| Hospital Medicine Services Of Tennessee Pc | |
|
600 Wilson Creek Rd Lawrenceburg IN 47025-2751 | |
| (812) 537-1010 | |
| Not Available |
| Full Name | Hospital Medicine Services Of Tennessee Pc |
|---|---|
| Speciality | Hospitalist |
| Location | 600 Wilson Creek Rd, Lawrenceburg, Indiana |
| Authorized Official Name and Position | Randal L. Dabbs (PRESIDENT) |
| Authorized Official Contact | 8004243672 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hospital Medicine Services Of Tennessee Pc Po Box 638984 Cincinnati OH 45263-8984 Ph: (800) 424-3672 | Hospital Medicine Services Of Tennessee Pc 600 Wilson Creek Rd Lawrenceburg IN 47025-2751 Ph: (812) 537-1010 |
| NPI Number | 1528433802 |
|---|---|
| Provider Enumeration Date | 12/11/2015 |
| Last Update Date | 03/17/2023 |
| Medicare PECOS PAC ID | 9234432881 |
|---|---|
| Medicare Enrollment ID | O20160114002673 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528433802 | NPI | - | NPPES |
| 7100406750 | Medicaid | KY | |
| Q018841 | Medicaid | TN | |
| 201370030A | Medicaid | IN | |
| 7100399990 | Medicaid | KY |
| Provider Name | Ruth C Stewart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265529309 PECOS PAC ID: 9032013867 Enrollment ID: I20031124000315 |
| Provider Name | Tony M Cox |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255425450 PECOS PAC ID: 9931005170 Enrollment ID: I20031209000901 |
| Provider Name | Brian R Mcmurray |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750324315 PECOS PAC ID: 0941196000 Enrollment ID: I20040225000649 |
| Provider Name | Joseph Anthony Destefano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508841032 PECOS PAC ID: 4688669526 Enrollment ID: I20040419001314 |
| Provider Name | Eduardo C Cabigao |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639124266 PECOS PAC ID: 5698759827 Enrollment ID: I20040615001846 |
| Provider Name | Ayodeji A Oso |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689653461 PECOS PAC ID: 0941284889 Enrollment ID: I20040617000118 |
| Provider Name | Blal Ahmed Zafar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568421386 PECOS PAC ID: 2466437843 Enrollment ID: I20040621000743 |
| Provider Name | Jerry W Bradley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558303644 PECOS PAC ID: 8426035270 Enrollment ID: I20040630000751 |
| Provider Name | Richard L Bremer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245218981 PECOS PAC ID: 4981681418 Enrollment ID: I20040702000274 |
| Provider Name | George Alden Swanson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1538136759 PECOS PAC ID: 8123006202 Enrollment ID: I20040713001629 |
| Provider Name | Mollie J Dodson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760486112 PECOS PAC ID: 6507845740 Enrollment ID: I20040720000422 |
| Provider Name | Brian W Hughes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427036177 PECOS PAC ID: 0143210476 Enrollment ID: I20040807000245 |
| Provider Name | Michael H Helton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376532085 PECOS PAC ID: 6103898051 Enrollment ID: I20040811000094 |
| Provider Name | Thomas P Evans |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841285228 PECOS PAC ID: 5991775512 Enrollment ID: I20040823000216 |
| Provider Name | Daniel R Duzan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518900091 PECOS PAC ID: 7315911351 Enrollment ID: I20040824001392 |
| Provider Name | Randy Scott Lovelace |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1154393619 PECOS PAC ID: 9436124815 Enrollment ID: I20040830000402 |
| Provider Name | Jonathan G Martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881672558 PECOS PAC ID: 9436124625 Enrollment ID: I20040831001147 |
| Provider Name | Connie L Nickelson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841229903 PECOS PAC ID: 1850350042 Enrollment ID: I20041004001085 |
| Provider Name | Jessie Lee Copeland |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164412474 PECOS PAC ID: 7911995428 Enrollment ID: I20041005000406 |
| Provider Name | Frank A Perry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619917879 PECOS PAC ID: 9032178157 Enrollment ID: I20041005000869 |
| Provider Name | Eustacia L Pratt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114977972 PECOS PAC ID: 1052371804 Enrollment ID: I20041015000240 |
| Provider Name | Charles D Ford |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063451672 PECOS PAC ID: 5496735607 Enrollment ID: I20041025000260 |
| Provider Name | Frederick R Yarid |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508865205 PECOS PAC ID: 8820067028 Enrollment ID: I20041028001029 |
| Provider Name | Vinaya S Belagode |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518048172 PECOS PAC ID: 4284698937 Enrollment ID: I20041112001055 |
| Provider Name | Viren J Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891725479 PECOS PAC ID: 4587628359 Enrollment ID: I20041116000024 |
| Provider Name | Adejoke F. Aina-babalola |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669556148 PECOS PAC ID: 8426013376 Enrollment ID: I20041119001020 |
| Provider Name | Thomas R Mitchell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235184300 PECOS PAC ID: 0749246486 Enrollment ID: I20041206000081 |
| Provider Name | Maria Herman Gorrondona |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275578353 PECOS PAC ID: 3173512381 Enrollment ID: I20041215000477 |
| Provider Name | Charles K Galiwango |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417900812 PECOS PAC ID: 1658329248 Enrollment ID: I20050111000171 |
| Provider Name | Roger L Woods |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194809590 PECOS PAC ID: 2062461445 Enrollment ID: I20050113000182 |
| Provider Name | Howard R Brock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215970140 PECOS PAC ID: 7911957063 Enrollment ID: I20050126000563 |
| Provider Name | Ruth A Daniels |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710905989 PECOS PAC ID: 4183674955 Enrollment ID: I20050128000751 |
| Provider Name | Leila K Davis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912947573 PECOS PAC ID: 0840241113 Enrollment ID: I20050203000451 |
| Provider Name | Yekolla M Reddy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386698058 PECOS PAC ID: 2961478441 Enrollment ID: I20050203000709 |
| Provider Name | Ashish K Chakravarthy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275589145 PECOS PAC ID: 5092766014 Enrollment ID: I20050208000342 |
