| Hillsboro Medical Center | |
|
335 Se 8th Ave Hillsboro OR 97123-4246 | |
| (503) 681-1000 | |
| (503) 681-1796 |
| Full Name | Hillsboro Medical Center |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 335 Se 8th Ave, Hillsboro, Oregon |
| Authorized Official Name and Position | Lori James-nielsen (PRESIDENT AND CEO) |
| Authorized Official Contact | 5036811193 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hillsboro Medical Center Po Box 5367 Portland OR 97228-5367 Ph: (503) 681-1000 | Hillsboro Medical Center 335 Se 8th Ave Hillsboro OR 97123-4246 Ph: (503) 681-1000 |
| NPI Number | 1275591984 |
|---|---|
| Provider Enumeration Date | 05/02/2006 |
| Last Update Date | 02/01/2024 |
| Medicare PECOS PAC ID | 3678486107 |
|---|---|
| Medicare Enrollment ID | O20040130000359 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275591984 | NPI | - | NPPES |
| 198606 | Medicaid | OR |
| Provider Name | John B Rugge |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316955842 PECOS PAC ID: 4587552005 Enrollment ID: I20040308000202 |
| Provider Name | John W Saultz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295741775 PECOS PAC ID: 5395643431 Enrollment ID: I20040316000561 |
| Provider Name | Gerald E Gibbs |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1386710903 PECOS PAC ID: 6002808425 Enrollment ID: I20040403000103 |
| Provider Name | Mark R Stone |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1619031838 PECOS PAC ID: 7315930765 Enrollment ID: I20040403000146 |
| Provider Name | Vimal Mohun Aga |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902900137 PECOS PAC ID: 9234123134 Enrollment ID: I20040413001200 |
| Provider Name | Nicholas E Clarke |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1124112016 PECOS PAC ID: 1052306131 Enrollment ID: I20040419000026 |
| Provider Name | Jill R Russell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417026659 PECOS PAC ID: 2769470103 Enrollment ID: I20040504001231 |
| Provider Name | Paul S Park |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1174685796 PECOS PAC ID: 0840289609 Enrollment ID: I20040507001048 |
| Provider Name | Derrick J Sorweide |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497721625 PECOS PAC ID: 0345233086 Enrollment ID: I20040511000805 |
| Provider Name | Wallace Lai |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1578503249 PECOS PAC ID: 4880668607 Enrollment ID: I20040826000539 |
| Provider Name | Barbara J Hills |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669444691 PECOS PAC ID: 4183527773 Enrollment ID: I20040914000335 |
| Provider Name | Jorge E Tolosa |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699780106 PECOS PAC ID: 3072575281 Enrollment ID: I20041101000014 |
| Provider Name | Todd J Sadowski |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1033141361 PECOS PAC ID: 1759339716 Enrollment ID: I20050106000120 |
| Provider Name | William S Powell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437190725 PECOS PAC ID: 1850343336 Enrollment ID: I20050211000873 |
| Provider Name | Kenneth A Jacobs |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417055518 PECOS PAC ID: 2466406632 Enrollment ID: I20050311000366 |
| Provider Name | Robert J Eichner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811938657 PECOS PAC ID: 3072559731 Enrollment ID: I20050701000955 |
| Provider Name | Kesavan Prakash |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538275276 PECOS PAC ID: 8527090034 Enrollment ID: I20050906000865 |
| Provider Name | Laine J Murphey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710957469 PECOS PAC ID: 1254357882 Enrollment ID: I20051021000700 |
| Provider Name | Stuart J Currie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689645061 PECOS PAC ID: 4183646029 Enrollment ID: I20051220000779 |
| Provider Name | Vincent P Reyes |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1114923760 PECOS PAC ID: 4284640434 Enrollment ID: I20060227000235 |
| Provider Name | Jessica M Flynn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689682122 PECOS PAC ID: 3577573872 Enrollment ID: I20060502000187 |
| Provider Name | Hani Darwich |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003873340 PECOS PAC ID: 1557377330 Enrollment ID: I20060522000080 |
| Provider Name | Bradley E Probst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487666111 PECOS PAC ID: 6002812443 Enrollment ID: I20061009000170 |
