdonald |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710320288 PECOS PAC ID: 9436393386 Enrollment ID: I20190514000735 |
| Provider Name | Alexander James Patnoe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548728389 PECOS PAC ID: 8527301357 Enrollment ID: I20190520001505 |
| Provider Name | Karyn M Cave |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023673092 PECOS PAC ID: 0749523140 Enrollment ID: I20190529001369 |
| Provider Name | Elizabeth Ann Anderson Crow |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255344511 PECOS PAC ID: 4284538760 Enrollment ID: I20190603001188 |
| Provider Name | Shannon Tomfohrde |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871942771 PECOS PAC ID: 5597052530 Enrollment ID: I20190604001141 |
| Provider Name | Luke Albares |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851820765 PECOS PAC ID: 7416280680 Enrollment ID: I20190604001295 |
| Provider Name | Sara Hawks Monahan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902268634 PECOS PAC ID: 1456643543 Enrollment ID: I20190604001372 |
| Provider Name | Kaytlin Hanson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1689232183 PECOS PAC ID: 3779816590 Enrollment ID: I20190611001598 |
| Provider Name | Jessica L Najarian Bell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255713632 PECOS PAC ID: 9537416094 Enrollment ID: I20190619002857 |
| Provider Name | Jennifer Burandt |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1598246704 PECOS PAC ID: 3971847310 Enrollment ID: I20190620001470 |
| Provider Name | Sarah Lynn Parker Atkins |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1760830202 PECOS PAC ID: 5890036529 Enrollment ID: I20190621000247 |
| Provider Name | Andrew Caraganis |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1013271352 PECOS PAC ID: 8123267887 Enrollment ID: I20190621001271 |
| Provider Name | Elizabeth Rice |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558758144 PECOS PAC ID: 9436483005 Enrollment ID: I20190702001053 |
| Provider Name | Allison Knorzer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821449364 PECOS PAC ID: 2163719188 Enrollment ID: I20190702001123 |
| 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 | Hannah Emily Reykdal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710545058 PECOS PAC ID: 2264767425 Enrollment ID: I20190710000936 |
| Provider Name | Benjamin W Dummer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710416706 PECOS PAC ID: 8123353208 Enrollment ID: I20190711001503 |
| 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 | Khalid A Azzam |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1811128416 PECOS PAC ID: 0042436917 Enrollment ID: I20190717002624 |
| Provider Name | Edward Thomas Schaefer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114369279 PECOS PAC ID: 0749583698 Enrollment ID: I20190718003150 |
| Provider Name | Christopher James Hillard |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1801153424 PECOS PAC ID: 2264738392 Enrollment ID: I20190723001946 |
| Provider Name | Jennifer Angela Haas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356785620 PECOS PAC ID: 6002142163 Enrollment ID: I20190726000775 |
| Provider Name | Chelsey Prall |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063866762 PECOS PAC ID: 5092041129 Enrollment ID: I20190729000670 |
| Provider Name | John Charles Zeyer |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1558604926 PECOS PAC ID: 6406159474 Enrollment ID: I20190730001402 |
| Provider Name | Robert David Wojahn |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1518303676 PECOS PAC ID: 9638308059 Enrollment ID: I20190730001867 |
| Provider Name | Nicole Rodrigues Stortini |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124589650 PECOS PAC ID: 2466793690 Enrollment ID: I20190730004611 |
| Provider Name | William Henry Wilson |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1801239892 PECOS PAC ID: 4880823152 Enrollment ID: I20190731000508 |
| Provider Name | Derek R Goerke |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1831519636 PECOS PAC ID: 2062717242 Enrollment ID: I20190801000334 |
| Provider Name | Michael Benjamin Blazar |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1962845172 PECOS PAC ID: 8224380316 Enrollment ID: I20190801003496 |
| Provider Name | Kristina Sharma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396195038 PECOS PAC ID: 3375835978 Enrollment ID: I20190802000808 |
| Provider Name | Jessica R Determan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699334904 PECOS PAC ID: 5092042630 Enrollment ID: I20190806000914 |
| Provider Name | Peter Mayer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760862528 PECOS PAC ID: 9638483787 Enrollment ID: I20190806001157 |
| Provider Name | Max Dutkin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497166748 PECOS PAC ID: 0446516066 Enrollment ID: I20190806003251 |
| Provider Name | Geoffrey Georges Gerardin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083101992 PECOS PAC ID: 4789938135 Enrollment ID: I20190808000606 |
| Provider Name | Brandon R Edlund |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255821377 PECOS PAC ID: 3072851922 Enrollment ID: I20190808002149 |
| Provider Name | Robyn Cox |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1720404890 PECOS PAC ID: 5294953865 Enrollment ID: I20190812003105 |
| Provider Name | Michael Seth Reich |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1629393541 PECOS PAC ID: 2163727561 Enrollment ID: I20190813003677 |
| Provider Name | Colby Adams Dixon |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1972915346 PECOS PAC ID: 2961709456 Enrollment ID: I20190815000011 |
| Provider Name | Stephanie V Aldrin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144718917 PECOS PAC ID: 1951654987 Enrollment ID: I20190815000038 |
| Provider Name | Lydia R Staples |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609256031 PECOS PAC ID: 1850696287 Enrollment ID: I20190820001327 |
| Provider Name | Jessica D Lomheim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376803163 PECOS PAC ID: 6901061324 Enrollment ID: I20190820002843 |
| Provider Name | Kathryn M.. Salvatore |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518344118 PECOS PAC ID: 6305142985 Enrollment ID: I20190821000472 |
| Provider Name | Gennadiy Aleksandrovich Busel |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1568724714 PECOS PAC ID: 2961704341 Enrollment ID: I20190821000503 |
| Provider Name | Rachel E Kneeland |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1053773887 PECOS PAC ID: 6002109105 Enrollment ID: I20190822001728 |
| Provider Name | Elaine Jayne Catherine Buckley |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1265873681 PECOS PAC ID: 1052553815 Enrollment ID: I20190822002028 |
| Provider Name | Maryna Tarbunova |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1447538301 PECOS PAC ID: 0244458321 Enrollment ID: I20190822004304 |
| Provider Name | Chelsey Arlene Sand |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407200892 PECOS PAC ID: 6800124090 Enrollment ID: I20190827000065 |
| Provider Name | Julia L Nugent |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710331566 PECOS PAC ID: 7810281110 Enrollment ID: I20190828002693 |
| Provider Name | Emily A Becker |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1215348701 PECOS PAC ID: 2466756945 Enrollment ID: I20190829000713 |
| Provider Name | Bisrat Fekadu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154776854 PECOS PAC ID: 4587930078 Enrollment ID: I20190829000814 |
| Provider Name | Constance Lyne Barner |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366435539 PECOS PAC ID: 7810181641 Enrollment ID: I20190903000219 |
| Provider Name | Rose Tsai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376906461 PECOS PAC ID: 7618261835 Enrollment ID: I20190910003444 |
| Provider Name | Tswjfwm Vang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245681014 PECOS PAC ID: 0941539217 Enrollment ID: I20190911003019 |
| Provider Name | Emily Sarchet Trosvik Koeck |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891006961 PECOS PAC ID: 1153689971 Enrollment ID: I20190912002128 |
| Provider Name | Julie K Schaefer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497132492 PECOS PAC ID: 7012214067 Enrollment ID: I20190919000166 |
| Provider Name | Christopher Thomas |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1710179494 PECOS PAC ID: 9638325962 Enrollment ID: I20190924000887 |
| Provider Name | Paul S Stadem |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679060750 PECOS PAC ID: 3971852146 Enrollment ID: I20190926002284 |
| Provider Name | John Hokanson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194171116 PECOS PAC ID: 8224319553 Enrollment ID: I20190926002806 |
| Provider Name | Sara A Nielsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093370926 PECOS PAC ID: 6103156583 Enrollment ID: I20190927000671 |
| Provider Name | Tsige Gebreslasse |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992230072 PECOS PAC ID: 9638400732 Enrollment ID: I20191003001362 |
| Provider Name | Maher Alainawi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275067308 PECOS PAC ID: 2567700123 Enrollment ID: I20191004000592 |
| Provider Name | Jaime L Loso |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1619364494 PECOS PAC ID: 2668767054 Enrollment ID: I20191016002154 |
| Provider Name | Kristen Engstrom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164074787 PECOS PAC ID: 1557693314 Enrollment ID: I20191028001845 |
| Provider Name | Mai Nguyen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1073831566 PECOS PAC ID: 5294974861 Enrollment ID: I20191030000616 |
| Provider Name | Alyssa Rose Wojciechowski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467802066 PECOS PAC ID: 4789976895 Enrollment ID: I20191031002994 |
| Provider Name | Shivgami Arora |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730445321 PECOS PAC ID: 7618289299 Enrollment ID: I20191105000843 |
| Provider Name | Coby L Somsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629363429 PECOS PAC ID: 3173793072 Enrollment ID: I20191107000107 |
| Provider Name | Kaylan Rae Dix |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669014445 PECOS PAC ID: 1052743325 Enrollment ID: I20191107002561 |
| Provider Name | Michael Eastman |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1053707760 PECOS PAC ID: 9638476054 Enrollment ID: I20191108001058 |
