| Hshs Medical Group Inc | |
|
3051 Hollis Dr Springfield IL 62704-7450 | |
| (217) 523-5406 | |
| (217) 492-9643 |
| Full Name | Hshs Medical Group Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3051 Hollis Dr, Springfield, Illinois |
| Authorized Official Name and Position | Andrew Watson (CFO) |
| Authorized Official Contact | 2174925806 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hshs Medical Group Inc 3051 Hollis Dr Springfield IL 62704-7450 Ph: (217) 523-5406 | Hshs Medical Group Inc 3051 Hollis Dr Springfield IL 62704-7450 Ph: (217) 523-5406 |
| NPI Number | 1962644807 |
|---|---|
| Provider Enumeration Date | 03/24/2009 |
| Last Update Date | 08/17/2022 |
| Medicare PECOS PAC ID | 5092857821 |
|---|---|
| Medicare Enrollment ID | O20100116000275 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962644807 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Giovanni Salerno |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942242698 PECOS PAC ID: 8325947237 Enrollment ID: I20040108000654 |
| Provider Name | Marina K Russo |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1174510978 PECOS PAC ID: 9830089556 Enrollment ID: I20040317000621 |
| Provider Name | Bertha M Doss |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386701795 PECOS PAC ID: 8820980527 Enrollment ID: I20040326001330 |
| Provider Name | Dorrie C Tredway |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891787040 PECOS PAC ID: 8628960259 Enrollment ID: I20040327000095 |
| Provider Name | Paul G Malcharek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891781951 PECOS PAC ID: 4587640263 Enrollment ID: I20040624001142 |
| Provider Name | Lowell G Sensintaffar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487649067 PECOS PAC ID: 4789650342 Enrollment ID: I20040903000971 |
| Provider Name | Alfred H Harney |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1972512374 PECOS PAC ID: 8022095405 Enrollment ID: I20040909000699 |
| Provider Name | Steven David Morton |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1891768859 PECOS PAC ID: 6204895501 Enrollment ID: I20041004000335 |
| Provider Name | Donald A Weimer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1932152980 PECOS PAC ID: 2365404555 Enrollment ID: I20041030000040 |
| Provider Name | Ramanathapur K Natesh |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427037043 PECOS PAC ID: 5092772731 Enrollment ID: I20041215000135 |
| Provider Name | Sidney P Rohrscheib |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1073580122 PECOS PAC ID: 7810954245 Enrollment ID: I20041216000657 |
| Provider Name | Howard B Chodash |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1295720027 PECOS PAC ID: 2163471848 Enrollment ID: I20050120000185 |
| Provider Name | Adrienne L Jarrell |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1659512424 PECOS PAC ID: 9133170467 Enrollment ID: I20050203000792 |
| Provider Name | Richard K Delvalle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932290384 PECOS PAC ID: 8527011576 Enrollment ID: I20050302000182 |
| Provider Name | Manjeshwar B Prabhu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770683450 PECOS PAC ID: 4183677156 Enrollment ID: I20050302000344 |
| Provider Name | Naeemuddin Jatoi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922070333 PECOS PAC ID: 2567408602 Enrollment ID: I20050629000658 |
| Provider Name | Khondker Islam |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1568441855 PECOS PAC ID: 7315977188 Enrollment ID: I20050822000453 |
| Provider Name | Arnel A Garcia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912973900 PECOS PAC ID: 9537193792 Enrollment ID: I20050927000263 |
| Provider Name | Keith L Fabrique |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225196710 PECOS PAC ID: 7517988405 Enrollment ID: I20051207000435 |
| Provider Name | Helen B Kennedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538248786 PECOS PAC ID: 5890719595 Enrollment ID: I20060120000621 |
| Provider Name | Winston J Townsend |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003889411 PECOS PAC ID: 0042227662 Enrollment ID: I20060307000516 |
| Provider Name | Robert W Frost |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568449098 PECOS PAC ID: 4082621966 Enrollment ID: I20060317000305 |
| Provider Name | Janet L Alvarado |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336114818 PECOS PAC ID: 8921018557 Enrollment ID: I20060427000130 |
| Provider Name | Mary E Ely |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225074495 PECOS PAC ID: 6709896954 Enrollment ID: I20060502000657 |
| Provider Name | Peter S Kim |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1942250030 PECOS PAC ID: 9739192808 Enrollment ID: I20060714000073 |
| Provider Name | Nell Ann Schmits Hennon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992739221 PECOS PAC ID: 8527064906 Enrollment ID: I20061006000322 |
| Provider Name | Kelly N Jones |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417057779 PECOS PAC ID: 7810994563 Enrollment ID: I20061023000362 |
| Provider Name | Ahmed Radwan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376575126 PECOS PAC ID: 0547268476 Enrollment ID: I20061201000037 |
| Provider Name | James Leon Jablonski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194712513 PECOS PAC ID: 5597764456 Enrollment ID: I20061204000479 |