| Provider Name | Janet C West |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447299284 PECOS PAC ID: 0143237628 Enrollment ID: I20070118000608 |
| Provider Name | Sabine Clara Meyer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114907144 PECOS PAC ID: 9133108756 Enrollment ID: I20070219000595 |
| Provider Name | Roger Doyle Garvin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831172022 PECOS PAC ID: 9931206703 Enrollment ID: I20070514000384 |
| Provider Name | Elliot N Michael |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1679682439 PECOS PAC ID: 0143327387 Enrollment ID: I20070522000605 |
| Provider Name | Eduardo A Vides |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801873492 PECOS PAC ID: 9436168804 Enrollment ID: I20070529000635 |
| Provider Name | Gary J Chiotti |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1639288426 PECOS PAC ID: 1355440306 Enrollment ID: I20070615000623 |
| Provider Name | Manuel D Karlin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780741165 PECOS PAC ID: 8123127743 Enrollment ID: I20070622000335 |
| Provider Name | Adam J Mirarchi |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1417931304 PECOS PAC ID: 5698778561 Enrollment ID: I20070803000291 |
| Provider Name | Daniel S Isenbarger |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1780765941 PECOS PAC ID: 4284728528 Enrollment ID: I20070918000477 |
| Provider Name | Todd William Ellingson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972637973 PECOS PAC ID: 8325143316 Enrollment ID: I20070921000194 |
| Provider Name | Dana Braner |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1982619409 PECOS PAC ID: 3072407600 Enrollment ID: I20071108000303 |
| Provider Name | William A Goodhue |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316976905 PECOS PAC ID: 2860383858 Enrollment ID: I20071203000736 |
| Provider Name | Amy Londergan Wiser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174573927 PECOS PAC ID: 5799706966 Enrollment ID: I20080508000040 |
| Provider Name | Anne M Breitinger |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1871772442 PECOS PAC ID: 3476627266 Enrollment ID: I20080728000385 |
| Provider Name | Catherine J Livingston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235393406 PECOS PAC ID: 2769557354 Enrollment ID: I20080815000513 |
| Provider Name | Patrick J O Leary |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1194774547 PECOS PAC ID: 0446142400 Enrollment ID: I20080912000154 |
| Provider Name | Teresa A Everson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760681084 PECOS PAC ID: 1850468711 Enrollment ID: I20080919000042 |
| Provider Name | Scott A Fields |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780771733 PECOS PAC ID: 8123914645 Enrollment ID: I20081007000349 |
| Provider Name | Adam D Soll |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1689878100 PECOS PAC ID: 0941378228 Enrollment ID: I20081014000578 |
| Provider Name | Barry S Oken |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417962911 PECOS PAC ID: 0749358026 Enrollment ID: I20081014000597 |
| Provider Name | Carol J Macarthur |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1942218490 PECOS PAC ID: 9537227566 Enrollment ID: I20081021000259 |
| Provider Name | Lisa C Silbert |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700891207 PECOS PAC ID: 6103984687 Enrollment ID: I20081028000403 |
| Provider Name | John M Townes |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1710993308 PECOS PAC ID: 4486712825 Enrollment ID: I20081029000123 |
| Provider Name | Sima S Desai |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649377417 PECOS PAC ID: 6901965144 Enrollment ID: I20081104000018 |
| Provider Name | Asha Singh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225230725 PECOS PAC ID: 5395804322 Enrollment ID: I20081106000080 |
| Provider Name | Michele S Ferchau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447414982 PECOS PAC ID: 1951462712 Enrollment ID: I20081211000596 |
| Provider Name | Michelle L Mears |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811066061 PECOS PAC ID: 4880756642 Enrollment ID: I20090105000106 |
| Provider Name | Robert E Schmidt |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1851329783 PECOS PAC ID: 3779646336 Enrollment ID: I20090108000601 |
