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4725 N Federal Highway Hcmg Billing Department Ft. Lauderdale FL 33308 | |
| (954) 351-4702 | |
| (954) 351-4705 |
| Full Name | |
|---|---|
| Speciality | Internal Medicine |
| Location | 4725 N Federal Highway, Ft. Lauderdale, Florida |
| Authorized Official Name and Position | Robert Casalou (PRESIDENT & CEO) |
| Authorized Official Contact | 7347123792 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 531853 Atlanta GA 30353-1853 Ph: (954) 351-4702 | 4725 N Federal Highway Hcmg Billing Department Ft. Lauderdale FL 33308 Ph: (954) 351-4702 |
| NPI Number | 1467401877 |
|---|---|
| Provider Enumeration Date | 05/10/2006 |
| Last Update Date | 01/14/2025 |
| Medicare PECOS PAC ID | 1850298365 |
|---|---|
| Medicare Enrollment ID | O20031215000087 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467401877 | NPI | - | NPPES |
| 374917700 | Medicaid | FL |
| Provider Name | Leonardo Castaneda |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1770698318 PECOS PAC ID: 3375436033 Enrollment ID: I20040205000868 |
| Provider Name | Alan J Yesner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336182401 PECOS PAC ID: 3072401942 Enrollment ID: I20040310001087 |
| Provider Name | Joseph A Loskove |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1932172111 PECOS PAC ID: 7315939287 Enrollment ID: I20040331001231 |
| Provider Name | Ricardo R Reyes |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1720040041 PECOS PAC ID: 7719977347 Enrollment ID: I20040515000419 |
| Provider Name | Romualdo Jose Segurola |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1649273186 PECOS PAC ID: 5597740472 Enrollment ID: I20040625000081 |
| Provider Name | Richard Kishner |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265406029 PECOS PAC ID: 3971582065 Enrollment ID: I20040714000052 |
| Provider Name | Amjad Munim |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1881699858 PECOS PAC ID: 3971582248 Enrollment ID: I20040719001497 |
| Provider Name | Frank P Hull |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1407832744 PECOS PAC ID: 2668447905 Enrollment ID: I20040830000867 |
| Provider Name | Jody L Heriot |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730152919 PECOS PAC ID: 0547239808 Enrollment ID: I20041002000068 |
| Provider Name | Darla E Hoble Erlich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861684144 PECOS PAC ID: 9234198193 Enrollment ID: I20041006000815 |
| Provider Name | Ricardo Matos |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1134148067 PECOS PAC ID: 8628971041 Enrollment ID: I20041022000248 |
| Provider Name | Jennifer L Boeri |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1932112810 PECOS PAC ID: 1951367580 Enrollment ID: I20041206000910 |
| Provider Name | Stacy A Thalassites |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376650457 PECOS PAC ID: 0749247435 Enrollment ID: I20041214000863 |
| Provider Name | Novelette E Thompson |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1962412296 PECOS PAC ID: 0547213548 Enrollment ID: I20050302000592 |
| Provider Name | Domingo A Delgado Garcia |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1700875648 PECOS PAC ID: 3476507807 Enrollment ID: I20050309000392 |
| Provider Name | Vincente E Font |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164490819 PECOS PAC ID: 1759336803 Enrollment ID: I20050517000184 |
| Provider Name | Kirbakaran Munuswamy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1447228101 PECOS PAC ID: 5799730826 Enrollment ID: I20050517000234 |
| Provider Name | Charles D Russo |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1588633614 PECOS PAC ID: 2567417611 Enrollment ID: I20050517000270 |
| Provider Name | Jon A Kotler |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1841305851 PECOS PAC ID: 7315925856 Enrollment ID: I20050608000408 |
| Provider Name | Cornelius H Scannell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912963281 PECOS PAC ID: 7810931680 Enrollment ID: I20050613000906 |
| Provider Name | Michael A Perez |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1124145768 PECOS PAC ID: 0042256075 Enrollment ID: I20050630000031 |
| Provider Name | Abhijit Basu |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1699764530 PECOS PAC ID: 5496784175 Enrollment ID: I20050812000189 |
| Provider Name | Martin A. Lesser |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972553535 PECOS PAC ID: 7214962489 Enrollment ID: I20050927001271 |
| Provider Name | Abraham Anthony Chamely |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407806060 PECOS PAC ID: 2567488265 Enrollment ID: I20051021000497 |
| Provider Name | Laszlo Miskolczi |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1609982669 PECOS PAC ID: 1951323419 Enrollment ID: I20051227000372 |
| Provider Name | William V Burke |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1407811524 PECOS PAC ID: 9537182688 Enrollment ID: I20060104000685 |
| Provider Name | Kevin D Cairns |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1316902372 PECOS PAC ID: 8123077245 Enrollment ID: I20060202000881 |
| Provider Name | Nandra D Mansaram |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588624605 PECOS PAC ID: 8123038197 Enrollment ID: I20060504000709 |
| Provider Name | Carlos Ramon Azaret |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770530925 PECOS PAC ID: 5799798898 Enrollment ID: I20060712000290 |
| Provider Name | Francisco G Bermudez |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649220476 PECOS PAC ID: 2062416126 Enrollment ID: I20060831000425 |
| Provider Name | Michele Catinella |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851319859 PECOS PAC ID: 3476558446 Enrollment ID: I20060926000036 |
| Provider Name | Clarissa O. Harris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891732582 PECOS PAC ID: 8123024015 Enrollment ID: I20061017000391 |
| Provider Name | Anita Sikha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477511301 PECOS PAC ID: 4981601887 Enrollment ID: I20061108000097 |
