| Indiana Clinic Critical Care Llc | |
|
1801 N Senate Blvd Ste 230 Indianapolis IN 46202-1228 | |
| (317) 962-5820 | |
| (317) 962-3916 |
| Full Name | Indiana Clinic Critical Care Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1801 N Senate Blvd, Indianapolis, Indiana |
| Authorized Official Name and Position | Judith L Coleman (CFO) |
| Authorized Official Contact | 3179483525 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Indiana Clinic Critical Care Llc 250 N Shadeland Ave Indianapolis IN 46219-4959 Ph: (877) 668-5621 | Indiana Clinic Critical Care Llc 1801 N Senate Blvd Ste 230 Indianapolis IN 46202-1228 Ph: (317) 962-5820 |
| NPI Number | 1417285230 |
|---|---|
| Provider Enumeration Date | 12/07/2009 |
| Last Update Date | 09/14/2023 |
| Medicare PECOS PAC ID | 3678600988 |
|---|---|
| Medicare Enrollment ID | O20100419000408 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417285230 | NPI | - | NPPES |
| 200984010 | Medicaid | IN |
| Provider Name | Bhasker Reddy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023005840 PECOS PAC ID: 9830003805 Enrollment ID: I20031113000827 |
| Provider Name | Josef E Streepey |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659372720 PECOS PAC ID: 2466359872 Enrollment ID: I20031215000563 |
| Provider Name | William L Harvey |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1366444226 PECOS PAC ID: 8921092669 Enrollment ID: I20040414000427 |
| Provider Name | Kelly E Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528016912 PECOS PAC ID: 6204825771 Enrollment ID: I20040510001045 |
| Provider Name | Areeba Y Kara |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528069978 PECOS PAC ID: 7012906514 Enrollment ID: I20040510001143 |
| Provider Name | Kirby Douglas Slifer |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1073507422 PECOS PAC ID: 8022906452 Enrollment ID: I20040816001060 |
| Provider Name | Anthony S Rose |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1295783827 PECOS PAC ID: 7315911781 Enrollment ID: I20040823000110 |
| Provider Name | Chris T Hilbish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184632531 PECOS PAC ID: 4587630108 Enrollment ID: I20040904000143 |
| Provider Name | Jane Ellen Turner |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1730104738 PECOS PAC ID: 7911975529 Enrollment ID: I20040922000016 |
| Provider Name | Jenny Gojmerac Owens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750571394 PECOS PAC ID: 0042288367 Enrollment ID: I20040923000515 |
| Provider Name | Susan M Hunt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740204668 PECOS PAC ID: 4183683691 Enrollment ID: I20041008000662 |
| Provider Name | Chintan J Amin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083673594 PECOS PAC ID: 6406819226 Enrollment ID: I20041111000559 |
| Provider Name | Sheila S Zielinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235183336 PECOS PAC ID: 5890753065 Enrollment ID: I20041221000245 |
| Provider Name | John A Botkin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508831827 PECOS PAC ID: 4486607884 Enrollment ID: I20050225000200 |
| Provider Name | Shahla N Hasnat |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740255009 PECOS PAC ID: 3375596778 Enrollment ID: I20050225000212 |
| Provider Name | Chris P Karras |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396710513 PECOS PAC ID: 0941254965 Enrollment ID: I20050311000349 |
| Provider Name | Mason Ross Goodman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508848433 PECOS PAC ID: 3779521976 Enrollment ID: I20050419000764 |
| Provider Name | Syed-adeel Hussain Zaidi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164488748 PECOS PAC ID: 6800837717 Enrollment ID: I20050519001096 |
| Provider Name | Robert W Spech |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1417958588 PECOS PAC ID: 3870529217 Enrollment ID: I20050715001094 |
| Provider Name | Scott D Roberts |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1982605044 PECOS PAC ID: 8224064662 Enrollment ID: I20050715001105 |
| Provider Name | Babar A Khan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1194783944 PECOS PAC ID: 9739118902 Enrollment ID: I20050808000846 |
| Provider Name | Gustavo M Benaderet |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518923002 PECOS PAC ID: 6406885201 Enrollment ID: I20050811000710 |
| Provider Name | Amir Habib |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306889233 PECOS PAC ID: 5092732008 Enrollment ID: I20051028000796 |
| Provider Name | Timothy Justin Broach |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508822792 PECOS PAC ID: 5092734442 Enrollment ID: I20051115001083 |
| Provider Name | Ali Hamza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306811195 PECOS PAC ID: 2769413871 Enrollment ID: I20051129000977 |
| Provider Name | Jie Xu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962450270 PECOS PAC ID: 2961422035 Enrollment ID: I20051205000235 |
| Provider Name | Jennifer R Hur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740212448 PECOS PAC ID: 1557344264 Enrollment ID: I20061011000146 |
| Provider Name | Douglas N Tannas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891735833 PECOS PAC ID: 7517966328 Enrollment ID: I20061205000300 |
