| Hisey Physician Services, Llc | |
|
1 Medical Center Dr Middletown OH 45005-1066 | |
| (513) 974-2111 | |
| Not Available |
| Full Name | Hisey Physician Services, Llc |
|---|---|
| Speciality | Hospitalist |
| Location | 1 Medical Center Dr, Middletown, Ohio |
| Authorized Official Name and Position | Lisha Falk (VP OF CONTRACTING) |
| Authorized Official Contact | 3376091221 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hisey Physician Services, Llc 200 Corporate Blvd Lafayette LA 70508-3870 Ph: (800) 893-9698 | Hisey Physician Services, Llc 1 Medical Center Dr Middletown OH 45005-1066 Ph: (513) 974-2111 |
| NPI Number | 1073380614 |
|---|---|
| Provider Enumeration Date | 12/05/2023 |
| Last Update Date | 12/06/2023 |
| Medicare PECOS PAC ID | 8426495292 |
|---|---|
| Medicare Enrollment ID | O20240328002362 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073380614 | NPI | - | NPPES |
| Provider Name | Aruna Prattipati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609828367 PECOS PAC ID: 5294637674 Enrollment ID: I20040126000233 |
| Provider Name | Kaveri Sivaruban |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801846258 PECOS PAC ID: 2567351273 Enrollment ID: I20040311000955 |
| Provider Name | Sunita Mall |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962455634 PECOS PAC ID: 6507848728 Enrollment ID: I20040602000952 |
| Provider Name | Mohammad Adel Gad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801891692 PECOS PAC ID: 7315923547 Enrollment ID: I20040628000768 |
| Provider Name | Oshana V Alahakoon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285793745 PECOS PAC ID: 9436135316 Enrollment ID: I20040629001737 |
| Provider Name | Seref M Bornovali |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508862244 PECOS PAC ID: 9234126350 Enrollment ID: I20040715000609 |
| Provider Name | Monica A Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891791026 PECOS PAC ID: 6002701299 Enrollment ID: I20041102001300 |
| Provider Name | Nneka S Anyanechi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982824207 PECOS PAC ID: 1052363223 Enrollment ID: I20050216000110 |
| Provider Name | Slawomir M Fratczak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124009436 PECOS PAC ID: 2769423466 Enrollment ID: I20050512000506 |
| Provider Name | Gretzel King |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912990730 PECOS PAC ID: 2264404128 Enrollment ID: I20050614000344 |
| Provider Name | Michael J Rebar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235115809 PECOS PAC ID: 2365487246 Enrollment ID: I20050621001229 |
| Provider Name | Michael W Saad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700870664 PECOS PAC ID: 3173554565 Enrollment ID: I20050825000469 |
| Provider Name | Pamela J Acopine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932182961 PECOS PAC ID: 9739110800 Enrollment ID: I20050829000404 |
| Provider Name | Richard Fikes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235176686 PECOS PAC ID: 0648295782 Enrollment ID: I20051007000786 |
| Provider Name | Kavitha Aluri Choudary |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023119781 PECOS PAC ID: 8729005475 Enrollment ID: I20051101000540 |
| Provider Name | Augustine Lavelle Tuma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205874815 PECOS PAC ID: 8022041300 Enrollment ID: I20060420000001 |
| Provider Name | Suresh Yadav |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649288465 PECOS PAC ID: 3971506643 Enrollment ID: I20060818000156 |
| Provider Name | Majid Taj |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295837367 PECOS PAC ID: 1456356831 Enrollment ID: I20060918000265 |
| Provider Name | Johan Worndle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295840833 PECOS PAC ID: 8729083696 Enrollment ID: I20060927000419 |
| Provider Name | Alexandra J Jordan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497781652 PECOS PAC ID: 2365447992 Enrollment ID: I20061003000411 |
| Provider Name | Aderemi Basit Alli |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447348982 PECOS PAC ID: 2365449535 Enrollment ID: I20061031000479 |
| Provider Name | Robert Sean Rae |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003852070 PECOS PAC ID: 1850399148 Enrollment ID: I20061121000224 |
| Provider Name | Kenneth K Jiang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285770859 PECOS PAC ID: 6002918935 Enrollment ID: I20070223000603 |
| Provider Name | Rameswar Chaudhuri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104915602 PECOS PAC ID: 7618901950 Enrollment ID: I20070424000505 |
| Provider Name | Debra Foote |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164633707 PECOS PAC ID: 1850490426 Enrollment ID: I20070621000691 |