| Provider Name | Patricia J Aurelien |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366468795 PECOS PAC ID: 0547260226 Enrollment ID: I20070102000442 |
| Provider Name | Frank Sorhage |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1396758108 PECOS PAC ID: 2062514334 Enrollment ID: I20070217000010 |
| Provider Name | Edward M Coopersmith |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1104881705 PECOS PAC ID: 4789786054 Enrollment ID: I20070217000012 |
| Provider Name | Ronald J Scott |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1114983194 PECOS PAC ID: 2769584960 Enrollment ID: I20070219000334 |
| Provider Name | Frank T Finlon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578584801 PECOS PAC ID: 7911009899 Enrollment ID: I20070223000117 |
| Provider Name | William P Mcroberts |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1750315669 PECOS PAC ID: 1850493461 Enrollment ID: I20070228000710 |
| Provider Name | Lav K Goyal |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1538268594 PECOS PAC ID: 5597861864 Enrollment ID: I20070502000509 |
| Provider Name | Jihan M Saba |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1861584104 PECOS PAC ID: 2466406491 Enrollment ID: I20070505000021 |
| Provider Name | Joseph J Casey |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1821012857 PECOS PAC ID: 8921108069 Enrollment ID: I20070703000151 |
| Provider Name | Patrick J Amar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1063561173 PECOS PAC ID: 5890888382 Enrollment ID: I20070829000261 |
| Provider Name | Paul W Wu |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1619183332 PECOS PAC ID: 6305939422 Enrollment ID: I20070906000225 |
| Provider Name | Margaret J Gorensek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053374017 PECOS PAC ID: 3971699380 Enrollment ID: I20071017000303 |
| Provider Name | Mark J Copen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609883503 PECOS PAC ID: 3971691387 Enrollment ID: I20071119000532 |
| Provider Name | David M Gozansky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013945591 PECOS PAC ID: 7214025626 Enrollment ID: I20071119000558 |
| Provider Name | Alan M Nigen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083621106 PECOS PAC ID: 8628166030 Enrollment ID: I20071119000606 |
| Provider Name | Michael Dolchin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205872009 PECOS PAC ID: 1951488469 Enrollment ID: I20080408000810 |
| Provider Name | Dominic J Kleinhenz |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1770670648 PECOS PAC ID: 2769552553 Enrollment ID: I20080605000427 |
| Provider Name | Armand J Rodriguez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336104439 PECOS PAC ID: 8123198868 Enrollment ID: I20080606000150 |
| Provider Name | Joshua M Larned |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1023293537 PECOS PAC ID: 3779653456 Enrollment ID: I20080606000504 |
| Provider Name | Nemer Dabage-forzoli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558315291 PECOS PAC ID: 7214920875 Enrollment ID: I20080811000626 |
| Provider Name | Anibal Loza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932319738 PECOS PAC ID: 3072689298 Enrollment ID: I20080911000301 |
| Provider Name | Robert S Meigs |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154334985 PECOS PAC ID: 5395812838 Enrollment ID: I20080924000601 |
| Provider Name | Zonia Acosta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750496998 PECOS PAC ID: 8729155205 Enrollment ID: I20080925000149 |
| Provider Name | Ronald T Buhain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548273295 PECOS PAC ID: 1759458243 Enrollment ID: I20080925000229 |
| Provider Name | Lloyd R Cope |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1811908890 PECOS PAC ID: 1557438066 Enrollment ID: I20080925000454 |
| Provider Name | Edward B Biederman |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1780799940 PECOS PAC ID: 6204903727 Enrollment ID: I20080925000546 |
| Provider Name | Brian Fingado |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1669483665 PECOS PAC ID: 7810065018 Enrollment ID: I20081001000041 |
| Provider Name | Michelle Fiorillo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467540666 PECOS PAC ID: 3173691383 Enrollment ID: I20081001000141 |
| Provider Name | Phyllis N Bulkan |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1114930914 PECOS PAC ID: 4486712916 Enrollment ID: I20081027000865 |
| Provider Name | Janet R Robinson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942219845 PECOS PAC ID: 9335207711 Enrollment ID: I20081029000533 |
| Provider Name | Matthew H Moretti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841380227 PECOS PAC ID: 2668531054 Enrollment ID: I20081029000791 |
| Provider Name | John M Limperis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831204353 PECOS PAC ID: 6901965383 Enrollment ID: I20081030000729 |
| Provider Name | Lise M Lambert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164539011 PECOS PAC ID: 4486713765 Enrollment ID: I20081030000807 |
| Provider Name | Leonard J Seigel |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1700991460 PECOS PAC ID: 7315006533 Enrollment ID: I20081103000652 |
| Provider Name | Fabio E Su-diaz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841305752 PECOS PAC ID: 0840359071 Enrollment ID: I20081103000667 |
| Provider Name | Robert Mills |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1043223969 PECOS PAC ID: 3678486859 Enrollment ID: I20081104000083 |
| Provider Name | Richard K Mastrole |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710990585 PECOS PAC ID: 5890854954 Enrollment ID: I20081104000229 |
| Provider Name | Kenneth Homer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205840428 PECOS PAC ID: 3072672914 Enrollment ID: I20081106000229 |
| Provider Name | Ngoc-tien Truong |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1053390369 PECOS PAC ID: 0749341626 Enrollment ID: I20081210000673 |
| Provider Name | Rogerio Carrillo |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1285621243 PECOS PAC ID: 5799849360 Enrollment ID: I20090126000612 |