| Provider Name | Arnold D Bridges |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831131887 PECOS PAC ID: 6800848276 Enrollment ID: I20050214000558 |
| Provider Name | Lee Marvin Carter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194774802 PECOS PAC ID: 6901859354 Enrollment ID: I20050224001017 |
| Provider Name | Charles F Barnett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053357673 PECOS PAC ID: 8325091515 Enrollment ID: I20050228000960 |
| Provider Name | Jennifer Lee Mosley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659317691 PECOS PAC ID: 5698729127 Enrollment ID: I20050308000971 |
| Provider Name | Ayca Kabasakal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588697486 PECOS PAC ID: 4385690189 Enrollment ID: I20050324000618 |
| Provider Name | Gina M Defranco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710913090 PECOS PAC ID: 9537101340 Enrollment ID: I20050523000570 |
| Provider Name | Brian C Hofung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174587455 PECOS PAC ID: 5799720389 Enrollment ID: I20050623000833 |
| Provider Name | George Sawabini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922086677 PECOS PAC ID: 3779519244 Enrollment ID: I20050715000399 |
| Provider Name | Vivek K Venkatesh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134128978 PECOS PAC ID: 5890723019 Enrollment ID: I20050729000331 |
| Provider Name | Robert Joel Perkerson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497798680 PECOS PAC ID: 3577592096 Enrollment ID: I20050804001164 |
| Provider Name | Nawras K Baban |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225075021 PECOS PAC ID: 2163451469 Enrollment ID: I20050808000254 |
| Provider Name | Anthony W Garton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790726891 PECOS PAC ID: 1557390861 Enrollment ID: I20050808000308 |
| Provider Name | Irina Schiopescu |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1396795175 PECOS PAC ID: 5294764155 Enrollment ID: I20050810001050 |
| Provider Name | Mark K Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528079969 PECOS PAC ID: 1759311749 Enrollment ID: I20050818001105 |
| Provider Name | Kiran Patibandla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184688590 PECOS PAC ID: 9436181195 Enrollment ID: I20050902000321 |
| Provider Name | Suresh Thota |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962480368 PECOS PAC ID: 1153353545 Enrollment ID: I20050907000312 |
| Provider Name | Syed Farhan M Rizvi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346238961 PECOS PAC ID: 3476586751 Enrollment ID: I20050916000325 |
| Provider Name | Richmond Augustine Akatue |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578530796 PECOS PAC ID: 5698797348 Enrollment ID: I20051222000382 |
| Provider Name | Alvinia C Proffitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376512889 PECOS PAC ID: 6800810565 Enrollment ID: I20060120000283 |
| Provider Name | Naveed H Memon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386609055 PECOS PAC ID: 4688572795 Enrollment ID: I20060503000599 |
| Provider Name | Jeffrey Lee Douglas |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1023055290 PECOS PAC ID: 3678585015 Enrollment ID: I20060629000048 |
| Provider Name | Daniel J Gavin |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1083650105 PECOS PAC ID: 0042223810 Enrollment ID: I20060720000333 |
| Provider Name | Charles J Mascioli |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1891731915 PECOS PAC ID: 8527056720 Enrollment ID: I20060803000407 |
| Provider Name | Osayawe N Odeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245255819 PECOS PAC ID: 5395748883 Enrollment ID: I20060823000446 |
| Provider Name | Robert L Winston |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104890201 PECOS PAC ID: 8123920196 Enrollment ID: I20060912000044 |
| Provider Name | Nesreen H Kaufman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669405759 PECOS PAC ID: 7416952569 Enrollment ID: I20060922000292 |
| Provider Name | Anthony Udokwu Efobi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255300554 PECOS PAC ID: 3971564089 Enrollment ID: I20060927000277 |
| Provider Name | Roger D Criner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962417725 PECOS PAC ID: 1658327713 Enrollment ID: I20061031000039 |
| Provider Name | Naushaba Hasan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942298559 PECOS PAC ID: 1456359306 Enrollment ID: I20061201000242 |
| Provider Name | Phillip Tien Nguyen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568408250 PECOS PAC ID: 9335149764 Enrollment ID: I20070108000419 |
| Provider Name | Stanley C Thompson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740221365 PECOS PAC ID: 8527049485 Enrollment ID: I20070209000616 |
| Provider Name | Corydon Siffring |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891728887 PECOS PAC ID: 7517964398 Enrollment ID: I20070313000136 |
| Provider Name | Mary L Christian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235230871 PECOS PAC ID: 3476656299 Enrollment ID: I20070316000101 |
| Provider Name | Kaushal I Patel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174637318 PECOS PAC ID: 3375577406 Enrollment ID: I20070326000257 |
| Provider Name | Takasha L Stewart-hubbard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467423491 PECOS PAC ID: 3173418043 Enrollment ID: I20070625000755 |
| Provider Name | Brian Keck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912035635 PECOS PAC ID: 3476653957 Enrollment ID: I20070712000652 |
| Provider Name | Mehran Monazam Tavallaee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245437060 PECOS PAC ID: 0648362822 Enrollment ID: I20070817000026 |
| Provider Name | Lisa Marie Coontz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023169836 PECOS PAC ID: 6305938911 Enrollment ID: I20070827000509 |
| Provider Name | Steven T Sheedlo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285788323 PECOS PAC ID: 1557454329 Enrollment ID: I20070910000916 |
| Provider Name | Allen C Smith |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1851398259 PECOS PAC ID: 3375638646 Enrollment ID: I20071001000860 |
| Provider Name | Stephanie A Wilkerson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659567568 PECOS PAC ID: 4688760481 Enrollment ID: I20071009000815 |
| Provider Name | Vincent Morelli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285753293 PECOS PAC ID: 6800848813 Enrollment ID: I20071010000386 |