| Provider Name | James Osei |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952958027 PECOS PAC ID: 4385076454 Enrollment ID: I20191111001383 |
| Provider Name | Jessica Jerich Wetterlin |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1245529379 PECOS PAC ID: 5597066142 Enrollment ID: I20191111002923 |
| Provider Name | Anne Elizabeth Hinz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578750212 PECOS PAC ID: 2163614348 Enrollment ID: I20191122000245 |
| Provider Name | Matthew Thomas Hendricks |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1104391325 PECOS PAC ID: 2062757347 Enrollment ID: I20200106001662 |
| Provider Name | Maros Cunderlik |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144682147 PECOS PAC ID: 6305139411 Enrollment ID: I20200110000092 |
| Provider Name | Alicia Marie Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245875111 PECOS PAC ID: 8325473838 Enrollment ID: I20200110000316 |
| Provider Name | Elizabeth M Senne |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982134342 PECOS PAC ID: 4082049507 Enrollment ID: I20200110000707 |
| Provider Name | Timothy Ronald Rauschke |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821547472 PECOS PAC ID: 7517206428 Enrollment ID: I20200113000044 |
| Provider Name | Sarah E. Anderson |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1164910964 PECOS PAC ID: 9234486374 Enrollment ID: I20200127000243 |
| Provider Name | Daniel Steven Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518311539 PECOS PAC ID: 2264731835 Enrollment ID: I20200131001738 |
| Provider Name | William A Gromko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477565026 PECOS PAC ID: 8325189996 Enrollment ID: I20200210001154 |
| Provider Name | Lyuba Megits |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417337130 PECOS PAC ID: 2466768395 Enrollment ID: I20200227000841 |
| Provider Name | Jamie Lee Henson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326685645 PECOS PAC ID: 0941638845 Enrollment ID: I20200306001043 |
| Provider Name | Choua Yang Polaski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588297113 PECOS PAC ID: 7012345317 Enrollment ID: I20200320000474 |
| Provider Name | Callie Sahr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164052718 PECOS PAC ID: 0749618759 Enrollment ID: I20200325000077 |
| Provider Name | Alexander G Kovic |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376071316 PECOS PAC ID: 8224466255 Enrollment ID: I20200325001001 |
| Provider Name | Shelby Rae Spandl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528327160 PECOS PAC ID: 0648600056 Enrollment ID: I20200428000114 |
| Provider Name | Manoj A Doss |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1487049599 PECOS PAC ID: 9638483282 Enrollment ID: I20200430001241 |
| Provider Name | Julie Ann Sandstrom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922633619 PECOS PAC ID: 3274964325 Enrollment ID: I20200506000441 |
| Provider Name | William E Gibson |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1811250095 PECOS PAC ID: 1658674031 Enrollment ID: I20200508001105 |
| Provider Name | Travis Alexander Reddinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427695337 PECOS PAC ID: 7315378221 Enrollment ID: I20200508002864 |
| Provider Name | Luke Adam Monteagudo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992187173 PECOS PAC ID: 2860756723 Enrollment ID: I20200514002803 |
| Provider Name | Jonathan Burns |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154459105 PECOS PAC ID: 1850499724 Enrollment ID: I20200608000306 |
| Provider Name | Abigail E Peterson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003342130 PECOS PAC ID: 6800151879 Enrollment ID: I20200609002306 |
| Provider Name | Zachary R Bergman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811420441 PECOS PAC ID: 9830461912 Enrollment ID: I20200630001130 |
| Provider Name | Appesh Mohandas |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1508203050 PECOS PAC ID: 3274853106 Enrollment ID: I20200630002754 |
| Provider Name | Megan Kipfer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780209486 PECOS PAC ID: 4486077377 Enrollment ID: I20200710001555 |
| Provider Name | Rekha Magar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255756383 PECOS PAC ID: 8921303363 Enrollment ID: I20200720001659 |
| Provider Name | Amit Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235578394 PECOS PAC ID: 0446544415 Enrollment ID: I20200721000245 |
| Provider Name | Karl Stuart Tjerandsen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487077566 PECOS PAC ID: 2466717475 Enrollment ID: I20200721001287 |
| Provider Name | Jutarat Sangtian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568844587 PECOS PAC ID: 7618273244 Enrollment ID: I20200721002564 |
| Provider Name | Jessica H Dusold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619509866 PECOS PAC ID: 4688098429 Enrollment ID: I20200727000940 |
| Provider Name | Alyssa Marie Anderson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1750709986 PECOS PAC ID: 8921304668 Enrollment ID: I20200728001508 |
| Provider Name | Armin Brian Jewell |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669851572 PECOS PAC ID: 5698003358 Enrollment ID: I20200729002670 |
| Provider Name | Taylor S Atchison |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811350515 PECOS PAC ID: 7214229079 Enrollment ID: I20200729003814 |
| Provider Name | Anushree Bhosale |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174053144 PECOS PAC ID: 4587933890 Enrollment ID: I20200730001622 |
| Provider Name | Tiffany Albrecht |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497109268 PECOS PAC ID: 0941577316 Enrollment ID: I20200731000405 |
| Provider Name | Shannon R Boyle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659804441 PECOS PAC ID: 4880939875 Enrollment ID: I20200804002345 |
| Provider Name | Dan Krakora |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1548622863 PECOS PAC ID: 0244501096 Enrollment ID: I20200804002364 |
| Provider Name | Betsy Dickson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386006773 PECOS PAC ID: 6507281540 Enrollment ID: I20200807000227 |
| Provider Name | Andrew J Redmann |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1235572306 PECOS PAC ID: 4688815988 Enrollment ID: I20200807000795 |
| Provider Name | Bryan Bader |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407236292 PECOS PAC ID: 6507172004 Enrollment ID: I20200807000921 |
| Provider Name | Michael E Aberra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699207472 PECOS PAC ID: 0840615845 Enrollment ID: I20200807002354 |
| Provider Name | Jesse Jacobs |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1457779555 PECOS PAC ID: 9638471600 Enrollment ID: I20200808000083 |
| Provider Name | David Carl Hess |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871029116 PECOS PAC ID: 6901176114 Enrollment ID: I20200813000007 |
| Provider Name | Thomas C Fewer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407201742 PECOS PAC ID: 9436442738 Enrollment ID: I20200813002915 |
| Provider Name | Katherine R Vaughan |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1619350006 PECOS PAC ID: 4284050758 Enrollment ID: I20200813003401 |
| Provider Name | Andrew Jaeger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902335243 PECOS PAC ID: 7618245184 Enrollment ID: I20200818004050 |
| Provider Name | Emma K Jones |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164957189 PECOS PAC ID: 8921343153 Enrollment ID: I20200825000790 |
| Provider Name | Kari L Tessum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508374927 PECOS PAC ID: 6103187372 Enrollment ID: I20200827000140 |
| Provider Name | Gabrielle Thottam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649652827 PECOS PAC ID: 0941628226 Enrollment ID: I20200918000452 |
| Provider Name | Jeremy L Coudron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215547757 PECOS PAC ID: 1850710534 Enrollment ID: I20200929003566 |
| Provider Name | Todd Gothard |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1386636173 PECOS PAC ID: 2668462961 Enrollment ID: I20200929003741 |
| Provider Name | Christine Ding |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487073300 PECOS PAC ID: 4082912985 Enrollment ID: I20200930000351 |
| Provider Name | Marlen Midthune |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093249013 PECOS PAC ID: 8921379561 Enrollment ID: I20200930000961 |
| Provider Name | Mouaffaa Tello |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831622489 PECOS PAC ID: 3375889181 Enrollment ID: I20200930001602 |
| Provider Name | Susan Mcintyre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528037447 PECOS PAC ID: 3779724398 Enrollment ID: I20201001001510 |
| Provider Name | Ryan W Russell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366975906 PECOS PAC ID: 7911279062 Enrollment ID: I20201001002085 |
| Provider Name | Daniel Stein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497018055 PECOS PAC ID: 7416172143 Enrollment ID: I20201002000570 |
| Provider Name | Jennifer Anne Day |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1225443419 PECOS PAC ID: 4981932050 Enrollment ID: I20201007002443 |
| Provider Name | Bryan S Wilson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518329887 PECOS PAC ID: 4486946209 Enrollment ID: I20201008001584 |
| Provider Name | Lorick Andersen |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1821444910 PECOS PAC ID: 8426324690 Enrollment ID: I20201014000219 |
| Provider Name | Sahar Ahmed |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578917100 PECOS PAC ID: 1254751548 Enrollment ID: I20201027000972 |
| Provider Name | Nicole M Arndt-wenger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366049975 PECOS PAC ID: 3476963075 Enrollment ID: I20201111000736 |
| Provider Name | Alicia Marie Osterman Kemp |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003293325 PECOS PAC ID: 9931407608 Enrollment ID: I20201113000912 |
| Provider Name | Rishav Aggarwal |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1447747563 PECOS PAC ID: 5193079515 Enrollment ID: I20201117001097 |
| Provider Name | Kerriann Godwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487276556 PECOS PAC ID: 9133530140 Enrollment ID: I20201124000366 |
| Provider Name | Tou Lee Xiong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699126169 PECOS PAC ID: 1456645084 Enrollment ID: I20201125000175 |