| Provider Name | Timothy J Ellender |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811902133 PECOS PAC ID: 7113926676 Enrollment ID: I20061211000172 |
| Provider Name | Mark A Luetkemeyer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821011941 PECOS PAC ID: 3870593270 Enrollment ID: I20070109000383 |
| Provider Name | Shilpee Sinha |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1356435937 PECOS PAC ID: 8628171907 Enrollment ID: I20070306000498 |
| Provider Name | Tyson Victor Neumann |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1568565455 PECOS PAC ID: 3870697279 Enrollment ID: I20070323000431 |
| Provider Name | Darren Caudill |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255327706 PECOS PAC ID: 4981678711 Enrollment ID: I20070421000000 |
| Provider Name | Wambui J Murage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689765729 PECOS PAC ID: 6406951375 Enrollment ID: I20070421000005 |
| Provider Name | Dana M Toussant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447329297 PECOS PAC ID: 5890890776 Enrollment ID: I20070423000025 |
| Provider Name | Carole E Floyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003981796 PECOS PAC ID: 4688771140 Enrollment ID: I20070517000126 |
| Provider Name | Denisa Xhani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801012133 PECOS PAC ID: 2769589068 Enrollment ID: I20070522000182 |
| Provider Name | Sydney Wilson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467672964 PECOS PAC ID: 3173620127 Enrollment ID: I20070525000388 |
| Provider Name | Michelle M Haweit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376653014 PECOS PAC ID: 2860590015 Enrollment ID: I20070612000180 |
| Provider Name | Joseph C Skinner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831305283 PECOS PAC ID: 8820197817 Enrollment ID: I20070615000084 |
| Provider Name | Alexia M Torke |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1215132865 PECOS PAC ID: 2961503107 Enrollment ID: I20070718000590 |
| Provider Name | Karen A Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578761235 PECOS PAC ID: 0143314021 Enrollment ID: I20070924000000 |
| Provider Name | John R Mcnary |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316143092 PECOS PAC ID: 3577652452 Enrollment ID: I20071129000482 |
| Provider Name | Jignaben C Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952581514 PECOS PAC ID: 0648351411 Enrollment ID: I20080117000612 |
| Provider Name | Deborah K Clark |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639204571 PECOS PAC ID: 6507949476 Enrollment ID: I20080215000210 |
| Provider Name | Melissa S Hockaday |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811180110 PECOS PAC ID: 5890871552 Enrollment ID: I20080321000171 |
| Provider Name | Stacy A Lobodzinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174713820 PECOS PAC ID: 7911077763 Enrollment ID: I20080605000043 |
| Provider Name | Aaron M Leary |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477710903 PECOS PAC ID: 5890869747 Enrollment ID: I20080811000507 |
| Provider Name | Erin Vale Newton |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1285698084 PECOS PAC ID: 2769400357 Enrollment ID: I20080813000856 |
| Provider Name | Angela B Fiege |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538363924 PECOS PAC ID: 9638244643 Enrollment ID: I20080826000172 |
| Provider Name | William G Carlos |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1245403427 PECOS PAC ID: 6800962820 Enrollment ID: I20080827000422 |
| Provider Name | Amy Nicole Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750545109 PECOS PAC ID: 5294894358 Enrollment ID: I20081104000288 |
| Provider Name | Catherine T Coscia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346458890 PECOS PAC ID: 3779645601 Enrollment ID: I20081230000573 |
| Provider Name | Anil Achaen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063442994 PECOS PAC ID: 9335142140 Enrollment ID: I20090114000338 |
| Provider Name | Damon C Davis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295795771 PECOS PAC ID: 0840273231 Enrollment ID: I20090623000009 |
| Provider Name | David W Roe |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1275593964 PECOS PAC ID: 6709938194 Enrollment ID: I20090715000756 |
| Provider Name | Chad M Trambaugh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396926366 PECOS PAC ID: 5991857872 Enrollment ID: I20090723000805 |
| Provider Name | Michael D Ober |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1952366924 PECOS PAC ID: 0244379949 Enrollment ID: I20091208000765 |
| Provider Name | Jana B Yeley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922056795 PECOS PAC ID: 3971647587 Enrollment ID: I20100220000275 |
| Provider Name | Chris C Naum |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1215938451 PECOS PAC ID: 4880590843 Enrollment ID: I20100602000867 |
| Provider Name | Lawrence J Bortenschlager |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1801897236 PECOS PAC ID: 6103722178 Enrollment ID: I20100603000688 |
| Provider Name | Robert W Weller |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1780685867 PECOS PAC ID: 7012813074 Enrollment ID: I20100610000134 |