| Provider Name | Frederick K Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457310260 PECOS PAC ID: 1355238643 Enrollment ID: I20090401000442 |
| Provider Name | Oksana Fabri |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1649356627 PECOS PAC ID: 6406906023 Enrollment ID: I20090602000524 |
| Provider Name | Gustavo J Alameda |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225233521 PECOS PAC ID: 2961552088 Enrollment ID: I20090611000459 |
| Provider Name | Mario Hernandez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801034442 PECOS PAC ID: 6305984089 Enrollment ID: I20091118000136 |
| Provider Name | David Z Drew |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1407180615 PECOS PAC ID: 2567438757 Enrollment ID: I20100112000358 |
| Provider Name | Carlos O Guerra |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1992902753 PECOS PAC ID: 0749323855 Enrollment ID: I20100211000147 |
| Provider Name | Paul A Feldman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1033273750 PECOS PAC ID: 5496899635 Enrollment ID: I20100225000561 |
| Provider Name | Kalman Blumberg |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1346234796 PECOS PAC ID: 6204860265 Enrollment ID: I20100306000309 |
| Provider Name | Joy O Young Ramsaran |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1982719753 PECOS PAC ID: 5698804763 Enrollment ID: I20100527000722 |
| Provider Name | Raul H Tapia |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1811002330 PECOS PAC ID: 0749319820 Enrollment ID: I20100527000769 |
| Provider Name | Rishi Anand |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1487855649 PECOS PAC ID: 1759280738 Enrollment ID: I20100614000549 |
| Provider Name | Alexander G Justicz |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1265497473 PECOS PAC ID: 3971496696 Enrollment ID: I20100615000084 |
| Provider Name | Joshua M Purow |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1639148745 PECOS PAC ID: 1850375742 Enrollment ID: I20100716000670 |
| Provider Name | Maria Gonzalez-morejon |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1497860969 PECOS PAC ID: 1153453519 Enrollment ID: I20100720000904 |
| Provider Name | Howard S Koch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003872375 PECOS PAC ID: 2567364771 Enrollment ID: I20100721000705 |
| Provider Name | William F Arce Montoya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497078828 PECOS PAC ID: 2163546342 Enrollment ID: I20100824001064 |
| Provider Name | Neil Nagovski |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1588635668 PECOS PAC ID: 4486683406 Enrollment ID: I20100913000567 |
| Provider Name | Guillermo H Davila |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598727034 PECOS PAC ID: 2062538325 Enrollment ID: I20100924000231 |
| Provider Name | Christopher J Pappas |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1306084157 PECOS PAC ID: 2062538275 Enrollment ID: I20100924001040 |
| Provider Name | Rebecca M Rey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649412313 PECOS PAC ID: 1557554011 Enrollment ID: I20101018000532 |
| Provider Name | Robert Ansara |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780869024 PECOS PAC ID: 7911077946 Enrollment ID: I20101021000381 |
| Provider Name | Anele R Manfredini |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477710531 PECOS PAC ID: 9436343126 Enrollment ID: I20101026001384 |
| Provider Name | Denise H Cohen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619284940 PECOS PAC ID: 9234328295 Enrollment ID: I20110106001035 |
| Provider Name | Teresa Anaya Hernandez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518970110 PECOS PAC ID: 4284814120 Enrollment ID: I20110209000470 |
| Provider Name | Elizabeth Ulcak |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366748493 PECOS PAC ID: 5395927222 Enrollment ID: I20110314000416 |
| Provider Name | Eugene N Costantini |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1134128481 PECOS PAC ID: 0244222768 Enrollment ID: I20110330000029 |
| Provider Name | Louis M Lit |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1831288778 PECOS PAC ID: 6507915055 Enrollment ID: I20110419000158 |
| Provider Name | Edward Bartholomew Ferrer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013996685 PECOS PAC ID: 5597942656 Enrollment ID: I20110527000243 |
| Provider Name | Cecilia Hosam |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1972703767 PECOS PAC ID: 0749459840 Enrollment ID: I20110805000614 |
| Provider Name | Elham H Elzind |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720195605 PECOS PAC ID: 5496737314 Enrollment ID: I20110811000650 |
| Provider Name | Kerri-ann Hew |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467692236 PECOS PAC ID: 3971772526 Enrollment ID: I20110816000522 |
| Provider Name | Handel R Robinson |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1942468368 PECOS PAC ID: 2062683576 Enrollment ID: I20110913000805 |
| Provider Name | Michelle A Ferreira |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902054851 PECOS PAC ID: 0244401438 Enrollment ID: I20110920000325 |
| Provider Name | Barry H. Carragher |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831178490 PECOS PAC ID: 5597936492 Enrollment ID: I20110926000889 |
| Provider Name | Daniel Heller |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1942508775 PECOS PAC ID: 9032382627 Enrollment ID: I20111026000626 |
| Provider Name | Samir M Koussa |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1558340067 PECOS PAC ID: 8426221540 Enrollment ID: I20111104000113 |
| Provider Name | Robert A Drozd |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1619956281 PECOS PAC ID: 9335306851 Enrollment ID: I20120210000074 |
| Provider Name | Phi H Le |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568475200 PECOS PAC ID: 4284892902 Enrollment ID: I20120227000024 |
| Provider Name | Alexander Llanos |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1972781904 PECOS PAC ID: 3375700149 Enrollment ID: I20120411000058 |
| Provider Name | Semaan G Kosseifi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1588853303 PECOS PAC ID: 1658433875 Enrollment ID: I20120424000040 |