| Provider Name | Christine Namaste Curran |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164696928 PECOS PAC ID: 1951712751 Enrollment ID: I20201130002879 |
| Provider Name | Jacob Swann |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972898054 PECOS PAC ID: 0244641959 Enrollment ID: I20201202001139 |
| Provider Name | Nathan Michael Holm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073112421 PECOS PAC ID: 3577974120 Enrollment ID: I20201202003179 |
| Provider Name | Mary C Wiczek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962003277 PECOS PAC ID: 4183035736 Enrollment ID: I20201202003380 |
| Provider Name | Jennifer L Kaufman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871947069 PECOS PAC ID: 7719271550 Enrollment ID: I20201205000005 |
| Provider Name | Lauren E Mcpherson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912439985 PECOS PAC ID: 5890067631 Enrollment ID: I20201208001492 |
| Provider Name | Mahjub K Hammond |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053815209 PECOS PAC ID: 7517201221 Enrollment ID: I20201209000107 |
| Provider Name | Gilberto Almanza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194728568 PECOS PAC ID: 7315012754 Enrollment ID: I20201217002234 |
| Provider Name | Anuja Singh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437560380 PECOS PAC ID: 4183931470 Enrollment ID: I20210105000128 |
| Provider Name | David Weatherby |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1295110922 PECOS PAC ID: 9234446873 Enrollment ID: I20210106001440 |
| Provider Name | Jon Stoffer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134783871 PECOS PAC ID: 3476888918 Enrollment ID: I20210106002447 |
| Provider Name | Nicole Sue Nelsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184220881 PECOS PAC ID: 0648683623 Enrollment ID: I20210112002047 |
| Provider Name | Sara Leahy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720674799 PECOS PAC ID: 5092128934 Enrollment ID: I20210113001883 |
| Provider Name | Monicah M Gikiri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447855580 PECOS PAC ID: 4385058049 Enrollment ID: I20210121000669 |
| Provider Name | Kathleen Elizabeth Kopp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346838687 PECOS PAC ID: 3870907348 Enrollment ID: I20210122002683 |
| Provider Name | Christopher Jc Adams |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598185027 PECOS PAC ID: 9234435496 Enrollment ID: I20210208000815 |
| Provider Name | Michael B Deboer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023509031 PECOS PAC ID: 2264780659 Enrollment ID: I20210209001772 |
| Provider Name | Mark Bostrom |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255860169 PECOS PAC ID: 2466886361 Enrollment ID: I20210211002877 |
| Provider Name | Jacquelyn Cameron |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700345881 PECOS PAC ID: 8921331380 Enrollment ID: I20210211003102 |
| Provider Name | Anne Florence Njenga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992086383 PECOS PAC ID: 1456524438 Enrollment ID: I20210212000105 |
| Provider Name | Todd J Billington |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1720460645 PECOS PAC ID: 2567778988 Enrollment ID: I20210215000305 |
| Provider Name | Bianca Maria Kenyon |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1609293836 PECOS PAC ID: 8224443502 Enrollment ID: I20210218002083 |
| Provider Name | Lucas Kuzj |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639632441 PECOS PAC ID: 9234464017 Enrollment ID: I20210222000750 |
| Provider Name | Leslie Ellis |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1568889418 PECOS PAC ID: 3577807304 Enrollment ID: I20210223002257 |
| Provider Name | Amanda Nelson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407200736 PECOS PAC ID: 7012202583 Enrollment ID: I20210303001613 |
| Provider Name | Nathaniel P Guimont |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962864199 PECOS PAC ID: 7315222775 Enrollment ID: I20210323001455 |
| Provider Name | Devin Rorabeck |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588281760 PECOS PAC ID: 4880001387 Enrollment ID: I20210330001168 |
| Provider Name | Kia Yang |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1124687884 PECOS PAC ID: 9335477140 Enrollment ID: I20210401002073 |
| Provider Name | Bruce Olmscheid |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356632590 PECOS PAC ID: 8022268507 Enrollment ID: I20210416001496 |
| Provider Name | Georgia M Peterson-houle |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1578642559 PECOS PAC ID: 9830507466 Enrollment ID: I20210421000754 |
| Provider Name | Surabhi Pancholi |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1992208276 PECOS PAC ID: 5991052201 Enrollment ID: I20210427001523 |
| Provider Name | Emily Ordal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598322281 PECOS PAC ID: 2769891829 Enrollment ID: I20210503001189 |
| Provider Name | Andrea B. Belle Isle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306422357 PECOS PAC ID: 2163831132 Enrollment ID: I20210503002001 |
| Provider Name | Heather Hurner O'brien |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194335075 PECOS PAC ID: 5698184372 Enrollment ID: I20210510001804 |
| Provider Name | Lucas Christianson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700158201 PECOS PAC ID: 9537437603 Enrollment ID: I20210511001322 |
| Provider Name | Kaitlin Brianna Durkin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376123513 PECOS PAC ID: 4082023684 Enrollment ID: I20210512000873 |
| Provider Name | Jaclyn Marcel Metzler |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1992332100 PECOS PAC ID: 8224447719 Enrollment ID: I20210513001351 |
| Provider Name | Fatima A Tiwana |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1124458609 PECOS PAC ID: 2163721606 Enrollment ID: I20210517001419 |
| Provider Name | Luis Felipe Carrazana Suarez |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1669859989 PECOS PAC ID: 9436572161 Enrollment ID: I20210527002129 |
| Provider Name | Lennet Radke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821394321 PECOS PAC ID: 4385960418 Enrollment ID: I20210528001892 |
| Provider Name | Benjamin L Davies |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891138160 PECOS PAC ID: 3870843808 Enrollment ID: I20210604001907 |
| Provider Name | Lindsay M Cattin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1770043903 PECOS PAC ID: 3072842202 Enrollment ID: I20210604002065 |
| Provider Name | Madeline R Cross |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1821539024 PECOS PAC ID: 8022389246 Enrollment ID: I20210608002645 |
| Provider Name | Krystle Joel-marie Campbell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710483581 PECOS PAC ID: 9931509197 Enrollment ID: I20210610001094 |
| Provider Name | Lee Christianson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922363746 PECOS PAC ID: 6901124445 Enrollment ID: I20210610001291 |
| Provider Name | Brandon C Lyle |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518490192 PECOS PAC ID: 8022380187 Enrollment ID: I20210610001758 |
| Provider Name | Brianna Williams |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1134775265 PECOS PAC ID: 5395074223 Enrollment ID: I20210616003614 |
| Provider Name | Ardiana Vuljaj |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972092492 PECOS PAC ID: 7012268162 Enrollment ID: I20210621002720 |
| Provider Name | Benoit Blondeau |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1902872708 PECOS PAC ID: 3173584026 Enrollment ID: I20210625001860 |
| Provider Name | Maggie Marie Lage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093398133 PECOS PAC ID: 0648672840 Enrollment ID: I20210712000022 |
| Provider Name | Hassan M Masroujeh |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1356918726 PECOS PAC ID: 3072916741 Enrollment ID: I20210720000658 |
| Provider Name | Claire Anne Zabransky |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780115303 PECOS PAC ID: 7517360191 Enrollment ID: I20210720001150 |
| Provider Name | Binh C Truong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306429857 PECOS PAC ID: 5890198303 Enrollment ID: I20210721002631 |
| Provider Name | Clayton Wagner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902303589 PECOS PAC ID: 2860749439 Enrollment ID: I20210723001226 |
| Provider Name | Savahanna Wagner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205332699 PECOS PAC ID: 5799032058 Enrollment ID: I20210726001760 |
| Provider Name | Krista M Newman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1689053662 PECOS PAC ID: 9032458286 Enrollment ID: I20210726003290 |
| Provider Name | David C Goebel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750878443 PECOS PAC ID: 1759636038 Enrollment ID: I20210727001450 |
| Provider Name | Benjamin Michael Brasseur |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1366836454 PECOS PAC ID: 4486057411 Enrollment ID: I20210728000929 |
| Provider Name | Frantz Junior Pierre Toussaint |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1033675236 PECOS PAC ID: 0749516573 Enrollment ID: I20210730000041 |
| Provider Name | Solomon Amare |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376030320 PECOS PAC ID: 8022352624 Enrollment ID: I20210730000663 |
| Provider Name | Clifford C Tenner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376525519 PECOS PAC ID: 4284714924 Enrollment ID: I20210730001371 |
| Provider Name | Brian M Horst |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487858478 PECOS PAC ID: 5294801023 Enrollment ID: I20210802002509 |
| Provider Name | Dhanya Narasimhan |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1649829458 PECOS PAC ID: 7113259185 Enrollment ID: I20210810000541 |
| Provider Name | Kaihan Fakhar |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1114312980 PECOS PAC ID: 1254636186 Enrollment ID: I20210818000932 |
| Provider Name | Jared Murray |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1881127611 PECOS PAC ID: 9830462597 Enrollment ID: I20210820001451 |
| Provider Name | Craig L Bremseth |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1386866671 PECOS PAC ID: 6002211448 Enrollment ID: I20210823001876 |
| Provider Name | Kristin Hinkle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528146479 PECOS PAC ID: 0749233724 Enrollment ID: I20210824000948 |
