| Integris Medical Group | |
|
3001 Quail Springs Pkwy Oklahoma City OK 73134-2640 | |
| (405) 951-2298 | |
| (405) 951-2996 |
| Full Name | Integris Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 3001 Quail Springs Pkwy, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Michael Weed (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 4059512737 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integris Medical Group Po Box 843754 Kansas City MO 64184-3754 Ph: (405) 951-2298 | Integris Medical Group 3001 Quail Springs Pkwy Oklahoma City OK 73134-2640 Ph: (405) 951-2298 |
| NPI Number | 1750333936 |
|---|---|
| Provider Enumeration Date | 05/16/2006 |
| Last Update Date | 01/19/2024 |
| Medicare PECOS PAC ID | 2365408465 |
|---|---|
| Medicare Enrollment ID | O20041209000354 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750333936 | NPI | - | NPPES |
| 100736700Q | Medicaid | OK |
| Provider Name | Hashib D Faruque |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225006570 PECOS PAC ID: 2365347069 Enrollment ID: I20031205000072 |
| Provider Name | James D Rutter |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649258369 PECOS PAC ID: 0840196739 Enrollment ID: I20031231000129 |
| Provider Name | Gerald Hale |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1962414904 PECOS PAC ID: 5597664987 Enrollment ID: I20040107000339 |
| Provider Name | Rebecca E. Stanford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689612863 PECOS PAC ID: 5496655516 Enrollment ID: I20040113000477 |
| Provider Name | David L Weaver |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356340327 PECOS PAC ID: 3274429493 Enrollment ID: I20040225000350 |
| Provider Name | Elizabeth Wickersham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992706048 PECOS PAC ID: 8224924337 Enrollment ID: I20040228000307 |
| Provider Name | Kimberly S Smith |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1003924861 PECOS PAC ID: 7315834843 Enrollment ID: I20040301000605 |
| Provider Name | Shirin N Mohammad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093742819 PECOS PAC ID: 5890683759 Enrollment ID: I20040310001028 |
| Provider Name | Lorri J Dobbins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912945817 PECOS PAC ID: 4385533868 Enrollment ID: I20040312000573 |
| Provider Name | Glen D Hyde |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912907056 PECOS PAC ID: 0749274520 Enrollment ID: I20040413001860 |
| Provider Name | Emily K Reed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942255740 PECOS PAC ID: 5799770822 Enrollment ID: I20040419000356 |
| Provider Name | Bronwyn L Woods |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780627232 PECOS PAC ID: 0749276186 Enrollment ID: I20040422000040 |
| Provider Name | Peter F Mclaughlin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811954357 PECOS PAC ID: 6204823099 Enrollment ID: I20040426000860 |
| Provider Name | Richard L Hromas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619976750 PECOS PAC ID: 9436062684 Enrollment ID: I20040501000451 |
| Provider Name | Jeffrey R Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295735355 PECOS PAC ID: 6800884602 Enrollment ID: I20040501000462 |
| Provider Name | Curtis Errol Ball |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619956943 PECOS PAC ID: 3375531767 Enrollment ID: I20040504001149 |
| Provider Name | Gary Dean Riggs |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902821085 PECOS PAC ID: 2961491865 Enrollment ID: I20040506001590 |
| Provider Name | Timothy B Gilbert |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336100288 PECOS PAC ID: 5890785620 Enrollment ID: I20040514000168 |
| Provider Name | Long T Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811956006 PECOS PAC ID: 2163413543 Enrollment ID: I20040524000651 |
| Provider Name | Charles E Bryant |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1043286776 PECOS PAC ID: 8426945189 Enrollment ID: I20040525000636 |
| Provider Name | Jeri L Hargrave |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346240199 PECOS PAC ID: 6507848116 Enrollment ID: I20040607000104 |
| Provider Name | Christopher A Shearer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104825231 PECOS PAC ID: 2163405267 Enrollment ID: I20040610000246 |
| Provider Name | Larry Brent Scott |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1932148673 PECOS PAC ID: 1355325804 Enrollment ID: I20040616000304 |
| Provider Name | Baolong Nguyen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1710962071 PECOS PAC ID: 5799769873 Enrollment ID: I20040616000428 |
| Provider Name | John Todd Robinett |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871545632 PECOS PAC ID: 1850376120 Enrollment ID: I20040621001597 |
| Provider Name | Gregory M Spencer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821030826 PECOS PAC ID: 4789660697 Enrollment ID: I20040629001228 |
| Provider Name | Kevin L White |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689696858 PECOS PAC ID: 0547159055 Enrollment ID: I20040713000009 |
| Provider Name | Linda S Woodruff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568424190 PECOS PAC ID: 4183603103 Enrollment ID: I20040714001106 |
| Provider Name | Surinder K Randhawa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952337123 PECOS PAC ID: 3173502093 Enrollment ID: I20040715000278 |
| Provider Name | John William Goulart |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1417957085 PECOS PAC ID: 1456343649 Enrollment ID: I20040716000665 |
| Provider Name | Joseph C Mitro |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043268873 PECOS PAC ID: 9234118910 Enrollment ID: I20040720000954 |
| Provider Name | Brent Beson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538251632 PECOS PAC ID: 4789597741 Enrollment ID: I20040720001315 |
| Provider Name | Edwin Cole |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801895776 PECOS PAC ID: 7618957689 Enrollment ID: I20040721000566 |
| Provider Name | Donald C Brown |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225014681 PECOS PAC ID: 3870563646 Enrollment ID: I20040728001675 |
| Provider Name | Michelle R Bergner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538168679 PECOS PAC ID: 6305817578 Enrollment ID: I20040802001423 |
| Provider Name | Theresa S Garton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437180858 PECOS PAC ID: 3779556782 Enrollment ID: I20040823000013 |
| Provider Name | Melinda Allen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396737888 PECOS PAC ID: 6305757444 Enrollment ID: I20040831001174 |
| Provider Name | Robert Thomas |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548248206 PECOS PAC ID: 3779558853 Enrollment ID: I20040901000217 |
| Provider Name | Fiona Yanhua Li |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336175009 PECOS PAC ID: 9032179924 Enrollment ID: I20041014000969 |
| Provider Name | Richard D Allen |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1699753343 PECOS PAC ID: 2860455813 Enrollment ID: I20041110000533 |
| Provider Name | Kristi G Self |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1528030970 PECOS PAC ID: 8224092796 Enrollment ID: I20041115000706 |
| Provider Name | Kyle W Fanning |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184668998 PECOS PAC ID: 3173580818 Enrollment ID: I20041215000092 |
| Provider Name | Michael Morgan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063456242 PECOS PAC ID: 1153387238 Enrollment ID: I20041216000037 |
| Provider Name | John S Muchmore |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1033163100 PECOS PAC ID: 2860459336 Enrollment ID: I20041216000158 |
| Provider Name | Jeffrey B Cruzan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184661977 PECOS PAC ID: 1759348279 Enrollment ID: I20041216000520 |
| Provider Name | Athena J Friese |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487600086 PECOS PAC ID: 1951368380 Enrollment ID: I20041216000696 |
| Provider Name | Tanya L Livingston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316986854 PECOS PAC ID: 1254398613 Enrollment ID: I20041216000948 |
| Provider Name | Peter P Chan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134160708 PECOS PAC ID: 2668439035 Enrollment ID: I20041216000999 |
| Provider Name | Eric A West |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255375226 PECOS PAC ID: 4688631088 Enrollment ID: I20041217000073 |
| Provider Name | Erin K Glasgow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780621136 PECOS PAC ID: 5991762304 Enrollment ID: I20041217000222 |
| Provider Name | Todd D Clapp |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013958321 PECOS PAC ID: 9830156199 Enrollment ID: I20041217000662 |
| Provider Name | Bret N Frey |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1275508186 PECOS PAC ID: 4688631849 Enrollment ID: I20041220000411 |
| Provider Name | Tammie L Koehler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548378375 PECOS PAC ID: 6103875992 Enrollment ID: I20050119000586 |
| Provider Name | Douglas K Brown |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1851406805 PECOS PAC ID: 6709835911 Enrollment ID: I20050122000002 |
| Provider Name | Christopher A Knowles |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255348801 PECOS PAC ID: 2567412869 Enrollment ID: I20050125000354 |
| Provider Name | Justin S Sparkes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265487946 PECOS PAC ID: 0648221168 Enrollment ID: I20050202000322 |
| Provider Name | Michelle Lynn Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285609248 PECOS PAC ID: 5092767988 Enrollment ID: I20050218000735 |
| Provider Name | Sean W Ferrell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942246228 PECOS PAC ID: 9537118260 Enrollment ID: I20050316000968 |
| Provider Name | Sikandar Mesiya |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1407830342 PECOS PAC ID: 8921053398 Enrollment ID: I20050318000006 |
| Provider Name | Stewart C Smith |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1316901838 PECOS PAC ID: 6800834185 Enrollment ID: I20050422000768 |
| Provider Name | Charles B Stanfield |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225091366 PECOS PAC ID: 0547234262 Enrollment ID: I20050426001421 |
| Provider Name | Joey D Fowler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558321950 PECOS PAC ID: 2961444112 Enrollment ID: I20050526000986 |
| Provider Name | Robert G Stepp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417917113 PECOS PAC ID: 5799727962 Enrollment ID: I20050527000047 |
| Provider Name | Linda K Ramer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225022924 PECOS PAC ID: 5698717536 Enrollment ID: I20050608000007 |
| Provider Name | Jonathan R Vanhooser |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053377002 PECOS PAC ID: 0547204455 Enrollment ID: I20050613001221 |
| Provider Name | Lawrence R Kincheloe |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548212293 PECOS PAC ID: 5294791356 Enrollment ID: I20050620001181 |
| Provider Name | Arun K Sachdev |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1578547170 PECOS PAC ID: 1658311055 Enrollment ID: I20050629000270 |