| Provider Name | Alan J Cordover |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1215913082 PECOS PAC ID: 6406934215 Enrollment ID: I20120425000346 |
| Provider Name | Charles P Strogen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1639158934 PECOS PAC ID: 3072779180 Enrollment ID: I20120718000100 |
| Provider Name | Kimberly A Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790050664 PECOS PAC ID: 3173779238 Enrollment ID: I20120807000102 |
| Provider Name | Aldo Alamo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639282601 PECOS PAC ID: 0446324750 Enrollment ID: I20120807000154 |
| Provider Name | Jennifer Carrasquillo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801044128 PECOS PAC ID: 6800042466 Enrollment ID: I20120814000420 |
| Provider Name | Daniel Weitz |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1568585289 PECOS PAC ID: 8527215870 Enrollment ID: I20120822000203 |
| Provider Name | Tanika N Boxhill |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679833198 PECOS PAC ID: 4688821713 Enrollment ID: I20120824000537 |
| Provider Name | Robert Thompson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750557930 PECOS PAC ID: 5698826436 Enrollment ID: I20120831000012 |
| Provider Name | Mikhailia W Lake |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1639344914 PECOS PAC ID: 8325296858 Enrollment ID: I20120907000182 |
| Provider Name | Frank G Jameson |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1265782130 PECOS PAC ID: 5991954612 Enrollment ID: I20121012000185 |
| Provider Name | Fernando J Manalac |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1316170350 PECOS PAC ID: 0941456982 Enrollment ID: I20121012000729 |
| Provider Name | Stephanie M Raimondi |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1487906046 PECOS PAC ID: 6709037815 Enrollment ID: I20121120000356 |
| Provider Name | Yesenia Santiago-casas |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1124227871 PECOS PAC ID: 3971782871 Enrollment ID: I20130207000358 |
| Provider Name | Kateryna O. Troyan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417293291 PECOS PAC ID: 5496900102 Enrollment ID: I20130304000239 |
| Provider Name | Janice E Linton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538400676 PECOS PAC ID: 2466690433 Enrollment ID: I20130603000517 |
| Provider Name | Aviva C Hopkins |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1538318530 PECOS PAC ID: 3072754589 Enrollment ID: I20130725000867 |
| Provider Name | Zynab Hassan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205156643 PECOS PAC ID: 6507007531 Enrollment ID: I20130802000194 |
| Provider Name | Robert Pasternak |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1124238035 PECOS PAC ID: 2668545104 Enrollment ID: I20130819000720 |
| Provider Name | David P Dunhill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336465574 PECOS PAC ID: 8123261294 Enrollment ID: I20130821000883 |
| Provider Name | Harsh Singh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801888433 PECOS PAC ID: 3971582149 Enrollment ID: I20130917000349 |
| Provider Name | Charles A Luther |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1134485972 PECOS PAC ID: 6709036304 Enrollment ID: I20140107001096 |
| Provider Name | Larisa Turetsky |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639333156 PECOS PAC ID: 2466683073 Enrollment ID: I20140325000809 |
| Provider Name | Michel Velez |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1518132570 PECOS PAC ID: 0345464582 Enrollment ID: I20140610001230 |
| Provider Name | Ishai S Ross |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1225266232 PECOS PAC ID: 1658595319 Enrollment ID: I20140619000882 |
| Provider Name | German Giese |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174810295 PECOS PAC ID: 5991920175 Enrollment ID: I20140701001853 |
| Provider Name | Kevin Wang |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1114187325 PECOS PAC ID: 7315161338 Enrollment ID: I20140723001003 |
| Provider Name | Carolina Valdes |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144493214 PECOS PAC ID: 2668603788 Enrollment ID: I20140723001094 |
| Provider Name | Felix Hernandez |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1366734816 PECOS PAC ID: 4284850132 Enrollment ID: I20140925002572 |
| Provider Name | Monique L Manganelli Orr |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1659487536 PECOS PAC ID: 5890720833 Enrollment ID: I20150309000712 |
| Provider Name | Tracey E Tordella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023072998 PECOS PAC ID: 3971822016 Enrollment ID: I20150512001165 |
| Provider Name | Andrey Lima |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1538475835 PECOS PAC ID: 2264752674 Enrollment ID: I20150527001603 |
| Provider Name | Maria E Garay Claudio |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174819536 PECOS PAC ID: 1153635438 Enrollment ID: I20150730012072 |
| Provider Name | Melvin H Seid |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336139971 PECOS PAC ID: 3971770231 Enrollment ID: I20150819009392 |
| Provider Name | Erik Arnold Karl Beyer |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1164481966 PECOS PAC ID: 1355311903 Enrollment ID: I20150825004958 |
| Provider Name | Ali M Rashid |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1629399597 PECOS PAC ID: 8921315425 Enrollment ID: I20150916000921 |
| Provider Name | Esther D Garazi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1841428331 PECOS PAC ID: 2264667922 Enrollment ID: I20150929002458 |
| Provider Name | Ndubuisi Okafor |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1831346238 PECOS PAC ID: 9739375965 Enrollment ID: I20151111000694 |
| Provider Name | Catalina Ionita |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1568439222 PECOS PAC ID: 9032127246 Enrollment ID: I20151123000798 |
| Provider Name | Gabriel Manzi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306097035 PECOS PAC ID: 3779648381 Enrollment ID: I20151123001707 |
| Provider Name | Victor A Velez Aldahondo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912223413 PECOS PAC ID: 3476853466 Enrollment ID: I20151123002622 |