| Provider Name | Virginia C Leslie |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336119288 PECOS PAC ID: 4789657487 Enrollment ID: I20090706000458 |
| Provider Name | Gregory S Rosenblatt |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1972711703 PECOS PAC ID: 3870653769 Enrollment ID: I20090820000021 |
| Provider Name | Akiko Soehl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487884227 PECOS PAC ID: 6901950054 Enrollment ID: I20090824000734 |
| Provider Name | Ryan C Petering |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174793301 PECOS PAC ID: 5890840458 Enrollment ID: I20090902000660 |
| Provider Name | Sophana Karnchanasorn |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710165303 PECOS PAC ID: 6800933276 Enrollment ID: I20091019000102 |
| Provider Name | Morgan Basil Hakki |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1255441556 PECOS PAC ID: 4981694429 Enrollment ID: I20091110000528 |
| Provider Name | Joan L Reeder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831241082 PECOS PAC ID: 7315082245 Enrollment ID: I20100303000801 |
| Provider Name | Robert Michael Cahn |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821110065 PECOS PAC ID: 8426196734 Enrollment ID: I20100311000845 |
| Provider Name | Nicola S Rotberg |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578644241 PECOS PAC ID: 0840327052 Enrollment ID: I20100420000680 |
| Provider Name | Daniel M Jarman Miller |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1942374053 PECOS PAC ID: 1153452511 Enrollment ID: I20100629000110 |
| Provider Name | Eliana L Kozin |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1609021849 PECOS PAC ID: 6204960495 Enrollment ID: I20100810000214 |
| Provider Name | Clifford K Tsai |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1891761847 PECOS PAC ID: 9931223591 Enrollment ID: I20100902000981 |
| Provider Name | Gregory William Mallek |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003012303 PECOS PAC ID: 6406972785 Enrollment ID: I20100923000912 |
| Provider Name | Minette C Lukban |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518287739 PECOS PAC ID: 7315139029 Enrollment ID: I20101012001259 |
| Provider Name | Chin K Song |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467526947 PECOS PAC ID: 3971796491 Enrollment ID: I20101018000018 |
| Provider Name | Jocelyn F Camara |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1760454615 PECOS PAC ID: 0143232751 Enrollment ID: I20101019000343 |
| Provider Name | Armando D Camara |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1851363709 PECOS PAC ID: 4880669324 Enrollment ID: I20101019000382 |
| Provider Name | Emma Brooks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326230715 PECOS PAC ID: 1355534207 Enrollment ID: I20101022001269 |
| Provider Name | Sarah R Jordan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134307721 PECOS PAC ID: 0547455339 Enrollment ID: I20101105000769 |
| Provider Name | Nathan J Hildebrant |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750332813 PECOS PAC ID: 6406041250 Enrollment ID: I20101106000045 |
| Provider Name | Swapna Chennareddygari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558565150 PECOS PAC ID: 7416000385 Enrollment ID: I20101126000012 |
| Provider Name | Daniel Keith Friedman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619949658 PECOS PAC ID: 9537356605 Enrollment ID: I20101215000635 |
| Provider Name | Martha S Roellig |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316914807 PECOS PAC ID: 9638366792 Enrollment ID: I20110106000777 |
| Provider Name | Mustaquim F Chowdhury |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033223656 PECOS PAC ID: 3072702745 Enrollment ID: I20110111000678 |
| Provider Name | Sharyl Magnuson Boyle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306879994 PECOS PAC ID: 8921007410 Enrollment ID: I20110209000701 |
| Provider Name | Anne C Trainor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154346567 PECOS PAC ID: 3072570969 Enrollment ID: I20110321000777 |
| Provider Name | Bart C Moulton |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1891841409 PECOS PAC ID: 3476736505 Enrollment ID: I20110325000743 |
| Provider Name | Nicole E Marshall |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609062728 PECOS PAC ID: 2062695117 Enrollment ID: I20110326000059 |