| Provider Name | Ellen G Melrose |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1225490238 PECOS PAC ID: 7113271784 Enrollment ID: I20210824002476 |
| Provider Name | Sarah C Jones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811484785 PECOS PAC ID: 7214288679 Enrollment ID: I20210831000294 |
| Provider Name | Samantha L Manning |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1730703240 PECOS PAC ID: 5193121515 Enrollment ID: I20210910001431 |
| Provider Name | Anna Marie Dalrymple |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295349280 PECOS PAC ID: 4385040633 Enrollment ID: I20210910002826 |
| Provider Name | Paige R Martin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982138863 PECOS PAC ID: 2264704725 Enrollment ID: I20210913000696 |
| Provider Name | Jessica Acker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124794425 PECOS PAC ID: 0941606222 Enrollment ID: I20210913000727 |
| Provider Name | Riley Fernan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619473592 PECOS PAC ID: 0648676866 Enrollment ID: I20210913003005 |
| Provider Name | Kendra Robida |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720606544 PECOS PAC ID: 1355747593 Enrollment ID: I20210913003593 |
| Provider Name | Patrick Manning |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1013278332 PECOS PAC ID: 9032426655 Enrollment ID: I20210921002228 |
| Provider Name | Pamela Powers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972059129 PECOS PAC ID: 2769761014 Enrollment ID: I20210923003724 |
| Provider Name | Eric Derocher |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194288357 PECOS PAC ID: 3072848597 Enrollment ID: I20210927002339 |
| Provider Name | Mahad Hassan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1245658012 PECOS PAC ID: 4082039003 Enrollment ID: I20210929000703 |
| Provider Name | Stephen Michael Swenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023782497 PECOS PAC ID: 4587061734 Enrollment ID: I20210930001507 |
| Provider Name | Megan Mehring |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710419569 PECOS PAC ID: 1355695321 Enrollment ID: I20210930002265 |
| Provider Name | Christine Broszko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831502889 PECOS PAC ID: 6507084639 Enrollment ID: I20211004002614 |
| Provider Name | Joel J Stanek |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1356738587 PECOS PAC ID: 4284938762 Enrollment ID: I20211006000431 |
| Provider Name | Melanie Faith Mccormick |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1275020331 PECOS PAC ID: 3678829421 Enrollment ID: I20211007000024 |
| Provider Name | Shannon Andrews |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1548559206 PECOS PAC ID: 4284859695 Enrollment ID: I20211008001201 |
| Provider Name | Janet Obonyo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316522162 PECOS PAC ID: 0749688588 Enrollment ID: I20211008002717 |
| Provider Name | Bethany Nordman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669664389 PECOS PAC ID: 3173654753 Enrollment ID: I20211020000231 |
| Provider Name | Connie L Osbeck |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1295887917 PECOS PAC ID: 2062714645 Enrollment ID: I20211022001425 |
| Provider Name | Lynnette A Barrineau |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760429443 PECOS PAC ID: 0547306946 Enrollment ID: I20211028000674 |
| Provider Name | Nicole M Wolle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073285508 PECOS PAC ID: 2769870302 Enrollment ID: I20211101000887 |
| Provider Name | Marquise L Hopson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043715295 PECOS PAC ID: 7214289669 Enrollment ID: I20211108002826 |
| Provider Name | Danielle Marie Peick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265194757 PECOS PAC ID: 3870982820 Enrollment ID: I20211111002530 |
| Provider Name | Lee Joseph Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033700257 PECOS PAC ID: 5395143622 Enrollment ID: I20211112001097 |
| Provider Name | Katelyn E Klimstra |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063947471 PECOS PAC ID: 4981976503 Enrollment ID: I20211115002422 |
| Provider Name | Brenda Shua Her |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972009603 PECOS PAC ID: 4082961420 Enrollment ID: I20211117002755 |
| Provider Name | Ron Wexler |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1992067938 PECOS PAC ID: 5799099362 Enrollment ID: I20211118000034 |
| Provider Name | Patrick Sura |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598706194 PECOS PAC ID: 4486566049 Enrollment ID: I20211124001273 |
| Provider Name | Sarah Mae Belz |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1649933730 PECOS PAC ID: 8022408087 Enrollment ID: I20211206001869 |
| Provider Name | Magdalena K Hoelmer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629696620 PECOS PAC ID: 7618367525 Enrollment ID: I20211208003347 |
| Provider Name | Eric Meinberg |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1023060993 PECOS PAC ID: 5496645228 Enrollment ID: I20211214001575 |
| Provider Name | Matthew H Wheelwright |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063975894 PECOS PAC ID: 9234463217 Enrollment ID: I20211215000068 |
| Provider Name | Monica Youssef |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326575390 PECOS PAC ID: 1052676905 Enrollment ID: I20211216001941 |
| Provider Name | Deepak Alapati |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750709705 PECOS PAC ID: 8426356353 Enrollment ID: I20211217001363 |
| Provider Name | Mckenzie White |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518454594 PECOS PAC ID: 8123379278 Enrollment ID: I20211228001807 |
| Provider Name | Amanda Barbosa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508292038 PECOS PAC ID: 6800175282 Enrollment ID: I20220103000928 |
| Provider Name | Shelly R Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598382061 PECOS PAC ID: 1355761826 Enrollment ID: I20220104002152 |
| Provider Name | Jacy O'keefe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952968075 PECOS PAC ID: 9234469578 Enrollment ID: I20220114002019 |
| Provider Name | Brittany Marie Lamack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427728575 PECOS PAC ID: 1951793264 Enrollment ID: I20220119000375 |
| Provider Name | Sigourney Renee Cross |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679083190 PECOS PAC ID: 8628460813 Enrollment ID: I20220120001438 |
| Provider Name | Benjamin Jeffrey Danovsky |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396404562 PECOS PAC ID: 3870985872 Enrollment ID: I20220125002579 |
| Provider Name | Jessica Marquardt |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1508431180 PECOS PAC ID: 4486055118 Enrollment ID: I20220126002312 |
| Provider Name | Panra Yang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003573445 PECOS PAC ID: 3971995770 Enrollment ID: I20220127001118 |
| Provider Name | Lindsay C Fox |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477059582 PECOS PAC ID: 8426307547 Enrollment ID: I20220127002629 |
| Provider Name | Sydney Pattee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033874508 PECOS PAC ID: 1850784539 Enrollment ID: I20220201000944 |
| Provider Name | Mara Logerquist |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1043826019 PECOS PAC ID: 7416340179 Enrollment ID: I20220202001136 |
| Provider Name | Stephanie Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649944042 PECOS PAC ID: 7012300528 Enrollment ID: I20220204001853 |
| Provider Name | Todd Domeyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417377755 PECOS PAC ID: 8628385283 Enrollment ID: I20220217000007 |
| Provider Name | Graci Gorman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912564865 PECOS PAC ID: 2365772415 Enrollment ID: I20220217001639 |
| Provider Name | Mackenzie Yaggie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558975680 PECOS PAC ID: 6103225990 Enrollment ID: I20220221001545 |
| Provider Name | Michaela Joan Fletcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518530690 PECOS PAC ID: 7618361007 Enrollment ID: I20220301001211 |
| Provider Name | Tenzin Lhamo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114584869 PECOS PAC ID: 9234524224 Enrollment ID: I20220309000959 |
| Provider Name | Laura Lee Zweber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841345139 PECOS PAC ID: 9638564420 Enrollment ID: I20220314000973 |
| Provider Name | Sharon Ahlswede |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922403260 PECOS PAC ID: 8820312432 Enrollment ID: I20220316002862 |
| Provider Name | Nikolai P Mendonca |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093121212 PECOS PAC ID: 8820367782 Enrollment ID: I20220317001104 |
| Provider Name | Eduardo J Perez |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1427049808 PECOS PAC ID: 3971604984 Enrollment ID: I20220318002053 |
| Provider Name | Xue Wang |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1033721139 PECOS PAC ID: 7810382058 Enrollment ID: I20220324001906 |
| Provider Name | Elizabeth April Vanblaricom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154079101 PECOS PAC ID: 6800283706 Enrollment ID: I20220423000055 |
| Provider Name | Charoen Mankongpaisarnrung |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1649567926 PECOS PAC ID: 8527330836 Enrollment ID: I20220428000752 |
| Provider Name | Breynne S Fordahl |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1790795235 PECOS PAC ID: 7315249976 Enrollment ID: I20220504000141 |
| Provider Name | Valerie Loftus |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1104366079 PECOS PAC ID: 7517344732 Enrollment ID: I20220509002520 |
| Provider Name | Ava Mckee |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720721301 PECOS PAC ID: 5890172894 Enrollment ID: I20220512001946 |
| Provider Name | Bethany Anne Thompson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1740937291 PECOS PAC ID: 1557748191 Enrollment ID: I20220519001620 |
| Provider Name | Venus Vakhshori |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1023490380 PECOS PAC ID: 9133408610 Enrollment ID: I20220526000568 |
| Provider Name | Gabriel Nicolas Guzman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720576127 PECOS PAC ID: 0840535621 Enrollment ID: I20220602000120 |
| Provider Name | Tadele Dinsa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902257553 PECOS PAC ID: 9335425933 Enrollment ID: I20220603000973 |