| Provider Name | Raul Gustavo Gosthe |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1235454638 PECOS PAC ID: 3678873353 Enrollment ID: I20151202000958 |
| Provider Name | Shelly A Tahal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194747212 PECOS PAC ID: 2062716392 Enrollment ID: I20160208001008 |
| Provider Name | Shavonne Td Ramsey-coleman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538269204 PECOS PAC ID: 3274532965 Enrollment ID: I20160308002584 |
| Provider Name | Sofia V Behncke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952784530 PECOS PAC ID: 8729378641 Enrollment ID: I20160606002203 |
| Provider Name | Ross Alan Wodicka |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1063737492 PECOS PAC ID: 8022323328 Enrollment ID: I20160725003019 |
| Provider Name | Matthew C Farbman |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1124459086 PECOS PAC ID: 7719271873 Enrollment ID: I20160811002426 |
| Provider Name | Ryan Michael Taube |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1376987438 PECOS PAC ID: 1759698194 Enrollment ID: I20160817001509 |
| Provider Name | Georges Azzi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1265743017 PECOS PAC ID: 0042506263 Enrollment ID: I20160914000348 |
| Provider Name | Tiffannie S Walker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477811883 PECOS PAC ID: 4981822707 Enrollment ID: I20161004001811 |
| Provider Name | Jose E Collado Peralta |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1205114360 PECOS PAC ID: 2264655794 Enrollment ID: I20161011002856 |
| Provider Name | Alexandria Diego |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043687619 PECOS PAC ID: 1557641982 Enrollment ID: I20161201000281 |
| Provider Name | Jillian M Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215392774 PECOS PAC ID: 7214217546 Enrollment ID: I20161202001571 |
| Provider Name | Daniel V Mock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669920880 PECOS PAC ID: 4789964669 Enrollment ID: I20161212000990 |
| Provider Name | Talinn T Hammond |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1134482250 PECOS PAC ID: 5890070999 Enrollment ID: I20170331000429 |
| Provider Name | Hector Y Vazquez Saad |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1912170077 PECOS PAC ID: 6800872029 Enrollment ID: I20170404002833 |
| Provider Name | Diana P Pava |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922559905 PECOS PAC ID: 2860779063 Enrollment ID: I20170425002074 |
| Provider Name | Jaycee A Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043617731 PECOS PAC ID: 1254608524 Enrollment ID: I20170517002518 |
| Provider Name | Artem E Bor |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750829404 PECOS PAC ID: 4284901059 Enrollment ID: I20170526000283 |
| Provider Name | Randall S Schwartz |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1518259910 PECOS PAC ID: 5991938276 Enrollment ID: I20170606002260 |
| Provider Name | Vivek Patel |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1699037309 PECOS PAC ID: 5092085209 Enrollment ID: I20170720002765 |
| Provider Name | Rachel Pyngolil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376955104 PECOS PAC ID: 1456578889 Enrollment ID: I20170906001848 |
| Provider Name | Brian T O'mahoney |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1700816592 PECOS PAC ID: 3971506098 Enrollment ID: I20170913000730 |
| Provider Name | Erica F Wigdor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548711252 PECOS PAC ID: 3173899077 Enrollment ID: I20171020000893 |
| Provider Name | Heather L Rawlings |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407280829 PECOS PAC ID: 2961626759 Enrollment ID: I20171107002221 |
| Provider Name | Ellen M Dailor |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1386662534 PECOS PAC ID: 5991999385 Enrollment ID: I20180124002957 |
| Provider Name | Jessica Arias Garau |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1720272479 PECOS PAC ID: 1355586728 Enrollment ID: I20180205000436 |
| Provider Name | Samantha Wenzel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942727979 PECOS PAC ID: 3476813700 Enrollment ID: I20180207000612 |
| Provider Name | Irina Privorotskaya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952560112 PECOS PAC ID: 2264602937 Enrollment ID: I20180320002619 |
| Provider Name | Vanessa Faria |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770094484 PECOS PAC ID: 7618239963 Enrollment ID: I20180326001239 |
| Provider Name | Giuseppe Paese |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1306882576 PECOS PAC ID: 2062419435 Enrollment ID: I20180418002587 |
| Provider Name | Simon Blanc |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1255683652 PECOS PAC ID: 2769739218 Enrollment ID: I20180716001748 |
| Provider Name | Evgeny Idrisov |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1689061830 PECOS PAC ID: 3173870458 Enrollment ID: I20180810001666 |
| Provider Name | Joshua Shaw |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1568699205 PECOS PAC ID: 4183923527 Enrollment ID: I20180904000274 |
| Provider Name | Jessica Burgers |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407113475 PECOS PAC ID: 1850643719 Enrollment ID: I20181004001678 |
| Provider Name | William Ward |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1649698317 PECOS PAC ID: 7719230945 Enrollment ID: I20181105002141 |
| Provider Name | Frances Shepherd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326548264 PECOS PAC ID: 8527302645 Enrollment ID: I20181130000788 |
| Provider Name | Felipe Albuquerque |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1851605661 PECOS PAC ID: 6709123144 Enrollment ID: I20190123003799 |
| Provider Name | Ashley Elizabeth Wherry |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770075459 PECOS PAC ID: 3274870555 Enrollment ID: I20190124000758 |
| Provider Name | Joseph J Montana |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396722344 PECOS PAC ID: 3274554845 Enrollment ID: I20190129003837 |