| Provider Name | Reagan S Norgan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487877999 PECOS PAC ID: 8325149503 Enrollment ID: I20070719000038 |
| Provider Name | Richard B Boster |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871638411 PECOS PAC ID: 1557350519 Enrollment ID: I20070806000172 |
| Provider Name | Michael J Myers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720295603 PECOS PAC ID: 8325139165 Enrollment ID: I20070808000079 |
| Provider Name | Lisa Kaiser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841321288 PECOS PAC ID: 9032203815 Enrollment ID: I20070925000009 |
| Provider Name | Shunaid M Pathan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477726743 PECOS PAC ID: 1951473941 Enrollment ID: I20080708000614 |
| Provider Name | Anca Udrea |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700878386 PECOS PAC ID: 1355362971 Enrollment ID: I20080715000002 |
| Provider Name | Cuneyd A Tolek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174514590 PECOS PAC ID: 9234202656 Enrollment ID: I20080718000124 |
| Provider Name | Tresa P Pasam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497963532 PECOS PAC ID: 6305911892 Enrollment ID: I20080819000009 |
| Provider Name | Jon D Girard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922198019 PECOS PAC ID: 4385703867 Enrollment ID: I20081113000077 |
| Provider Name | Holly Papanek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245303932 PECOS PAC ID: 6103987227 Enrollment ID: I20081209000034 |
| Provider Name | Helen Gwendolyn Gerhard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750547345 PECOS PAC ID: 7416010111 Enrollment ID: I20090107000026 |
| Provider Name | Naveen K Thota |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972717304 PECOS PAC ID: 8426111774 Enrollment ID: I20090113000113 |
| Provider Name | Kathryn A Streb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902077233 PECOS PAC ID: 0648334912 Enrollment ID: I20090131000004 |
| Provider Name | Abdal Rahman Alhyari |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205051570 PECOS PAC ID: 5698831022 Enrollment ID: I20090310000006 |
| Provider Name | Vijay Kakumanu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225225816 PECOS PAC ID: 8921164146 Enrollment ID: I20090312000518 |
| Provider Name | J Ryan Hammock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548395940 PECOS PAC ID: 3173671856 Enrollment ID: I20090507000258 |
| Provider Name | Jeffrey G Poulos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871633776 PECOS PAC ID: 1153474663 Enrollment ID: I20090731000212 |
| Provider Name | Lakmali C Ranathunga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659546505 PECOS PAC ID: 1557416310 Enrollment ID: I20090831000158 |
| Provider Name | Satish Gonela |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952561755 PECOS PAC ID: 7618013616 Enrollment ID: I20091006000014 |
| Provider Name | Nael A Saleh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063623767 PECOS PAC ID: 4789720731 Enrollment ID: I20091006000414 |
| Provider Name | Emmanuel A Chukwunyere |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821235540 PECOS PAC ID: 2860521804 Enrollment ID: I20100601000016 |
| Provider Name | Jay M Wallin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528090768 PECOS PAC ID: 3577543404 Enrollment ID: I20100602000450 |
| Provider Name | Kamal N Yoakim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447415641 PECOS PAC ID: 8820129950 Enrollment ID: I20100706000244 |
| Provider Name | Tracey R Hardin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649598467 PECOS PAC ID: 9335271030 Enrollment ID: I20100715000667 |
| Provider Name | Maher Toban Al-samkari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477746071 PECOS PAC ID: 8224160569 Enrollment ID: I20100721000866 |
| Provider Name | Atul Kutwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902136153 PECOS PAC ID: 5799819439 Enrollment ID: I20100817000129 |
| Provider Name | Pavani Dantala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902009152 PECOS PAC ID: 7315063179 Enrollment ID: I20100929000862 |
| Provider Name | Miriam Emile |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831209923 PECOS PAC ID: 2668577453 Enrollment ID: I20101005000739 |
| Provider Name | Durgarani Chadalawada |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639164437 PECOS PAC ID: 3274550389 Enrollment ID: I20101008000808 |
| Provider Name | Fraol Adugna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134386519 PECOS PAC ID: 6709071129 Enrollment ID: I20101111000540 |
| Provider Name | Tammy Susan Alverson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760558092 PECOS PAC ID: 2860673969 Enrollment ID: I20110223000214 |