| Provider Name | Celeste H Stone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750407870 PECOS PAC ID: 9133215544 Enrollment ID: I20071017000249 |
| Provider Name | Hannah E Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962693952 PECOS PAC ID: 2860580404 Enrollment ID: I20071115000585 |
| Provider Name | Stephen Dennis Clark |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275727927 PECOS PAC ID: 5294823613 Enrollment ID: I20071119000659 |
| Provider Name | Bruce E Jacobs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356523310 PECOS PAC ID: 6204913841 Enrollment ID: I20080408000164 |
| Provider Name | Devon D Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952370587 PECOS PAC ID: 9436196094 Enrollment ID: I20080409000494 |
| Provider Name | Martinson Ansah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629033246 PECOS PAC ID: 9234100322 Enrollment ID: I20080508000247 |
| Provider Name | Brian K Collier |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376619726 PECOS PAC ID: 1254229883 Enrollment ID: I20080508000474 |
| Provider Name | Kim M Baker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205897428 PECOS PAC ID: 9739070657 Enrollment ID: I20080613000349 |
| Provider Name | Martina I Okwueze |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1770624108 PECOS PAC ID: 9234204181 Enrollment ID: I20080812000797 |
| Provider Name | Jayashree R Nathan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003071333 PECOS PAC ID: 4981770757 Enrollment ID: I20080902000013 |
| Provider Name | Retty Rachel Thomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861560492 PECOS PAC ID: 1052374212 Enrollment ID: I20080902000155 |
| Provider Name | Olumuyiwa A Esuruoso |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770774754 PECOS PAC ID: 0143305565 Enrollment ID: I20080912000504 |
| Provider Name | Koovapudi Jayaram Shankar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548296429 PECOS PAC ID: 0941270953 Enrollment ID: I20081001000171 |
| Provider Name | Kristine J Dyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891944765 PECOS PAC ID: 1557424231 Enrollment ID: I20090106000719 |
| Provider Name | Mark T Weaver |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508968926 PECOS PAC ID: 1153351002 Enrollment ID: I20090407000584 |
| Provider Name | Jill B Robinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689625576 PECOS PAC ID: 4688723844 Enrollment ID: I20090518000298 |
| Provider Name | Eric M Weaver |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265621544 PECOS PAC ID: 2365517778 Enrollment ID: I20090608000169 |
| Provider Name | Steven Pribanich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912918343 PECOS PAC ID: 3375632961 Enrollment ID: I20090622000702 |
| Provider Name | Nader S Bahri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588899082 PECOS PAC ID: 4789736760 Enrollment ID: I20090722000506 |
| Provider Name | Obaidur Rahman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295990596 PECOS PAC ID: 5193878726 Enrollment ID: I20090729000977 |
| Provider Name | Edgar Diaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598912701 PECOS PAC ID: 4880747856 Enrollment ID: I20090810000162 |
| Provider Name | Ryan Conway Wassenaar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457516288 PECOS PAC ID: 0749334357 Enrollment ID: I20090817000576 |
| Provider Name | April D Ebersole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447245956 PECOS PAC ID: 9234283466 Enrollment ID: I20090821000357 |
| Provider Name | Shirley R Robbins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114251790 PECOS PAC ID: 6608915319 Enrollment ID: I20091209000068 |
| Provider Name | Monico Banez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962479451 PECOS PAC ID: 6406996008 Enrollment ID: I20091211000468 |
| Provider Name | Dean A Rose |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073521399 PECOS PAC ID: 4981693868 Enrollment ID: I20091211000604 |
| Provider Name | John D D Lugos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023269362 PECOS PAC ID: 7315089505 Enrollment ID: I20100127000041 |
| Provider Name | David C Jerden |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255376513 PECOS PAC ID: 1658459656 Enrollment ID: I20100222000648 |
| Provider Name | Jesse T Doers |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1467498097 PECOS PAC ID: 0840378832 Enrollment ID: I20100223000093 |
| Provider Name | Michael D Brunson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1679500102 PECOS PAC ID: 2961580006 Enrollment ID: I20100223000173 |
| Provider Name | Shannon L Byrd |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1265477400 PECOS PAC ID: 9133207277 Enrollment ID: I20100224000417 |
| Provider Name | Eric R Telfer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730156423 PECOS PAC ID: 9234135047 Enrollment ID: I20100506000027 |
| Provider Name | John William Swisher |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1083609564 PECOS PAC ID: 8527196690 Enrollment ID: I20100524000537 |
| Provider Name | Dawn M Barlow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174644538 PECOS PAC ID: 1052441615 Enrollment ID: I20100609000351 |
| Provider Name | Steven G Flatt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831199223 PECOS PAC ID: 6406927904 Enrollment ID: I20100706000480 |
| Provider Name | Sarah Honaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053631713 PECOS PAC ID: 7012109226 Enrollment ID: I20101006000814 |
| Provider Name | Regina J Fields |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871784777 PECOS PAC ID: 6800089525 Enrollment ID: I20101026000388 |
| Provider Name | Fatimah Bacha Syed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750524260 PECOS PAC ID: 5799972766 Enrollment ID: I20101203000498 |
| Provider Name | Cesar Y Cardona |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1578728283 PECOS PAC ID: 3779763115 Enrollment ID: I20110202000467 |
| Provider Name | John Calvin Horner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760414635 PECOS PAC ID: 5890975619 Enrollment ID: I20110211000277 |
| Provider Name | John M Daniel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013987023 PECOS PAC ID: 5991718983 Enrollment ID: I20110519000035 |
| Provider Name | Katherine M Gilliland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972892354 PECOS PAC ID: 0446437545 Enrollment ID: I20110526000391 |