| Provider Name | Kelsey Fifield |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558871442 PECOS PAC ID: 7618234618 Enrollment ID: I20220603001729 |
| Provider Name | Nicholas R Wilson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083177638 PECOS PAC ID: 9032446117 Enrollment ID: I20220606001766 |
| Provider Name | Pablo Leitzman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528528510 PECOS PAC ID: 0345628251 Enrollment ID: I20220606002103 |
| Provider Name | Molly Rm Clark |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295222487 PECOS PAC ID: 8527302249 Enrollment ID: I20220607001642 |
| Provider Name | Lucas S Harvey |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1336670280 PECOS PAC ID: 3870972300 Enrollment ID: I20220614000832 |
| Provider Name | Daniel P Vanderhoef |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013470863 PECOS PAC ID: 8123355203 Enrollment ID: I20220614003331 |
| Provider Name | Peter William Olaf Holmlund-fluker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386389559 PECOS PAC ID: 5597144923 Enrollment ID: I20220615001902 |
| Provider Name | Karl O Enroth |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588159214 PECOS PAC ID: 5193075232 Enrollment ID: I20220616000149 |
| Provider Name | Alexandra Schick |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1417305848 PECOS PAC ID: 8123313459 Enrollment ID: I20220616000574 |
| Provider Name | Alexander D Zanotto |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1063891919 PECOS PAC ID: 5496047540 Enrollment ID: I20220616001143 |
| Provider Name | Ashley Kay Grace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639811961 PECOS PAC ID: 6800275116 Enrollment ID: I20220616001487 |
| Provider Name | Rosemma Devries |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1154735629 PECOS PAC ID: 7113328501 Enrollment ID: I20220617000678 |
| Provider Name | Wael Toama |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821437054 PECOS PAC ID: 7315161908 Enrollment ID: I20220617001540 |
| Provider Name | Jene Andrea Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235690470 PECOS PAC ID: 5799164984 Enrollment ID: I20220617001608 |
| Provider Name | Bailey Norris |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134868771 PECOS PAC ID: 6103205257 Enrollment ID: I20220620001345 |
| Provider Name | Sara Liu |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1912439555 PECOS PAC ID: 8527345354 Enrollment ID: I20220621001174 |
| Provider Name | Farah Yusuf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306280631 PECOS PAC ID: 9537440177 Enrollment ID: I20220621001705 |
| Provider Name | Melinda A Beyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326535485 PECOS PAC ID: 4082962402 Enrollment ID: I20220623000335 |
| Provider Name | Lisa Lindquist |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1295994077 PECOS PAC ID: 3072992890 Enrollment ID: I20220623003052 |
| Provider Name | Gregory Cascino |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932441326 PECOS PAC ID: 7416230024 Enrollment ID: I20220628001347 |
| Provider Name | Sierra Jansen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528414646 PECOS PAC ID: 8729370812 Enrollment ID: I20220628003546 |
| Provider Name | Mary K Shoemaker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821652900 PECOS PAC ID: 4587998158 Enrollment ID: I20220708003141 |
| Provider Name | Kimberly Homan |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1225650005 PECOS PAC ID: 5698155356 Enrollment ID: I20220712001977 |
| Provider Name | Ruixian Yue |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1447613641 PECOS PAC ID: 2062706328 Enrollment ID: I20220720003114 |
| Provider Name | Su Lin Lim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679135347 PECOS PAC ID: 3173904901 Enrollment ID: I20220725002714 |
| Provider Name | Jeremy William Leclaire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003548256 PECOS PAC ID: 3072995802 Enrollment ID: I20220726003746 |
| Provider Name | Siwadon Pitukweerakul |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1487063087 PECOS PAC ID: 2860764784 Enrollment ID: I20220727003142 |
| Provider Name | Christina Hyein Swallow |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083102982 PECOS PAC ID: 7113352162 Enrollment ID: I20220801001647 |
| Provider Name | Sean Gallagher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467016808 PECOS PAC ID: 7315274560 Enrollment ID: I20220801002609 |
| Provider Name | Kelley Graves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689313447 PECOS PAC ID: 9537541917 Enrollment ID: I20220802000248 |
| Provider Name | Shannon Mobley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710935192 PECOS PAC ID: 4082693049 Enrollment ID: I20220802000953 |
| Provider Name | Caitlin Elizabeth Fujisawa |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871081083 PECOS PAC ID: 3577812130 Enrollment ID: I20220802002836 |
| Provider Name | Amina Adan Mohamed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144866336 PECOS PAC ID: 8123456720 Enrollment ID: I20220802003551 |
| Provider Name | Jasleen Kaur |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1720501810 PECOS PAC ID: 9830464106 Enrollment ID: I20220804002759 |
| Provider Name | Aastha Chauhan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1891146197 PECOS PAC ID: 9335432269 Enrollment ID: I20220808000253 |
| Provider Name | Mary Mikutowski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750010401 PECOS PAC ID: 4981086956 Enrollment ID: I20220808002043 |
| Provider Name | Scott Nathan Loewenstein |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1396126694 PECOS PAC ID: 4587975990 Enrollment ID: I20220808003405 |
| Provider Name | Angela Lynn Farris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477288736 PECOS PAC ID: 8022491901 Enrollment ID: I20220810003611 |
| Provider Name | Lauren K Klee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497251615 PECOS PAC ID: 3072863315 Enrollment ID: I20220811000051 |
| Provider Name | Tenley R Klc |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447747647 PECOS PAC ID: 0941558142 Enrollment ID: I20220811001459 |
| Provider Name | Jennifer A Hagen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235626532 PECOS PAC ID: 2163770256 Enrollment ID: I20220811001655 |
| Provider Name | David J Leishman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1134682834 PECOS PAC ID: 2567796782 Enrollment ID: I20220811001929 |
| Provider Name | Danielle Deanovich |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063856094 PECOS PAC ID: 1951525773 Enrollment ID: I20220811002001 |
| Provider Name | Rebecca S Gieseker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730742396 PECOS PAC ID: 9234563313 Enrollment ID: I20220811002345 |
| Provider Name | Kristiana J Sather |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1912560673 PECOS PAC ID: 0941534101 Enrollment ID: I20220811002697 |
| Provider Name | Robert Md Colbert |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598110678 PECOS PAC ID: 5092008524 Enrollment ID: I20220815001220 |
| Provider Name | Joseph Noack |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1871025270 PECOS PAC ID: 3274935895 Enrollment ID: I20220815002516 |
| Provider Name | Rachel Devries |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184011868 PECOS PAC ID: 0446556765 Enrollment ID: I20220816001636 |
| Provider Name | Danielle M Hill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992968291 PECOS PAC ID: 0749438117 Enrollment ID: I20220819001823 |
| Provider Name | Perry S Damian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255513529 PECOS PAC ID: 5496825382 Enrollment ID: I20220819002165 |
| Provider Name | Jaya Durvasula |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386209906 PECOS PAC ID: 4587047741 Enrollment ID: I20220822000125 |
| Provider Name | Laura C Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881157576 PECOS PAC ID: 4880023688 Enrollment ID: I20220823001999 |
| Provider Name | Raheel Kapadia |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659936557 PECOS PAC ID: 8325422389 Enrollment ID: I20220825001603 |
| Provider Name | Brian Tomich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437514890 PECOS PAC ID: 8628364981 Enrollment ID: I20220825001835 |
| Provider Name | Tawanna N King |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265793707 PECOS PAC ID: 8426277070 Enrollment ID: I20220825002496 |
| Provider Name | Rebecca Ann Frenz |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1952989717 PECOS PAC ID: 8325422264 Enrollment ID: I20220826001470 |
| Provider Name | Julie Elise Risinger |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962996710 PECOS PAC ID: 7618228404 Enrollment ID: I20220902001644 |
| Provider Name | Elizabeth Ann Moses |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932828480 PECOS PAC ID: 7810371903 Enrollment ID: I20220909000462 |
| Provider Name | Kayla Louise Puent |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1407425028 PECOS PAC ID: 4486039062 Enrollment ID: I20220918000025 |
| Provider Name | Patrina Hudson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285352104 PECOS PAC ID: 9537544911 Enrollment ID: I20220921002143 |
| Provider Name | Michael Brunnquell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255727152 PECOS PAC ID: 0345556791 Enrollment ID: I20220926003366 |
| Provider Name | Molly C Goodier |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1497245641 PECOS PAC ID: 7618227000 Enrollment ID: I20220929003308 |
| Provider Name | Hanna Nedrud |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578026209 PECOS PAC ID: 5991181646 Enrollment ID: I20221003002496 |
| Provider Name | Denijal Gluhic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477283216 PECOS PAC ID: 3577949247 Enrollment ID: I20221004000493 |
| Provider Name | Patrick Conway |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346781267 PECOS PAC ID: 8123352598 Enrollment ID: I20221004003135 |
| Provider Name | Melissa A Gunderson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700445301 PECOS PAC ID: 5698003259 Enrollment ID: I20221004003490 |
| Provider Name | Madhuri Tirumandas |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1043606320 PECOS PAC ID: 3678991130 Enrollment ID: I20221006002187 |
| Provider Name | Heather R Bemmels |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295201416 PECOS PAC ID: 6507242914 Enrollment ID: I20221007000383 |