| Provider Name | Jamie A Stonehouse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770716474 PECOS PAC ID: 8325178858 Enrollment ID: I20100610000248 |
| Provider Name | Patrick F Mcquillan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669473989 PECOS PAC ID: 1456481985 Enrollment ID: I20100610000306 |
| Provider Name | Thomas Y Sullivan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1669474524 PECOS PAC ID: 8022914084 Enrollment ID: I20100610000579 |
| Provider Name | Sally D Houck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902061229 PECOS PAC ID: 4385773381 Enrollment ID: I20100626000105 |
| Provider Name | Laura K Barnett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437317542 PECOS PAC ID: 9739210139 Enrollment ID: I20100629000548 |
| Provider Name | Ranjeet S Singh |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1750599510 PECOS PAC ID: 4880725043 Enrollment ID: I20100701000731 |
| Provider Name | Lindsay T Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124251160 PECOS PAC ID: 6002947140 Enrollment ID: I20100706000389 |
| Provider Name | Todd S Biggerstaff |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891796157 PECOS PAC ID: 6507998283 Enrollment ID: I20100715000393 |
| Provider Name | Kim K Shimonek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457684581 PECOS PAC ID: 3870625221 Enrollment ID: I20100720000792 |
| Provider Name | Deshini A Moonesinghe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780882449 PECOS PAC ID: 6709918006 Enrollment ID: I20100722000547 |
| Provider Name | Warren B Gavin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881852085 PECOS PAC ID: 3375675556 Enrollment ID: I20100723000464 |
| Provider Name | Atif Zafar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144279340 PECOS PAC ID: 8022142710 Enrollment ID: I20100817000779 |
| Provider Name | Farzad Loghmani |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1689639130 PECOS PAC ID: 7810096005 Enrollment ID: I20100818000228 |
| Provider Name | Cynthia A Schmitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306079637 PECOS PAC ID: 1658497748 Enrollment ID: I20100927000371 |
| Provider Name | Scott A Robbins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699906321 PECOS PAC ID: 4688866841 Enrollment ID: I20101006000235 |
| Provider Name | Michele A O Connor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659685915 PECOS PAC ID: 3870785520 Enrollment ID: I20101013000375 |
| Provider Name | Barbra A Bachmeier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003822263 PECOS PAC ID: 7911191267 Enrollment ID: I20101030000206 |
| Provider Name | Tara N Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992013957 PECOS PAC ID: 6608060587 Enrollment ID: I20101104000920 |
| Provider Name | Kay S Deford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750542759 PECOS PAC ID: 3678768488 Enrollment ID: I20101105000999 |
| Provider Name | Veronica M Somerville |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902112105 PECOS PAC ID: 3173711421 Enrollment ID: I20101230000582 |
| Provider Name | Kathleen P Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962711333 PECOS PAC ID: 7517156607 Enrollment ID: I20110105000216 |
| Provider Name | Alaina C Mcsherry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144456286 PECOS PAC ID: 9739231879 Enrollment ID: I20110629000640 |
| Provider Name | Nicholas R Newsom |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811158736 PECOS PAC ID: 1254519853 Enrollment ID: I20110630000391 |
| Provider Name | Joseph Paul Smith |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1700047305 PECOS PAC ID: 2365620986 Enrollment ID: I20110630000592 |
| Provider Name | Santi Gottumukkala |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699939900 PECOS PAC ID: 2466630843 Enrollment ID: I20110707000552 |
| Provider Name | Lindsay M Weaver |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578727327 PECOS PAC ID: 0143408542 Enrollment ID: I20110708000059 |
| Provider Name | Catherine E Thompson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699743690 PECOS PAC ID: 9830198118 Enrollment ID: I20110715000315 |
| Provider Name | Mark A Unroe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689832834 PECOS PAC ID: 8022287101 Enrollment ID: I20110805000450 |
| Provider Name | Melissa C Knutson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578721783 PECOS PAC ID: 0446384598 Enrollment ID: I20110915000619 |
| Provider Name | Thomas A Coffelt |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760683262 PECOS PAC ID: 1658543673 Enrollment ID: I20111017000162 |
| Provider Name | Amy L Mattingly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932499548 PECOS PAC ID: 8123294410 Enrollment ID: I20120109000666 |
| Provider Name | Mark D Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659461564 PECOS PAC ID: 1153588199 Enrollment ID: I20120202000899 |
| Provider Name | Omar Rahman |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1861457715 PECOS PAC ID: 2466424080 Enrollment ID: I20120223000833 |
| Provider Name | Marcie K Judge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558521849 PECOS PAC ID: 6103088125 Enrollment ID: I20120508000471 |