| Provider Name | Rachael Mckinney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790079614 PECOS PAC ID: 1456529361 Enrollment ID: I20110720000550 |
| Provider Name | Kellie A Taylor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134389497 PECOS PAC ID: 3678743994 Enrollment ID: I20110824000378 |
| Provider Name | Brandon Lee Maroney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366726812 PECOS PAC ID: 8123291820 Enrollment ID: I20111025000282 |
| Provider Name | Al-muntaser Abu Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891978235 PECOS PAC ID: 0840465399 Enrollment ID: I20111212000254 |
| Provider Name | William A Edwards |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326052408 PECOS PAC ID: 8628253010 Enrollment ID: I20120320000580 |
| Provider Name | Cynthia G Meadows |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003172040 PECOS PAC ID: 9830353374 Enrollment ID: I20120612000614 |
| Provider Name | Justin Anwar Hoque |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962736207 PECOS PAC ID: 2668638826 Enrollment ID: I20120717000168 |
| Provider Name | Selorm A Adzokpa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508002015 PECOS PAC ID: 4183880214 Enrollment ID: I20120718000296 |
| Provider Name | Ayuk Eric Tabi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851692404 PECOS PAC ID: 3375790272 Enrollment ID: I20120829000027 |
| Provider Name | Flavius Dragila |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619107216 PECOS PAC ID: 7911155338 Enrollment ID: I20120910000485 |
| Provider Name | Taopheeq A Mustapha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184949752 PECOS PAC ID: 0244489227 Enrollment ID: I20121008000291 |
| Provider Name | Samuel T Harris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821253899 PECOS PAC ID: 8022288968 Enrollment ID: I20121030000408 |
| Provider Name | Theresa Lynn Adkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538406517 PECOS PAC ID: 2264677194 Enrollment ID: I20130326000268 |
| Provider Name | Lisa Trabucco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013254762 PECOS PAC ID: 8325284128 Enrollment ID: I20130424000339 |
| Provider Name | Daniel F Niendorff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700968732 PECOS PAC ID: 8426033705 Enrollment ID: I20130424000880 |
| Provider Name | Nicole Paulson Shields |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992979454 PECOS PAC ID: 2062680499 Enrollment ID: I20130711000658 |
| Provider Name | Eltanya A Patterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942474721 PECOS PAC ID: 4183756208 Enrollment ID: I20130715000445 |
| Provider Name | Owaisur Rahman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992016364 PECOS PAC ID: 2668612664 Enrollment ID: I20130716000689 |
| Provider Name | Idowu 0saretin Uzzi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902118623 PECOS PAC ID: 4183865611 Enrollment ID: I20130726000128 |
| Provider Name | Chimalum Okafor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982916763 PECOS PAC ID: 3476795410 Enrollment ID: I20130805000205 |
| Provider Name | Richard Enoch Treadway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013355379 PECOS PAC ID: 0941443741 Enrollment ID: I20130827000197 |
| Provider Name | Gina Smith Mcneer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457790719 PECOS PAC ID: 1456594787 Enrollment ID: I20130905000238 |
| Provider Name | Amish V Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437470051 PECOS PAC ID: 3274776406 Enrollment ID: I20130906000629 |
| Provider Name | Jason H Horinouchi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528379435 PECOS PAC ID: 8729221916 Enrollment ID: I20130909000525 |
| Provider Name | Oluwaseyi D Adejorin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770895252 PECOS PAC ID: 9638312820 Enrollment ID: I20130909000527 |
| Provider Name | Elliott J Vizel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649254772 PECOS PAC ID: 7113196262 Enrollment ID: I20131001000151 |
| Provider Name | Louise A Hawkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952744286 PECOS PAC ID: 4183851173 Enrollment ID: I20131219000747 |
| Provider Name | Mary Haven Merkle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164406732 PECOS PAC ID: 3476557232 Enrollment ID: I20140415002297 |
| Provider Name | Steven R Mead |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427473792 PECOS PAC ID: 1153545579 Enrollment ID: I20140604002396 |
| Provider Name | John M Lewis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336432798 PECOS PAC ID: 8729224431 Enrollment ID: I20140626000385 |
| Provider Name | Corey Cudzilo |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1003012022 PECOS PAC ID: 5092946087 Enrollment ID: I20140626002201 |
| Provider Name | Schuyler K Geller |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1972653152 PECOS PAC ID: 9234363466 Enrollment ID: I20140710001251 |
| Provider Name | Nancy G Michaelis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467452425 PECOS PAC ID: 0840102489 Enrollment ID: I20140725001802 |
| Provider Name | Naveed Sheikh |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1477794873 PECOS PAC ID: 5294885091 Enrollment ID: I20140805000668 |
| Provider Name | Celeste Harnden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316235997 PECOS PAC ID: 5092957712 Enrollment ID: I20140919001898 |
| Provider Name | Misty Mccray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871909507 PECOS PAC ID: 1850511098 Enrollment ID: I20141009002465 |
| Provider Name | Jamie D Rich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295728624 PECOS PAC ID: 9133012313 Enrollment ID: I20141022001757 |
| Provider Name | Schola Nwachukwu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548555782 PECOS PAC ID: 0244552537 Enrollment ID: I20141126000992 |
| Provider Name | Ami M Goins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194126870 PECOS PAC ID: 5092038638 Enrollment ID: I20150106001587 |
| Provider Name | Jessica B Whaley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093116741 PECOS PAC ID: 6406171883 Enrollment ID: I20150205001228 |
| Provider Name | Hawkins Uweh Bassey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629362132 PECOS PAC ID: 3779703707 Enrollment ID: I20150217000869 |
| Provider Name | Seger Stacy Morris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487918900 PECOS PAC ID: 8022334861 Enrollment ID: I20150313000456 |
| Provider Name | Madan Koppolu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700033032 PECOS PAC ID: 6305017385 Enrollment ID: I20150313000850 |