| Provider Name | George N Mwandia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457664344 PECOS PAC ID: 9739357096 Enrollment ID: I20110713000193 |
| Provider Name | Kenechi Anikwe Obetta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831495266 PECOS PAC ID: 0749458800 Enrollment ID: I20110718000240 |
| Provider Name | Harmanpreet S Shinh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578729174 PECOS PAC ID: 6709054299 Enrollment ID: I20110728000377 |
| Provider Name | Ifiok Idem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427288174 PECOS PAC ID: 1153590682 Enrollment ID: I20110823000432 |
| Provider Name | Sreevani Gollamudi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053572057 PECOS PAC ID: 1052508702 Enrollment ID: I20110902000298 |
| Provider Name | Jamie A Rhodes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619120276 PECOS PAC ID: 4880865898 Enrollment ID: I20110923000314 |
| Provider Name | Jignesh Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366619280 PECOS PAC ID: 4587840210 Enrollment ID: I20111005000915 |
| Provider Name | Syed Hassan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104810886 PECOS PAC ID: 3173587607 Enrollment ID: I20111014000336 |
| Provider Name | Katrina Brandenburg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609173152 PECOS PAC ID: 4789857061 Enrollment ID: I20111102000117 |
| Provider Name | Jahanzeb Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336353929 PECOS PAC ID: 3870675374 Enrollment ID: I20111115000581 |
| Provider Name | Prakash Chand |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275812497 PECOS PAC ID: 8527232891 Enrollment ID: I20111122000930 |
| Provider Name | Akosua G Afful |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184981193 PECOS PAC ID: 6406011139 Enrollment ID: I20120703000314 |
| Provider Name | Yousif Sm Shareef |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922235811 PECOS PAC ID: 4789840547 Enrollment ID: I20120723000631 |
| Provider Name | Adedoyin O Adetoro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215260930 PECOS PAC ID: 8820254311 Enrollment ID: I20120727000571 |
| Provider Name | Ivan David Ongom |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659502433 PECOS PAC ID: 5193981686 Enrollment ID: I20120727000580 |
| Provider Name | Umasankar Kakumanu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699068312 PECOS PAC ID: 4486810751 Enrollment ID: I20120801000172 |
| Provider Name | Golibe A Nwafo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588952907 PECOS PAC ID: 7214183409 Enrollment ID: I20120802000729 |
| Provider Name | Amith Parekh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750510715 PECOS PAC ID: 7113194531 Enrollment ID: I20120815000836 |
| Provider Name | Motaz B H A Hossein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922377977 PECOS PAC ID: 5597912956 Enrollment ID: I20120821000180 |
| Provider Name | Abidemi B Akande |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518281690 PECOS PAC ID: 7416106869 Enrollment ID: I20121001000045 |
| Provider Name | Muhammad Akbar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295062099 PECOS PAC ID: 1052562113 Enrollment ID: I20121119000474 |
| Provider Name | Nabila Bibawy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417182106 PECOS PAC ID: 6608021464 Enrollment ID: I20130227000404 |
| Provider Name | Valentin D Ghit |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942580311 PECOS PAC ID: 3870764640 Enrollment ID: I20130410000206 |
| Provider Name | Milinda Nimmo Zabramba |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821316787 PECOS PAC ID: 4688810278 Enrollment ID: I20130426000680 |
| Provider Name | Amie Ogunsakin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952533580 PECOS PAC ID: 2163661729 Enrollment ID: I20130612000400 |
| Provider Name | Jessica Conn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659691806 PECOS PAC ID: 2860632304 Enrollment ID: I20130705000536 |
| Provider Name | Anirban Biswas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871891614 PECOS PAC ID: 1355584004 Enrollment ID: I20130827000790 |
| Provider Name | Vijay Jayanti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003112657 PECOS PAC ID: 4688828742 Enrollment ID: I20140404000583 |
| Provider Name | Syed Omar Masood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518981455 PECOS PAC ID: 4688678253 Enrollment ID: I20140616000961 |
| Provider Name | Amulya C Belagavi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457630113 PECOS PAC ID: 4981828431 Enrollment ID: I20140624001302 |
| Provider Name | Vinay Kumar Lingabathula |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578812129 PECOS PAC ID: 9234353715 Enrollment ID: I20140624002216 |
| Provider Name | Erin Vitale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639599277 PECOS PAC ID: 6608093349 Enrollment ID: I20140804001941 |