| Provider Name | Angelle Brebnor |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013234590 PECOS PAC ID: 1254558935 Enrollment ID: I20190130000113 |
| Provider Name | Dellene Troy |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1578824405 PECOS PAC ID: 7416245477 Enrollment ID: I20190130001008 |
| Provider Name | Alex X Mercado Irizarry |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1063770592 PECOS PAC ID: 8022355759 Enrollment ID: I20190204000236 |
| Provider Name | Logan R Kaleta |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1104293109 PECOS PAC ID: 6406164508 Enrollment ID: I20190212002118 |
| Provider Name | Ryan D Kunstadt |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1861836694 PECOS PAC ID: 3173744380 Enrollment ID: I20190225000084 |
| Provider Name | Lauren Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487110706 PECOS PAC ID: 3274872312 Enrollment ID: I20190306003291 |
| Provider Name | Erik A Sylvin |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1275786253 PECOS PAC ID: 2062715113 Enrollment ID: I20190313000223 |
| Provider Name | Brooke N Poole |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679045793 PECOS PAC ID: 5991045494 Enrollment ID: I20190320001071 |
| Provider Name | Valerie Fox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952876971 PECOS PAC ID: 6406196674 Enrollment ID: I20190326001325 |
| Provider Name | Diana Peta-ga English |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932357241 PECOS PAC ID: 3375799034 Enrollment ID: I20190619000871 |
| Provider Name | Nithya Mathai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710462791 PECOS PAC ID: 2163756404 Enrollment ID: I20190620001834 |
| Provider Name | Jose E Maldonado Vidal |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518426956 PECOS PAC ID: 3476887084 Enrollment ID: I20190701001642 |
| Provider Name | John Melvan |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1205279411 PECOS PAC ID: 7517269749 Enrollment ID: I20190812002764 |
| Provider Name | Roshan M Bashir |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1104838515 PECOS PAC ID: 0749283141 Enrollment ID: I20190828000388 |
| Provider Name | Phuong L Bui |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1114260874 PECOS PAC ID: 4183974975 Enrollment ID: I20190910003528 |
| Provider Name | Kritzia Alana Pineda Monroy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679922520 PECOS PAC ID: 0547518292 Enrollment ID: I20191017002559 |
| Provider Name | Rejoy Mathai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073175345 PECOS PAC ID: 4789016163 Enrollment ID: I20191125000482 |
| Provider Name | Angela Dixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306498266 PECOS PAC ID: 8820421209 Enrollment ID: I20191126002158 |
| Provider Name | Vikas Pandey |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1649598285 PECOS PAC ID: 1658689427 Enrollment ID: I20191126002581 |
| Provider Name | Jessica Mccormack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487285714 PECOS PAC ID: 0547690695 Enrollment ID: I20200414001110 |
| Provider Name | Linda M Weisberg |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871123687 PECOS PAC ID: 3779913066 Enrollment ID: I20200429001730 |
| Provider Name | Jessica M Stillman |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1972051803 PECOS PAC ID: 0244513034 Enrollment ID: I20200604001863 |
| Provider Name | Daniel Rene Gonzalez |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1770037822 PECOS PAC ID: 4082943329 Enrollment ID: I20200630000945 |
| Provider Name | Edgardo D Dos Santos |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1558757880 PECOS PAC ID: 6406183250 Enrollment ID: I20200714003197 |
| Provider Name | Andrew Jonathan Lovy |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1649512989 PECOS PAC ID: 9537437058 Enrollment ID: I20200813003635 |
| Provider Name | Sebastian U Perez- Martinez |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1447707245 PECOS PAC ID: 0749539054 Enrollment ID: I20201020001480 |
| Provider Name | Ronald Pham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629509591 PECOS PAC ID: 3779860770 Enrollment ID: I20201027001704 |
| Provider Name | Rayyana Rizkallah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295342996 PECOS PAC ID: 7214347871 Enrollment ID: I20201110002381 |
| Provider Name | Lana A Simmonds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629612932 PECOS PAC ID: 6507277910 Enrollment ID: I20201116001143 |
| Provider Name | Suzanne G Forum |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285250902 PECOS PAC ID: 7911313044 Enrollment ID: I20210315001670 |
| Provider Name | Karim Arnaout |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1265697213 PECOS PAC ID: 0143442947 Enrollment ID: I20210324001272 |
| Provider Name | Marlene Clarke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699367235 PECOS PAC ID: 8820406192 Enrollment ID: I20210519000410 |
| Provider Name | Annie Daniel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750880506 PECOS PAC ID: 7416356795 Enrollment ID: I20210519001933 |
| Provider Name | Aaron Michael Brooking |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1528484276 PECOS PAC ID: 8628479920 Enrollment ID: I20210624000239 |
| Provider Name | Maya V Lucas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912490996 PECOS PAC ID: 7517215718 Enrollment ID: I20210706000870 |
| Provider Name | Holly Hazelett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013453570 PECOS PAC ID: 7911300132 Enrollment ID: I20210726003720 |
| Provider Name | Paulna Lorimaire |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306340799 PECOS PAC ID: 4587917216 Enrollment ID: I20210811000385 |
| Provider Name | Laura Alvarez Orduz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023541315 PECOS PAC ID: 3072939115 Enrollment ID: I20210817003793 |
| Provider Name | Madision M Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689346314 PECOS PAC ID: 3375934300 Enrollment ID: I20211229001137 |
| Provider Name | Luis F Hidalgo Ponce |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1144585233 PECOS PAC ID: 6507007432 Enrollment ID: I20220106000385 |