| Provider Name | Abimbola A Shofu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861788432 PECOS PAC ID: 7618293473 Enrollment ID: I20150313001455 |
| Provider Name | Olukayode A Bamgbelu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164677845 PECOS PAC ID: 1557496965 Enrollment ID: I20150408001160 |
| Provider Name | Bruce E Saylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528459682 PECOS PAC ID: 1052639663 Enrollment ID: I20150410001929 |
| Provider Name | Margaret M Cook |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417124371 PECOS PAC ID: 3577617596 Enrollment ID: I20150410002345 |
| Provider Name | Brian C Reed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538432190 PECOS PAC ID: 2163664699 Enrollment ID: I20150427001776 |
| Provider Name | Sarah K Minor |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215991435 PECOS PAC ID: 5496724197 Enrollment ID: I20150603001955 |
| Provider Name | Baron V Herford |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710203955 PECOS PAC ID: 5991838609 Enrollment ID: I20150701002701 |
| Provider Name | Katina Wier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285015446 PECOS PAC ID: 4385958750 Enrollment ID: I20150729007883 |
| Provider Name | Belinda K Jenkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013331024 PECOS PAC ID: 4981835659 Enrollment ID: I20150729008779 |
| Provider Name | Calvin Miles Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366736845 PECOS PAC ID: 1850605080 Enrollment ID: I20150801017321 |
| Provider Name | Jamii Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275888992 PECOS PAC ID: 2365756087 Enrollment ID: I20150807014588 |
| Provider Name | Adu Manu Boachie |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255691978 PECOS PAC ID: 7719293513 Enrollment ID: I20150824001925 |
| Provider Name | Charles Aaron Romans |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356690002 PECOS PAC ID: 2567778319 Enrollment ID: I20150825004000 |
| Provider Name | Tunde O Omitogun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386903037 PECOS PAC ID: 0648586842 Enrollment ID: I20150902002947 |
| Provider Name | Loraine Ogbenyealu Achebe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073807582 PECOS PAC ID: 6507172434 Enrollment ID: I20150908002418 |
| Provider Name | Elizabeth Jenkins Dabbs |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528296605 PECOS PAC ID: 8022271162 Enrollment ID: I20150911000704 |
| Provider Name | Lorrie Suzanne Tate |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073890422 PECOS PAC ID: 5395912026 Enrollment ID: I20150919000085 |
| Provider Name | Christina P Stiles |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750679908 PECOS PAC ID: 0042463184 Enrollment ID: I20150921000721 |
| Provider Name | Izuchukwu Iwueke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568717734 PECOS PAC ID: 2567779614 Enrollment ID: I20150922001569 |
| Provider Name | Paula A Shelton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396004149 PECOS PAC ID: 5496064578 Enrollment ID: I20151013001137 |
| Provider Name | Tabetha Ann Sparks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619302858 PECOS PAC ID: 5597074468 Enrollment ID: I20151014003428 |
| Provider Name | Brian Burnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326418807 PECOS PAC ID: 3476862277 Enrollment ID: I20151019000294 |
| Provider Name | Allison G Yow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124289731 PECOS PAC ID: 0345496089 Enrollment ID: I20151020001790 |
| Provider Name | Kristin Graciana Cardona |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659664829 PECOS PAC ID: 6103050521 Enrollment ID: I20151021002669 |
| Provider Name | Ihunanya Chinonyerem Mbata |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740556406 PECOS PAC ID: 4284851205 Enrollment ID: I20151022001917 |
| Provider Name | Nitara D Carswell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194084822 PECOS PAC ID: 5890005110 Enrollment ID: I20151117000086 |
| Provider Name | Martin E Litman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689938052 PECOS PAC ID: 2769782309 Enrollment ID: I20151203001366 |
| Provider Name | Robert Knizley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952501983 PECOS PAC ID: 8820142763 Enrollment ID: I20151216000691 |
| Provider Name | Emem B Udo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801073465 PECOS PAC ID: 0749476299 Enrollment ID: I20151221002064 |
| Provider Name | Bryon Scott Cook |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770841546 PECOS PAC ID: 0840591509 Enrollment ID: I20151222001669 |
| Provider Name | Olabisi Akanbi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396004099 PECOS PAC ID: 1951604446 Enrollment ID: I20160115001027 |
| Provider Name | Moses Osoro |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316239957 PECOS PAC ID: 0547402042 Enrollment ID: I20160120001930 |
| Provider Name | Mark A Murray |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588639421 PECOS PAC ID: 5395646012 Enrollment ID: I20160125001054 |
| Provider Name | Mona Tomescu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588697288 PECOS PAC ID: 9436157377 Enrollment ID: I20160129001881 |
| Provider Name | Chennakesava Reddy Kummathi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780949768 PECOS PAC ID: 0042516999 Enrollment ID: I20160302002715 |
| Provider Name | Thomas W Robbins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942598305 PECOS PAC ID: 6901022037 Enrollment ID: I20160331001602 |
| Provider Name | Amy Welch |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1740218031 PECOS PAC ID: 1052392743 Enrollment ID: I20160712002378 |
| Provider Name | Philippe Leveille |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609195924 PECOS PAC ID: 7012143639 Enrollment ID: I20160726002393 |
| Provider Name | Oluchukwu Evaristus Oluoha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760822449 PECOS PAC ID: 4981900925 Enrollment ID: I20160810000452 |
| Provider Name | Iffat Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891132767 PECOS PAC ID: 6901190065 Enrollment ID: I20160811002419 |
| Provider Name | Tiffany Renee Franklin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073958013 PECOS PAC ID: 8921248469 Enrollment ID: I20160816000663 |
| Provider Name | Souleymane Yaya Diallo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831534072 PECOS PAC ID: 0547550626 Enrollment ID: I20160816000894 |