| Provider Name | Wendi L Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366554305 PECOS PAC ID: 5698774495 Enrollment ID: I20061205000212 |
| Provider Name | David Oligschlaeger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851383418 PECOS PAC ID: 1557270329 Enrollment ID: I20061213000373 |
| Provider Name | Valerie S Thompson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508954926 PECOS PAC ID: 6103928528 Enrollment ID: I20070302000335 |
| Provider Name | Angela D Yocom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841398468 PECOS PAC ID: 7810098100 Enrollment ID: I20070731000523 |
| Provider Name | Wendy D Dorworth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164612669 PECOS PAC ID: 0941392682 Enrollment ID: I20070824000843 |
| Provider Name | Donita S Schrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629263793 PECOS PAC ID: 4486748373 Enrollment ID: I20070924000028 |
| Provider Name | Robert Thain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285737213 PECOS PAC ID: 6204854813 Enrollment ID: I20071019000074 |
| Provider Name | Kathi L Vaughn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700074762 PECOS PAC ID: 8628164704 Enrollment ID: I20071020000142 |
| Provider Name | Jose A Diaz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1982693271 PECOS PAC ID: 5395710941 Enrollment ID: I20080303000361 |
| Provider Name | Stormy L Zwiefel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730366162 PECOS PAC ID: 1153407051 Enrollment ID: I20080318000313 |
| Provider Name | Giuseppe C Aliperti |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144264698 PECOS PAC ID: 7416957022 Enrollment ID: I20080402000452 |
| Provider Name | Michelle R Braddy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619068061 PECOS PAC ID: 5597869339 Enrollment ID: I20080829000033 |
| Provider Name | Ashish Tokhi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811151806 PECOS PAC ID: 2961578885 Enrollment ID: I20080829000099 |
| Provider Name | Kristina Naseer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1811188949 PECOS PAC ID: 4486749108 Enrollment ID: I20081010000236 |
| Provider Name | Amy M Buck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053587402 PECOS PAC ID: 4385705334 Enrollment ID: I20081209000397 |
| Provider Name | Aaron B Greenspan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1558382911 PECOS PAC ID: 5597757468 Enrollment ID: I20090108000568 |
| Provider Name | James M Bock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285643825 PECOS PAC ID: 7618030560 Enrollment ID: I20090120000527 |
| Provider Name | Timothy M Beaty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740399674 PECOS PAC ID: 9234149964 Enrollment ID: I20090209000306 |
| Provider Name | David L Kee |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1992772289 PECOS PAC ID: 4587737044 Enrollment ID: I20090603000528 |
| Provider Name | Randi L Rigsby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750617007 PECOS PAC ID: 1658419528 Enrollment ID: I20091113000094 |
| Provider Name | Bernie C Ranchero |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568656445 PECOS PAC ID: 4981743218 Enrollment ID: I20091130000405 |
| Provider Name | John K Dawdy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598759201 PECOS PAC ID: 3476515131 Enrollment ID: I20091221000545 |
| Provider Name | Jennifer S Mundy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265675490 PECOS PAC ID: 0446392468 Enrollment ID: I20100128000464 |
| Provider Name | Angela K Lafrenz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326378175 PECOS PAC ID: 7719016872 Enrollment ID: I20100527000562 |
| Provider Name | Tracy L Hall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659366102 PECOS PAC ID: 4385606045 Enrollment ID: I20100723000117 |
| Provider Name | Dhirendra Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306837471 PECOS PAC ID: 5294751244 Enrollment ID: I20100804001207 |
| Provider Name | Hima Atluri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609866052 PECOS PAC ID: 1355368895 Enrollment ID: I20100805000022 |
| Provider Name | Julia Auton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053648642 PECOS PAC ID: 8325172919 Enrollment ID: I20100819000520 |
| Provider Name | William C Brandes |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1528002854 PECOS PAC ID: 4284642968 Enrollment ID: I20100823000866 |
| Provider Name | Terese Janel Laughlin |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1265474118 PECOS PAC ID: 3971627290 Enrollment ID: I20100824000220 |
| Provider Name | Jeffrey William Fleischli |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1467494310 PECOS PAC ID: 0042334369 Enrollment ID: I20100824000241 |
| Provider Name | John George Fleischli |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1689616815 PECOS PAC ID: 7810011137 Enrollment ID: I20100824000281 |
| Provider Name | Ruben D Boyajian |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1912917188 PECOS PAC ID: 1658374772 Enrollment ID: I20100917000676 |
| Provider Name | P Dharmadev D Nayak |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1114982154 PECOS PAC ID: 7214038504 Enrollment ID: I20100928000188 |
| Provider Name | Andrew R Gage |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013931567 PECOS PAC ID: 2466645239 Enrollment ID: I20101025001123 |