| Provider Name | Samuel C Crane |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801031588 PECOS PAC ID: 0345424743 Enrollment ID: I20110408000624 |
| Provider Name | Fareeha Majeed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134325541 PECOS PAC ID: 2567531403 Enrollment ID: I20110429000209 |
| Provider Name | Paul Motika |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770600405 PECOS PAC ID: 8426123332 Enrollment ID: I20110718000413 |
| Provider Name | Hongshi Xu |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1396902862 PECOS PAC ID: 0749478915 Enrollment ID: I20110830000090 |
| Provider Name | Brian E Frank |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962659300 PECOS PAC ID: 7113197054 Enrollment ID: I20110831000671 |
| Provider Name | Jakub S Langer |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1902997489 PECOS PAC ID: 9537293428 Enrollment ID: I20110901000061 |
| Provider Name | Aleksandra A Mcleod |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1457564833 PECOS PAC ID: 4587835657 Enrollment ID: I20110921000393 |
| Provider Name | Daniel R Albrecht |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1720206261 PECOS PAC ID: 1850563503 Enrollment ID: I20110930000617 |
| Provider Name | Benjamin Chih-an Sun |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083697791 PECOS PAC ID: 3476521253 Enrollment ID: I20111006000712 |
| Provider Name | David J Tovey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932276961 PECOS PAC ID: 7113952623 Enrollment ID: I20111010000331 |
| Provider Name | Eriko Onishi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538261573 PECOS PAC ID: 4688636640 Enrollment ID: I20111026000958 |
| Provider Name | Kimberly Hutchison |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689761710 PECOS PAC ID: 7113965583 Enrollment ID: I20111102000471 |
| Provider Name | Shalini Gupta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184885865 PECOS PAC ID: 5991978116 Enrollment ID: I20111104000070 |
| Provider Name | Srinivas Reddy Mummadi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1043414626 PECOS PAC ID: 1557534435 Enrollment ID: I20111110000004 |
| Provider Name | Thye M Schuyler |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1104025634 PECOS PAC ID: 7315113735 Enrollment ID: I20120105000490 |
| Provider Name | David A Buuck |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1609944073 PECOS PAC ID: 0547437626 Enrollment ID: I20120112000250 |
| Provider Name | Kenneth A Hermens |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1861560245 PECOS PAC ID: 1355336983 Enrollment ID: I20120112000577 |
| Provider Name | David Liss |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1447294244 PECOS PAC ID: 7911905955 Enrollment ID: I20120402000194 |
| Provider Name | Jolanta S Olson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346244043 PECOS PAC ID: 6204924962 Enrollment ID: I20120518000182 |
| Provider Name | David C Jones |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255644886 PECOS PAC ID: 0143486118 Enrollment ID: I20120718000733 |
| Provider Name | Patricia J Ritze |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578705737 PECOS PAC ID: 9739345687 Enrollment ID: I20120723000447 |
| Provider Name | Sukriti Singhal |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1376798645 PECOS PAC ID: 0547238560 Enrollment ID: I20120725000919 |
| Provider Name | Joe M Skariah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023058070 PECOS PAC ID: 9931254158 Enrollment ID: I20120727000531 |
| Provider Name | Erin Marie Murchan Bonura |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1013071125 PECOS PAC ID: 4385890078 Enrollment ID: I20120813000383 |
| Provider Name | Nicholas B Nelson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063646255 PECOS PAC ID: 8224285192 Enrollment ID: I20120828000659 |
| Provider Name | Kevin J Woolf |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1265580054 PECOS PAC ID: 6709971112 Enrollment ID: I20120829000476 |
| Provider Name | Angela Ethridge Alday |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861636003 PECOS PAC ID: 1951559905 Enrollment ID: I20120917000233 |
| Provider Name | Barry A Ross |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1699714931 PECOS PAC ID: 9436190071 Enrollment ID: I20121025000090 |