| Provider Name | Raghu Mallapura Purushothama Reddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205124468 PECOS PAC ID: 5496049371 Enrollment ID: I20160816001556 |
| Provider Name | Demareo Webb |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588003479 PECOS PAC ID: 6800181801 Enrollment ID: I20160829002475 |
| Provider Name | Everald Uriah Walker |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922444363 PECOS PAC ID: 5991933327 Enrollment ID: I20160907001237 |
| Provider Name | Julius Cronin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487097028 PECOS PAC ID: 1254579949 Enrollment ID: I20160907001247 |
| Provider Name | Joshua A Barnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053762732 PECOS PAC ID: 1254628118 Enrollment ID: I20160921001645 |
| Provider Name | Barima Poku |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750728143 PECOS PAC ID: 1456648880 Enrollment ID: I20160928000857 |
| Provider Name | Kevin T Morris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326380163 PECOS PAC ID: 8729375100 Enrollment ID: I20160928002617 |
| Provider Name | Neena Stephanie Agrawal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659717148 PECOS PAC ID: 4688818370 Enrollment ID: I20161005003000 |
| Provider Name | Susan L Carter |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326381856 PECOS PAC ID: 2466741723 Enrollment ID: I20161012002114 |
| Provider Name | Antoinette Boameh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194157610 PECOS PAC ID: 3678861135 Enrollment ID: I20161017000658 |
| Provider Name | Sonya Alethea Moneque Reid |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1457795239 PECOS PAC ID: 6103104542 Enrollment ID: I20161104001987 |
| Provider Name | Ebenezer Ofori Appah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730525213 PECOS PAC ID: 4688955578 Enrollment ID: I20170109001515 |
| Provider Name | David M Flatt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972867422 PECOS PAC ID: 1951683101 Enrollment ID: I20170123002322 |
| Provider Name | Robert Wyatt Love |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396992137 PECOS PAC ID: 8123285491 Enrollment ID: I20170131000270 |
| Provider Name | Ginger Dawn Hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063957843 PECOS PAC ID: 5395028393 Enrollment ID: I20170217001702 |
| Provider Name | Amy Nicole Lipe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396285995 PECOS PAC ID: 1254616410 Enrollment ID: I20170330001653 |
| Provider Name | Jena S Hedgecoth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609318682 PECOS PAC ID: 2961788120 Enrollment ID: I20170425000364 |
| Provider Name | Michael Franklin Hance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326585332 PECOS PAC ID: 5092092924 Enrollment ID: I20170503000089 |
| Provider Name | Joseph Messina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629034020 PECOS PAC ID: 6002893468 Enrollment ID: I20170612001181 |
| Provider Name | Christopher M Knight |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790102069 PECOS PAC ID: 5698994150 Enrollment ID: I20170629003015 |
| Provider Name | Brijal P Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043598063 PECOS PAC ID: 0042439259 Enrollment ID: I20170724001673 |
| Provider Name | Daniel Bruce Hammer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245645779 PECOS PAC ID: 7618267774 Enrollment ID: I20170814001608 |
| Provider Name | Ashish Ramesh Thakkar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538456124 PECOS PAC ID: 3274758263 Enrollment ID: I20170816003418 |
| Provider Name | Jaime Claudette Holbert |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1487064283 PECOS PAC ID: 5395030027 Enrollment ID: I20170823001467 |
| Provider Name | John Busigin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841606456 PECOS PAC ID: 1759684566 Enrollment ID: I20170830000377 |
| Provider Name | Danielle Judith Darter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184605065 PECOS PAC ID: 8628039583 Enrollment ID: I20170911003084 |
| Provider Name | Sarah M Knifley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447663703 PECOS PAC ID: 3375816374 Enrollment ID: I20170913000468 |
| Provider Name | Heather L Perry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316364680 PECOS PAC ID: 5395964837 Enrollment ID: I20171004003226 |
| Provider Name | Paul H Swafford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689086407 PECOS PAC ID: 8022316678 Enrollment ID: I20171013000350 |
| Provider Name | Helio J Rodrigues |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821416108 PECOS PAC ID: 2163788290 Enrollment ID: I20171107000206 |
| Provider Name | Michael David Corvini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396770699 PECOS PAC ID: 0446256150 Enrollment ID: I20171122000068 |
| Provider Name | Bonita Marie Lawson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780103564 PECOS PAC ID: 5496013518 Enrollment ID: I20171219002590 |
| Provider Name | Otis Campbell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467510693 PECOS PAC ID: 2668368366 Enrollment ID: I20180510000747 |
| Provider Name | Mosunmola Ademosu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003234006 PECOS PAC ID: 1759654379 Enrollment ID: I20180612001202 |
| Provider Name | John Patrick Peters |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275765950 PECOS PAC ID: 8325296361 Enrollment ID: I20180626003384 |
| Provider Name | Rakeshkumar Jayantilal Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710343116 PECOS PAC ID: 6507114428 Enrollment ID: I20180808002280 |
| Provider Name | Elena Lustana Cravens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134549157 PECOS PAC ID: 4082921796 Enrollment ID: I20180813000649 |
| Provider Name | Daniel A Poor |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316352099 PECOS PAC ID: 3375892151 Enrollment ID: I20180828002405 |
| Provider Name | Syed Nabi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730262429 PECOS PAC ID: 7618950890 Enrollment ID: I20180829001333 |
| Provider Name | Parshva Rajniknat Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669853123 PECOS PAC ID: 9133405632 Enrollment ID: I20180921000571 |
| Provider Name | Rasmi S Ajit |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003202540 PECOS PAC ID: 8325399702 Enrollment ID: I20180924003723 |
| Provider Name | Lesley Jackson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851771927 PECOS PAC ID: 8921394743 Enrollment ID: I20181004002375 |