| Provider Name | Asma A Siddiqui |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1720074297 PECOS PAC ID: 6305808627 Enrollment ID: I20120524000002 |
| Provider Name | Nicole R Phillips |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386870772 PECOS PAC ID: 8426212515 Enrollment ID: I20120621000553 |
| Provider Name | Ahmed H Abdel Rahman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427288604 PECOS PAC ID: 0345405320 Enrollment ID: I20120625000276 |
| Provider Name | Johanna R Coughlin |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1356576888 PECOS PAC ID: 8820253404 Enrollment ID: I20120705000180 |
| Provider Name | Jeffrey L Farmer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043479348 PECOS PAC ID: 6406011782 Enrollment ID: I20120712000198 |
| Provider Name | Rajnish Khillan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043541949 PECOS PAC ID: 3476719113 Enrollment ID: I20120724000575 |
| Provider Name | Jesse A Beery |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821225525 PECOS PAC ID: 0547416836 Enrollment ID: I20120801000617 |
| Provider Name | Mohsin Iqbal |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1750323481 PECOS PAC ID: 6901877901 Enrollment ID: I20121012000792 |
| Provider Name | Mitchell Kenneth Craft |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1275758617 PECOS PAC ID: 0244337566 Enrollment ID: I20121026000649 |
| Provider Name | Grant H Gilroy |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1255651261 PECOS PAC ID: 9133370968 Enrollment ID: I20121103000104 |
| Provider Name | Sarah J Hartman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730437930 PECOS PAC ID: 6103077326 Enrollment ID: I20121117000081 |
| Provider Name | Timothy M Short |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215284344 PECOS PAC ID: 4284694886 Enrollment ID: I20130318000371 |
| Provider Name | Megan S Alexander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982969267 PECOS PAC ID: 7113163841 Enrollment ID: I20130424000819 |
| Provider Name | Leslee A Kaper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265794663 PECOS PAC ID: 7618114067 Enrollment ID: I20130502000557 |
| Provider Name | Lanna M Guzman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366709701 PECOS PAC ID: 2860639481 Enrollment ID: I20130518000037 |
| Provider Name | Robert A Kemp |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1639127764 PECOS PAC ID: 9931231834 Enrollment ID: I20130715000062 |
| Provider Name | Tracy Dianne Gunter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063407732 PECOS PAC ID: 2163589680 Enrollment ID: I20130727000149 |
| Provider Name | Rajat Kapoor |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1508037722 PECOS PAC ID: 8921249186 Enrollment ID: I20130730000960 |
| Provider Name | Allyson L Thomas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053571778 PECOS PAC ID: 3678717469 Enrollment ID: I20130917000766 |
| Provider Name | Dustin B Augenstine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386907996 PECOS PAC ID: 0042454621 Enrollment ID: I20130920000745 |
| Provider Name | Jason D Russ |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457679417 PECOS PAC ID: 4688818040 Enrollment ID: I20130925000352 |
| Provider Name | Heather M Denger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053604843 PECOS PAC ID: 2365678042 Enrollment ID: I20131203000215 |
| Provider Name | Shaina Elaine Boone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164864260 PECOS PAC ID: 3476780008 Enrollment ID: I20131205001241 |
| Provider Name | Katie M Bussard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225359193 PECOS PAC ID: 4183851926 Enrollment ID: I20131226000372 |
| Provider Name | Katie A Colone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669793535 PECOS PAC ID: 9234367863 Enrollment ID: I20140106000740 |
| Provider Name | Candice D Moad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942641840 PECOS PAC ID: 8527299098 Enrollment ID: I20140326000846 |
| Provider Name | Hilary D Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104102821 PECOS PAC ID: 2961676952 Enrollment ID: I20140404001161 |
| Provider Name | Emily L Dock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083970339 PECOS PAC ID: 6002048543 Enrollment ID: I20140415001372 |
| Provider Name | Daniel Cummings Gutteridge |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1801108782 PECOS PAC ID: 2264675370 Enrollment ID: I20140424000621 |
| Provider Name | Joseph T Lee |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003107517 PECOS PAC ID: 8224261961 Enrollment ID: I20140508002013 |
| Provider Name | Melissa A Pyatskowit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154673820 PECOS PAC ID: 5698908010 Enrollment ID: I20140512001383 |
| Provider Name | Nicholas Delecaris |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629382098 PECOS PAC ID: 0648413328 Enrollment ID: I20140520000455 |
| Provider Name | Katherine A Pollard |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1063857936 PECOS PAC ID: 0446491195 Enrollment ID: I20140717000499 |
| Provider Name | Yuzhu Tang |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1457659930 PECOS PAC ID: 1052552767 Enrollment ID: I20140801001892 |