| Provider Name | Michael Cue Rivera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427043132 PECOS PAC ID: 6709070550 Enrollment ID: I20101105000181 |
| Provider Name | Jill R Schindler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447568761 PECOS PAC ID: 7911195789 Enrollment ID: I20101221000115 |
| Provider Name | Gerard G Bitar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821222100 PECOS PAC ID: 9739378365 Enrollment ID: I20110112000564 |
| Provider Name | Gregory Climaco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316034143 PECOS PAC ID: 1850580143 Enrollment ID: I20110119000050 |
| Provider Name | Arun Gunda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649325895 PECOS PAC ID: 1951452127 Enrollment ID: I20110209001043 |
| Provider Name | Sambasivam Suthan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144413691 PECOS PAC ID: 2567558661 Enrollment ID: I20110223000864 |
| Provider Name | Poornima Jayaramaiah |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1174784086 PECOS PAC ID: 4284815176 Enrollment ID: I20110225000130 |
| Provider Name | Kathleen Stocker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306949375 PECOS PAC ID: 8820270424 Enrollment ID: I20110302001027 |
| Provider Name | Cynthia K Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104879535 PECOS PAC ID: 8527240738 Enrollment ID: I20110309000728 |
| Provider Name | Richard C Derby |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295720845 PECOS PAC ID: 9436332178 Enrollment ID: I20110317000893 |
| Provider Name | Ricki Sue Loar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194723312 PECOS PAC ID: 4284791245 Enrollment ID: I20110907001080 |
| Provider Name | Leann Thiele Rhinehart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932489994 PECOS PAC ID: 7911178306 Enrollment ID: I20110914000824 |
| Provider Name | Justin W Kierbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841579026 PECOS PAC ID: 1153593728 Enrollment ID: I20111004000791 |
| Provider Name | Danxuan Long |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1205098738 PECOS PAC ID: 0840451639 Enrollment ID: I20120423000670 |
| Provider Name | Douglas Kuhl |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174732945 PECOS PAC ID: 3476605676 Enrollment ID: I20120430000636 |
| Provider Name | Julie M Doll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356648331 PECOS PAC ID: 1658534060 Enrollment ID: I20120523000091 |
| Provider Name | Bhavin Vallabhbhai Sonani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639495971 PECOS PAC ID: 7315101334 Enrollment ID: I20120604000104 |
| Provider Name | Jignesh P Modi |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1184935074 PECOS PAC ID: 1153587878 Enrollment ID: I20120725000338 |
| Provider Name | Eric Anthony Bloemer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073742664 PECOS PAC ID: 6608068093 Enrollment ID: I20120726000235 |
| Provider Name | Mehdi Shahidi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538398508 PECOS PAC ID: 2567619810 Enrollment ID: I20120822000156 |
| Provider Name | Swapna Reddy Allamreddy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275764235 PECOS PAC ID: 0648427534 Enrollment ID: I20120828000821 |
| Provider Name | Susan C Pavlick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679550420 PECOS PAC ID: 3678594413 Enrollment ID: I20130322000029 |
| Provider Name | Karen A Koenig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487996617 PECOS PAC ID: 7911144928 Enrollment ID: I20130511000081 |
| Provider Name | Brian Klostermann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144457169 PECOS PAC ID: 7517106354 Enrollment ID: I20130626000870 |
| Provider Name | Dawn K Snodgrass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881901536 PECOS PAC ID: 1951542281 Enrollment ID: I20130729000449 |
| Provider Name | Stephanie A Comrie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003182940 PECOS PAC ID: 4486896339 Enrollment ID: I20130806000631 |
| Provider Name | Rama Poola |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1932362241 PECOS PAC ID: 4789746595 Enrollment ID: I20131001000069 |
| Provider Name | Jennifer E Kistner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972892313 PECOS PAC ID: 3072748771 Enrollment ID: I20131106000282 |
| Provider Name | Emily S Boyajian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073943890 PECOS PAC ID: 5193953107 Enrollment ID: I20140122000136 |
| Provider Name | Meghan Michelle Ziegler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326313032 PECOS PAC ID: 0244484822 Enrollment ID: I20140214000585 |
| Provider Name | Robert F Schaefer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659481299 PECOS PAC ID: 0547453060 Enrollment ID: I20140411001581 |
| Provider Name | Jacqueline L Kunz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699958843 PECOS PAC ID: 9638394109 Enrollment ID: I20140626000857 |
| Provider Name | Susan Esker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871937839 PECOS PAC ID: 8921223744 Enrollment ID: I20140710000472 |
| Provider Name | Faisal Saeed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720345432 PECOS PAC ID: 3870742133 Enrollment ID: I20140828000510 |
| Provider Name | Faizan A Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194022541 PECOS PAC ID: 5890017222 Enrollment ID: I20141213000193 |