| Provider Name | Katy E Coursey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265825244 PECOS PAC ID: 0042520801 Enrollment ID: I20181025001989 |
| Provider Name | Meikel P Major |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730317975 PECOS PAC ID: 3274777230 Enrollment ID: I20181105002685 |
| Provider Name | Justin R Turner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235670647 PECOS PAC ID: 2365712627 Enrollment ID: I20181220002834 |
| Provider Name | Amanda N Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114440856 PECOS PAC ID: 3678819463 Enrollment ID: I20190116000501 |
| Provider Name | Omolola Ajoke Omotoso |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154514529 PECOS PAC ID: 4183781420 Enrollment ID: I20190606001791 |
| Provider Name | Juan C Conde San Miguel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407238900 PECOS PAC ID: 7517290059 Enrollment ID: I20190614001557 |
| Provider Name | Sunday Ogunde |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1215250295 PECOS PAC ID: 2264749761 Enrollment ID: I20190628002853 |
| Provider Name | Matthew A Allison |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245680933 PECOS PAC ID: 2769778224 Enrollment ID: I20190719002039 |
| Provider Name | Lisa N Ochoa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831541002 PECOS PAC ID: 2567756729 Enrollment ID: I20190802002550 |
| Provider Name | Sandy Henin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689055808 PECOS PAC ID: 8426348160 Enrollment ID: I20190809001048 |
| Provider Name | Burton C West |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801874557 PECOS PAC ID: 8123059318 Enrollment ID: I20190912000395 |
| Provider Name | Stephen A Avera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174986293 PECOS PAC ID: 4789913971 Enrollment ID: I20190913000534 |
| Provider Name | Heather L Stooksbury |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518346402 PECOS PAC ID: 2567767973 Enrollment ID: I20191010001998 |
| Provider Name | Ifeoma Ogbuka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205288313 PECOS PAC ID: 9739454224 Enrollment ID: I20191022000623 |
| Provider Name | Ryan C Mann |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114056652 PECOS PAC ID: 3971796236 Enrollment ID: I20191025001365 |
| Provider Name | Dojendra Karkee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477917508 PECOS PAC ID: 3870926058 Enrollment ID: I20191202000501 |
| Provider Name | Sharad Prabhakant Mani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285059048 PECOS PAC ID: 2365740099 Enrollment ID: I20191211002975 |
| Provider Name | Heran Mengesha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295198349 PECOS PAC ID: 3678906203 Enrollment ID: I20191211003336 |
| Provider Name | Titilope Oluwabusuyi Olanipekun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447605167 PECOS PAC ID: 6305111899 Enrollment ID: I20191228000204 |
| Provider Name | Trish Hurst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831748789 PECOS PAC ID: 7416382445 Enrollment ID: I20200121000250 |
| Provider Name | Emily Nicole Lynch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326498650 PECOS PAC ID: 1951662006 Enrollment ID: I20200122002992 |
| Provider Name | Spencer Austin Pugh |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1003294992 PECOS PAC ID: 7618262593 Enrollment ID: I20200227001700 |
| Provider Name | Jennifer Renee Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174153555 PECOS PAC ID: 8224469648 Enrollment ID: I20200518003187 |
| Provider Name | Ediom Ogah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881702900 PECOS PAC ID: 6305831629 Enrollment ID: I20200521003135 |
| Provider Name | Ryan Dorman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144753765 PECOS PAC ID: 9335415249 Enrollment ID: I20200626001053 |
| Provider Name | Andrew B Elliott |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568878510 PECOS PAC ID: 8527333681 Enrollment ID: I20200717002152 |
| Provider Name | Hillary Howell Ward |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285082412 PECOS PAC ID: 0749571248 Enrollment ID: I20200814000423 |
| Provider Name | Alvina D Novoa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407389083 PECOS PAC ID: 1153672423 Enrollment ID: I20200818000827 |
| Provider Name | Seth Patrick Hayes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316441983 PECOS PAC ID: 7214287986 Enrollment ID: I20200923000819 |
| Provider Name | Marie Fouad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497103055 PECOS PAC ID: 1355635541 Enrollment ID: I20201002000410 |
| Provider Name | Lisa Mea Ashe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033364708 PECOS PAC ID: 3274790217 Enrollment ID: I20201211002404 |
| Provider Name | Obinna Ibe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093179111 PECOS PAC ID: 1052656006 Enrollment ID: I20210211000610 |
| Provider Name | Stephen Michael Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912437120 PECOS PAC ID: 4385971407 Enrollment ID: I20210305000642 |
| Provider Name | Richard Offei Addo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639139413 PECOS PAC ID: 9032193065 Enrollment ID: I20210309000792 |
| Provider Name | Iliya A Udler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447662861 PECOS PAC ID: 4789962283 Enrollment ID: I20210420001754 |
| Provider Name | Aung Kyaw Min Lal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467686386 PECOS PAC ID: 1557512803 Enrollment ID: I20210429001741 |
| Provider Name | Austin W Gillogly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336601772 PECOS PAC ID: 3375879638 Enrollment ID: I20210517002511 |
| Provider Name | Daniel C Miller |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609083492 PECOS PAC ID: 8729116843 Enrollment ID: I20210713002662 |
| Provider Name | Lance A Swinney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427554039 PECOS PAC ID: 4880928985 Enrollment ID: I20210816002742 |
| Provider Name | Aniqa Faraz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588150619 PECOS PAC ID: 4284972845 Enrollment ID: I20210816003567 |
| Provider Name | William Merrick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497231054 PECOS PAC ID: 9032514567 Enrollment ID: I20210823000743 |
| Provider Name | Jefferson P Gillum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891290656 PECOS PAC ID: 7517295637 Enrollment ID: I20210825002553 |