| Provider Name | Eric W Han |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841565942 PECOS PAC ID: 8123349446 Enrollment ID: I20150611001046 |
| Provider Name | Allison C Burke |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710277298 PECOS PAC ID: 0446490460 Enrollment ID: I20150626001286 |
| Provider Name | Amy W Johnson |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1932463445 PECOS PAC ID: 6800036856 Enrollment ID: I20150701001487 |
| Provider Name | Victoria Osborn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619357019 PECOS PAC ID: 9032422423 Enrollment ID: I20150714001474 |
| Provider Name | Damien G Patel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1891929634 PECOS PAC ID: 3971749474 Enrollment ID: I20150715001752 |
| Provider Name | Carmen B Lanie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770961294 PECOS PAC ID: 4789998139 Enrollment ID: I20150730010608 |
| Provider Name | Raven L Nix |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821470238 PECOS PAC ID: 0941515647 Enrollment ID: I20150810001919 |
| Provider Name | Joycelyn L Howard |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1265812010 PECOS PAC ID: 7719294537 Enrollment ID: I20150910002988 |
| Provider Name | Amanda M Gomez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518335124 PECOS PAC ID: 1456651660 Enrollment ID: I20151119001532 |
| Provider Name | Peter J Sieg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497125025 PECOS PAC ID: 6204136419 Enrollment ID: I20151119001834 |
| Provider Name | Elizabeth A Motter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487028353 PECOS PAC ID: 6305146291 Enrollment ID: I20151125001135 |
| Provider Name | Devon M Blackburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255706602 PECOS PAC ID: 9335440965 Enrollment ID: I20151223001272 |
| Provider Name | Phylicia R Richardson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255798823 PECOS PAC ID: 8123323110 Enrollment ID: I20160301000311 |
| Provider Name | Alnee L Gadberry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578925103 PECOS PAC ID: 3779874565 Enrollment ID: I20160627000499 |
| Provider Name | Heather R Wolfe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285089664 PECOS PAC ID: 3072806421 Enrollment ID: I20160722002197 |
| Provider Name | Christopher D Furrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811348279 PECOS PAC ID: 1759675812 Enrollment ID: I20160811002305 |
| Provider Name | Jenna N Treadwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548611346 PECOS PAC ID: 7214221324 Enrollment ID: I20160812001032 |
| Provider Name | Samantha L Amore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083167613 PECOS PAC ID: 0345535563 Enrollment ID: I20160825002782 |
| Provider Name | Jessica Brooke Furrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962955773 PECOS PAC ID: 3274576988 Enrollment ID: I20160830000858 |
| Provider Name | Casie Stevens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689129645 PECOS PAC ID: 3375831159 Enrollment ID: I20161011001222 |
| Provider Name | Lindsey M Moorman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043760523 PECOS PAC ID: 4587952031 Enrollment ID: I20161017000363 |
| Provider Name | Jon W Prairie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376090266 PECOS PAC ID: 6406137702 Enrollment ID: I20161228001626 |
| Provider Name | Steven D Ritchey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295198927 PECOS PAC ID: 1951682772 Enrollment ID: I20170110000101 |
| Provider Name | Hari Krishna Puttagunta |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1841451218 PECOS PAC ID: 5597999516 Enrollment ID: I20170317000459 |
| Provider Name | Courtney L Hopp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487193983 PECOS PAC ID: 8628354446 Enrollment ID: I20170411000162 |
| Provider Name | Andrew Vincent Coccaro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861802779 PECOS PAC ID: 2860798816 Enrollment ID: I20170613000245 |
| Provider Name | Amy E Day |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417494634 PECOS PAC ID: 8123397221 Enrollment ID: I20170705002560 |
| Provider Name | Jewell Robinson Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275988289 PECOS PAC ID: 6103104161 Enrollment ID: I20170905000369 |
| Provider Name | Marc S Rovner |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1093795668 PECOS PAC ID: 1951205459 Enrollment ID: I20170908002814 |
| Provider Name | Leslie R Gibbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922407998 PECOS PAC ID: 8628397429 Enrollment ID: I20170908003122 |
| Provider Name | Shannon L Craig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114443405 PECOS PAC ID: 7719251651 Enrollment ID: I20170915002866 |
| Provider Name | Natasha Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326584012 PECOS PAC ID: 9739453374 Enrollment ID: I20170921000702 |
| Provider Name | Roma Gautam Patel |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1821446931 PECOS PAC ID: 3577854868 Enrollment ID: I20170925000922 |
| Provider Name | Roberto F P Machado |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1942268172 PECOS PAC ID: 1850361189 Enrollment ID: I20171009000926 |