| Provider Name | Nancy N Nagle |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1740245745 PECOS PAC ID: 2567491418 Enrollment ID: I20050810000967 |
| Provider Name | Najwa Bahu Baugh |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1891893657 PECOS PAC ID: 9234168063 Enrollment ID: I20050811000425 |
| Provider Name | James E Harrington |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1053357400 PECOS PAC ID: 0749240695 Enrollment ID: I20050815000023 |
| Provider Name | Christopher Alan Lane |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225063647 PECOS PAC ID: 8729023171 Enrollment ID: I20050822001136 |
| Provider Name | Douglas Horstmanshof |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1881688760 PECOS PAC ID: 2668418260 Enrollment ID: I20050824000339 |
| Provider Name | Joshua P Carey |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295726719 PECOS PAC ID: 5496784613 Enrollment ID: I20050907000187 |
| Provider Name | Glen A Henry |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639168578 PECOS PAC ID: 4789610536 Enrollment ID: I20050907000379 |
| Provider Name | John Clark Osborn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629044334 PECOS PAC ID: 6305870544 Enrollment ID: I20050927000121 |
| Provider Name | Steven S Sands |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376728907 PECOS PAC ID: 7618902743 Enrollment ID: I20051013000725 |
| Provider Name | David M Sparks |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1700839099 PECOS PAC ID: 9032187000 Enrollment ID: I20051017000202 |
| Provider Name | Matthew Ray Bonner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780679837 PECOS PAC ID: 7810961802 Enrollment ID: I20051018000949 |
| Provider Name | Jawaid Jamal |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1417948886 PECOS PAC ID: 8921030123 Enrollment ID: I20051019000066 |
| Provider Name | Eric M Dedeke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922046960 PECOS PAC ID: 0244265155 Enrollment ID: I20051123000689 |
| Provider Name | Michael L Feldman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861472185 PECOS PAC ID: 7810957438 Enrollment ID: I20051201000560 |
| Provider Name | Kimberly J Fletcher |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548245129 PECOS PAC ID: 2062438021 Enrollment ID: I20051213000140 |
| Provider Name | Azhar U Khan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1821054453 PECOS PAC ID: 9032131032 Enrollment ID: I20051219000635 |
| Provider Name | William W Cook |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1831155456 PECOS PAC ID: 7618947797 Enrollment ID: I20051219000926 |
| Provider Name | Julie L Hansen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548238124 PECOS PAC ID: 1658392436 Enrollment ID: I20051228000031 |
| Provider Name | Andrew Gormley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881662054 PECOS PAC ID: 2567485311 Enrollment ID: I20060109000247 |
| Provider Name | Lori Pickrell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104801893 PECOS PAC ID: 6608768056 Enrollment ID: I20060116000147 |
| Provider Name | Romeo A Mandanas |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1114974466 PECOS PAC ID: 3870563950 Enrollment ID: I20060127000127 |
| Provider Name | Larry Wayne Houk |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316987183 PECOS PAC ID: 2769448828 Enrollment ID: I20060215000070 |
| Provider Name | Mohammad Intakhab Paracha |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1255419115 PECOS PAC ID: 0345152278 Enrollment ID: I20060314000571 |
| Provider Name | Douglas R Riddle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659310928 PECOS PAC ID: 5496764417 Enrollment ID: I20060509000068 |
| Provider Name | Daniel J Boedeker |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1225086945 PECOS PAC ID: 3476565300 Enrollment ID: I20060616000257 |
| Provider Name | David W Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427019488 PECOS PAC ID: 3870505001 Enrollment ID: I20060706000408 |
| Provider Name | Colby D Mayo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154383297 PECOS PAC ID: 2062454770 Enrollment ID: I20060707000079 |
| Provider Name | Kristy R Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033169933 PECOS PAC ID: 6800809716 Enrollment ID: I20060727000115 |
| Provider Name | Johnny R Mcminn |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1124069364 PECOS PAC ID: 6608846787 Enrollment ID: I20060825000389 |
| Provider Name | Heidi J Peterson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891706776 PECOS PAC ID: 6204829930 Enrollment ID: I20060831000283 |
| Provider Name | Brian D Whitson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1053355073 PECOS PAC ID: 8426052531 Enrollment ID: I20060901000351 |
| Provider Name | Jamie L Gore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730113788 PECOS PAC ID: 0840294625 Enrollment ID: I20060909000032 |
| Provider Name | Jay K Gannaway |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1609847086 PECOS PAC ID: 6204830870 Enrollment ID: I20060913000253 |
| Provider Name | Dwayne L Janzen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659394765 PECOS PAC ID: 4082617667 Enrollment ID: I20061026000196 |
| Provider Name | Bradford J Stephens |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366444648 PECOS PAC ID: 6507863677 Enrollment ID: I20061102000308 |
| Provider Name | Loyal R Stierlen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1447275052 PECOS PAC ID: 3476550443 Enrollment ID: I20061104000062 |
| Provider Name | Elisa D Depani-sparkes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043294861 PECOS PAC ID: 3870507841 Enrollment ID: I20061113000189 |
| Provider Name | Marcia Gillespie |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639184211 PECOS PAC ID: 0547246399 Enrollment ID: I20061127000270 |
| Provider Name | Terry L Allen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1568470805 PECOS PAC ID: 5294776050 Enrollment ID: I20070103000528 |
| Provider Name | Laxmi Narayana R Gadde |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639265689 PECOS PAC ID: 5597766477 Enrollment ID: I20070119000079 |
| Provider Name | Charles E Womack |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205810702 PECOS PAC ID: 9537160304 Enrollment ID: I20070122000230 |
| Provider Name | Jerromy L Jones |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417030263 PECOS PAC ID: 2365443504 Enrollment ID: I20070130000734 |
| Provider Name | Nasser Janbay |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1699768374 PECOS PAC ID: 0648175281 Enrollment ID: I20070203000171 |
| Provider Name | Karen K Swisher |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1528176955 PECOS PAC ID: 2466454210 Enrollment ID: I20070207000316 |
| Provider Name | John A Robertson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821059478 PECOS PAC ID: 7810099652 Enrollment ID: I20070224000139 |
| Provider Name | David Charles Crosswhite |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477515054 PECOS PAC ID: 1153423827 Enrollment ID: I20070227000230 |
| Provider Name | Jeneice A Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932270493 PECOS PAC ID: 1254433964 Enrollment ID: I20070227000655 |
| Provider Name | David B Tipton |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1265490460 PECOS PAC ID: 1557465887 Enrollment ID: I20070327000270 |
| Provider Name | Brian W Cook |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275638835 PECOS PAC ID: 7416052329 Enrollment ID: I20070423000238 |
| Provider Name | Christopher D Hayes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770669863 PECOS PAC ID: 6901902907 Enrollment ID: I20070508000701 |
| Provider Name | Gregory Y Jia |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1922084128 PECOS PAC ID: 4880791599 Enrollment ID: I20070515000022 |
| Provider Name | Don Alan Carnahan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891792040 PECOS PAC ID: 6103716048 Enrollment ID: I20070711000187 |
| Provider Name | Jian Xing |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831166917 PECOS PAC ID: 5496846339 Enrollment ID: I20070808000018 |
| Provider Name | Willie G Wyatt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538199443 PECOS PAC ID: 2668563495 Enrollment ID: I20070809000045 |
| Provider Name | Andrea M Corbishley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972613925 PECOS PAC ID: 8820181225 Enrollment ID: I20070830000280 |
| Provider Name | Michael Robertson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255311791 PECOS PAC ID: 7012922370 Enrollment ID: I20070830000304 |
| Provider Name | Jerome M Dilling |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1336118801 PECOS PAC ID: 7517052814 Enrollment ID: I20071002000577 |
| Provider Name | Dennis M Parker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649229097 PECOS PAC ID: 4981674066 Enrollment ID: I20071010000278 |
| Provider Name | Denise L Rable |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548214828 PECOS PAC ID: 8628020468 Enrollment ID: I20071102000461 |
| Provider Name | Rachel E Lafortune |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285600445 PECOS PAC ID: 0749227718 Enrollment ID: I20071114000376 |
| Provider Name | Andrea J Miller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639372899 PECOS PAC ID: 5294823563 Enrollment ID: I20071120000404 |
| Provider Name | Jeffrey M Sparkman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346314853 PECOS PAC ID: 2163510439 Enrollment ID: I20071120000448 |
| Provider Name | Dona L Petty |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114136322 PECOS PAC ID: 0345339180 Enrollment ID: I20071203000238 |
| Provider Name | Thomas M Osborn |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1235233958 PECOS PAC ID: 5193764637 Enrollment ID: I20080109000731 |
| Provider Name | James M Osborn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669446225 PECOS PAC ID: 3870679277 Enrollment ID: I20080326000293 |
| Provider Name | Thant Zin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013985654 PECOS PAC ID: 7517044654 Enrollment ID: I20080414000359 |
| Provider Name | Susan V Mathew |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487726493 PECOS PAC ID: 8325126634 Enrollment ID: I20080425000490 |
| Provider Name | Andy Cong Nguyen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1790793669 PECOS PAC ID: 5991878522 Enrollment ID: I20080715000814 |
| Provider Name | Andrew F Barsaloux |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770670150 PECOS PAC ID: 5294808796 Enrollment ID: I20080716000547 |
| Provider Name | Chris E Cottingham |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710152525 PECOS PAC ID: 4789758574 Enrollment ID: I20080728000354 |
| Provider Name | Ralph Shadid |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922091511 PECOS PAC ID: 3476548827 Enrollment ID: I20080811000469 |
| Provider Name | Laura Stearman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1962514455 PECOS PAC ID: 9931274669 Enrollment ID: I20080814000721 |
| Provider Name | Nathan I Valentine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275688707 PECOS PAC ID: 8628143187 Enrollment ID: I20080818000479 |
| Provider Name | Kenneth Andrew Seres |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1871633404 PECOS PAC ID: 0840365292 Enrollment ID: I20080819000628 |