| Provider Name | Samuel J Southgate |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528688330 PECOS PAC ID: 9739509670 Enrollment ID: I20221012003415 |
| Provider Name | Haley Ruth Taormina |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346803384 PECOS PAC ID: 1850625468 Enrollment ID: I20221014001079 |
| Provider Name | David Wrobleski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477144343 PECOS PAC ID: 0749657104 Enrollment ID: I20221028000126 |
| Provider Name | Andrea Christina Knievel |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1598100745 PECOS PAC ID: 7113281767 Enrollment ID: I20221028001591 |
| Provider Name | Meagan S Thompson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1114585759 PECOS PAC ID: 2860720505 Enrollment ID: I20221104002111 |
| Provider Name | Hannah M Ginder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871234476 PECOS PAC ID: 4789051483 Enrollment ID: I20221109002879 |
| Provider Name | Lara K Hilliard |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1528786704 PECOS PAC ID: 9638546120 Enrollment ID: I20221114002118 |
| Provider Name | Kathleen Gang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629086137 PECOS PAC ID: 4486646825 Enrollment ID: I20221115001654 |
| Provider Name | Alexandra Mack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821546904 PECOS PAC ID: 9436439940 Enrollment ID: I20221119000386 |
| Provider Name | Eleith L Brown |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1760864524 PECOS PAC ID: 7618232810 Enrollment ID: I20221122001795 |
| Provider Name | Munira Maalimisaq |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467180836 PECOS PAC ID: 0749658714 Enrollment ID: I20221122002655 |
| Provider Name | Cheryl Monical |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225113558 PECOS PAC ID: 6901947449 Enrollment ID: I20221129003218 |
| Provider Name | Sadia K Boyou |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033831961 PECOS PAC ID: 3577932755 Enrollment ID: I20221209001871 |
| Provider Name | Sharon E Meese |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669690780 PECOS PAC ID: 1456720457 Enrollment ID: I20221214001828 |
| Provider Name | Amanda D Kramer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366034514 PECOS PAC ID: 8820467681 Enrollment ID: I20221217000206 |
| Provider Name | Katherine Lipovetsky |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1487226346 PECOS PAC ID: 1658778261 Enrollment ID: I20221220002894 |
| Provider Name | Anne Miriam Mkalama |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154039881 PECOS PAC ID: 4880064112 Enrollment ID: I20230103001747 |
| Provider Name | Stacie Mariko Aubart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255050076 PECOS PAC ID: 0244600583 Enrollment ID: I20230103002227 |
| Provider Name | Matthew Lepage |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1225740327 PECOS PAC ID: 9133590854 Enrollment ID: I20230117001688 |
| Provider Name | Sinziana Cornea |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306409495 PECOS PAC ID: 3274867478 Enrollment ID: I20230123000696 |
| Provider Name | Alvin Yang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811517600 PECOS PAC ID: 1557786647 Enrollment ID: I20230127000038 |
| Provider Name | Sarah Haskins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386058246 PECOS PAC ID: 1254551179 Enrollment ID: I20230130000121 |
| Provider Name | Megan Elizabeth Lehnen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346959822 PECOS PAC ID: 8628440518 Enrollment ID: I20230201002457 |
| Provider Name | Carolyn Marie Bollinger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316657117 PECOS PAC ID: 9830561752 Enrollment ID: I20230202000359 |
| Provider Name | Dwijesh S Sheth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134758576 PECOS PAC ID: 6901223262 Enrollment ID: I20230209002002 |
| Provider Name | Sara Lippert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497349401 PECOS PAC ID: 0143694281 Enrollment ID: I20230313002183 |
| Provider Name | Hayley E Trotter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518400654 PECOS PAC ID: 2769711464 Enrollment ID: I20230317001363 |
| Provider Name | Bruce Andersen |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1063420792 PECOS PAC ID: 3678485760 Enrollment ID: I20230321001831 |
| Provider Name | Jennifer Heim |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467702480 PECOS PAC ID: 7214232651 Enrollment ID: I20230322000885 |
| Provider Name | Anne Louise Gair |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235692997 PECOS PAC ID: 6507199981 Enrollment ID: I20230322002769 |
| Provider Name | Sara Burghaus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386176956 PECOS PAC ID: 7719264381 Enrollment ID: I20230323003135 |
| Provider Name | David Hom |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1659351583 PECOS PAC ID: 9335103183 Enrollment ID: I20230331001745 |
| Provider Name | Joy Odonnell |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1811696040 PECOS PAC ID: 7012966682 Enrollment ID: I20230417002035 |
| Provider Name | Judith K Wolf |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1790878726 PECOS PAC ID: 4284829532 Enrollment ID: I20230428002497 |
| Provider Name | Ahmad Ghassan Mustafa Abutaka |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1689253247 PECOS PAC ID: 1951702208 Enrollment ID: I20230510000310 |
| Provider Name | Katy S Lehenbauer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245850437 PECOS PAC ID: 5092131193 Enrollment ID: I20230510002252 |
| Provider Name | Knut-kjell Hoversten |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194179085 PECOS PAC ID: 5597023903 Enrollment ID: I20230510002348 |
| Provider Name | Matthew Garrett Field |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1962060624 PECOS PAC ID: 0941535611 Enrollment ID: I20230516001778 |
| Provider Name | Andrea Shahum |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1962668244 PECOS PAC ID: 6709057326 Enrollment ID: I20230531000307 |
| Provider Name | Nicholas Austin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831455211 PECOS PAC ID: 6800199183 Enrollment ID: I20230601000822 |
| Provider Name | Shelbi Olson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1639799893 PECOS PAC ID: 3971921271 Enrollment ID: I20230605000834 |
| Provider Name | Nermine M Abdelwahab |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871158600 PECOS PAC ID: 9436486750 Enrollment ID: I20230607001424 |
| Provider Name | Lauren L Weaver |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407476781 PECOS PAC ID: 1658798574 Enrollment ID: I20230607002127 |
| Provider Name | Ciersten Burks |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1629565940 PECOS PAC ID: 4486901402 Enrollment ID: I20230607003430 |
| Provider Name | Nabila Rasool |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639343619 PECOS PAC ID: 1456401777 Enrollment ID: I20230609002315 |
| Provider Name | Haithien N Phu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790340651 PECOS PAC ID: 4385978956 Enrollment ID: I20230614003897 |
| Provider Name | Thomas Irvin |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1083684369 PECOS PAC ID: 2365677507 Enrollment ID: I20230626001179 |
| Provider Name | Akhil S Reddy |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1679076475 PECOS PAC ID: 0042540049 Enrollment ID: I20230628001431 |
| 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 | Emily H Naclerio |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1891282042 PECOS PAC ID: 2365831096 Enrollment ID: I20230629001797 |
| Provider Name | Teresa Soldner |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1851824635 PECOS PAC ID: 7214209022 Enrollment ID: I20230629002586 |
| Provider Name | Nickolas L Van Roekel |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1275030207 PECOS PAC ID: 7416295753 Enrollment ID: I20230706002475 |
| Provider Name | Brandon Haynes |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1679872238 PECOS PAC ID: 8527375641 Enrollment ID: I20230710002809 |
| Provider Name | Krista Mannino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790217040 PECOS PAC ID: 7416317276 Enrollment ID: I20230712002791 |
| Provider Name | Amanuel S Zewdie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447870175 PECOS PAC ID: 9537585039 Enrollment ID: I20230713001511 |
| Provider Name | Samer Nuhaily |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1780879213 PECOS PAC ID: 2961584024 Enrollment ID: I20230714000551 |
| Provider Name | Charlotte M Rogers |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1104288729 PECOS PAC ID: 4789976085 Enrollment ID: I20230714001018 |
| Provider Name | Ella Webster |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1942367982 PECOS PAC ID: 3173426590 Enrollment ID: I20230714003163 |
| Provider Name | Rayhaan Akram |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1457871659 PECOS PAC ID: 4284903048 Enrollment ID: I20230717002340 |
| Provider Name | Jacqueline Marie Maiers |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1972287233 PECOS PAC ID: 1052771318 Enrollment ID: I20230718002425 |
| Provider Name | Travis Parkulo |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1679077531 PECOS PAC ID: 1355671827 Enrollment ID: I20230724001435 |
| Provider Name | Nazmul Kabir |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1407245848 PECOS PAC ID: 3678871225 Enrollment ID: I20230726003168 |
| Provider Name | Christele Behalal-bock |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1437387768 PECOS PAC ID: 2062738693 Enrollment ID: I20230727003502 |
| Provider Name | Rachel Seiler |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083110241 PECOS PAC ID: 7315294329 Enrollment ID: I20230801000292 |
| Provider Name | David Ewart |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1902168222 PECOS PAC ID: 2668833104 Enrollment ID: I20230801001947 |
| Provider Name | Saliha Ishaq |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1497755524 PECOS PAC ID: 0042108664 Enrollment ID: I20230801002644 |
| Provider Name | Hans Pinkert |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225296189 PECOS PAC ID: 7810176534 Enrollment ID: I20230801003251 |
| Provider Name | Nathan D Baggett |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902302771 PECOS PAC ID: 3577810084 Enrollment ID: I20230810002897 |