| Provider Name | Asim M Saeed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033421953 PECOS PAC ID: 6901029222 Enrollment ID: I20150112000402 |
| Provider Name | Kelly J Slade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306240767 PECOS PAC ID: 5092039487 Enrollment ID: I20150112002247 |
| Provider Name | Amanda Stroud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104218247 PECOS PAC ID: 2668790221 Enrollment ID: I20150410000019 |
| Provider Name | Bassim Assioun |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1669785408 PECOS PAC ID: 4183945330 Enrollment ID: I20150601000657 |
| Provider Name | Tara Helfrich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568849818 PECOS PAC ID: 7810218880 Enrollment ID: I20150602002143 |
| Provider Name | Daniel F. Saad |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801917877 PECOS PAC ID: 6608931860 Enrollment ID: I20150604001015 |
| Provider Name | Brian August Reichardt |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1689802001 PECOS PAC ID: 4082926290 Enrollment ID: I20150701000101 |
| Provider Name | Kevin James Mccarthy |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1356579684 PECOS PAC ID: 1951528710 Enrollment ID: I20150702002308 |
| Provider Name | Angela K Severado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952787376 PECOS PAC ID: 3779899943 Enrollment ID: I20150902001972 |
| Provider Name | Amanda C Zumbahlen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427424936 PECOS PAC ID: 9032426952 Enrollment ID: I20150909002813 |
| Provider Name | Alyson Cathleen Webb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992182331 PECOS PAC ID: 3476860271 Enrollment ID: I20150910002389 |
| Provider Name | Sindy Mulumba |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558503318 PECOS PAC ID: 2365698016 Enrollment ID: I20150930000018 |
| Provider Name | Morgan A Massey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033587829 PECOS PAC ID: 4789993650 Enrollment ID: I20151014003383 |
| Provider Name | Kathyrn A Naron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518333848 PECOS PAC ID: 5496056749 Enrollment ID: I20151210002554 |
| Provider Name | Omar Saeed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104171149 PECOS PAC ID: 9931416427 Enrollment ID: I20151224000111 |
| Provider Name | Emma E Dragovich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912370099 PECOS PAC ID: 5294037966 Enrollment ID: I20160112002572 |
| Provider Name | Mubashir S Saeed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518221654 PECOS PAC ID: 7214228600 Enrollment ID: I20160615000172 |
| Provider Name | Preet Singh |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1881859833 PECOS PAC ID: 1254501455 Enrollment ID: I20160620001862 |
| Provider Name | Erynn E Elleby |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881033710 PECOS PAC ID: 2961704481 Enrollment ID: I20160621000402 |
| Provider Name | Amanda J Kilzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316398415 PECOS PAC ID: 8224321435 Enrollment ID: I20160726001821 |
| Provider Name | Tracie A Holbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639622285 PECOS PAC ID: 8729374582 Enrollment ID: I20160906001114 |
| Provider Name | Michelle Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588115497 PECOS PAC ID: 0042598757 Enrollment ID: I20161101001200 |
| Provider Name | Brett L Hutcherson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265871750 PECOS PAC ID: 8224330634 Enrollment ID: I20161207000210 |
| Provider Name | Amy Jo Welch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598217978 PECOS PAC ID: 2163677527 Enrollment ID: I20161213000643 |
| Provider Name | Angela V Jarrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316495765 PECOS PAC ID: 7719268127 Enrollment ID: I20161223000145 |
| Provider Name | Kevin R Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134667793 PECOS PAC ID: 8426331604 Enrollment ID: I20170214000930 |
| Provider Name | Tammy L Sasse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609322585 PECOS PAC ID: 6608150123 Enrollment ID: I20170301001695 |
| Provider Name | Marianne Guthrie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609313758 PECOS PAC ID: 0345524583 Enrollment ID: I20170307000704 |
| Provider Name | Megan E Strausbaugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952846016 PECOS PAC ID: 3173809274 Enrollment ID: I20170403002317 |
| Provider Name | Sarah Poirot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558800813 PECOS PAC ID: 6406132570 Enrollment ID: I20170404002871 |
| Provider Name | Nitin Kumar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1104002245 PECOS PAC ID: 9335391564 Enrollment ID: I20170615000245 |
| Provider Name | Casey Dively |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386171809 PECOS PAC ID: 4082984406 Enrollment ID: I20170718002412 |
| Provider Name | Amy Mclain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487197034 PECOS PAC ID: 9335419662 Enrollment ID: I20170719003651 |
| Provider Name | Jason P Blanchetti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578093225 PECOS PAC ID: 1153347497 Enrollment ID: I20170727002079 |
| Provider Name | Nichole Brockmeyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922533157 PECOS PAC ID: 1658642962 Enrollment ID: I20170804001699 |