| Provider Name | Rita J Shewmake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841267440 PECOS PAC ID: 6103825872 Enrollment ID: I20080821000550 |
| Provider Name | Heather D Barnes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932326469 PECOS PAC ID: 8123194040 Enrollment ID: I20080829000118 |
| Provider Name | Brooke A Nida |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104967900 PECOS PAC ID: 5092881862 Enrollment ID: I20080902000078 |
| Provider Name | Casey L Markland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568504033 PECOS PAC ID: 6103992631 Enrollment ID: I20080908000443 |
| Provider Name | Jami L Benton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639224264 PECOS PAC ID: 7416024542 Enrollment ID: I20080916000162 |
| Provider Name | John O Schrader |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1710105077 PECOS PAC ID: 0648370197 Enrollment ID: I20081008000619 |
| Provider Name | Margaret M Little |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922090265 PECOS PAC ID: 4183610512 Enrollment ID: I20081015000775 |
| Provider Name | Matthew D Miller |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1558474122 PECOS PAC ID: 8820095516 Enrollment ID: I20081017000519 |
| Provider Name | Preethi Krishnan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861611675 PECOS PAC ID: 8820156623 Enrollment ID: I20081023000238 |
| Provider Name | Richard B Heigle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386680627 PECOS PAC ID: 7315006160 Enrollment ID: I20081107000415 |
| Provider Name | Erin K Alward |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184779050 PECOS PAC ID: 5395804843 Enrollment ID: I20081112000641 |
| Provider Name | Arun K Devakonda |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1083873848 PECOS PAC ID: 2264591742 Enrollment ID: I20081113000114 |
| Provider Name | Dustin L Baylor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376746925 PECOS PAC ID: 5597826214 Enrollment ID: I20081212000285 |
| Provider Name | Robin M Mikel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740481977 PECOS PAC ID: 7315009974 Enrollment ID: I20081216000693 |
| Provider Name | Jennifer K Norman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1437325438 PECOS PAC ID: 3779649876 Enrollment ID: I20090225000305 |
| Provider Name | Caple A Spence |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1134157340 PECOS PAC ID: 8527964063 Enrollment ID: I20090302000624 |
| Provider Name | Brad A Liston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487817375 PECOS PAC ID: 4183780729 Enrollment ID: I20090305000276 |
| Provider Name | Charles W Ferrell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427256106 PECOS PAC ID: 1355417858 Enrollment ID: I20090316000694 |
| Provider Name | Charles H Morgan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336231430 PECOS PAC ID: 6901719178 Enrollment ID: I20090323000371 |
| Provider Name | Gary L Patzkowsky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912990896 PECOS PAC ID: 6507758240 Enrollment ID: I20090330000077 |
| Provider Name | William J Banner |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1881679074 PECOS PAC ID: 4183771934 Enrollment ID: I20090413000395 |
| Provider Name | Robert Lewis Cunningham |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548461007 PECOS PAC ID: 4183799422 Enrollment ID: I20090422000472 |
| Provider Name | Michael Winters |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1902880719 PECOS PAC ID: 4486611258 Enrollment ID: I20090520000557 |
| Provider Name | Matthew D Caudle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649473166 PECOS PAC ID: 2961579503 Enrollment ID: I20090618000367 |
| Provider Name | David R Fish |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619179389 PECOS PAC ID: 3173674637 Enrollment ID: I20090624000382 |
| Provider Name | Ali Mohammad |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447215355 PECOS PAC ID: 3678658721 Enrollment ID: I20090709000555 |
| Provider Name | Jacob Cyrus Carman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1396884839 PECOS PAC ID: 6608928338 Enrollment ID: I20090710000200 |
| Provider Name | Paul K Fuhrmeister |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811189194 PECOS PAC ID: 9638065709 Enrollment ID: I20090728000107 |
| Provider Name | Dillon J Roach |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508055690 PECOS PAC ID: 5698864635 Enrollment ID: I20090728000920 |
| Provider Name | Amy B Dedeke |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1295875300 PECOS PAC ID: 2860547957 Enrollment ID: I20090825000455 |
| Provider Name | Kyle B French |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568637353 PECOS PAC ID: 3173678083 Enrollment ID: I20090828000207 |
| Provider Name | Kevin L Jolliff |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1447390927 PECOS PAC ID: 1951456896 Enrollment ID: I20090828000460 |
| Provider Name | Amanda Lyn Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962667592 PECOS PAC ID: 1557417425 Enrollment ID: I20090917000297 |
| Provider Name | Katherine S Little |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1821095324 PECOS PAC ID: 3173679701 Enrollment ID: I20090922000745 |
| Provider Name | Elliott R Schwartz |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1871579185 PECOS PAC ID: 4082527254 Enrollment ID: I20090925000208 |
| Provider Name | Brian V Geister |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1568400471 PECOS PAC ID: 1153391230 Enrollment ID: I20091007000279 |
| Provider Name | Atul A Walia |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1780723130 PECOS PAC ID: 3870639503 Enrollment ID: I20091008000696 |
| Provider Name | Marco T Molina |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306979737 PECOS PAC ID: 9234276858 Enrollment ID: I20091029000638 |
| Provider Name | Elsa S Vadakekut |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497912380 PECOS PAC ID: 1052459062 Enrollment ID: I20091112000085 |
| Provider Name | Bashar S Alasad |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1215988803 PECOS PAC ID: 2961410261 Enrollment ID: I20091201000167 |
| Provider Name | Janae M Clapp |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1932151560 PECOS PAC ID: 5193733632 Enrollment ID: I20091201000218 |
| Provider Name | Romeo L Obsequio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508839093 PECOS PAC ID: 7517006547 Enrollment ID: I20091203000434 |
| Provider Name | Jeffrey N Stewart |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1386617017 PECOS PAC ID: 9133268105 Enrollment ID: I20091204000045 |
| Provider Name | Gary Schick |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1932107273 PECOS PAC ID: 8426099557 Enrollment ID: I20091205000139 |
| Provider Name | Patrick E Stout |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1366415234 PECOS PAC ID: 7315086261 Enrollment ID: I20091205000199 |
| Provider Name | Hal L Shofner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851447775 PECOS PAC ID: 4284773532 Enrollment ID: I20091208000533 |
| Provider Name | Jessica L Kennemer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861625691 PECOS PAC ID: 4082753793 Enrollment ID: I20091209000042 |
| Provider Name | Muzaffar Hussain |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1770556102 PECOS PAC ID: 9537209226 Enrollment ID: I20091210000117 |
| Provider Name | Leroy Southmayd |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1851351969 PECOS PAC ID: 8820139553 Enrollment ID: I20100104000301 |
| Provider Name | Srikanth Nallacheru |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316117328 PECOS PAC ID: 0143397943 Enrollment ID: I20100115000152 |
| Provider Name | Amie E Prough |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346381159 PECOS PAC ID: 5092858076 Enrollment ID: I20100201000030 |
| Provider Name | Lara J Theobald |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1376690271 PECOS PAC ID: 7214033430 Enrollment ID: I20100329000472 |
| Provider Name | Tammy Vermeulen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598095143 PECOS PAC ID: 2860528858 Enrollment ID: I20100330000008 |
| Provider Name | Irim Yasin |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1699921734 PECOS PAC ID: 4183750870 Enrollment ID: I20100406000162 |
| Provider Name | Steven Wayne Ditto |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568455772 PECOS PAC ID: 8527194034 Enrollment ID: I20100408000422 |
| Provider Name | Guruprasad Manjunath |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1386640530 PECOS PAC ID: 0840392536 Enrollment ID: I20100420000749 |
| Provider Name | Jeff Scott |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649245929 PECOS PAC ID: 7517031297 Enrollment ID: I20100428000769 |
| Provider Name | Seana Dean |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669448874 PECOS PAC ID: 0941379739 Enrollment ID: I20100429000923 |
| Provider Name | Patricia A Perkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104893163 PECOS PAC ID: 3779614375 Enrollment ID: I20100625000591 |
| Provider Name | Vicki M Mcculloch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952639742 PECOS PAC ID: 8325179815 Enrollment ID: I20100628000357 |
| Provider Name | Patrick A Bell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164491791 PECOS PAC ID: 0446381800 Enrollment ID: I20100629000087 |
| Provider Name | Dean L Ross |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952347361 PECOS PAC ID: 9335271287 Enrollment ID: I20100713000524 |
| Provider Name | Christopher Brown Cunnyngham |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235337122 PECOS PAC ID: 6204909260 Enrollment ID: I20100721000023 |
| Provider Name | Thomas A Showalter |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1780853358 PECOS PAC ID: 8527191691 Enrollment ID: I20100727000754 |
| Provider Name | Matthew J Britt |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1821043316 PECOS PAC ID: 9638149719 Enrollment ID: I20100729000889 |
| Provider Name | Brad Carter |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1902801590 PECOS PAC ID: 7618957291 Enrollment ID: I20100804000074 |
| Provider Name | Sudhir K Khanna |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1689679623 PECOS PAC ID: 3971411406 Enrollment ID: I20100804000409 |
| Provider Name | Gary D Bond |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1053316125 PECOS PAC ID: 2961439237 Enrollment ID: I20100804001065 |
| Provider Name | John E Huff |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1275587560 PECOS PAC ID: 7719957893 Enrollment ID: I20100809000212 |
| Provider Name | Erin Collette Kelly |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306074331 PECOS PAC ID: 2264586494 Enrollment ID: I20100810000946 |
| Provider Name | Corey E Mayo |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1578742110 PECOS PAC ID: 8628102639 Enrollment ID: I20100812000867 |
| Provider Name | Nicholas W Jennings |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063736437 PECOS PAC ID: 4789718727 Enrollment ID: I20100812001031 |
| Provider Name | Roopali Gupta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205021169 PECOS PAC ID: 6002940970 Enrollment ID: I20100813000460 |