| Provider Name | Sydney Kress |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1801276332 PECOS PAC ID: 1557723194 Enrollment ID: I20230815001533 |
| Provider Name | Alyssa N Decker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104447218 PECOS PAC ID: 4284054388 Enrollment ID: I20230816000795 |
| Provider Name | Robert Bryan Miller |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1841365293 PECOS PAC ID: 3870531148 Enrollment ID: I20230816000816 |
| Provider Name | Richard C Campbell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659945525 PECOS PAC ID: 7012302722 Enrollment ID: I20230816001043 |
| Provider Name | Nicholas Edward Blonien |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1770932485 PECOS PAC ID: 1850753294 Enrollment ID: I20230816002475 |
| Provider Name | Michael Gregory Coodin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174205009 PECOS PAC ID: 7113389461 Enrollment ID: I20230817003134 |
| Provider Name | Rebecca Grossman-kahn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841853801 PECOS PAC ID: 4082948658 Enrollment ID: I20230817003486 |
| Provider Name | Rosen Dimitrov |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1841273638 PECOS PAC ID: 0446224844 Enrollment ID: I20230825001727 |
| Provider Name | Baher S. Foad |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1821077926 PECOS PAC ID: 3971571415 Enrollment ID: I20230828003858 |
| Provider Name | Mahmood F Alatbee |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1649777830 PECOS PAC ID: 8921356924 Enrollment ID: I20230829000086 |
| Provider Name | Michael Lause |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1952862088 PECOS PAC ID: 4284969593 Enrollment ID: I20230830002941 |
| Provider Name | Eric R Demaris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619597770 PECOS PAC ID: 5698190718 Enrollment ID: I20230830003005 |
| Provider Name | Sara Holden |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730405812 PECOS PAC ID: 3678706850 Enrollment ID: I20230830003288 |
| Provider Name | Akshaya Selvamani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902469240 PECOS PAC ID: 8325373749 Enrollment ID: I20230830003669 |
| Provider Name | Ruby Leigh Russell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063975605 PECOS PAC ID: 0345574471 Enrollment ID: I20230831001767 |
| Provider Name | Justin Quilop Garcia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740785708 PECOS PAC ID: 5294086112 Enrollment ID: I20230901001597 |
| Provider Name | Marlee Dachel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538681663 PECOS PAC ID: 6103167259 Enrollment ID: I20230906003123 |
| Provider Name | Anya Dmytrenko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184244055 PECOS PAC ID: 4082039185 Enrollment ID: I20230908002098 |
| Provider Name | Graham Appelbe |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1811378235 PECOS PAC ID: 2365746054 Enrollment ID: I20230912000842 |
| Provider Name | Whitney Lynn Lewandowski |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245798743 PECOS PAC ID: 8325372089 Enrollment ID: I20230913000104 |
| Provider Name | Stephanie Meller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568923829 PECOS PAC ID: 3476988833 Enrollment ID: I20230913004085 |
| Provider Name | Arica Nicole Lambrecht |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285317008 PECOS PAC ID: 8820452469 Enrollment ID: I20230914002199 |
| Provider Name | Krista S Primley |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1073013025 PECOS PAC ID: 1456607217 Enrollment ID: I20230914003226 |
| Provider Name | Tuyet Nga D Vuong |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1053407478 PECOS PAC ID: 2769784321 Enrollment ID: I20230915000875 |
| Provider Name | Agnes Hill |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1225193691 PECOS PAC ID: 6305149998 Enrollment ID: I20230919001508 |
| Provider Name | Daniel B Rosenbush |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821618273 PECOS PAC ID: 5698197804 Enrollment ID: I20230920000581 |
| Provider Name | Tamara Nunez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548889132 PECOS PAC ID: 5890125611 Enrollment ID: I20230920000797 |
| Provider Name | Samuel Thomas Goracke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144905159 PECOS PAC ID: 0143674440 Enrollment ID: I20230920001693 |
| Provider Name | Taylor Nottke |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205458874 PECOS PAC ID: 3476978446 Enrollment ID: I20230920001886 |
| Provider Name | Erin Maureen Glembocki |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760002703 PECOS PAC ID: 1658725965 Enrollment ID: I20230920002369 |
| Provider Name | Stephanie Michelle Allen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245793876 PECOS PAC ID: 2769716802 Enrollment ID: I20230920002552 |
| Provider Name | Jeffrey Austin Heller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417577321 PECOS PAC ID: 6901224740 Enrollment ID: I20230920002774 |
| Provider Name | Tara L Schaack |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295355378 PECOS PAC ID: 4789096256 Enrollment ID: I20230920003038 |
| Provider Name | Madeline Grace Chandler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588284079 PECOS PAC ID: 1557782018 Enrollment ID: I20230920003042 |
| Provider Name | Colton Thoreson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659908572 PECOS PAC ID: 0547614885 Enrollment ID: I20230920003571 |
| Provider Name | Jinai Bharucha |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649835372 PECOS PAC ID: 1850713371 Enrollment ID: I20230921000918 |
| Provider Name | Mohamed A Artan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497382675 PECOS PAC ID: 1153745344 Enrollment ID: I20230921000955 |
| Provider Name | Samantha Van Hove Bayer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487214532 PECOS PAC ID: 2365777596 Enrollment ID: I20230921001123 |
| Provider Name | Marcus Fearing |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1154984904 PECOS PAC ID: 8022344688 Enrollment ID: I20230921001767 |
| Provider Name | Echko Holman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033739651 PECOS PAC ID: 4183042112 Enrollment ID: I20230921002293 |
| Provider Name | Mirit M Yacoup |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366007023 PECOS PAC ID: 7012244353 Enrollment ID: I20230921003782 |
| Provider Name | Misty Marie Farrelly |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760789218 PECOS PAC ID: 2668826751 Enrollment ID: I20230922002267 |
| Provider Name | Janelle A Niebeling |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285188037 PECOS PAC ID: 1254785249 Enrollment ID: I20230925002552 |
| Provider Name | Kevin R Webb-kay |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215467790 PECOS PAC ID: 7315216009 Enrollment ID: I20230929000789 |
| Provider Name | Kayleigh M Dittes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689294811 PECOS PAC ID: 8224454418 Enrollment ID: I20230929003465 |
| Provider Name | Kester Phillips |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225357338 PECOS PAC ID: 5193044154 Enrollment ID: I20231002002036 |
| Provider Name | Kaci Rae Mccleary |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982191961 PECOS PAC ID: 4587912027 Enrollment ID: I20231002003410 |
| Provider Name | Margo Tomka |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386035442 PECOS PAC ID: 5193147015 Enrollment ID: I20231003000518 |
| Provider Name | Riann Robbins |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760844591 PECOS PAC ID: 7012273568 Enrollment ID: I20231003000647 |
| Provider Name | Wing-sze Wong Sun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720763378 PECOS PAC ID: 3173977667 Enrollment ID: I20231003001152 |
| Provider Name | Samantha Nichole Schafer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942990379 PECOS PAC ID: 5496109993 Enrollment ID: I20231003001456 |
| Provider Name | Burton M Hendrickson, Ii |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811456775 PECOS PAC ID: 5193142115 Enrollment ID: I20231003003189 |
| Provider Name | Chelsey Lawrence |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043905391 PECOS PAC ID: 6608220090 Enrollment ID: I20231004001489 |
| Provider Name | Sanaz Jabbari |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1699344499 PECOS PAC ID: 9032564141 Enrollment ID: I20231010001719 |
| Provider Name | Ryan M Dunlavey |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1871652651 PECOS PAC ID: 4981059995 Enrollment ID: I20231011002861 |
| Provider Name | Madeline Teisberg |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710303219 PECOS PAC ID: 1658784830 Enrollment ID: I20231013000674 |
| Provider Name | Kaitlyn Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568144392 PECOS PAC ID: 7719333186 Enrollment ID: I20231023000993 |
| Provider Name | Scott T Goodrich |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1083748966 PECOS PAC ID: 6002082302 Enrollment ID: I20231025001836 |
| Provider Name | Sergio M Navarro |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467073767 PECOS PAC ID: 5294153599 Enrollment ID: I20231025003704 |
| Provider Name | Sharon Stake |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942271846 PECOS PAC ID: 5496785461 Enrollment ID: I20231025003799 |
| Provider Name | Louis Dainty |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1649250655 PECOS PAC ID: 0244386977 Enrollment ID: I20231027003336 |
| Provider Name | Katherine Quinn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003418120 PECOS PAC ID: 3274989165 Enrollment ID: I20231030000910 |
| Provider Name | Meghan Jessica Hohenstein |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1861174070 PECOS PAC ID: 6507212131 Enrollment ID: I20231102000396 |
| Provider Name | Jose D Maldonado Ortiz |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1689164782 PECOS PAC ID: 7517212194 Enrollment ID: I20231110000886 |
| Provider Name | Margaret Phelps Chute |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184244204 PECOS PAC ID: 4880004779 Enrollment ID: I20231114000685 |
| Provider Name | Jerlinda G.c. Ross |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1275829616 PECOS PAC ID: 8426296294 Enrollment ID: I20231116002520 |
| Provider Name | Autumn S Ties |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871177501 PECOS PAC ID: 4789079492 Enrollment ID: I20231127001517 |
| Provider Name | Vera Bocoun |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1235233560 PECOS PAC ID: 4789644295 Enrollment ID: I20231207000932 |