| Provider Name | Sherry A Reid |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104835412 PECOS PAC ID: 8224923321 Enrollment ID: I20170817004337 |
| Provider Name | Kathy L Liefer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013439777 PECOS PAC ID: 3870865116 Enrollment ID: I20170821002126 |
| Provider Name | Jieun Heo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801209291 PECOS PAC ID: 2264727718 Enrollment ID: I20170823001792 |
| Provider Name | Samantha Olmstead |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538683032 PECOS PAC ID: 2668747981 Enrollment ID: I20171011003890 |
| Provider Name | Steven Allen Taylor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073831533 PECOS PAC ID: 2466686530 Enrollment ID: I20171024002973 |
| Provider Name | Alison J Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700314945 PECOS PAC ID: 8921374620 Enrollment ID: I20171025000641 |
| Provider Name | Tamara M Hardwick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609392091 PECOS PAC ID: 4981960259 Enrollment ID: I20171102003017 |
| Provider Name | Melissa Kay Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578073680 PECOS PAC ID: 2668730516 Enrollment ID: I20171222000325 |
| Provider Name | Holly Harlow Shirley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851645469 PECOS PAC ID: 1456590017 Enrollment ID: I20171228000678 |
| Provider Name | Sarah Rae Wickenhauser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760994404 PECOS PAC ID: 2860752573 Enrollment ID: I20180126002506 |
| Provider Name | Danielle N Rennie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922515279 PECOS PAC ID: 3072874478 Enrollment ID: I20180227003094 |
| Provider Name | Paula Kay Hubbard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023517109 PECOS PAC ID: 8325302714 Enrollment ID: I20180511000740 |
| Provider Name | Deanna Ann Weinacht |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619413424 PECOS PAC ID: 8022372333 Enrollment ID: I20180514000000 |
| Provider Name | Zachary Paul Luchtefeld |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194107573 PECOS PAC ID: 7618275579 Enrollment ID: I20180524000559 |
| Provider Name | Sapna Siddharth |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1538506357 PECOS PAC ID: 4082979935 Enrollment ID: I20180525000317 |
| Provider Name | Elayna Leah Temares |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255848214 PECOS PAC ID: 5991060212 Enrollment ID: I20180607000254 |
| Provider Name | Rakshit Ramanath Shetty |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1336586734 PECOS PAC ID: 9133425457 Enrollment ID: I20180613001129 |
| Provider Name | Tamara L Breckon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740777093 PECOS PAC ID: 5698020535 Enrollment ID: I20180619000126 |
| Provider Name | Sahar Yazdani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174905574 PECOS PAC ID: 6002161494 Enrollment ID: I20180627000099 |
| Provider Name | Ulunna Kechinyere Macbean |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1962660753 PECOS PAC ID: 5294044400 Enrollment ID: I20180629002069 |
| Provider Name | Muhammad Nauman Javed Tarar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194191544 PECOS PAC ID: 3173827540 Enrollment ID: I20180821003405 |
| Provider Name | Archana Nayani |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1548524770 PECOS PAC ID: 1052548526 Enrollment ID: I20180828003673 |
| Provider Name | Nizar Charafeddine |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1912090317 PECOS PAC ID: 3870503188 Enrollment ID: I20180911003771 |
| Provider Name | Lauren C Lawson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609352293 PECOS PAC ID: 4880944891 Enrollment ID: I20180912000379 |
| Provider Name | Joshua Dale Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083109565 PECOS PAC ID: 3870844475 Enrollment ID: I20180920002098 |
| Provider Name | Alison M Peddycoart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447737499 PECOS PAC ID: 0345584868 Enrollment ID: I20181210001939 |
| Provider Name | Matthew E Cohen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1548241490 PECOS PAC ID: 6305842972 Enrollment ID: I20181211000367 |
| Provider Name | Christine Lyn Atchison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760881395 PECOS PAC ID: 2264794262 Enrollment ID: I20181227000842 |
| Provider Name | Abdulaziz S Alali |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1881104164 PECOS PAC ID: 9830465046 Enrollment ID: I20190108003027 |
| Provider Name | Kristy Dawn Shafer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306314778 PECOS PAC ID: 8224374160 Enrollment ID: I20190114001379 |
| Provider Name | Taylor W Stone |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1518319177 PECOS PAC ID: 2769775220 Enrollment ID: I20190329000042 |
| Provider Name | Andres Lerner |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1285865204 PECOS PAC ID: 7416099379 Enrollment ID: I20190426000845 |
| Provider Name | Leslie Stanislaus Anewenah |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1508110198 PECOS PAC ID: 9133441140 Enrollment ID: I20190529001314 |
| Provider Name | Sreejith Mohan Velliyattikuzhi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1518308493 PECOS PAC ID: 2961790027 Enrollment ID: I20190605000351 |
| Provider Name | Salim Shackour |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760673099 PECOS PAC ID: 3870661358 Enrollment ID: I20190611001631 |