| Provider Name | Aly E Aly |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1316940117 PECOS PAC ID: 5799787685 Enrollment ID: I20100826000159 |
| Provider Name | Jean G Richard |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295712420 PECOS PAC ID: 4082697875 Enrollment ID: I20100827000491 |
| Provider Name | Sumbal Nabi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1255472122 PECOS PAC ID: 4385769561 Enrollment ID: I20100910000838 |
| Provider Name | Adrian Alexandru Scaunasu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144544594 PECOS PAC ID: 1557486313 Enrollment ID: I20100916000637 |
| Provider Name | David S Boggs |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1982656385 PECOS PAC ID: 4082684162 Enrollment ID: I20100921001360 |
| Provider Name | Joshua C Kershen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770521064 PECOS PAC ID: 5890772875 Enrollment ID: I20100921001485 |
| Provider Name | Sarah E Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669792164 PECOS PAC ID: 4183817315 Enrollment ID: I20101020001308 |
| Provider Name | Juli A Johnson |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1245404946 PECOS PAC ID: 3971653452 Enrollment ID: I20101026001266 |
| Provider Name | Elizabeth R Kinzie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760450472 PECOS PAC ID: 2365636354 Enrollment ID: I20101103001173 |
| Provider Name | Kashif Mahmood |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710299623 PECOS PAC ID: 6204020175 Enrollment ID: I20101104000727 |
| Provider Name | Courtney L Swartz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710185640 PECOS PAC ID: 2062607831 Enrollment ID: I20101108000232 |
| Provider Name | Seth M Gregory |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1649310764 PECOS PAC ID: 7315132206 Enrollment ID: I20101117001200 |
| Provider Name | Saif U Farooq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518007632 PECOS PAC ID: 2961698857 Enrollment ID: I20101117001330 |
| Provider Name | Christopher S Hume |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1578665063 PECOS PAC ID: 9931250917 Enrollment ID: I20101130001012 |
| Provider Name | Jeremy B Moad |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1134325608 PECOS PAC ID: 0244411767 Enrollment ID: I20110216000843 |
| Provider Name | Jeremy Phelps |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1134268139 PECOS PAC ID: 3971784844 Enrollment ID: I20110224000943 |
| Provider Name | Jerome Myron Long |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326143959 PECOS PAC ID: 4981886793 Enrollment ID: I20110315000262 |
| Provider Name | Samuel J Ratermann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831394071 PECOS PAC ID: 8224106505 Enrollment ID: I20110321000178 |
| Provider Name | Ashish Masih |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093857971 PECOS PAC ID: 8820271646 Enrollment ID: I20110331000349 |
| Provider Name | Kyle C Wooderson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1508095977 PECOS PAC ID: 1951585769 Enrollment ID: I20110401000614 |
| Provider Name | Jason A Mcelyea |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164755872 PECOS PAC ID: 4587848122 Enrollment ID: I20110406000551 |
| Provider Name | Carolyn J Pimsler |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588753826 PECOS PAC ID: 1850576026 Enrollment ID: I20110503000641 |
| Provider Name | Lara L Limke |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720383581 PECOS PAC ID: 8224214606 Enrollment ID: I20110519000460 |
| Provider Name | Joel C Airhart |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922301431 PECOS PAC ID: 6709062193 Enrollment ID: I20110519000552 |
| Provider Name | Mark O Ebert |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801882097 PECOS PAC ID: 6901862010 Enrollment ID: I20110601000710 |
| Provider Name | Hoang Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679619712 PECOS PAC ID: 8729146907 Enrollment ID: I20110613000434 |
| Provider Name | Rodney J Beasley |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1023019304 PECOS PAC ID: 8729069448 Enrollment ID: I20110719000442 |
| Provider Name | Timothy Carroll |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598852428 PECOS PAC ID: 2466508122 Enrollment ID: I20110722000392 |
| Provider Name | Ryan Rahhal |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1932241742 PECOS PAC ID: 8123297298 Enrollment ID: I20110805000297 |
| Provider Name | Tyler J Morgan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073744207 PECOS PAC ID: 9830368919 Enrollment ID: I20110805000464 |
| Provider Name | Siddhartha Rangineni |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780817700 PECOS PAC ID: 1759551633 Enrollment ID: I20110901000234 |
| Provider Name | Jack D Butler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316925449 PECOS PAC ID: 0446420236 Enrollment ID: I20110906000298 |
| Provider Name | Hamilton Son Tich Le |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578667804 PECOS PAC ID: 2860688009 Enrollment ID: I20110916000062 |
| Provider Name | Perry L Hassell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750493227 PECOS PAC ID: 4284805425 Enrollment ID: I20110920000913 |
| Provider Name | Mahdi A Mussa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821229089 PECOS PAC ID: 2264618842 Enrollment ID: I20110922000478 |
| Provider Name | Jeannette Kelley |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053632042 PECOS PAC ID: 9032380084 Enrollment ID: I20110922000522 |
| Provider Name | Adrienne Kesinger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497951685 PECOS PAC ID: 1355512161 Enrollment ID: I20110927000160 |
| Provider Name | Ashley N Muckala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497949051 PECOS PAC ID: 1658543129 Enrollment ID: I20111005000080 |
| Provider Name | Christopher Carey |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1770630659 PECOS PAC ID: 7810061041 Enrollment ID: I20111019000649 |
| Provider Name | Agnel R Raparthi |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1235397654 PECOS PAC ID: 2668645045 Enrollment ID: I20111031000461 |
| Provider Name | Shelly Ann Boston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932487022 PECOS PAC ID: 4981877206 Enrollment ID: I20111102000599 |
| Provider Name | Jodilyn Nicolas Caguioa-aquino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649430737 PECOS PAC ID: 2769655687 Enrollment ID: I20111109000213 |
| Provider Name | Jason S Breed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821301011 PECOS PAC ID: 1456525047 Enrollment ID: I20111116000607 |
| Provider Name | Aaron P Wilcox |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518195221 PECOS PAC ID: 0749454379 Enrollment ID: I20111117000173 |
| Provider Name | Kishore Kumar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265626832 PECOS PAC ID: 1951575216 Enrollment ID: I20111122000852 |
| Provider Name | Donna D Smela |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306876685 PECOS PAC ID: 4082889365 Enrollment ID: I20111215000186 |
| Provider Name | Carrie D Geurts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124284559 PECOS PAC ID: 5799950911 Enrollment ID: I20111215000738 |
| Provider Name | John Andrus |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124052089 PECOS PAC ID: 8628088903 Enrollment ID: I20111215000781 |
| Provider Name | Joel Grubbs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649347501 PECOS PAC ID: 8729267091 Enrollment ID: I20111228000360 |
| Provider Name | Eva Sawheny |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1053511675 PECOS PAC ID: 9638345275 Enrollment ID: I20120103000044 |
| Provider Name | Jon R Mills |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952627069 PECOS PAC ID: 0648446203 Enrollment ID: I20120103000174 |
| Provider Name | Nicholas P Black |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780822163 PECOS PAC ID: 6901962547 Enrollment ID: I20120112000184 |
| Provider Name | Joshua Kiener |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528386844 PECOS PAC ID: 7315130986 Enrollment ID: I20120125000090 |
| Provider Name | Gregory H Schuchard |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1881669810 PECOS PAC ID: 0345150215 Enrollment ID: I20120131000683 |
| Provider Name | Leighann Morrill Brown |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1326324195 PECOS PAC ID: 5698932291 Enrollment ID: I20120209000587 |
| Provider Name | Scott Edwin Rogers |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316172257 PECOS PAC ID: 3476710914 Enrollment ID: I20120210000256 |
| Provider Name | Jackie D W Garland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164417044 PECOS PAC ID: 3678733284 Enrollment ID: I20120319000688 |
| Provider Name | Amanda Gomes |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407902174 PECOS PAC ID: 9739341249 Enrollment ID: I20120430000342 |
| Provider Name | Kanan Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629275680 PECOS PAC ID: 9931384849 Enrollment ID: I20120503000487 |
| Provider Name | Marcos Gomes |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1316114291 PECOS PAC ID: 6002079910 Enrollment ID: I20120511000289 |
| Provider Name | Sarah B Matousek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083874267 PECOS PAC ID: 2961665393 Enrollment ID: I20120523000265 |
| Provider Name | Terrence H Boring |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1487654836 PECOS PAC ID: 6305820754 Enrollment ID: I20120605000264 |
| Provider Name | George Katsantonis |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1184610693 PECOS PAC ID: 3870553324 Enrollment ID: I20120607000298 |
| Provider Name | Charlotte A Coyner Gregory |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205066958 PECOS PAC ID: 1254593312 Enrollment ID: I20120612000372 |
| Provider Name | James Shepherd |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235335530 PECOS PAC ID: 4981869484 Enrollment ID: I20120709000332 |
| Provider Name | Barbara D Carey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861520082 PECOS PAC ID: 7416093166 Enrollment ID: I20120717000590 |
| Provider Name | Kevin S Oneal |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1548394752 PECOS PAC ID: 0941466221 Enrollment ID: I20120801000286 |
| Provider Name | Tiffany D Dupree |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700018330 PECOS PAC ID: 1658537949 Enrollment ID: I20120801000459 |
| Provider Name | Darlene Nooney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144588583 PECOS PAC ID: 6204082308 Enrollment ID: I20120806000391 |
| Provider Name | Tyson R Trimble |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1851555239 PECOS PAC ID: 2264688985 Enrollment ID: I20120813000771 |
| Provider Name | Kyle J Schauf |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265662092 PECOS PAC ID: 9830346030 Enrollment ID: I20120822000786 |
| Provider Name | Thomas Clark |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699793273 PECOS PAC ID: 3678720828 Enrollment ID: I20120823000572 |
| Provider Name | Brett I Cunningham |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730315193 PECOS PAC ID: 8820245558 Enrollment ID: I20120830000670 |