| Provider Name | Lawrence O Harvey |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376820639 PECOS PAC ID: 3971720624 Enrollment ID: I20140804002305 |
| Provider Name | Juan Camilo Rojas-gomez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578839304 PECOS PAC ID: 7012145618 Enrollment ID: I20141001001680 |
| Provider Name | Marian Gaber Saad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750608725 PECOS PAC ID: 6002086774 Enrollment ID: I20150213001931 |
| Provider Name | Madhusudhan Tarigopula |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235340621 PECOS PAC ID: 5890880371 Enrollment ID: I20150310001946 |
| Provider Name | Babar Sanaullah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376593806 PECOS PAC ID: 8820004104 Enrollment ID: I20150408002044 |
| Provider Name | Asif Mustafa Jan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366798217 PECOS PAC ID: 8729200035 Enrollment ID: I20150615001403 |
| Provider Name | Jevede Damean Harris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154687127 PECOS PAC ID: 0749427847 Enrollment ID: I20150623002300 |
| Provider Name | Eseoghene Ayisire |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639434145 PECOS PAC ID: 1153633243 Enrollment ID: I20150701002916 |
| Provider Name | Brooke A Mcbride |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295115954 PECOS PAC ID: 7911210034 Enrollment ID: I20150720000535 |
| Provider Name | Asghar Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932475696 PECOS PAC ID: 8426286071 Enrollment ID: I20150724010242 |
| Provider Name | Megan Elizabeth Blessinger-cole |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629484555 PECOS PAC ID: 1658686993 Enrollment ID: I20150817001220 |
| Provider Name | Samvel Nersisyan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184982357 PECOS PAC ID: 7810148764 Enrollment ID: I20150824001531 |
| Provider Name | Emmanuel Ofungwu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669812921 PECOS PAC ID: 8123334646 Enrollment ID: I20150828001924 |
| Provider Name | Venkata Vajrala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346598943 PECOS PAC ID: 6204145634 Enrollment ID: I20151026000422 |
| Provider Name | Tristin L Stephens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053780684 PECOS PAC ID: 8123338308 Enrollment ID: I20151031000009 |
| Provider Name | Daniel C Opris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740547983 PECOS PAC ID: 4688819063 Enrollment ID: I20151209001357 |
| Provider Name | Christine V Guenther |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891132155 PECOS PAC ID: 5395046387 Enrollment ID: I20151216001496 |
| Provider Name | Christie Astor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154788867 PECOS PAC ID: 3971808627 Enrollment ID: I20160218000815 |
| Provider Name | Samina Irfani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316146889 PECOS PAC ID: 0345332532 Enrollment ID: I20160713002829 |
| Provider Name | Amber L Richardson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063850089 PECOS PAC ID: 8325279201 Enrollment ID: I20160719002654 |
| Provider Name | Kirti Sanders |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700227113 PECOS PAC ID: 4284957465 Enrollment ID: I20160728001209 |
| Provider Name | Taraq A Attumi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962847186 PECOS PAC ID: 7012219165 Enrollment ID: I20160809001129 |
| Provider Name | Jackilyn Elise Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811440092 PECOS PAC ID: 3476840984 Enrollment ID: I20160927003229 |
| Provider Name | Tommie T Easley |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336395003 PECOS PAC ID: 4789591595 Enrollment ID: I20161116001760 |
| Provider Name | Lynn M Warren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194177477 PECOS PAC ID: 7911287297 Enrollment ID: I20161201002400 |
| Provider Name | Jenny Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497907042 PECOS PAC ID: 7810278090 Enrollment ID: I20161230000034 |
| Provider Name | Arthur Macneill Horton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225474331 PECOS PAC ID: 8426288192 Enrollment ID: I20170215001869 |
| Provider Name | Riana Christine Rhoden |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720412745 PECOS PAC ID: 6608098280 Enrollment ID: I20170330002639 |
| Provider Name | Jigar P Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528401767 PECOS PAC ID: 9931335692 Enrollment ID: I20170412002261 |
| Provider Name | Viviane D Kamdem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922541382 PECOS PAC ID: 7810278124 Enrollment ID: I20170413001655 |
| Provider Name | Waqas Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376876078 PECOS PAC ID: 2466601349 Enrollment ID: I20170428001617 |