| Provider Name | Muhammad Sohail Yousuf |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023564176 PECOS PAC ID: 1153675152 Enrollment ID: I20190624002610 |
| Provider Name | Arpan Shirish Shah |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1982947727 PECOS PAC ID: 4587952106 Enrollment ID: I20190805000107 |
| Provider Name | Kelsie J Ferrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619529104 PECOS PAC ID: 8426387853 Enrollment ID: I20190911000605 |
| Provider Name | Benjamin J Jarrett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245689793 PECOS PAC ID: 9133492093 Enrollment ID: I20190913001486 |
| Provider Name | Ankit R Parikh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386093177 PECOS PAC ID: 4284926965 Enrollment ID: I20190926002670 |
| Provider Name | Stacy Rae Marriott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255981528 PECOS PAC ID: 9931439148 Enrollment ID: I20191001000587 |
| Provider Name | Shelby K Kern |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316591761 PECOS PAC ID: 6608107438 Enrollment ID: I20191009002590 |
| Provider Name | Neam Hamdan Saleh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700110319 PECOS PAC ID: 7113065210 Enrollment ID: I20191015003080 |
| Provider Name | Jon R Jacobson |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1780753822 PECOS PAC ID: 4284966706 Enrollment ID: I20191101000222 |
| Provider Name | Fadi F Siyam |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1558526574 PECOS PAC ID: 0143459420 Enrollment ID: I20191107001601 |
| Provider Name | Sarah E Massey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336795871 PECOS PAC ID: 6608209473 Enrollment ID: I20191209002357 |
| Provider Name | Megan E Hopps |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679119226 PECOS PAC ID: 1658704317 Enrollment ID: I20191210003281 |
| Provider Name | Rema Sanghavi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104991017 PECOS PAC ID: 3274533088 Enrollment ID: I20191216001296 |
| Provider Name | Stephanie A Olsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912542051 PECOS PAC ID: 2163856691 Enrollment ID: I20191216002901 |
| Provider Name | Melissa N Weis |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1821242462 PECOS PAC ID: 4082808373 Enrollment ID: I20200110001310 |
| Provider Name | Jessica Lee Greenfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528616125 PECOS PAC ID: 2961837281 Enrollment ID: I20200115000731 |
| Provider Name | Lauren K Lustig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770129991 PECOS PAC ID: 4284060286 Enrollment ID: I20200211002726 |
| Provider Name | Lisa Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134194160 PECOS PAC ID: 7012344138 Enrollment ID: I20200228002234 |
| Provider Name | Christopher Charles Sutton |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1558771220 PECOS PAC ID: 8921301938 Enrollment ID: I20200320000465 |
| Provider Name | Tracy Jane Dennis |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1487288411 PECOS PAC ID: 2668800970 Enrollment ID: I20200320000808 |
| Provider Name | Shannon Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942712310 PECOS PAC ID: 7113356932 Enrollment ID: I20200330003677 |
| Provider Name | Rebecca Lynn Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669022182 PECOS PAC ID: 3173954104 Enrollment ID: I20200507001504 |
| Provider Name | Zachary M Berg |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1255741278 PECOS PAC ID: 3375762198 Enrollment ID: I20200512003680 |
| Provider Name | Stacey J Tebbe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073158119 PECOS PAC ID: 9537590898 Enrollment ID: I20200521000013 |
| Provider Name | John Powell |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1437152451 PECOS PAC ID: 1658341482 Enrollment ID: I20200609003020 |
| Provider Name | Fawwad I Zaidi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1881924702 PECOS PAC ID: 6204090228 Enrollment ID: I20200616000838 |
| Provider Name | Nueki Naate |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528588928 PECOS PAC ID: 1658647227 Enrollment ID: I20200629000941 |
| Provider Name | Radhika Annam |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1194107102 PECOS PAC ID: 2163755877 Enrollment ID: I20200710001516 |
| Provider Name | Neehal Wali |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770002578 PECOS PAC ID: 4082958921 Enrollment ID: I20200714001381 |
| Provider Name | Brock Andrew Phillips |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710407002 PECOS PAC ID: 2668895228 Enrollment ID: I20200715000613 |
| Provider Name | Larisa G Ciatlos - Deak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497283774 PECOS PAC ID: 9638437809 Enrollment ID: I20200728003439 |
| Provider Name | Nupur Verma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780106997 PECOS PAC ID: 5799057808 Enrollment ID: I20200803000828 |
| Provider Name | Adills S Moosa |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1932527017 PECOS PAC ID: 2365664513 Enrollment ID: I20201024000016 |
| Provider Name | Mary Ann Seagle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316552524 PECOS PAC ID: 3072923838 Enrollment ID: I20201105001531 |
| Provider Name | Michael M Babinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699362020 PECOS PAC ID: 6103232871 Enrollment ID: I20210303002184 |