| Provider Name | Erin Marie Bradshaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588445522 PECOS PAC ID: 2961851522 Enrollment ID: I20231208000852 |
| Provider Name | Maryah Mansoor |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1659684777 PECOS PAC ID: 4981827656 Enrollment ID: I20231211001828 |
| Provider Name | Alexis Anttila |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1447753843 PECOS PAC ID: 0840640777 Enrollment ID: I20231219000963 |
| Provider Name | Lauren Bartz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811684160 PECOS PAC ID: 8123478088 Enrollment ID: I20231219002190 |
| Provider Name | Christine G. Saulsbury |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194027425 PECOS PAC ID: 6204286586 Enrollment ID: I20231228002638 |
| Provider Name | Carolyn Rose Haberman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073914248 PECOS PAC ID: 6406206663 Enrollment ID: I20231229002105 |
| Provider Name | Korry Arndt-wenger |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780043521 PECOS PAC ID: 8527418714 Enrollment ID: I20240101000072 |
| Provider Name | Matthew John Lindberg |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669678553 PECOS PAC ID: 2769832831 Enrollment ID: I20240102002421 |
| Provider Name | Amy M. Arisco |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1821183856 PECOS PAC ID: 3577565589 Enrollment ID: I20240102002667 |
| Provider Name | Kelsey Stoltman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184391187 PECOS PAC ID: 6608226790 Enrollment ID: I20240102003046 |
| Provider Name | Kristen Wylde |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235429812 PECOS PAC ID: 1052761145 Enrollment ID: I20240102003065 |
| Provider Name | Beth Carolyn Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669520110 PECOS PAC ID: 1759731847 Enrollment ID: I20240102003181 |
| Provider Name | Holly M Pickard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215476593 PECOS PAC ID: 5395195481 Enrollment ID: I20240102003195 |
| Provider Name | Jill Marthaler |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1619340908 PECOS PAC ID: 8426408428 Enrollment ID: I20240102003823 |
| Provider Name | Jon Butala |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1568872216 PECOS PAC ID: 9234589235 Enrollment ID: I20240102003864 |
| Provider Name | Hamdi M Hussien |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1417731811 PECOS PAC ID: 1355791369 Enrollment ID: I20240103000049 |
| Provider Name | Kristina Parthum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891316881 PECOS PAC ID: 7810319449 Enrollment ID: I20240104001039 |
| Provider Name | Megan Marie Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992485429 PECOS PAC ID: 9931551009 Enrollment ID: I20240115001179 |
| Provider Name | Aaron Christopher Oppelt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710221510 PECOS PAC ID: 7315399128 Enrollment ID: I20240117003095 |
| Provider Name | Darien Jourdaine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154941300 PECOS PAC ID: 2466826037 Enrollment ID: I20240118003257 |
| Provider Name | Carla J. Betchwars |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1114161148 PECOS PAC ID: 1355793704 Enrollment ID: I20240122001402 |
| Provider Name | Sarah M Conover |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1588242994 PECOS PAC ID: 2668824020 Enrollment ID: I20240122001641 |
| Provider Name | Jill Hansen |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1669807715 PECOS PAC ID: 4981056371 Enrollment ID: I20240122002943 |
| Provider Name | Eleanor Hennen |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1497389274 PECOS PAC ID: 4880046283 Enrollment ID: I20240122002997 |
| Provider Name | Marea Branch Kinsella |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1356618664 PECOS PAC ID: 2466804869 Enrollment ID: I20240122003255 |
| Provider Name | Amy Elizabeth Krause |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1427334291 PECOS PAC ID: 5799137006 Enrollment ID: I20240122003830 |
| Provider Name | Yonis Gabow |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1801449665 PECOS PAC ID: 5496107740 Enrollment ID: I20240123000726 |
| Provider Name | Katherine Kadera |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366099525 PECOS PAC ID: 4385097500 Enrollment ID: I20240124001675 |
| Provider Name | Olaoluwa Lediju |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952808057 PECOS PAC ID: 1153670203 Enrollment ID: I20240129001308 |
| Provider Name | Elizabeth Marie Johnson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1861136558 PECOS PAC ID: 4789037524 Enrollment ID: I20240129002966 |
| Provider Name | Brianne Brink |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740848704 PECOS PAC ID: 8224481957 Enrollment ID: I20240130001719 |
| Provider Name | Lydia Ricard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093429748 PECOS PAC ID: 4587017983 Enrollment ID: I20240201003137 |
| Provider Name | Schyler Studer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851902530 PECOS PAC ID: 7416390513 Enrollment ID: I20240206001417 |
| Provider Name | John Albert Birkland |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1508116492 PECOS PAC ID: 1254774748 Enrollment ID: I20240212004056 |
| Provider Name | Tonia Hoggarth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619988508 PECOS PAC ID: 3577460898 Enrollment ID: I20240213002374 |
| Provider Name | Teresa Kleinschmidt |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1821074998 PECOS PAC ID: 2567806623 Enrollment ID: I20240216000165 |
| Provider Name | Ahmed Elhindi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871113928 PECOS PAC ID: 4486079589 Enrollment ID: I20240216000217 |
| Provider Name | Jeremy Keith Davis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518208206 PECOS PAC ID: 9133572837 Enrollment ID: I20240216002459 |
| Provider Name | Olivia A Card Childers |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1629561006 PECOS PAC ID: 5890139885 Enrollment ID: I20240217000876 |
| Provider Name | Sarah Knutson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942857172 PECOS PAC ID: 8426389032 Enrollment ID: I20240220001470 |
| Provider Name | Stephanie Marie Tyree-dahlberg |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1366837437 PECOS PAC ID: 1456796812 Enrollment ID: I20240226002776 |
| Provider Name | Kindra Rae Witthus |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063049419 PECOS PAC ID: 1456796465 Enrollment ID: I20240229002770 |
| Provider Name | Esther Osuji |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1750944559 PECOS PAC ID: 1658791264 Enrollment ID: I20240313003313 |
| Provider Name | Sarah L Hosford |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1710982277 PECOS PAC ID: 7214926336 Enrollment ID: I20240319003909 |
| Provider Name | Sarah M Wagner |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1043577497 PECOS PAC ID: 2567809080 Enrollment ID: I20240320000928 |
| Provider Name | Ifeoma U Okeke |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1740515345 PECOS PAC ID: 2466890066 Enrollment ID: I20240402001253 |
| Provider Name | Katherine Mary Bawar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780446211 PECOS PAC ID: 8022456466 Enrollment ID: I20240404002741 |
| Provider Name | Paul Wielebinski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285689620 PECOS PAC ID: 6709878713 Enrollment ID: I20240404002798 |
| Provider Name | Jill Marie Stanger |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1003025008 PECOS PAC ID: 1456790393 Enrollment ID: I20240411003696 |
| Provider Name | Christian Strong |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1740627579 PECOS PAC ID: 6709101785 Enrollment ID: I20240412003905 |
| Provider Name | Pascaline Mambo Ndifor Suhfor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861007288 PECOS PAC ID: 8325487002 Enrollment ID: I20240415000421 |
| Provider Name | Jeffrey Stephen Mella |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1407411622 PECOS PAC ID: 8628305711 Enrollment ID: I20240417002593 |
| Provider Name | Adam G Starr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639531114 PECOS PAC ID: 0244522928 Enrollment ID: I20240422001177 |
| Provider Name | John Ho |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1538257803 PECOS PAC ID: 4880584762 Enrollment ID: I20240426003232 |
| Provider Name | Laurel Oluchi Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942086541 PECOS PAC ID: 6709226137 Enrollment ID: I20240501003296 |
| Provider Name | Christine Marie Schuster |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821316126 PECOS PAC ID: 3173964079 Enrollment ID: I20240509001410 |
| Provider Name | Elena C Frye Naharro |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1689237968 PECOS PAC ID: 3870821606 Enrollment ID: I20240521002908 |
| Provider Name | Rebecca Pelton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912759762 PECOS PAC ID: 2860834785 Enrollment ID: I20240523002200 |
| Provider Name | Kevin Wang |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1447756622 PECOS PAC ID: 3971859091 Enrollment ID: I20240604000899 |
| Provider Name | Emily Anne Patrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629838297 PECOS PAC ID: 8325580319 Enrollment ID: I20240605002856 |
Morningstar Wellness Center, Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 Washington Ave N, Suite 202, Minneapolis, MN 55401 Phone: 612-455-2920 Fax: 612-455-2921 | |
Healthpartners Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8170 33rd Ave S, Ms 21110q, Minneapolis, MN 55425 Phone: 952-883-7469 Fax: 952-883-5395 | |
Boynton Health Service Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 Church St Se, Minneapolis, MN 55455 Phone: 612-625-8400 Fax: 612-625-1434 | |
Corban Health Care, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5141 36th Ave S, Minneapolis, MN 55417 Phone: 612-644-9047 | |
M Health Fairview Masonic Institute For The Developing Brain Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2025 E River Pkwy, Minneapolis, MN 55414 Phone: 612-301-0115 | |
Evernorth Care Providers - Delaware Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 121 Washington Ave N Fl 2, Minneapolis, MN 55401 Phone: 773-292-4800 Fax: 312-564-4059 | |
Allina Health Home Hospital Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2925 Chicago Ave, Minneapolis, MN 55407 Phone: 612-262-7800 |