| Provider Name | Mobolaji O Olulade |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093976557 PECOS PAC ID: 9739350158 Enrollment ID: I20120905000147 |
| Provider Name | Shehzad Bandhani |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1295005072 PECOS PAC ID: 1557519279 Enrollment ID: I20120920000753 |
| Provider Name | Grand F Wong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730175340 PECOS PAC ID: 1052560430 Enrollment ID: I20120928000057 |
| Provider Name | Brittany M Turner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992061352 PECOS PAC ID: 6406019595 Enrollment ID: I20121024000804 |
| Provider Name | Himanshu Bhardwaj |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1669604450 PECOS PAC ID: 9234380999 Enrollment ID: I20121107000025 |
| Provider Name | April M Merrill |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1073770749 PECOS PAC ID: 0042467698 Enrollment ID: I20121231000136 |
| Provider Name | Sarah Lynn Lynch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679827919 PECOS PAC ID: 9638324569 Enrollment ID: I20130227000033 |
| Provider Name | Serena S Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659683589 PECOS PAC ID: 4789839549 Enrollment ID: I20130227000413 |
| Provider Name | Jennifer Jane Semore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558523415 PECOS PAC ID: 9638324452 Enrollment ID: I20130228000433 |
| Provider Name | Michael Tyler Pierce |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255678876 PECOS PAC ID: 8224273529 Enrollment ID: I20130314000027 |
| Provider Name | Christopher W Lentz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1750317640 PECOS PAC ID: 5991869836 Enrollment ID: I20130403000624 |
| Provider Name | Charles M Rogers |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932158342 PECOS PAC ID: 6800897273 Enrollment ID: I20130614000454 |
| Provider Name | Jamie C Guinn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518284033 PECOS PAC ID: 6103065495 Enrollment ID: I20130618000121 |
| Provider Name | Shoaib Ahmad |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1255651477 PECOS PAC ID: 8527208040 Enrollment ID: I20130705000364 |
| Provider Name | Melanie R Marshall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649590837 PECOS PAC ID: 2365682390 Enrollment ID: I20130715000632 |
| Provider Name | Rene Galan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881804029 PECOS PAC ID: 5698835551 Enrollment ID: I20130718000070 |
| Provider Name | Stefanie Meredith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740577279 PECOS PAC ID: 0143494732 Enrollment ID: I20130729000384 |
| Provider Name | Joseph D Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063723195 PECOS PAC ID: 9133361462 Enrollment ID: I20130815000334 |
| Provider Name | Dena O Leary |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457532046 PECOS PAC ID: 7416199658 Enrollment ID: I20130816000773 |
| Provider Name | Gerald English |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205157989 PECOS PAC ID: 8527217611 Enrollment ID: I20130820000855 |
| Provider Name | Erik M Angles |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245559426 PECOS PAC ID: 3072768621 Enrollment ID: I20130828000130 |
| Provider Name | Lauren E Chastain |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184945156 PECOS PAC ID: 6002059532 Enrollment ID: I20130830000343 |
| Provider Name | Catherine E. Porter |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154564409 PECOS PAC ID: 9537302740 Enrollment ID: I20130906000343 |
| Provider Name | Aimee Levy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1902946486 PECOS PAC ID: 8820232085 Enrollment ID: I20130910000642 |
| Provider Name | Teney V John |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932429131 PECOS PAC ID: 6608010574 Enrollment ID: I20130913000683 |
| Provider Name | Darwin D.s. Jeyaraj |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1720180433 PECOS PAC ID: 3971579541 Enrollment ID: I20130920000275 |
| Provider Name | Luke R Leming |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023378924 PECOS PAC ID: 4082855952 Enrollment ID: I20130920000491 |
| Provider Name | Limei Yang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003049123 PECOS PAC ID: 2466696778 Enrollment ID: I20130926000096 |
| Provider Name | Nathaniel Stetson |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1194930727 PECOS PAC ID: 3274768361 Enrollment ID: I20131025000976 |
| Provider Name | Meredith Koomson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447571294 PECOS PAC ID: 7810122512 Enrollment ID: I20131106000203 |
| Provider Name | Douglas B Stewart |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1639332091 PECOS PAC ID: 6305961400 Enrollment ID: I20131113001442 |
| Provider Name | Rizwan Aslam |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1174885750 PECOS PAC ID: 7911154828 Enrollment ID: I20131114001659 |
| Provider Name | Trevor Kyle Kitchens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629377825 PECOS PAC ID: 5193951424 Enrollment ID: I20131115000352 |
| Provider Name | Alfred Maina |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558797332 PECOS PAC ID: 2163658402 Enrollment ID: I20131115000722 |
| Provider Name | Naveena S Boindala |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013173780 PECOS PAC ID: 7315173572 Enrollment ID: I20131115001576 |
| Provider Name | Brooke Esteves |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265726970 PECOS PAC ID: 5193951192 Enrollment ID: I20131121001700 |
| Provider Name | Shannon R Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063850766 PECOS PAC ID: 3577799444 Enrollment ID: I20131123000056 |
| Provider Name | Samar A Farghaly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124027206 PECOS PAC ID: 2163310970 Enrollment ID: I20131127001183 |
| Provider Name | Justin J Walker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356781462 PECOS PAC ID: 3678700242 Enrollment ID: I20131206000401 |
| Provider Name | Alex Dwuma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417275041 PECOS PAC ID: 5698926111 Enrollment ID: I20131217000808 |
| Provider Name | Madeline Kaye Cortez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184057788 PECOS PAC ID: 5698902716 Enrollment ID: I20131217001847 |
| Provider Name | Kelly Lang-sheppard |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1972940708 PECOS PAC ID: 3971730904 Enrollment ID: I20131218000468 |
| Provider Name | Tessa L Longan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639511157 PECOS PAC ID: 1355578139 Enrollment ID: I20131227000329 |
| Provider Name | Ashley C Walker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093155111 PECOS PAC ID: 6901035757 Enrollment ID: I20140128000367 |
| Provider Name | Best Chen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982920708 PECOS PAC ID: 9638310139 Enrollment ID: I20140129000280 |
| Provider Name | Michael S Jackson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194755793 PECOS PAC ID: 2365339140 Enrollment ID: I20140219001563 |
| Provider Name | Jedidiah James Perdue |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750578332 PECOS PAC ID: 8224268131 Enrollment ID: I20140220000221 |
| Provider Name | Bradley J Martin |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1306960778 PECOS PAC ID: 3173753985 Enrollment ID: I20140222000263 |
| Provider Name | Phillip S Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245522549 PECOS PAC ID: 9133386709 Enrollment ID: I20140402000234 |
| Provider Name | Munawar Ali |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1508960030 PECOS PAC ID: 5395977151 Enrollment ID: I20140409000764 |
| Provider Name | Amber Jo Stocco |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992930838 PECOS PAC ID: 8426109455 Enrollment ID: I20140519001491 |
| Provider Name | John F Raizen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285798793 PECOS PAC ID: 6406079078 Enrollment ID: I20140529000964 |
| Provider Name | Michael B Moore |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447391941 PECOS PAC ID: 6800073230 Enrollment ID: I20140624002229 |
| Provider Name | Julie Carolyn Reid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659574242 PECOS PAC ID: 3870718216 Enrollment ID: I20140627001085 |
| Provider Name | Bob Joe Schank |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417243882 PECOS PAC ID: 2062637432 Enrollment ID: I20140627001863 |
| Provider Name | Kelsey Ray Schumacher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245657378 PECOS PAC ID: 0042435992 Enrollment ID: I20140709000094 |
| Provider Name | Kristy Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912319534 PECOS PAC ID: 9739304304 Enrollment ID: I20140716000219 |
| Provider Name | Lindsey Dodson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508101783 PECOS PAC ID: 3274759527 Enrollment ID: I20140723001637 |
| Provider Name | Amanda Anne Vanlandingham |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104087600 PECOS PAC ID: 4688891369 Enrollment ID: I20140805000695 |
| Provider Name | Christopher M Lowe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316373368 PECOS PAC ID: 9537386685 Enrollment ID: I20140813001029 |
| Provider Name | Christopher Thomas Stellman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538454863 PECOS PAC ID: 5294953907 Enrollment ID: I20140821001117 |
| Provider Name | John Kingrey |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1689863953 PECOS PAC ID: 3870624182 Enrollment ID: I20140826000803 |
| Provider Name | Gary W Cole |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1699084467 PECOS PAC ID: 7416175856 Enrollment ID: I20140827001730 |
| Provider Name | Bassam Arodak |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1124138680 PECOS PAC ID: 9234231457 Enrollment ID: I20140829000333 |
| Provider Name | John B Delcambre |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700957222 PECOS PAC ID: 8820069164 Enrollment ID: I20140829000634 |
| Provider Name | Yolette Louis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225316318 PECOS PAC ID: 6204070790 Enrollment ID: I20140904000711 |
| Provider Name | Crystal Jones-gandy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497182802 PECOS PAC ID: 5991924789 Enrollment ID: I20140909001813 |
| Provider Name | Laelani M Baca |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831506849 PECOS PAC ID: 7810116225 Enrollment ID: I20140917002083 |
| Provider Name | John C Kaufman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588954895 PECOS PAC ID: 7618117623 Enrollment ID: I20140918002281 |
| Provider Name | Michael Mclaughlin |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1376779231 PECOS PAC ID: 1850510934 Enrollment ID: I20140923000792 |
| Provider Name | Stanley C Nwokenkwo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427348002 PECOS PAC ID: 2567694011 Enrollment ID: I20140924002325 |
| Provider Name | Shelton Dayley Knudsen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104263425 PECOS PAC ID: 1052531647 Enrollment ID: I20141002001001 |
| Provider Name | Rebecca Barrett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194720359 PECOS PAC ID: 2365488210 Enrollment ID: I20141015002014 |