| Provider Name | Evgeniya Ryzhikova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083214050 PECOS PAC ID: 6901298637 Enrollment ID: I20220110000705 |
| Provider Name | Nicole Nicome |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811171515 PECOS PAC ID: 2860565355 Enrollment ID: I20220128000255 |
| Provider Name | Nataly Jean-michel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396386454 PECOS PAC ID: 5698168839 Enrollment ID: I20220210000628 |
| Provider Name | Tempes L Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417563446 PECOS PAC ID: 5799178612 Enrollment ID: I20220216002343 |
| Provider Name | Jamie Daniel Novak |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780837708 PECOS PAC ID: 3375691652 Enrollment ID: I20220304001657 |
| Provider Name | Jessica Roman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1699942136 PECOS PAC ID: 5092875666 Enrollment ID: I20220323000292 |
| Provider Name | Emily Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255695805 PECOS PAC ID: 2163801317 Enrollment ID: I20220620000568 |
| Provider Name | Robert Gioia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689022543 PECOS PAC ID: 5092090688 Enrollment ID: I20220622002201 |
| Provider Name | Konstantin Urazov |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1053831628 PECOS PAC ID: 4385025816 Enrollment ID: I20220714004084 |
| Provider Name | Michelle Dzung |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912460064 PECOS PAC ID: 8426439282 Enrollment ID: I20220726000382 |
| Provider Name | Lianna Navar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699331157 PECOS PAC ID: 5698157436 Enrollment ID: I20220727000265 |
| Provider Name | Maria Del Mar Morales Hernandez |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1598206716 PECOS PAC ID: 4587937859 Enrollment ID: I20220727001804 |
| Provider Name | Megan Mendelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871070466 PECOS PAC ID: 7517217334 Enrollment ID: I20220727004428 |
| Provider Name | Ian Singer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689237919 PECOS PAC ID: 7719369321 Enrollment ID: I20220728003436 |
| Provider Name | Alexandra Mahon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639794563 PECOS PAC ID: 0446632079 Enrollment ID: I20220729000429 |
| Provider Name | Melaine M Lanza |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1285081935 PECOS PAC ID: 2567755762 Enrollment ID: I20220802001292 |
| Provider Name | Ryan F Moncman |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1225420755 PECOS PAC ID: 5890177927 Enrollment ID: I20220805000032 |
| Provider Name | Ijeoma C Achareke |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588292940 PECOS PAC ID: 2365825205 Enrollment ID: I20220810001943 |
| Provider Name | Iman Dabiri |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841721628 PECOS PAC ID: 5799058194 Enrollment ID: I20220822001453 |
| Provider Name | Jason Ceavers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205497005 PECOS PAC ID: 0345578001 Enrollment ID: I20220823001598 |
| Provider Name | Tara Gaston Moncman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1801243092 PECOS PAC ID: 3678977253 Enrollment ID: I20220906001421 |
| Provider Name | Robert Burnham |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1174055560 PECOS PAC ID: 2062783822 Enrollment ID: I20220908001911 |
| Provider Name | Giovanni Alberto Rivera |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1639673577 PECOS PAC ID: 4981089786 Enrollment ID: I20220914003591 |
| Provider Name | Maria Sukhoo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619435245 PECOS PAC ID: 1850720616 Enrollment ID: I20220919002486 |
| Provider Name | Leonide Brunot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659094050 PECOS PAC ID: 4082080866 Enrollment ID: I20221019001537 |
| Provider Name | Luke Suvunrungsi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134500309 PECOS PAC ID: 1759635956 Enrollment ID: I20221107002694 |
| Provider Name | Patrice N Whitley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457082331 PECOS PAC ID: 7012385073 Enrollment ID: I20221122002588 |
| Provider Name | Ivan Mikolaenko |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1023231883 PECOS PAC ID: 1254496706 Enrollment ID: I20221201002335 |
| Provider Name | Jonathan Warford |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1407200520 PECOS PAC ID: 4880982040 Enrollment ID: I20230104001763 |
| Provider Name | Laura Neustater |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255344875 PECOS PAC ID: 6002242401 Enrollment ID: I20230130000086 |
| Provider Name | Brandi Harris |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326687872 PECOS PAC ID: 3072941327 Enrollment ID: I20230209001057 |
| Provider Name | Claudia Patricia Escobar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235890187 PECOS PAC ID: 0547632036 Enrollment ID: I20230209001482 |
| Provider Name | Corey M Burns |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790363547 PECOS PAC ID: 3779980008 Enrollment ID: I20230316001928 |
| Provider Name | Mohammed Talal Azaiza |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1740785559 PECOS PAC ID: 1759630502 Enrollment ID: I20230316002547 |
| Provider Name | Kathleen M Bouyett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427710037 PECOS PAC ID: 6901276781 Enrollment ID: I20230321000680 |
| Provider Name | Rebekah T Adai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144572132 PECOS PAC ID: 9234424706 Enrollment ID: I20230406000415 |
| Provider Name | Lyudmyla Tymtsyas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538793039 PECOS PAC ID: 3971978743 Enrollment ID: I20230408000116 |
| Provider Name | Edwin Golikov |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1093175325 PECOS PAC ID: 2062890460 Enrollment ID: I20230516000166 |
| Provider Name | Timothy Kyle Johnson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518656081 PECOS PAC ID: 6103283478 Enrollment ID: I20230531002708 |
| Provider Name | Rodrigo Almeida Torres |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1083175988 PECOS PAC ID: 4688916919 Enrollment ID: I20230601001738 |