| Provider Name | Misty Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609320845 PECOS PAC ID: 9830467638 Enrollment ID: I20170620002492 |
| Provider Name | Myra Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003356882 PECOS PAC ID: 6305115106 Enrollment ID: I20170711001903 |
| Provider Name | Abdul Ghanem |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780096081 PECOS PAC ID: 7113299207 Enrollment ID: I20170824001474 |
| Provider Name | Timothy Lockso |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144647413 PECOS PAC ID: 2668771668 Enrollment ID: I20170905003233 |
| Provider Name | John Muriithi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528486453 PECOS PAC ID: 4789803131 Enrollment ID: I20170908002020 |
| Provider Name | Ifeoma Sylvia Ekeh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841631884 PECOS PAC ID: 5698063949 Enrollment ID: I20170921003170 |
| Provider Name | Gabriel Asumeng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447644695 PECOS PAC ID: 8426362385 Enrollment ID: I20170929001445 |
| Provider Name | Grace Ogbeche |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407276645 PECOS PAC ID: 2062787906 Enrollment ID: I20171003007325 |
| Provider Name | Mohammad M Losta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619394665 PECOS PAC ID: 2264658194 Enrollment ID: I20171102000533 |
| Provider Name | Kaustubh Kailash Shrivastava |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396021770 PECOS PAC ID: 5496975674 Enrollment ID: I20171215001196 |
| Provider Name | Edward S Roberto |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356736268 PECOS PAC ID: 2365756137 Enrollment ID: I20180212001627 |
| Provider Name | David R Geottman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487078887 PECOS PAC ID: 5890914246 Enrollment ID: I20180314000674 |
| Provider Name | Ankit Dwivedi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710361514 PECOS PAC ID: 4688921711 Enrollment ID: I20180720001523 |
| Provider Name | Omar Saleh Abu-romeh |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1184805681 PECOS PAC ID: 5597892026 Enrollment ID: I20180725001288 |
| Provider Name | Willard Palustre |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124402383 PECOS PAC ID: 4486901287 Enrollment ID: I20180725002160 |
| Provider Name | Immaculate W Foy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841644069 PECOS PAC ID: 8224320429 Enrollment ID: I20180821002160 |
| Provider Name | Heather Marlene Markwell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790159333 PECOS PAC ID: 6901155928 Enrollment ID: I20180823001787 |
| Provider Name | Madhavi Inturi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225515216 PECOS PAC ID: 8921350836 Enrollment ID: I20181003003262 |
| Provider Name | Avnish Dhamija |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538587100 PECOS PAC ID: 8921225889 Enrollment ID: I20181025001497 |
| Provider Name | Ehsan Shabbir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518309616 PECOS PAC ID: 2062707797 Enrollment ID: I20181029001647 |
| Provider Name | Mayur Pathak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942597158 PECOS PAC ID: 9931320561 Enrollment ID: I20181210003500 |
| Provider Name | Emem Idem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063741221 PECOS PAC ID: 5991957144 Enrollment ID: I20190123003554 |
| Provider Name | Heather Nichole Combs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659855195 PECOS PAC ID: 2668719907 Enrollment ID: I20190124003157 |
| Provider Name | Roselyne Murugu Knopf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033406715 PECOS PAC ID: 7618199480 Enrollment ID: I20190215002721 |
| Provider Name | Prajit Arora |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841503844 PECOS PAC ID: 2365768264 Enrollment ID: I20190517000456 |
| Provider Name | Sayeed Farrukh Siddicky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124479241 PECOS PAC ID: 0143574913 Enrollment ID: I20190603002213 |
| Provider Name | Shalini Cherala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568915379 PECOS PAC ID: 7113271917 Enrollment ID: I20190604002926 |
| Provider Name | Mohamed Mansour |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790938868 PECOS PAC ID: 2860660495 Enrollment ID: I20190618000612 |
| Provider Name | Tahir Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629431374 PECOS PAC ID: 3375812746 Enrollment ID: I20190703001778 |
| Provider Name | Asif N Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144530023 PECOS PAC ID: 8921250713 Enrollment ID: I20190709002177 |
| Provider Name | Fahad Nasir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740633247 PECOS PAC ID: 5496040404 Enrollment ID: I20190717002850 |