| Provider Name | Kristen N Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750689022 PECOS PAC ID: 2769633833 Enrollment ID: I20121119000522 |
| Provider Name | Madhavi C Tangirala |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689939522 PECOS PAC ID: 4082866819 Enrollment ID: I20121130000343 |
| Provider Name | William B Messer |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1508085739 PECOS PAC ID: 0749437192 Enrollment ID: I20121221000084 |
| Provider Name | Marcia M Kerensky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053311670 PECOS PAC ID: 6608020607 Enrollment ID: I20130128000491 |
| Provider Name | Deborah Ann Volk |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174574081 PECOS PAC ID: 4880596311 Enrollment ID: I20130606000594 |
| Provider Name | Anup Panduranga |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316108202 PECOS PAC ID: 2365696697 Enrollment ID: I20130614000288 |
| Provider Name | Brendan Cunningham |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083871057 PECOS PAC ID: 2961641097 Enrollment ID: I20130620000231 |
| Provider Name | James A Heilman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073839049 PECOS PAC ID: 7810137908 Enrollment ID: I20130715000133 |
| Provider Name | Daniel Ilfrey Lincoln |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1215258595 PECOS PAC ID: 1850532565 Enrollment ID: I20130723000502 |
| Provider Name | Jessica L Hart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932491032 PECOS PAC ID: 2860636750 Enrollment ID: I20130916000178 |
| Provider Name | Julia E Shannon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346536992 PECOS PAC ID: 0547495301 Enrollment ID: I20131101000975 |
| Provider Name | Alan C Compton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750475455 PECOS PAC ID: 8224190608 Enrollment ID: I20131206001062 |
| Provider Name | Brian C Ricci |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366734881 PECOS PAC ID: 4981841020 Enrollment ID: I20140522001631 |
| Provider Name | Matthew G. Drake |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1245487875 PECOS PAC ID: 1254501513 Enrollment ID: I20140528000461 |
| Provider Name | Patricio Riquelme |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023317492 PECOS PAC ID: 2961626866 Enrollment ID: I20140616002236 |
| Provider Name | Rebecca E Cantone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902191794 PECOS PAC ID: 4385868934 Enrollment ID: I20140620002075 |
| Provider Name | Emmanuelle Pare |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528099579 PECOS PAC ID: 7810152691 Enrollment ID: I20140709000401 |
| Provider Name | Atul Karki |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114205747 PECOS PAC ID: 7214154921 Enrollment ID: I20140804001030 |
| Provider Name | Michael P Chu |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1659576437 PECOS PAC ID: 7214120344 Enrollment ID: I20140822000868 |
| Provider Name | Jeremy Ciporen |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1851569305 PECOS PAC ID: 0749340289 Enrollment ID: I20140923001428 |
| Provider Name | Heather R Holmes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124339544 PECOS PAC ID: 8628299484 Enrollment ID: I20141020000788 |
| Provider Name | Michael G Doorly |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336399682 PECOS PAC ID: 1355529181 Enrollment ID: I20141110002024 |
| Provider Name | Brigit A Hatch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144511056 PECOS PAC ID: 8527213446 Enrollment ID: I20141209001123 |
| Provider Name | Gregory N Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356317150 PECOS PAC ID: 2365344157 Enrollment ID: I20141216002375 |
| Provider Name | Asligul C Hendershot |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346234804 PECOS PAC ID: 8921022237 Enrollment ID: I20150206000949 |
| Provider Name | Meena K Kumar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245598465 PECOS PAC ID: 1153649843 Enrollment ID: I20150408002576 |
| Provider Name | Rochelle R Rochester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205155660 PECOS PAC ID: 4688992290 Enrollment ID: I20150410001981 |
| Provider Name | Heike Huchler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144547308 PECOS PAC ID: 6507996477 Enrollment ID: I20150425000018 |