| Provider Name | Arash Rezaei |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1174026900 PECOS PAC ID: 3072862713 Enrollment ID: I20230602001804 |
| Provider Name | Alexander Busko |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639668916 PECOS PAC ID: 3577805720 Enrollment ID: I20230606003407 |
| Provider Name | Eduardo A Villa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326667775 PECOS PAC ID: 5092173633 Enrollment ID: I20230614001559 |
| Provider Name | Ezra Fox |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033747225 PECOS PAC ID: 4385002591 Enrollment ID: I20230621000584 |
| Provider Name | Mario Marc Paese |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1609436567 PECOS PAC ID: 4789046707 Enrollment ID: I20230808002502 |
| Provider Name | Aryeh Bernstein |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1699207456 PECOS PAC ID: 9032454004 Enrollment ID: I20230811000887 |
| Provider Name | Anouchka Holt |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790145084 PECOS PAC ID: 6305238387 Enrollment ID: I20230829000137 |
| Provider Name | Roosevelt A De Los Santos Florian |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922337211 PECOS PAC ID: 4486017845 Enrollment ID: I20230831004314 |
| Provider Name | Danielle M Kahn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811683758 PECOS PAC ID: 5890159834 Enrollment ID: I20230911000973 |
| Provider Name | Alex Sullivan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1598261075 PECOS PAC ID: 7315391877 Enrollment ID: I20231002003649 |
| Provider Name | Alexandra Mccluskey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346937885 PECOS PAC ID: 7214381789 Enrollment ID: I20231002003726 |
| Provider Name | Nicolette Barberini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962196659 PECOS PAC ID: 7315392677 Enrollment ID: I20231006002026 |
| Provider Name | Peach Supupramai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235766296 PECOS PAC ID: 2163877093 Enrollment ID: I20231012003871 |
| Provider Name | Rochelle Samarasekera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477905362 PECOS PAC ID: 3971887134 Enrollment ID: I20231113002846 |
| Provider Name | Razvan Nicolescu |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1013282425 PECOS PAC ID: 5890045140 Enrollment ID: I20231113003450 |
| Provider Name | Laurie Lerner |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1316045313 PECOS PAC ID: 7719127257 Enrollment ID: I20231121000233 |
| Provider Name | Asha Prasad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629236286 PECOS PAC ID: 1456523190 Enrollment ID: I20240112001181 |
| Provider Name | Christina Rampaul-chen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417435553 PECOS PAC ID: 9830541101 Enrollment ID: I20240123001140 |
| Provider Name | Allison Hamlett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780143586 PECOS PAC ID: 8123405255 Enrollment ID: I20240205002215 |
| Provider Name | Brent M Pendergast |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1619636883 PECOS PAC ID: 7416391636 Enrollment ID: I20240215003048 |
| Provider Name | Jeremy A Wise |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1912565763 PECOS PAC ID: 8325470438 Enrollment ID: I20240507001588 |
| Provider Name | Nicholas A Barreras |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1942730742 PECOS PAC ID: 9537584461 Enrollment ID: I20240507004504 |
| Provider Name | Shilpa Raval |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295318830 PECOS PAC ID: 1052753225 Enrollment ID: I20240521000501 |
| Provider Name | Adam J Santoro |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1306407788 PECOS PAC ID: 9436691961 Enrollment ID: I20240611004245 |
| Provider Name | Rafael Gutierrez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447825856 PECOS PAC ID: 2567863111 Enrollment ID: I20240723004675 |
| Provider Name | Nikolle Alexandra Lambrinos |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417576349 PECOS PAC ID: 1759706054 Enrollment ID: I20240813002192 |
| Provider Name | Alex G Roberts |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1346700648 PECOS PAC ID: 6002145638 Enrollment ID: I20240813004433 |
| Provider Name | Michael Defabrizio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568013175 PECOS PAC ID: 6709117997 Enrollment ID: I20240814004152 |
| Provider Name | Kandice Hechavarria |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578219713 PECOS PAC ID: 1759829120 Enrollment ID: I20240815004515 |
| Provider Name | Mary Mcnerney |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003562497 PECOS PAC ID: 7012455207 Enrollment ID: I20240819004463 |
| Provider Name | Teresa Colon-asumu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922688852 PECOS PAC ID: 3072915214 Enrollment ID: I20240830000853 |
| Provider Name | Elie J Chidiac |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1134160021 PECOS PAC ID: 4082527346 Enrollment ID: I20240910001655 |
| Provider Name | Susana Chagui |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447086053 PECOS PAC ID: 4284165887 Enrollment ID: I20241007004085 |
| Provider Name | Raszana Shoemaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386464519 PECOS PAC ID: 7113451204 Enrollment ID: I20241112002856 |
| Provider Name | Charlie Mata |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013663343 PECOS PAC ID: 5991230583 Enrollment ID: I20241119003103 |
| Provider Name | Vincent Costello |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1376373621 PECOS PAC ID: 1557896040 Enrollment ID: I20241120002809 |
Ziff Family Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3200 N.university Drive, Assembly Building 2 Suite #203, Ft. Lauderdale, FL 33328 Phone: 954-262-4343 Fax: 954-262-3753 | |
Florida Phs Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Ne Third Avenue, Suite 1500, Ft. Lauderdale, FL 33301 Phone: 901-261-4848 Fax: 901-261-4849 | |
Infectious Diseases Associates Of Fort Lauderdale Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4750 N. Federal Highway, Suite 200, Ft. Lauderdale, FL 33308 Phone: 954-772-7773 Fax: 954-772-2221 |