| Provider Name | Jennifer D White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750821401 PECOS PAC ID: 3577839927 Enrollment ID: I20171030002400 |
| Provider Name | Joseph P Gallagher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235594441 PECOS PAC ID: 4284991803 Enrollment ID: I20171206001486 |
| Provider Name | Melissa E Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093113623 PECOS PAC ID: 7911264593 Enrollment ID: I20171207000363 |
| Provider Name | Julie L Brockman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811420862 PECOS PAC ID: 9739446311 Enrollment ID: I20171207000368 |
| Provider Name | Mark R Lentz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548773492 PECOS PAC ID: 3971861287 Enrollment ID: I20171214001282 |
| Provider Name | Tia L Brutscher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083129043 PECOS PAC ID: 4789944745 Enrollment ID: I20180212002910 |
| Provider Name | Bahtrena Rhodes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194259879 PECOS PAC ID: 4183987860 Enrollment ID: I20180410002840 |
| Provider Name | Sikandar H Khan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1952665218 PECOS PAC ID: 3274776299 Enrollment ID: I20180523000922 |
| Provider Name | Bridget C Thorne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366930331 PECOS PAC ID: 9537424023 Enrollment ID: I20180605000169 |
| Provider Name | Imran A Sethi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1093914301 PECOS PAC ID: 0244313500 Enrollment ID: I20180615001865 |
| Provider Name | James F Cleary |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1841266855 PECOS PAC ID: 0749319895 Enrollment ID: I20180716001739 |
| Provider Name | Jayme L Ramey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326533894 PECOS PAC ID: 5991053233 Enrollment ID: I20180802003670 |
| Provider Name | Ryan David Boente |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972890606 PECOS PAC ID: 1658514724 Enrollment ID: I20180827002232 |
| Provider Name | Connie Louise Seigman-jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396252466 PECOS PAC ID: 3274884135 Enrollment ID: I20180917001681 |
| Provider Name | Kimberly L Koors |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952875734 PECOS PAC ID: 8527305747 Enrollment ID: I20190125002915 |
| Provider Name | Jay Jin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356605299 PECOS PAC ID: 0840436846 Enrollment ID: I20190319001690 |
| Provider Name | Reagan E Hirschy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982162491 PECOS PAC ID: 8123369592 Enrollment ID: I20190411002543 |
| Provider Name | Olivia Lyn Beaver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881250058 PECOS PAC ID: 0446593164 Enrollment ID: I20190521003197 |
| Provider Name | Zachary Bennett Fulkerson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386080265 PECOS PAC ID: 5294975330 Enrollment ID: I20190528001789 |
| Provider Name | Heather R Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811553662 PECOS PAC ID: 3173856432 Enrollment ID: I20190531002107 |
| Provider Name | Nicholas Stephen Iannazzo |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1043669633 PECOS PAC ID: 8426349283 Enrollment ID: I20190626000433 |
| Provider Name | Evan Mitchell Landry Tomkiewicz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124518931 PECOS PAC ID: 8426313370 Enrollment ID: I20190814004053 |
| Provider Name | Katherine Rose Ahaus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184103459 PECOS PAC ID: 1759618507 Enrollment ID: I20190816000395 |
| Provider Name | Amy J Dockrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013569821 PECOS PAC ID: 8729316369 Enrollment ID: I20190821001373 |
| Provider Name | Allison E Garrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922654227 PECOS PAC ID: 0345578639 Enrollment ID: I20190823003173 |
| Provider Name | Elizabeth Mae King |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417302845 PECOS PAC ID: 4183952351 Enrollment ID: I20190826003003 |
| Provider Name | Ashley E Henthorn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689220485 PECOS PAC ID: 2961733977 Enrollment ID: I20191004002795 |
| Provider Name | Kareem M Ballut |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1649793258 PECOS PAC ID: 5597002675 Enrollment ID: I20191119001702 |
| Provider Name | Ami V Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306106455 PECOS PAC ID: 4981860293 Enrollment ID: I20200123002882 |
| Provider Name | Mrunal Gunvant Patel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1396044558 PECOS PAC ID: 5496066854 Enrollment ID: I20200322000057 |
| Provider Name | Clare Colette Prohaska |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1053705467 PECOS PAC ID: 9931415379 Enrollment ID: I20200406002215 |
| Provider Name | Nichole A Smith |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265812804 PECOS PAC ID: 8325352065 Enrollment ID: I20200407001842 |
| Provider Name | Eric Joseph Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740801711 PECOS PAC ID: 8123449113 Enrollment ID: I20200529000985 |
| Provider Name | Eric N Shepard |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1689021107 PECOS PAC ID: 1153610548 Enrollment ID: I20200702001856 |