| Provider Name | Mary Jung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033172614 PECOS PAC ID: 0749401008 Enrollment ID: I20141030000347 |
| Provider Name | Lawanda Pickens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871796722 PECOS PAC ID: 3577784842 Enrollment ID: I20141030000716 |
| Provider Name | Renah T Gibson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972947943 PECOS PAC ID: 0143463950 Enrollment ID: I20141103001454 |
| Provider Name | Carie Linder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841599727 PECOS PAC ID: 5092986091 Enrollment ID: I20141103001670 |
| Provider Name | Deborah Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710042536 PECOS PAC ID: 4789806753 Enrollment ID: I20141106000385 |
| Provider Name | Stanley C Shadid |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386904183 PECOS PAC ID: 2860614765 Enrollment ID: I20141110000500 |
| Provider Name | Charles A Jantzen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871937847 PECOS PAC ID: 1759603095 Enrollment ID: I20141124000447 |
| Provider Name | Kelly Stratton |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1154525640 PECOS PAC ID: 1951544592 Enrollment ID: I20141201001975 |
| Provider Name | Shane Biedermann |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700049426 PECOS PAC ID: 9032368097 Enrollment ID: I20150121002308 |
| Provider Name | Jessica Foxen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245590314 PECOS PAC ID: 1052532017 Enrollment ID: I20150204001873 |
| Provider Name | Salomi Salins |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1609006352 PECOS PAC ID: 6305061573 Enrollment ID: I20150210001128 |
| Provider Name | Shiedeh Khodadadian |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972882934 PECOS PAC ID: 0941529739 Enrollment ID: I20150429000286 |
| Provider Name | Erin L Balzer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881955508 PECOS PAC ID: 5597076448 Enrollment ID: I20150618000631 |
| Provider Name | Craig Rogers |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1982918348 PECOS PAC ID: 6002048055 Enrollment ID: I20150618002257 |
| Provider Name | Kathryn Jones |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235428418 PECOS PAC ID: 8224349162 Enrollment ID: I20150619000175 |
| Provider Name | Abie John |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124113469 PECOS PAC ID: 2860670346 Enrollment ID: I20150619000407 |
| Provider Name | Sarah B Mercer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1205093952 PECOS PAC ID: 0143492686 Enrollment ID: I20150619001492 |
| Provider Name | Bilal Ahmad |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1275845778 PECOS PAC ID: 8123339785 Enrollment ID: I20150623002325 |
| Provider Name | Tung Minh Ba Tran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598027377 PECOS PAC ID: 7113238718 Enrollment ID: I20150624000279 |
| Provider Name | Emenike Uba |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316298979 PECOS PAC ID: 0143531756 Enrollment ID: I20150624000502 |
| Provider Name | Viral Doshi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1164654117 PECOS PAC ID: 7911218524 Enrollment ID: I20150624000630 |
| Provider Name | Heather Wheeler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124388293 PECOS PAC ID: 8426369950 Enrollment ID: I20150624001486 |
| Provider Name | Eiad Sabia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760796734 PECOS PAC ID: 7416190525 Enrollment ID: I20150625002208 |
| Provider Name | Michelle D Martineau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609850155 PECOS PAC ID: 8022320407 Enrollment ID: I20150629001656 |
| Provider Name | Ryan Morgan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033454616 PECOS PAC ID: 9133431349 Enrollment ID: I20150701000188 |
| Provider Name | Loahn Gallegos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811257983 PECOS PAC ID: 6608097662 Enrollment ID: I20150708001580 |
| Provider Name | Christopher B Arnold |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083902225 PECOS PAC ID: 3779896055 Enrollment ID: I20150715001296 |
| Provider Name | Krystina L Cadenhead |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477813178 PECOS PAC ID: 4587887484 Enrollment ID: I20150720000594 |
| Provider Name | Ryan Wicks |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477874394 PECOS PAC ID: 6608189535 Enrollment ID: I20150721000908 |
| Provider Name | Courtney Seacat |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982999637 PECOS PAC ID: 7810201092 Enrollment ID: I20150731015888 |
| Provider Name | Rapha A Wiley |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932493178 PECOS PAC ID: 0749508950 Enrollment ID: I20150805008020 |
| Provider Name | Trushar B Patel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1639378599 PECOS PAC ID: 5092871426 Enrollment ID: I20150808015775 |
| Provider Name | Wendy Mcconnell |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1356674451 PECOS PAC ID: 1658595871 Enrollment ID: I20150810001341 |
| Provider Name | Timothy W Weaver |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1831410752 PECOS PAC ID: 6709191166 Enrollment ID: I20150813010444 |
| Provider Name | Mindy D Mcbrien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437530664 PECOS PAC ID: 3173839776 Enrollment ID: I20150827000950 |
| Provider Name | Ana Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790166635 PECOS PAC ID: 6901028752 Enrollment ID: I20150827002661 |
| Provider Name | Shaun Mccormick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679957609 PECOS PAC ID: 2769798917 Enrollment ID: I20150902001287 |
| Provider Name | Gregory Phillip Root |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467748889 PECOS PAC ID: 0042527541 Enrollment ID: I20150916001149 |
| Provider Name | William Blaine Bendure |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740574987 PECOS PAC ID: 7416264890 Enrollment ID: I20150917000673 |
| Provider Name | Kelly Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447551817 PECOS PAC ID: 9537477856 Enrollment ID: I20151006000432 |
| Provider Name | Lauren Alysse Mitchell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952785537 PECOS PAC ID: 7618285933 Enrollment ID: I20151006000454 |
| Provider Name | Brett Andrew Stone |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821376039 PECOS PAC ID: 6305154634 Enrollment ID: I20151006001007 |
| Provider Name | Justin Lee Mitchell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255715686 PECOS PAC ID: 4486962636 Enrollment ID: I20151007002681 |
| Provider Name | Tu Bui |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659712545 PECOS PAC ID: 8820307804 Enrollment ID: I20151013001707 |
| Provider Name | Austin Taylor |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1902031388 PECOS PAC ID: 5799094710 Enrollment ID: I20151014001041 |
| Provider Name | Sharla Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821481789 PECOS PAC ID: 4183933914 Enrollment ID: I20151019001496 |
| Provider Name | Kimberlee V Wilson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306134929 PECOS PAC ID: 3678890563 Enrollment ID: I20151028000072 |
| Provider Name | Haley Adams |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1154747053 PECOS PAC ID: 8820308349 Enrollment ID: I20151112000531 |
| Provider Name | Ashley Renee Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669842498 PECOS PAC ID: 4082924584 Enrollment ID: I20151113000349 |
| Provider Name | Gargi S Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932464765 PECOS PAC ID: 2769623248 Enrollment ID: I20151116001963 |
| Provider Name | Pooja Singhal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1588825368 PECOS PAC ID: 2769669936 Enrollment ID: I20151120000690 |
| Provider Name | Thuy H Nguyen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457791444 PECOS PAC ID: 6709186497 Enrollment ID: I20151202001632 |
| Provider Name | Mamoon Rasheed |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1386992246 PECOS PAC ID: 2163664251 Enrollment ID: I20160121000771 |
| Provider Name | Melissa L. Little |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730551565 PECOS PAC ID: 2769785740 Enrollment ID: I20160126000211 |
| Provider Name | Scott Shadfar |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1710148283 PECOS PAC ID: 2860616919 Enrollment ID: I20160203002064 |
| Provider Name | Laura E Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730554726 PECOS PAC ID: 9234435124 Enrollment ID: I20160302000935 |
| Provider Name | Andrea Skelton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003131285 PECOS PAC ID: 5890092514 Enrollment ID: I20160324000224 |
| Provider Name | Brian Dale Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851751531 PECOS PAC ID: 4688971310 Enrollment ID: I20160324000332 |
| Provider Name | Tina Gay Joy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467812156 PECOS PAC ID: 4789981234 Enrollment ID: I20160328001665 |
| Provider Name | Jamie Lynch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205102076 PECOS PAC ID: 1052618188 Enrollment ID: I20160404002330 |
| Provider Name | Sujan Pathak |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1689864449 PECOS PAC ID: 7214082098 Enrollment ID: I20160429000379 |
| Provider Name | Zachary Nollin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1861782849 PECOS PAC ID: 2769772805 Enrollment ID: I20160602001043 |
| Provider Name | Bel Maya Ghale |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598105629 PECOS PAC ID: 2365744190 Enrollment ID: I20160609001991 |
| Provider Name | David Hollrah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922449537 PECOS PAC ID: 2264653211 Enrollment ID: I20160630002176 |
| Provider Name | Katherine L Shepherd |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528327442 PECOS PAC ID: 7012130990 Enrollment ID: I20160718000596 |
| Provider Name | Matthew Kallenberger |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427493436 PECOS PAC ID: 0244522910 Enrollment ID: I20160718000804 |
| Provider Name | Allyson Renee Black |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1760703730 PECOS PAC ID: 3870894272 Enrollment ID: I20160718001575 |
| Provider Name | Mason B Andrews |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1255473054 PECOS PAC ID: 3870732183 Enrollment ID: I20160719000916 |
| Provider Name | Erin Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467893941 PECOS PAC ID: 3274751532 Enrollment ID: I20160802000369 |
| Provider Name | Jimmy Bui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649653833 PECOS PAC ID: 4981909462 Enrollment ID: I20160809000605 |
| Provider Name | Samantha Ann Bellinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275902900 PECOS PAC ID: 8527352657 Enrollment ID: I20160811001471 |
| Provider Name | Ashley Shelley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326304643 PECOS PAC ID: 1850695859 Enrollment ID: I20160812001794 |
| Provider Name | Elise Schrop |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336400647 PECOS PAC ID: 6305143199 Enrollment ID: I20160817000200 |
| Provider Name | Paragkumar Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316288517 PECOS PAC ID: 1557662111 Enrollment ID: I20160822002320 |
| Provider Name | John Hughes Barghols |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033479761 PECOS PAC ID: 4486949971 Enrollment ID: I20160823001607 |