| Provider Name | Anthony M. Cheng |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346506565 PECOS PAC ID: 8123273307 Enrollment ID: I20150519001552 |
| Provider Name | Yvonne L. Wang |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770876872 PECOS PAC ID: 7810116357 Enrollment ID: I20150619000565 |
| Provider Name | Anna Nelson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477829216 PECOS PAC ID: 3678727955 Enrollment ID: I20150630000238 |
| Provider Name | Joshua G Johnson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144592239 PECOS PAC ID: 9830330083 Enrollment ID: I20150703000079 |
| Provider Name | Marcel Curlin |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1134204936 PECOS PAC ID: 6709962244 Enrollment ID: I20150706001344 |
| Provider Name | Ximena A. Levander |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801152830 PECOS PAC ID: 4981928579 Enrollment ID: I20150707000004 |
| Provider Name | Farah Husain |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1962473132 PECOS PAC ID: 5395933527 Enrollment ID: I20150730012180 |
| Provider Name | Brandice T Durkan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1154649382 PECOS PAC ID: 4587824438 Enrollment ID: I20150804003568 |
| Provider Name | Katherine Marie Nelson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639466444 PECOS PAC ID: 2567778145 Enrollment ID: I20150827000418 |
| Provider Name | Brian T Garvey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558604694 PECOS PAC ID: 2567603079 Enrollment ID: I20150905000055 |
| Provider Name | Joshua B Roehrich |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1659505279 PECOS PAC ID: 5698916567 Enrollment ID: I20150916003735 |
| Provider Name | Rebecca D Dorsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770984841 PECOS PAC ID: 8325356611 Enrollment ID: I20151006003184 |
| Provider Name | Wendy Brackeen |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1265475172 PECOS PAC ID: 0749598043 Enrollment ID: I20151007000589 |
| Provider Name | Jennifer Gunnell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386611234 PECOS PAC ID: 2860457264 Enrollment ID: I20151030002032 |
| Provider Name | Karen L Kustritz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841418704 PECOS PAC ID: 3274835624 Enrollment ID: I20151231001677 |
| Provider Name | Sarita K Sapkota |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255611760 PECOS PAC ID: 0244554707 Enrollment ID: I20160415001992 |
| Provider Name | Richard T Clark |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245596147 PECOS PAC ID: 8527367846 Enrollment ID: I20160509000103 |
| Provider Name | William Lionel Loker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952635344 PECOS PAC ID: 4082890991 Enrollment ID: I20160606001821 |
| Provider Name | Hernan Avella |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1073736302 PECOS PAC ID: 9234224106 Enrollment ID: I20160615002609 |
| Provider Name | Rachel Castelli |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265879142 PECOS PAC ID: 9133427800 Enrollment ID: I20160719000847 |
| Provider Name | Scott C Stroup |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497198840 PECOS PAC ID: 1153614441 Enrollment ID: I20160725001226 |
| Provider Name | Brittany N Kishel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023351574 PECOS PAC ID: 1557504891 Enrollment ID: I20160802002150 |
| Provider Name | Thomas Derek Kowalik |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1023307899 PECOS PAC ID: 8224282579 Enrollment ID: I20160831002603 |
| Provider Name | Shadi Dowlatshahi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851650097 PECOS PAC ID: 4385957828 Enrollment ID: I20160907001029 |
| Provider Name | Luke Strnad |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1063733392 PECOS PAC ID: 5395986137 Enrollment ID: I20160923001314 |
| Provider Name | Stephanie J Carter |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497997407 PECOS PAC ID: 5092029124 Enrollment ID: I20161003002186 |
| Provider Name | Jina Makadia |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1548558117 PECOS PAC ID: 9234410812 Enrollment ID: I20161220001684 |
| Provider Name | Pooja J Kotadia |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699112789 PECOS PAC ID: 0244522431 Enrollment ID: I20170103001813 |
| Provider Name | Ellie Sukerman |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1538492673 PECOS PAC ID: 8729389002 Enrollment ID: I20170123001387 |