| Provider Name | Jessica M Cresswell Clay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700475795 PECOS PAC ID: 8325455009 Enrollment ID: I20210324002374 |
| Provider Name | Amy Louise Redmer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982676698 PECOS PAC ID: 2365497948 Enrollment ID: I20210417000018 |
| Provider Name | Raghav Govindarajan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639481914 PECOS PAC ID: 0244455236 Enrollment ID: I20210520001784 |
| Provider Name | Emily Rhoades |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003465162 PECOS PAC ID: 5294135026 Enrollment ID: I20210615002690 |
| Provider Name | David Stewart |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1205930484 PECOS PAC ID: 3072511245 Enrollment ID: I20210616002542 |
| Provider Name | Stephanie Woolley |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1952332876 PECOS PAC ID: 0446264238 Enrollment ID: I20210621002085 |
| Provider Name | Shafat Sirajee |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1376905794 PECOS PAC ID: 8325331747 Enrollment ID: I20210622002181 |
| Provider Name | Jacob Wengert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689097768 PECOS PAC ID: 9537391792 Enrollment ID: I20210623001834 |
| Provider Name | Clare R Arentsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225645690 PECOS PAC ID: 7416358262 Enrollment ID: I20210630001961 |
| Provider Name | Shivani Sharma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508342189 PECOS PAC ID: 3375892011 Enrollment ID: I20210713002468 |
| Provider Name | Macee N Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467028019 PECOS PAC ID: 7214330943 Enrollment ID: I20210719003183 |
| Provider Name | Katy Marie Kosydor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386226504 PECOS PAC ID: 5092118430 Enrollment ID: I20210723000022 |
| Provider Name | Ratnam Santoshi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1033464698 PECOS PAC ID: 9436553773 Enrollment ID: I20210809000593 |
| Provider Name | Bree Schmulbach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215415799 PECOS PAC ID: 8224433164 Enrollment ID: I20210816003268 |
| Provider Name | Saundra E Winterrowd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659046266 PECOS PAC ID: 6204231418 Enrollment ID: I20210826002020 |
| Provider Name | Kelsey Marie Levault |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447744438 PECOS PAC ID: 5496003105 Enrollment ID: I20210828000181 |
| Provider Name | Brian Shippert |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1801045133 PECOS PAC ID: 0547307563 Enrollment ID: I20210908001101 |
| Provider Name | Dean Page |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1164491296 PECOS PAC ID: 5799679494 Enrollment ID: I20210921001836 |
| Provider Name | Alex Franklin Workman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053818997 PECOS PAC ID: 3274931100 Enrollment ID: I20211007001566 |
| Provider Name | Christina Wells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699144303 PECOS PAC ID: 6002118411 Enrollment ID: I20211207001737 |
| Provider Name | Mary Wood |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1831393602 PECOS PAC ID: 9234302019 Enrollment ID: I20211214001115 |
| Provider Name | Erica L Conrad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457646028 PECOS PAC ID: 4183970148 Enrollment ID: I20220113001765 |
| Provider Name | Rajamurugan Subramaniyam |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1245783257 PECOS PAC ID: 1850670704 Enrollment ID: I20220127002825 |
| Provider Name | Muhammad Sheikh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194107524 PECOS PAC ID: 3971893959 Enrollment ID: I20220401001457 |
| Provider Name | Lindsay Stuehlmeyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912482688 PECOS PAC ID: 3173951753 Enrollment ID: I20220419000723 |
| Provider Name | Jennifer Schaefer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396294153 PECOS PAC ID: 0749578334 Enrollment ID: I20220516000641 |
| Provider Name | Ali Syed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205321171 PECOS PAC ID: 7810246352 Enrollment ID: I20220524001534 |
| Provider Name | Poojitha Kolluri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306402870 PECOS PAC ID: 7214333442 Enrollment ID: I20220525002763 |
| Provider Name | Saba S Bajwa |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487113478 PECOS PAC ID: 9133454986 Enrollment ID: I20220623001188 |
| Provider Name | Asad Nadeem Ahmed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770149387 PECOS PAC ID: 2860726411 Enrollment ID: I20220706003692 |
| Provider Name | Jeffrey Schenck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447713409 PECOS PAC ID: 2769711712 Enrollment ID: I20220707003430 |
| Provider Name | Susan Lynn Lamonica |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104568369 PECOS PAC ID: 1254713852 Enrollment ID: I20220728002945 |
| Provider Name | Joanne Mayberry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366976482 PECOS PAC ID: 7618202979 Enrollment ID: I20220730000093 |
| Provider Name | Andrew Poulos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760801120 PECOS PAC ID: 7214244037 Enrollment ID: I20220830003498 |
| Provider Name | Alex Balekian |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1205912656 PECOS PAC ID: 8325075229 Enrollment ID: I20221003001648 |