| Provider Name | Angela J Sateren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609236694 PECOS PAC ID: 6608163704 Enrollment ID: I20160916001258 |
| Provider Name | Brandy Burgess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083064802 PECOS PAC ID: 8921395989 Enrollment ID: I20160920001176 |
| Provider Name | Hieu C Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053757062 PECOS PAC ID: 4688962715 Enrollment ID: I20161005002087 |
| Provider Name | Mary K Lindemuth |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1023452596 PECOS PAC ID: 1355644949 Enrollment ID: I20161012000537 |
| Provider Name | Renee Short |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588014724 PECOS PAC ID: 6608164140 Enrollment ID: I20161015000277 |
| Provider Name | Sheri D'lynn Christian-armstrong |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679996706 PECOS PAC ID: 6103104138 Enrollment ID: I20161026002177 |
| Provider Name | William Oliva |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356781199 PECOS PAC ID: 5991025850 Enrollment ID: I20161028000688 |
| Provider Name | Catherine Amber Patterson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407116247 PECOS PAC ID: 4789963885 Enrollment ID: I20161114000353 |
| Provider Name | Magesh Sathaiah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285996157 PECOS PAC ID: 6800105412 Enrollment ID: I20161114001897 |
| Provider Name | William M Slater |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1194778951 PECOS PAC ID: 1355253592 Enrollment ID: I20161208001415 |
| Provider Name | Kristi Cagle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750751954 PECOS PAC ID: 1355621970 Enrollment ID: I20161216000778 |
| Provider Name | Julie May |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407048119 PECOS PAC ID: 5496036501 Enrollment ID: I20170104001078 |
| Provider Name | Lacey R Vaughan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902247091 PECOS PAC ID: 4587945332 Enrollment ID: I20170110001573 |
| Provider Name | Mohsin Ahmad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700127917 PECOS PAC ID: 4587942438 Enrollment ID: I20170118002882 |
| Provider Name | Michelle Polan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689835209 PECOS PAC ID: 9234357237 Enrollment ID: I20170202000261 |
| Provider Name | Patrick James Kennedye |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649650649 PECOS PAC ID: 7214222835 Enrollment ID: I20170207002726 |
| Provider Name | Kanwaldeep Mann |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184038572 PECOS PAC ID: 3476844960 Enrollment ID: I20170215000842 |
| Provider Name | Damon Armstrong |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548400500 PECOS PAC ID: 1355625294 Enrollment ID: I20170221002096 |
| Provider Name | Amy Carolyn Houston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487191268 PECOS PAC ID: 5496039794 Enrollment ID: I20170306001679 |
| Provider Name | Lindsay Garinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891233326 PECOS PAC ID: 3971870148 Enrollment ID: I20170519000544 |
| Provider Name | Courtney Wylie |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1154661429 PECOS PAC ID: 3779851779 Enrollment ID: I20170615002135 |
| Provider Name | Kacee Gharfeh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295272383 PECOS PAC ID: 0840568655 Enrollment ID: I20170620002946 |
| Provider Name | Nancy Ellyn Rolfe |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215958939 PECOS PAC ID: 4385738251 Enrollment ID: I20170621001195 |
| Provider Name | Edgar Leclaire |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922149426 PECOS PAC ID: 8820215007 Enrollment ID: I20170627000989 |
| Provider Name | Tyler Jones |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205255395 PECOS PAC ID: 5496059958 Enrollment ID: I20170627001620 |
| Provider Name | Robert Edward Brown |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811213754 PECOS PAC ID: 2860625027 Enrollment ID: I20170705001491 |
| Provider Name | Phillip Mcghee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114347747 PECOS PAC ID: 8022332097 Enrollment ID: I20170706001556 |
| Provider Name | Perihan Dimachkie |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1457606113 PECOS PAC ID: 5597034546 Enrollment ID: I20170706001811 |
| Provider Name | Layne Keathly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760802177 PECOS PAC ID: 4183949639 Enrollment ID: I20170710000945 |
| Provider Name | Chad Stuckey |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275715880 PECOS PAC ID: 9830468750 Enrollment ID: I20170710001713 |
| Provider Name | Huda Motiwala |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760898324 PECOS PAC ID: 1153699772 Enrollment ID: I20170711000602 |
| Provider Name | Brett Derrevere |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851520506 PECOS PAC ID: 8123275484 Enrollment ID: I20170717000753 |
| Provider Name | Jenny Lamon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184014722 PECOS PAC ID: 2365712437 Enrollment ID: I20170721002241 |
| Provider Name | Maysam Behzad-noori |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306194287 PECOS PAC ID: 2668780867 Enrollment ID: I20170725004006 |
| Provider Name | Norma Hagans |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750741237 PECOS PAC ID: 3577860956 Enrollment ID: I20170803003280 |
| Provider Name | Lacey M Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255852414 PECOS PAC ID: 9739451071 Enrollment ID: I20170821002350 |
| Provider Name | Amanda Celii |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1073822847 PECOS PAC ID: 1355655010 Enrollment ID: I20171002001566 |
| Provider Name | Anjan Kumar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1447460142 PECOS PAC ID: 6002931367 Enrollment ID: I20171016002690 |
| Provider Name | Anthony Troitino |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1689966103 PECOS PAC ID: 2668799065 Enrollment ID: I20171018001821 |
| Provider Name | Tara Schultz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598213134 PECOS PAC ID: 0840566840 Enrollment ID: I20171018003228 |
| Provider Name | Vitaliy Krylov |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427431253 PECOS PAC ID: 2668748575 Enrollment ID: I20171020001225 |
| Provider Name | Brandi M Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952842734 PECOS PAC ID: 0840566360 Enrollment ID: I20171026003326 |
| Provider Name | Mary Ann Joseph |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336554492 PECOS PAC ID: 5597021469 Enrollment ID: I20171108003480 |
| Provider Name | Sarah K Minor |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215991435 PECOS PAC ID: 5496724197 Enrollment ID: I20171109000885 |
| Provider Name | Jessica Lee |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790972578 PECOS PAC ID: 0941379713 Enrollment ID: I20171128002950 |
| Provider Name | Tam M Nguyen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962645119 PECOS PAC ID: 4688839350 Enrollment ID: I20171208000269 |
| Provider Name | Afsaneh Faramarzi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033654116 PECOS PAC ID: 8729346036 Enrollment ID: I20171214001110 |
| Provider Name | Michael D Landes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174516967 PECOS PAC ID: 1153304175 Enrollment ID: I20171228001784 |
| Provider Name | Samarea Denise Webb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396258422 PECOS PAC ID: 7315206828 Enrollment ID: I20180109000015 |
| Provider Name | Benjamin Panagiotis Mansalis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760777627 PECOS PAC ID: 5991956526 Enrollment ID: I20180110003093 |
| Provider Name | Laura J Hofferber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225548647 PECOS PAC ID: 6002175957 Enrollment ID: I20180122002468 |
| Provider Name | Milagros Flores Chamochumbi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063899532 PECOS PAC ID: 5991065534 Enrollment ID: I20180131000062 |
| Provider Name | Tenessa G Pinkerton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407374820 PECOS PAC ID: 6406121425 Enrollment ID: I20180207001752 |
| Provider Name | Jennifer Paulley-micue |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881138352 PECOS PAC ID: 0244590040 Enrollment ID: I20180215000643 |
| Provider Name | Justin Nalagan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033402383 PECOS PAC ID: 9830450345 Enrollment ID: I20180226000908 |
| Provider Name | Bridget Ann Van Treese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821508037 PECOS PAC ID: 9830450360 Enrollment ID: I20180226001866 |
| Provider Name | Tommy Ibrahim |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023237468 PECOS PAC ID: 6800984824 Enrollment ID: I20180307002541 |
| Provider Name | Jenna-lyn Klufa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659816791 PECOS PAC ID: 6709148273 Enrollment ID: I20180321000426 |
| Provider Name | Katherine A Mansalis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255589941 PECOS PAC ID: 4486897766 Enrollment ID: I20180411001297 |
| Provider Name | Jennifer Lauren Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114426053 PECOS PAC ID: 9537422712 Enrollment ID: I20180423001133 |
| Provider Name | Emily Ann Chandler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275020943 PECOS PAC ID: 7113281775 Enrollment ID: I20180507001530 |
| Provider Name | Ashley Rose Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851893036 PECOS PAC ID: 3971867573 Enrollment ID: I20180508000647 |
| Provider Name | Heather Mutters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245733930 PECOS PAC ID: 2769746114 Enrollment ID: I20180510001993 |
| Provider Name | Bret C Haines |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1629437546 PECOS PAC ID: 8426313297 Enrollment ID: I20180525001573 |
| Provider Name | David Alan Rhodes |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1154504264 PECOS PAC ID: 0446270250 Enrollment ID: I20180604001578 |
| Provider Name | Steven Nye |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922369610 PECOS PAC ID: 2163733601 Enrollment ID: I20180611002075 |
| Provider Name | Louise Vo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316327570 PECOS PAC ID: 5597050401 Enrollment ID: I20180618002569 |
| Provider Name | Gerardo M Myrin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1447516430 PECOS PAC ID: 6507147618 Enrollment ID: I20180629001806 |
| Provider Name | Brian Emil Thatcher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093195653 PECOS PAC ID: 7719291483 Enrollment ID: I20180702000951 |
| Provider Name | Pramoda Koduru |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1992090542 PECOS PAC ID: 6800142993 Enrollment ID: I20180703000545 |
| Provider Name | Omer Suhaib |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336589548 PECOS PAC ID: 9032480850 Enrollment ID: I20180717001650 |
| Provider Name | Susan Yong Coats |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316437825 PECOS PAC ID: 0446507560 Enrollment ID: I20180720001297 |
| Provider Name | Maryam Shambayati |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235486416 PECOS PAC ID: 5890095400 Enrollment ID: I20180723000224 |