| Provider Name | Akua Domfe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922453166 PECOS PAC ID: 6002141603 Enrollment ID: I20190717004056 |
| Provider Name | Obinna Victor Obiekezie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861844201 PECOS PAC ID: 7618203852 Enrollment ID: I20190725003505 |
| Provider Name | Nurul Haque |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720410566 PECOS PAC ID: 0042598054 Enrollment ID: I20190812004032 |
| Provider Name | Victor Obijuru Njoku |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104175009 PECOS PAC ID: 3274758610 Enrollment ID: I20190904001762 |
| Provider Name | Muhammad Kashif Raza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083160253 PECOS PAC ID: 9830421940 Enrollment ID: I20191022003140 |
| Provider Name | Cody Andrews |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568811008 PECOS PAC ID: 6507116787 Enrollment ID: I20191126001494 |
| Provider Name | Sidrah Saleem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821524794 PECOS PAC ID: 1850726266 Enrollment ID: I20200113002195 |
| Provider Name | Syed Ahsan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831571009 PECOS PAC ID: 0547511222 Enrollment ID: I20200316002283 |
| Provider Name | Damynus Nyakoe Gekonde |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134653645 PECOS PAC ID: 3476974734 Enrollment ID: I20200522001633 |
| Provider Name | Arunbabu Sankaranarayanan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407376031 PECOS PAC ID: 7416378187 Enrollment ID: I20200604001825 |
| Provider Name | Walkens Desir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760904494 PECOS PAC ID: 9436571809 Enrollment ID: I20200612002409 |
| Provider Name | Ashok Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215458229 PECOS PAC ID: 4789006313 Enrollment ID: I20200626001365 |
| Provider Name | Erin Chung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922528504 PECOS PAC ID: 9739445149 Enrollment ID: I20200721002178 |
| Provider Name | Rebecca J Helfrich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720214141 PECOS PAC ID: 9931352168 Enrollment ID: I20200924003323 |
| Provider Name | Kamalini Sundaram |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528135951 PECOS PAC ID: 6608804455 Enrollment ID: I20200929003541 |
| Provider Name | Sabinah Sayeed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750812616 PECOS PAC ID: 0648540500 Enrollment ID: I20201016000892 |
| Provider Name | Kelsey R Wilson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073051306 PECOS PAC ID: 0244502730 Enrollment ID: I20201022002575 |
| Provider Name | Akpezi Oshobe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407376809 PECOS PAC ID: 6507277175 Enrollment ID: I20201203000879 |
| Provider Name | Douglas Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184277857 PECOS PAC ID: 9032445853 Enrollment ID: I20210202001241 |
| Provider Name | Erika Jayne Watamaniuk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972184976 PECOS PAC ID: 9830508498 Enrollment ID: I20210511002223 |
| Provider Name | Divya R Nallapuram |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730533373 PECOS PAC ID: 7113219122 Enrollment ID: I20210616003682 |
| Provider Name | Rebekah Lantz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770088692 PECOS PAC ID: 3274883483 Enrollment ID: I20210622002432 |
| Provider Name | Tochukwu Nzeako |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982107595 PECOS PAC ID: 6305249798 Enrollment ID: I20210722002145 |
| Provider Name | Mohammad Kamran Zaheer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376032268 PECOS PAC ID: 8325443104 Enrollment ID: I20210817000914 |
| Provider Name | Tyra D Onyedumekwu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831769447 PECOS PAC ID: 7810392495 Enrollment ID: I20210819001580 |
| Provider Name | Maria Del Carmen Milanes Marino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457857302 PECOS PAC ID: 8224436431 Enrollment ID: I20211001001160 |
| Provider Name | Eric R Karr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629576079 PECOS PAC ID: 6709136583 Enrollment ID: I20211011002932 |
| Provider Name | Yousuf Sohail |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396240248 PECOS PAC ID: 4385994169 Enrollment ID: I20211018002693 |
| Provider Name | Denyelle Renee Willis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427724913 PECOS PAC ID: 0042609216 Enrollment ID: I20211109000934 |
| Provider Name | Nikhil Tej Kurapati |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013405406 PECOS PAC ID: 4789939174 Enrollment ID: I20211111002468 |
| Provider Name | Nikesh M Jani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073278800 PECOS PAC ID: 3870983182 Enrollment ID: I20211130003041 |