| Provider Name | Kari Becker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538829270 PECOS PAC ID: 5294128724 Enrollment ID: I20221004003437 |
| Provider Name | Susan Elizabeth Griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770218364 PECOS PAC ID: 3870969900 Enrollment ID: I20221014001517 |
| Provider Name | Katie A Menendez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548980220 PECOS PAC ID: 2860863578 Enrollment ID: I20230117001258 |
| Provider Name | Seth Bellister |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891043956 PECOS PAC ID: 9537433727 Enrollment ID: I20230508001403 |
| Provider Name | Natasha Carol Rhodes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992414304 PECOS PAC ID: 7618348079 Enrollment ID: I20230517003207 |
| Provider Name | Horace Lo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114988466 PECOS PAC ID: 4688673395 Enrollment ID: I20230622001831 |
| Provider Name | Praveen Sampath |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1023348299 PECOS PAC ID: 9335327576 Enrollment ID: I20230630002034 |
| Provider Name | Thomas F Rutherford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225527138 PECOS PAC ID: 9739419490 Enrollment ID: I20230725001291 |
| Provider Name | Maurissa Heaton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649968660 PECOS PAC ID: 8820459639 Enrollment ID: I20230726002075 |
| Provider Name | Amir Oduche |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497372361 PECOS PAC ID: 9638593205 Enrollment ID: I20230802001919 |
| Provider Name | Christina M Overmann |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518527621 PECOS PAC ID: 0547596546 Enrollment ID: I20230803000891 |
| Provider Name | Adrine Markosyan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295359503 PECOS PAC ID: 3678997954 Enrollment ID: I20230816001452 |
| Provider Name | Albert E Kombe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952937922 PECOS PAC ID: 2163840174 Enrollment ID: I20230830003230 |
| Provider Name | Maryam Yaseen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083236962 PECOS PAC ID: 9133543697 Enrollment ID: I20230919001436 |
| Provider Name | Paige Fullriede |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1548044670 PECOS PAC ID: 3678927357 Enrollment ID: I20230928003064 |
| Provider Name | Hannah Webber |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902460231 PECOS PAC ID: 1658606496 Enrollment ID: I20231030000939 |
| Provider Name | Megan Kristine Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619741790 PECOS PAC ID: 6507216363 Enrollment ID: I20231220002305 |
| Provider Name | Alisha M. Hilley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962191064 PECOS PAC ID: 4385094499 Enrollment ID: I20240102000615 |
| Provider Name | Collin Sharp |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659575348 PECOS PAC ID: 8123173176 Enrollment ID: I20240129002823 |
| Provider Name | John Clayton |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1609841691 PECOS PAC ID: 7810075157 Enrollment ID: I20240219002010 |
| Provider Name | Katelin Krystowiak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407198716 PECOS PAC ID: 5991090755 Enrollment ID: I20240604001680 |
| Provider Name | Gregorio Cesar Climaco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477139202 PECOS PAC ID: 7719420207 Enrollment ID: I20240625003326 |
| Provider Name | Rachel Victoria Mccray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336912385 PECOS PAC ID: 8628515442 Enrollment ID: I20240730000407 |
| Provider Name | Hannah Jordan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215507512 PECOS PAC ID: 8224430848 Enrollment ID: I20240730003362 |
| Provider Name | Emily Dahm |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326624024 PECOS PAC ID: 3870032428 Enrollment ID: I20240827001582 |
| Provider Name | Krista E Hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588498927 PECOS PAC ID: 0244771756 Enrollment ID: I20240924004564 |
| Provider Name | Heather Ackerman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740018241 PECOS PAC ID: 9537600887 Enrollment ID: I20240926001302 |
| Provider Name | Tanya J Loy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992534630 PECOS PAC ID: 2567994304 Enrollment ID: I20241017001457 |
| Provider Name | Macy Michelle Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215713631 PECOS PAC ID: 8022541077 Enrollment ID: I20241029002471 |
Board Of Trustees Of Southern Illinois University Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2833 S Grand Ave E, Springfield, IL 62703 Phone: 221-753-5310 Fax: 217-789-2069 | |
Hshs Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3215 Executive Park Dr, Springfield, IL 62703 Phone: 217-523-5406 | |
Michael Bova M D S C Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2524 Farragut Dr, Suite C, Springfield, IL 62704 Phone: 217-726-9346 | |
North Dirksen Medical Associates, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3220 Atlanta St, Springfield, IL 62707 Phone: 217-588-7400 | |
Siu Physicians & Surgeons, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 701 N 1st St, D235, Springfield, IL 62781 Phone: 217-545-7578 Fax: 217-545-1884 | |
B3 Healthcare Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 319 E Madison St Ste 2d, Springfield, IL 62701 Phone: 217-508-5859 |