| Provider Name | Paige Randolph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013538826 PECOS PAC ID: 2264855881 Enrollment ID: I20200714003418 |
| Provider Name | Marleana Leann Groh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538778600 PECOS PAC ID: 0749604411 Enrollment ID: I20200728002231 |
| Provider Name | Dylan L Holcomb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205454857 PECOS PAC ID: 9234554502 Enrollment ID: I20200803003336 |
| Provider Name | Elizabeth Ann Ewer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295343903 PECOS PAC ID: 3870918832 Enrollment ID: I20200807001049 |
| Provider Name | Tammy M Skinner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215546973 PECOS PAC ID: 8022435825 Enrollment ID: I20200825001903 |
| Provider Name | Jennifer Lee Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043828635 PECOS PAC ID: 7113344797 Enrollment ID: I20200827001361 |
| Provider Name | Sarah L Cantrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568061695 PECOS PAC ID: 9436579711 Enrollment ID: I20201027000896 |
| Provider Name | Sarah E Casper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588278709 PECOS PAC ID: 3577973452 Enrollment ID: I20201104001050 |
| Provider Name | Brittany N Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881290088 PECOS PAC ID: 7416369202 Enrollment ID: I20201221000578 |
| Provider Name | Piper-danay Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205425436 PECOS PAC ID: 2365858073 Enrollment ID: I20210304000129 |
| Provider Name | Kendra Mifflin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245811769 PECOS PAC ID: 0840608402 Enrollment ID: I20210420001241 |
| Provider Name | Graham D Dellinger |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1063808905 PECOS PAC ID: 0345553517 Enrollment ID: I20210803001153 |
| Provider Name | Parth K Patel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811435878 PECOS PAC ID: 4789954686 Enrollment ID: I20210804003498 |
| Provider Name | George Venious |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1336535061 PECOS PAC ID: 8628387123 Enrollment ID: I20210818000772 |
| Provider Name | Zachary T Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386217685 PECOS PAC ID: 2163827551 Enrollment ID: I20210824000337 |
| Provider Name | Kreyl Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700550167 PECOS PAC ID: 6709281199 Enrollment ID: I20210824000363 |
| Provider Name | Charlotte Venious |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1053774901 PECOS PAC ID: 7113219403 Enrollment ID: I20210824001908 |
| Provider Name | Stanley A Nasraway |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1194834200 PECOS PAC ID: 0547209827 Enrollment ID: I20210825001360 |
| Provider Name | Nelayda Fonte |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710975354 PECOS PAC ID: 9436046539 Enrollment ID: I20210831002752 |
| Provider Name | Emily N Fischer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164199907 PECOS PAC ID: 8022414531 Enrollment ID: I20210909000306 |
| Provider Name | Kristin Marie Johanning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164013629 PECOS PAC ID: 3678971645 Enrollment ID: I20211005001866 |
| Provider Name | Jennifer J Markowitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518530666 PECOS PAC ID: 0143628073 Enrollment ID: I20211007001327 |
| Provider Name | Stephanie M Cartwright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497418107 PECOS PAC ID: 7315336351 Enrollment ID: I20211115000187 |
| Provider Name | Seth B Langsam |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1225321797 PECOS PAC ID: 2769602424 Enrollment ID: I20211122000298 |
| Provider Name | Teresa Lynn Drescher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417540881 PECOS PAC ID: 3072903533 Enrollment ID: I20211124001643 |
| Provider Name | Alan D Hyslop |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1740644392 PECOS PAC ID: 2466745054 Enrollment ID: I20220106002176 |
| Provider Name | Richard Juda |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1912998709 PECOS PAC ID: 5496705154 Enrollment ID: I20220204000489 |
| Provider Name | Minah Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164173829 PECOS PAC ID: 9931592409 Enrollment ID: I20220204000491 |
| Provider Name | Amy Charlotte Sprunger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083241236 PECOS PAC ID: 7113310368 Enrollment ID: I20220210001305 |
| Provider Name | Rachel Kathryn Demerly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144971839 PECOS PAC ID: 5496149445 Enrollment ID: I20220308001861 |
| Provider Name | Allison L Gardner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811646540 PECOS PAC ID: 4082000732 Enrollment ID: I20220405001391 |
| Provider Name | James Christopher Skinner |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1720500432 PECOS PAC ID: 4385995687 Enrollment ID: I20220525001369 |
| Provider Name | Philip J Husband |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1417019753 PECOS PAC ID: 3971412503 Enrollment ID: I20220630001893 |
| Provider Name | Jessica Marie Gulch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821650474 PECOS PAC ID: 0042644114 Enrollment ID: I20220706001511 |