| Provider Name | Raneka Lee Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386216992 PECOS PAC ID: 2264823624 Enrollment ID: I20211220002590 |
| Provider Name | Ronald J Phelps |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477216521 PECOS PAC ID: 0244621225 Enrollment ID: I20211230000528 |
| Provider Name | Irfan Saddique |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164787297 PECOS PAC ID: 0244543981 Enrollment ID: I20220202000776 |
| Provider Name | Emmanuel Aguh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588058549 PECOS PAC ID: 3971864497 Enrollment ID: I20220223002454 |
| Provider Name | Renu Weiss |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841411824 PECOS PAC ID: 8325084551 Enrollment ID: I20220331001803 |
| Provider Name | David Cha |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477014694 PECOS PAC ID: 2466785118 Enrollment ID: I20220413002527 |
| Provider Name | Ammar Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366905390 PECOS PAC ID: 0345574331 Enrollment ID: I20220518000426 |
| Provider Name | Jasmin Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720527880 PECOS PAC ID: 7810264223 Enrollment ID: I20220809003339 |
| Provider Name | Samip J Parikh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518288729 PECOS PAC ID: 9133368780 Enrollment ID: I20220810001990 |
| Provider Name | Lamrot Shenkutie Greffie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548720543 PECOS PAC ID: 0042694887 Enrollment ID: I20220829001864 |
| Provider Name | Mohammed Jundi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588126452 PECOS PAC ID: 9739418708 Enrollment ID: I20220919000918 |
| Provider Name | Jaykumar Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326401647 PECOS PAC ID: 3072842830 Enrollment ID: I20221003002458 |
| Provider Name | Olaoye J Jegede |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629634753 PECOS PAC ID: 1254665334 Enrollment ID: I20221018001987 |
| Provider Name | Varun Yadav |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457774044 PECOS PAC ID: 0345534665 Enrollment ID: I20221019003273 |
| Provider Name | Manoj Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295141810 PECOS PAC ID: 6608167614 Enrollment ID: I20230309002392 |
| Provider Name | Jonathan Lafond |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205281219 PECOS PAC ID: 1355619032 Enrollment ID: I20230313002634 |
| Provider Name | Ann E Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417283011 PECOS PAC ID: 5294109575 Enrollment ID: I20230328002823 |
| Provider Name | Daniel Nwankwo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639526007 PECOS PAC ID: 2860735248 Enrollment ID: I20230505001309 |
| Provider Name | Oluwakemi Fagbami |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609005453 PECOS PAC ID: 6002063294 Enrollment ID: I20230523001135 |
| Provider Name | Oluwaseun B Samuel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316333040 PECOS PAC ID: 3173876489 Enrollment ID: I20230605003243 |
| Provider Name | Emily Ann Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164125068 PECOS PAC ID: 3971960998 Enrollment ID: I20230607001182 |
| Provider Name | Clarice M Montecalvo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457840068 PECOS PAC ID: 8628325222 Enrollment ID: I20230614002937 |
| Provider Name | Timothy Lo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396372520 PECOS PAC ID: 7618398330 Enrollment ID: I20230621000892 |
| Provider Name | Kenneth Son |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831194992 PECOS PAC ID: 1658307954 Enrollment ID: I20230712003383 |
| Provider Name | Mohammed Ali |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811540800 PECOS PAC ID: 5991126401 Enrollment ID: I20230719001082 |
| Provider Name | Hundaol Shamsan Yadeta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598384307 PECOS PAC ID: 2860852068 Enrollment ID: I20230719003950 |
| Provider Name | Nadeem Jaffer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427302025 PECOS PAC ID: 9830314640 Enrollment ID: I20230728001803 |
| Provider Name | Jyothsna Dasarathula |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104225713 PECOS PAC ID: 6709155203 Enrollment ID: I20230801000962 |
| Provider Name | Ruben Gonzales |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609974922 PECOS PAC ID: 8022105550 Enrollment ID: I20230801002612 |
| Provider Name | Gregory Carbonella |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073132460 PECOS PAC ID: 7012334238 Enrollment ID: I20230804002090 |
| Provider Name | Smit Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770043838 PECOS PAC ID: 9436488996 Enrollment ID: I20230809003776 |
| Provider Name | Heather Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013602622 PECOS PAC ID: 0345602017 Enrollment ID: I20230811001073 |