| Provider Name | Luis E Leyton-gonzalez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013911601 PECOS PAC ID: 8022047174 Enrollment ID: I20170310001373 |
| Provider Name | Chuen-fu Lin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043328818 PECOS PAC ID: 2365695624 Enrollment ID: I20170324000792 |
| Provider Name | Anna Solotskaya |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528485919 PECOS PAC ID: 9234439464 Enrollment ID: I20170523001893 |
| Provider Name | Bryson Hicks |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538571492 PECOS PAC ID: 4587951462 Enrollment ID: I20170606001909 |
| Provider Name | Meaghan F Cirlincione |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679991590 PECOS PAC ID: 9830475805 Enrollment ID: I20170607001407 |
| Provider Name | Matthew Chan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194067413 PECOS PAC ID: 3173764776 Enrollment ID: I20170609002094 |
| Provider Name | Lucas Christianson |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1700158201 PECOS PAC ID: 9537437603 Enrollment ID: I20170613002159 |
| Provider Name | George Zhongshan Wang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982655403 PECOS PAC ID: 5597832824 Enrollment ID: I20170615001053 |
| Provider Name | Jennifer Willingham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972589976 PECOS PAC ID: 6406806728 Enrollment ID: I20170619002456 |
| Provider Name | Benjamin Mark Hornung |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811317944 PECOS PAC ID: 5597984864 Enrollment ID: I20170622001647 |
| Provider Name | Stan Atkin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831509371 PECOS PAC ID: 2365711058 Enrollment ID: I20170712002061 |
| Provider Name | Ryan Norton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295172419 PECOS PAC ID: 6709100084 Enrollment ID: I20170802001298 |
| Provider Name | Lori Cardwell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235496944 PECOS PAC ID: 2769629732 Enrollment ID: I20170803002157 |
| Provider Name | Jessica Slim |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013274570 PECOS PAC ID: 1951603976 Enrollment ID: I20170808003554 |
| Provider Name | Gabriel Andeen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720343296 PECOS PAC ID: 1850526161 Enrollment ID: I20170809004330 |
| Provider Name | David Lawrence |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114345550 PECOS PAC ID: 9234362872 Enrollment ID: I20170815004317 |
| Provider Name | Raeesa Khalid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003221409 PECOS PAC ID: 1658696570 Enrollment ID: I20170905003085 |
| Provider Name | Monica Sikka |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1679685143 PECOS PAC ID: 1658371059 Enrollment ID: I20170907003498 |
| Provider Name | Richard Kellis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497040836 PECOS PAC ID: 1052633443 Enrollment ID: I20170908002574 |
| Provider Name | Katie S Mansour |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760918387 PECOS PAC ID: 4789957838 Enrollment ID: I20170912001177 |
| Provider Name | Jill Weaver Welshans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073037990 PECOS PAC ID: 5597030791 Enrollment ID: I20171012003574 |
| Provider Name | Brandy Carpenter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033658539 PECOS PAC ID: 6608142500 Enrollment ID: I20171020000992 |
| Provider Name | Carson C Bauder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528265949 PECOS PAC ID: 0749335735 Enrollment ID: I20171024002784 |
| Provider Name | Andrea Margit Stroud |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083848972 PECOS PAC ID: 5698910743 Enrollment ID: I20171101001577 |
| Provider Name | Elias D. Valdez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083705636 PECOS PAC ID: 9830150127 Enrollment ID: I20171102001280 |
| Provider Name | Pushapdeep K Brar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699097279 PECOS PAC ID: 0244400109 Enrollment ID: I20171102003085 |
| Provider Name | Ana Maria Ponea |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1619209756 PECOS PAC ID: 2062728017 Enrollment ID: I20171218003443 |
| Provider Name | Nathan Way |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104251263 PECOS PAC ID: 5597023192 Enrollment ID: I20180102001725 |