| Provider Name | Justin Edward Humphrey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285128660 PECOS PAC ID: 1557609971 Enrollment ID: I20210901003364 |
| Provider Name | Asif Masood |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194715656 PECOS PAC ID: 2264497106 Enrollment ID: I20211020003129 |
| Provider Name | Jamal Stephon Lattimore |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366949786 PECOS PAC ID: 6002204658 Enrollment ID: I20211101001031 |
| Provider Name | Glynn Alan Riels |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811525017 PECOS PAC ID: 6103249784 Enrollment ID: I20211206002648 |
| Provider Name | Srinithya Mallela |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386170892 PECOS PAC ID: 4183042260 Enrollment ID: I20211222001036 |
| Provider Name | Arundhuti Banerjee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740596493 PECOS PAC ID: 0244473445 Enrollment ID: I20220118000383 |
| Provider Name | Caitlyn R Trostel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346878568 PECOS PAC ID: 1153745674 Enrollment ID: I20220411002047 |
| Provider Name | Jonathan A Aristorenas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851929038 PECOS PAC ID: 9537583893 Enrollment ID: I20220420002671 |
| Provider Name | Aranyak Shailesh Rawal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902283476 PECOS PAC ID: 2860791316 Enrollment ID: I20220601001073 |
| Provider Name | Carl Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891456208 PECOS PAC ID: 2668851056 Enrollment ID: I20220615000406 |
| Provider Name | Oghenevwairhe Oyewole |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629569850 PECOS PAC ID: 2860894987 Enrollment ID: I20220628001801 |
| Provider Name | Samuel R Mowery |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679034359 PECOS PAC ID: 6204167448 Enrollment ID: I20220629002848 |
| Provider Name | Edgar Alberto Trevino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033370176 PECOS PAC ID: 4385700434 Enrollment ID: I20220816003300 |
| Provider Name | Khalid M Khan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326653270 PECOS PAC ID: 5092123588 Enrollment ID: I20220824001106 |
| Provider Name | Corey Matthew Helton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376003392 PECOS PAC ID: 5092104570 Enrollment ID: I20221205002519 |
| Provider Name | Patrick Earl Ball |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265884696 PECOS PAC ID: 3577821354 Enrollment ID: I20221212000994 |
| Provider Name | Andrew Tiler Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275119190 PECOS PAC ID: 6507265659 Enrollment ID: I20221214002096 |
| Provider Name | Nathan Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104483692 PECOS PAC ID: 7416348032 Enrollment ID: I20230110000842 |
| Provider Name | Oluwakemi Fagbami |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609005453 PECOS PAC ID: 6002063294 Enrollment ID: I20230123000442 |
| Provider Name | James E Abernathy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427146539 PECOS PAC ID: 5799888715 Enrollment ID: I20230124002421 |
| Provider Name | Ashley Menne |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1740500081 PECOS PAC ID: 0941509889 Enrollment ID: I20230131000833 |
| Provider Name | Christopher J Bauer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679101869 PECOS PAC ID: 4880017466 Enrollment ID: I20230511000144 |
| Provider Name | Laura Furnish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710210984 PECOS PAC ID: 1850431784 Enrollment ID: I20230524002277 |
| Provider Name | Nicholas Kevin Batchelor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831266956 PECOS PAC ID: 5597996942 Enrollment ID: I20230719001382 |
| Provider Name | Thomas Sanders |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790313906 PECOS PAC ID: 5496179764 Enrollment ID: I20230918000786 |
| Provider Name | Omar Ihtashamuddin Mohammed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194388710 PECOS PAC ID: 7315320132 Enrollment ID: I20230927003099 |
| Provider Name | Ahad Azeem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184165318 PECOS PAC ID: 0547504870 Enrollment ID: I20230927004180 |
| Provider Name | Joseph A Mansour |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083970016 PECOS PAC ID: 6709038268 Enrollment ID: I20231009001847 |
| Provider Name | Muhammad Usman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841813383 PECOS PAC ID: 8729448410 Enrollment ID: I20231011002410 |
| Provider Name | Hiteshwar Singh Mangat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497374276 PECOS PAC ID: 2668827361 Enrollment ID: I20231016002961 |
| Provider Name | Aathi Lakshmi Mariappan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023635224 PECOS PAC ID: 4789030628 Enrollment ID: I20231027002803 |
| Provider Name | William Franklin Pierce |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306473723 PECOS PAC ID: 8729474184 Enrollment ID: I20231101000607 |
| Provider Name | Hoda Nazari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184185050 PECOS PAC ID: 5799151718 Enrollment ID: I20231207001402 |
| Provider Name | Amy Frances Keys |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700494986 PECOS PAC ID: 6507217239 Enrollment ID: I20240108000869 |
| Provider Name | Kristi M Barrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568188738 PECOS PAC ID: 4981045275 Enrollment ID: I20240517001565 |
Sheikh Rahman, M.d Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 276 Bielby Rd, Lawrenceburg, IN 47025 Phone: 812-537-0344 Fax: 812-537-5027 | |
Trihealth Physicians Of Indiana Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 98 Elm St, Suite 310, Lawrenceburg, IN 47025 Phone: 812-537-5558 Fax: 812-537-1657 | |
Beacon Orthopaedics & Sports Medicine, Ltd Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 605 Wilson Creek Rd, Lawrenceburg, IN 47025 Phone: 513-354-3700 | |
Spark Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 323 Walnut St Ste A, Lawrenceburg, IN 47025 Phone: 419-233-3061 | |
Partners In Health, P.s.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 98 Elm St, Suite 400, Lawrenceburg, IN 47025 Phone: 812-537-4999 Fax: 812-537-5710 | |
Trihealth Physicians Of Indiana, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 Wilson Creek Rd, Lawrenceburg, IN 47025 Phone: 513-569-6117 | |
Middletown Chiropractic Clinic, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 23998 State Line Rd, Lawrenceburg, IN 47025 Phone: 812-656-8300 |