| Provider Name | Paula Pacurari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043848419 PECOS PAC ID: 9436580974 Enrollment ID: I20230821002580 |
| Provider Name | George Gad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811144678 PECOS PAC ID: 1658530357 Enrollment ID: I20230822002177 |
| Provider Name | Eun Joo Park |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447563366 PECOS PAC ID: 0244542835 Enrollment ID: I20230901003624 |
| Provider Name | Jessica Gaynor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538849385 PECOS PAC ID: 2567826787 Enrollment ID: I20230906003326 |
| Provider Name | Jessica Beebe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992368708 PECOS PAC ID: 7416290093 Enrollment ID: I20230906003923 |
| Provider Name | Dhruv Panchal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417214693 PECOS PAC ID: 3072827930 Enrollment ID: I20230912000719 |
| Provider Name | Ahmad S Khatri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033568316 PECOS PAC ID: 6901197631 Enrollment ID: I20230914001074 |
| Provider Name | Kristen D Bruce |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487283628 PECOS PAC ID: 0143674218 Enrollment ID: I20230922001140 |
| Provider Name | Tera Marie Shaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760166904 PECOS PAC ID: 5698129690 Enrollment ID: I20230925003148 |
| Provider Name | Mira Mitry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730441031 PECOS PAC ID: 4981841764 Enrollment ID: I20231011001013 |
| Provider Name | Amy N Whitaker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508327271 PECOS PAC ID: 3375972524 Enrollment ID: I20231107003715 |
| Provider Name | Nabih Hammoud |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568968535 PECOS PAC ID: 8820344799 Enrollment ID: I20231115000415 |
| Provider Name | Avneil Singh Yashpal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265975155 PECOS PAC ID: 0648604389 Enrollment ID: I20231116001920 |
| Provider Name | Mandeep Malik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639609597 PECOS PAC ID: 8426327545 Enrollment ID: I20231117000152 |
| Provider Name | Anuja Trivedi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144847963 PECOS PAC ID: 6204285703 Enrollment ID: I20231208002706 |
| Provider Name | Kimberly Renee Eberle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457944704 PECOS PAC ID: 9133512783 Enrollment ID: I20240122001725 |
| Provider Name | Amy Michelle Yuhas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093344111 PECOS PAC ID: 7719388669 Enrollment ID: I20240122002765 |
| Provider Name | Vikram Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235792680 PECOS PAC ID: 3577895093 Enrollment ID: I20240213001114 |
| Provider Name | Alex Onyemeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881046753 PECOS PAC ID: 3476848102 Enrollment ID: I20240304003806 |
| Provider Name | Mehdi Shadmand |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497332456 PECOS PAC ID: 0547660979 Enrollment ID: I20240515000567 |
| Provider Name | Prakash Arumugam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659878700 PECOS PAC ID: 2769747724 Enrollment ID: I20240717001520 |
| Provider Name | Stephen Colton Noftz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275113995 PECOS PAC ID: 2567861040 Enrollment ID: I20240903002434 |
| Provider Name | Austin White |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578146320 PECOS PAC ID: 5597160788 Enrollment ID: I20240926002592 |
| Provider Name | Brittany Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194565671 PECOS PAC ID: 2961933197 Enrollment ID: I20240930000894 |
| Provider Name | Nathaniel E Quinn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063049005 PECOS PAC ID: 1254792625 Enrollment ID: I20241111001439 |
| Provider Name | Ciandra D'souza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184043408 PECOS PAC ID: 9133474976 Enrollment ID: I20241114003969 |
| Provider Name | Dorotie Andre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285099440 PECOS PAC ID: 8123366341 Enrollment ID: I20241127003315 |
| Provider Name | Abdelfatah Shaban Abou Issa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245814037 PECOS PAC ID: 8820523798 Enrollment ID: I20241202001738 |
Hospitalist Medicine Physicians Of Ohio, Professional Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1 Medical Center Dr, Middletown, OH 45005 Phone: 615-377-5600 | |
Medical Associates Of Middletown Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 42 North Breiel Blvd, Middletown, OH 45042 Phone: 513-422-0024 Fax: 513-422-0232 | |
Butler County Community Health Consortium, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 601 N Breiel Blvd Ste B, Middletown, OH 45042 Phone: 513-454-1111 | |