| Provider Name | Aravind Chandra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255742466 PECOS PAC ID: 3375809080 Enrollment ID: I20180118001601 |
| Provider Name | Elizabeth Alston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205348539 PECOS PAC ID: 4981967726 Enrollment ID: I20180410000712 |
| Provider Name | Allyn Resch |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1841452661 PECOS PAC ID: 2163659293 Enrollment ID: I20180411003059 |
| Provider Name | Alexander Skog |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114304599 PECOS PAC ID: 2961718440 Enrollment ID: I20180516002273 |
| Provider Name | Nicholas D Boespflug |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497140909 PECOS PAC ID: 2668789728 Enrollment ID: I20180516002994 |
| Provider Name | Edward Ken Lew |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114233558 PECOS PAC ID: 8729203401 Enrollment ID: I20180522002739 |
| Provider Name | Divine Ribakare |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932441680 PECOS PAC ID: 0244531382 Enrollment ID: I20180619001697 |
| Provider Name | Mark Harold Enker |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1477600260 PECOS PAC ID: 2163562471 Enrollment ID: I20180620000385 |
| Provider Name | Rand Ladkany |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497000715 PECOS PAC ID: 8921239344 Enrollment ID: I20180720002896 |
| Provider Name | Lokesh Kumar Yadav |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205217999 PECOS PAC ID: 2860773207 Enrollment ID: I20180809005029 |
| Provider Name | Anirudh Chintalapani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205298619 PECOS PAC ID: 8820384126 Enrollment ID: I20180919003336 |
| Provider Name | Huma Memon |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275947541 PECOS PAC ID: 2264745272 Enrollment ID: I20181004000333 |
| Provider Name | Regina Marie Szczesniak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205274826 PECOS PAC ID: 4880978022 Enrollment ID: I20181005000965 |
| Provider Name | Anjali Shah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710360276 PECOS PAC ID: 3476806415 Enrollment ID: I20181022001837 |
| Provider Name | Lindsay Megan Sparks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336405042 PECOS PAC ID: 7618111204 Enrollment ID: I20181026000541 |
| Provider Name | Paul J Delporto |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982803227 PECOS PAC ID: 8527152891 Enrollment ID: I20181231000752 |
| Provider Name | Abigail Pape |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417360546 PECOS PAC ID: 3072820661 Enrollment ID: I20190124001764 |
| Provider Name | Ketan Deepak Godbole |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972732576 PECOS PAC ID: 5496994576 Enrollment ID: I20190208001936 |
| Provider Name | Kelsey Lander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700397114 PECOS PAC ID: 5092074310 Enrollment ID: I20190321000438 |
| Provider Name | Namrita Boparai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629489554 PECOS PAC ID: 6204102296 Enrollment ID: I20190524002229 |
| Provider Name | Konchok Norgais |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508219940 PECOS PAC ID: 5890024012 Enrollment ID: I20190912001098 |
Providence Medical Group Newberg Specialties At Tanasbourne Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18650 Nw Cornell Rd, Suite 212, Hillsboro, OR 97124 Phone: 503-537-5900 Fax: 503-537-5959 | |
Virginia Garcia Memorial Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 971 Sw Walnut St, Hillsboro, OR 97123 Phone: 971-281-3000 Fax: 503-352-8658 | |
Symmetry Chiropractic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 905 Se Oak St, Hillsboro, OR 97123 Phone: 503-214-2530 | |
Providence Medical Group Orenco Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5555 Ne Elam Young Pkwy, Hillsboro, OR 97124 Phone: 503-216-1600 | |
Tuality Obstetrics & Gynecology Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 364 Se 8th Ave Ste 205, Hillsboro, OR 97123 Phone: 503-681-4145 Fax: 503-681-4146 | |
Edward F Clarke Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 324 Se Ninth, Suite D, Hillsboro, OR 97123 Phone: 503-648-7128 Fax: 503-640-1727 | |
Westside Urology Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 333 Se 7th Ave, Suite 4500, Hillsboro, OR 97123 Phone: 503-648-6611 Fax: 503-640-3178 |