| Provider Name | Craig Douglas Sewell |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1346771839 PECOS PAC ID: 8426327008 Enrollment ID: I20220724000049 |
| Provider Name | Iram Bakhtawar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1598878605 PECOS PAC ID: 8820159510 Enrollment ID: I20220816002545 |
| Provider Name | Hera Jafri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932696051 PECOS PAC ID: 7719214477 Enrollment ID: I20220824003453 |
| Provider Name | Caitlin M Baxter |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1104211663 PECOS PAC ID: 6800193293 Enrollment ID: I20220928000352 |
| Provider Name | Rodjawan Supakul |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1730463720 PECOS PAC ID: 3779852108 Enrollment ID: I20221003002040 |
| Provider Name | Erica Ann Snodgrass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669181194 PECOS PAC ID: 8224408935 Enrollment ID: I20221221000694 |
| Provider Name | Josselyn M Howell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518669019 PECOS PAC ID: 7214393313 Enrollment ID: I20230516001250 |
| Provider Name | Roberto J Bernardo |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1063853109 PECOS PAC ID: 3476847468 Enrollment ID: I20230516002374 |
| Provider Name | Maria L Srour |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1023462660 PECOS PAC ID: 1850679184 Enrollment ID: I20230516002790 |
| Provider Name | Wendy Phreud Edmond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013458561 PECOS PAC ID: 8224398110 Enrollment ID: I20230525000464 |
| Provider Name | Rosalyn H Chi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437412475 PECOS PAC ID: 5890006241 Enrollment ID: I20230526001739 |
| Provider Name | Priscilla Marie De La Cruz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366977357 PECOS PAC ID: 5890032189 Enrollment ID: I20230601001183 |
| Provider Name | Daniel Udrea |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174029755 PECOS PAC ID: 6103235759 Enrollment ID: I20230627001622 |
| Provider Name | Heidi L Alvey |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1386938702 PECOS PAC ID: 4981904133 Enrollment ID: I20230705003374 |
| Provider Name | Michelle Paek |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1770045486 PECOS PAC ID: 8224362983 Enrollment ID: I20230725002863 |
| Provider Name | Allison Lynn Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346941861 PECOS PAC ID: 4880055425 Enrollment ID: I20230731000980 |
| Provider Name | Casey Marie Schoettle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821785387 PECOS PAC ID: 3375905276 Enrollment ID: I20230809001459 |
| Provider Name | Katherine Joann Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750062410 PECOS PAC ID: 4385006584 Enrollment ID: I20230821002240 |
| Provider Name | Simran Kaur Jutla |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1235633850 PECOS PAC ID: 7113328162 Enrollment ID: I20230825002933 |
| Provider Name | Kelsey K Reeder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306623665 PECOS PAC ID: 8628422375 Enrollment ID: I20230928001735 |
| Provider Name | Laura N Simpson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699552430 PECOS PAC ID: 4981058484 Enrollment ID: I20231003001243 |
| Provider Name | Scott M Mccarty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457083214 PECOS PAC ID: 9830566967 Enrollment ID: I20231211002752 |
| Provider Name | Kayla K Watkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235906421 PECOS PAC ID: 8921451758 Enrollment ID: I20240129002668 |
| Provider Name | Reagan M Gambill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629843792 PECOS PAC ID: 1456796648 Enrollment ID: I20240227003814 |
| Provider Name | Shelby Elizabeth Linn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801667928 PECOS PAC ID: 8921444910 Enrollment ID: I20240313000753 |
| Provider Name | Nicole R Kistler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538923107 PECOS PAC ID: 9234578741 Enrollment ID: I20240417001211 |
Moazzam Habib Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9240 N Meridian St, Suite 240, Indianapolis, IN 46260 Phone: 317-571-0030 Fax: 317-571-0031 | |
Shalom 56th Street-new Access Point Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5750 W 56th St, Indianapolis, IN 46254 Phone: 317-291-7422 Fax: 317-291-4912 | |
Franciscan Health Indianapolis & Mooresville Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5230a East Stop 11 Road, Suite 250, Indianapolis, IN 46237 Phone: 317-528-8921 Fax: 317-528-6916 | |
Evernorth Care Providers - Delaware Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8888 Keystone Xing Ste 1300, Indianapolis, IN 46240 Phone: 773-292-4800 Fax: 312-564-4059 | |
Eskenazi Health Center Cottage Corner Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1434 Shelby St, Indianapolis, IN 46203 Phone: 317-655-3200 Fax: 317-655-3210 | |
Hello Wellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1040 E 86th St, Suite 48-a, Indianapolis, IN 46240 Phone: 317-569-1800 | |
Indiana Neurodiagnostics, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9465 Counselors Row, Ste. 200 Office 257, Indianapolis, IN 46240 Phone: 317-614-0310 Fax: 866-279-4704 |