| Provider Name | Deepa Philip |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1659614105 PECOS PAC ID: 0749504637 Enrollment ID: I20180725003339 |
| Provider Name | Taylor R Couch |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548656945 PECOS PAC ID: 5092027581 Enrollment ID: I20180806000435 |
| Provider Name | Thomas C Kupiec |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639599855 PECOS PAC ID: 3870893712 Enrollment ID: I20180809005841 |
| Provider Name | Keivan Abtahi |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1295000560 PECOS PAC ID: 1951674324 Enrollment ID: I20180813002509 |
| Provider Name | Amanda Maxedon Hamilton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609280643 PECOS PAC ID: 8426357435 Enrollment ID: I20180820001388 |
| Provider Name | Ashley L Cochran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326427691 PECOS PAC ID: 1153637244 Enrollment ID: I20180821003156 |
| Provider Name | Madison Brinlee |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154737682 PECOS PAC ID: 1850517079 Enrollment ID: I20180830000246 |
| Provider Name | Adrienne Tess Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932694957 PECOS PAC ID: 5597015164 Enrollment ID: I20180830003115 |
| Provider Name | Chelsea R Lowery |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013397991 PECOS PAC ID: 8426365990 Enrollment ID: I20180904003234 |
| Provider Name | Samer Hassan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1033421284 PECOS PAC ID: 9133341522 Enrollment ID: I20180917000856 |
| Provider Name | Carl D Nyberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386059855 PECOS PAC ID: 9638446180 Enrollment ID: I20180918000543 |
| Provider Name | Shani Ortiz Harvey |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1417218611 PECOS PAC ID: 9638420466 Enrollment ID: I20180918002868 |
| Provider Name | John W Ervin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629061213 PECOS PAC ID: 4880786367 Enrollment ID: I20180924000570 |
| Provider Name | Djufo Yimfor Ajiboye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316432495 PECOS PAC ID: 4981955309 Enrollment ID: I20180925001797 |
| Provider Name | Dakota Poulton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538646898 PECOS PAC ID: 4981955275 Enrollment ID: I20180926000772 |
| Provider Name | David A Deloera |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1881171536 PECOS PAC ID: 2961753041 Enrollment ID: I20180928002283 |
| Provider Name | Robyn Dawn Spencer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639363237 PECOS PAC ID: 2062764632 Enrollment ID: I20181009002457 |
| Provider Name | Tariq Asadullah Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396804662 PECOS PAC ID: 3870662182 Enrollment ID: I20181010000903 |
| Provider Name | Annie Lemus Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881172682 PECOS PAC ID: 5092067363 Enrollment ID: I20181015002530 |
| Provider Name | Abbey Louise Collier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235623950 PECOS PAC ID: 8022362193 Enrollment ID: I20181109000061 |
| Provider Name | April E Kennedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215452750 PECOS PAC ID: 3072887389 Enrollment ID: I20181112000079 |
| Provider Name | Patrick B Reeves |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1003253410 PECOS PAC ID: 3678880325 Enrollment ID: I20181115001443 |
| Provider Name | Braxton Lane Nottingham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821528480 PECOS PAC ID: 2668745399 Enrollment ID: I20181117000269 |
| Provider Name | Mary Janelle Murray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538655725 PECOS PAC ID: 7214272301 Enrollment ID: I20181218001842 |
| Provider Name | Pal Randhawa |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1356576839 PECOS PAC ID: 8527334614 Enrollment ID: I20190110001588 |
| Provider Name | Annmarie Megan Benefield |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346620705 PECOS PAC ID: 4486993789 Enrollment ID: I20190305000062 |
| Provider Name | Kelsie Jordan Blanton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417425364 PECOS PAC ID: 8123368891 Enrollment ID: I20190314002666 |
| Provider Name | Heather Spiegel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356862338 PECOS PAC ID: 2062753585 Enrollment ID: I20190410002513 |
| Provider Name | Corbin Henningsen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558714741 PECOS PAC ID: 7517209273 Enrollment ID: I20190429001224 |
| Provider Name | Stephen Nettles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770906695 PECOS PAC ID: 2769724392 Enrollment ID: I20190501002756 |
| Provider Name | Vibitha Mani |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558705285 PECOS PAC ID: 3274876941 Enrollment ID: I20190521000493 |
| Provider Name | Richard Dees |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1326572769 PECOS PAC ID: 1557694502 Enrollment ID: I20190606002877 |
| Provider Name | Wendi M Bowers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336616283 PECOS PAC ID: 4082900360 Enrollment ID: I20190611000598 |
| Provider Name | Varun Harishsinh Chauhan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669890612 PECOS PAC ID: 3870891245 Enrollment ID: I20190709000973 |
| Provider Name | David De Gaston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457701609 PECOS PAC ID: 6305139023 Enrollment ID: I20190727000128 |
| Provider Name | Jared Pembrook |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659735710 PECOS PAC ID: 5890021901 Enrollment ID: I20190727000225 |
| Provider Name | Mark C Dimski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245692235 PECOS PAC ID: 1759673270 Enrollment ID: I20190727000274 |
| Provider Name | Tiffanie Michelle Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396302782 PECOS PAC ID: 6608102728 Enrollment ID: I20190727000355 |
| Provider Name | Sidney Le |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356795660 PECOS PAC ID: 6406137231 Enrollment ID: I20190729000187 |
| Provider Name | Lakshmi Kolli |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508111469 PECOS PAC ID: 8224339619 Enrollment ID: I20190729001585 |
| Provider Name | Christopher K Kelso |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063808491 PECOS PAC ID: 2264744317 Enrollment ID: I20190729001688 |
| Provider Name | Yasir Usman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1912347618 PECOS PAC ID: 1456687441 Enrollment ID: I20190729003639 |
| Provider Name | Abeera Ali |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699150409 PECOS PAC ID: 0840579041 Enrollment ID: I20190731001567 |
| Provider Name | Jaspreet Kaur Virdi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275811440 PECOS PAC ID: 5890938328 Enrollment ID: I20190801001854 |
| Provider Name | Andrew P Cease |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346660149 PECOS PAC ID: 5698077915 Enrollment ID: I20190805003443 |
| Provider Name | Nancy Lisette O'connell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427149095 PECOS PAC ID: 6204163868 Enrollment ID: I20190806001816 |
| Provider Name | Kendra Jo Peters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699331371 PECOS PAC ID: 0446587505 Enrollment ID: I20190812003358 |
| Provider Name | Charles E. Cottle |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1275543431 PECOS PAC ID: 5698858199 Enrollment ID: I20190812003534 |
| Provider Name | Netali Ginsberg |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134500291 PECOS PAC ID: 2668776923 Enrollment ID: I20190813001375 |
| Provider Name | Kimberly A Wood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972533487 PECOS PAC ID: 2567551609 Enrollment ID: I20190817000368 |
| Provider Name | Heather Jean Weber |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225499684 PECOS PAC ID: 4789912536 Enrollment ID: I20190819001395 |
| Provider Name | Nathaniel David Weber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891156063 PECOS PAC ID: 9335477009 Enrollment ID: I20190820002701 |
| Provider Name | William H Nechtow |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1588927784 PECOS PAC ID: 0143471482 Enrollment ID: I20190822000469 |
| Provider Name | Amanda Rasmussen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588168082 PECOS PAC ID: 1951639145 Enrollment ID: I20190826003798 |
| Provider Name | Joanna Bartholomew |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932554961 PECOS PAC ID: 9133457062 Enrollment ID: I20190829003433 |
| Provider Name | David B Parker |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1568806479 PECOS PAC ID: 2961707039 Enrollment ID: I20190830002170 |
| Provider Name | Reshma Motiwala |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992188908 PECOS PAC ID: 0345579264 Enrollment ID: I20190831000165 |
| Provider Name | Kimberly Rachel Jerdan |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1821431891 PECOS PAC ID: 7315257987 Enrollment ID: I20190917002409 |
| Provider Name | Rachel Gaines Sprague |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134773567 PECOS PAC ID: 9335479021 Enrollment ID: I20190923002811 |
| Provider Name | Carissa Michelle Kulczycki |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104204015 PECOS PAC ID: 8921338369 Enrollment ID: I20190926002897 |
| Provider Name | Leighann Fullagar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063065845 PECOS PAC ID: 4183955859 Enrollment ID: I20191010000634 |
| Provider Name | Myrto Eliades |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1487965976 PECOS PAC ID: 2062642440 Enrollment ID: I20191014002245 |
| Provider Name | Chelsey Renee Tapia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831745132 PECOS PAC ID: 7719219344 Enrollment ID: I20191030002592 |
| Provider Name | Emma Zheng |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861971699 PECOS PAC ID: 0244662427 Enrollment ID: I20191108000165 |
| Provider Name | Andrew M. Bauer |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1891731949 PECOS PAC ID: 4789826769 Enrollment ID: I20191113001470 |
| Provider Name | Sheena Margariet Musgrove |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528539541 PECOS PAC ID: 4385077668 Enrollment ID: I20191126002603 |
| Provider Name | Terah Crosson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124687603 PECOS PAC ID: 8123451440 Enrollment ID: I20191127000993 |
| Provider Name | Bradley T Long |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1295170496 PECOS PAC ID: 2860718418 Enrollment ID: I20191202000250 |
| Provider Name | Audrey Danielle Bosworth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700323466 PECOS PAC ID: 0244513877 Enrollment ID: I20191209001918 |
| Provider Name | Yuan Zhang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497002869 PECOS PAC ID: 7113237967 Enrollment ID: I20191211002720 |
| Provider Name | Krystabel Annette Snodgrass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851942783 PECOS PAC ID: 5092149229 Enrollment ID: I20191223000315 |
| Provider Name | Christopher Scott Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104468560 PECOS PAC ID: 6800221524 Enrollment ID: I20200127000592 |
| Provider Name | Marie Marianne Mccune |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639712326 PECOS PAC ID: 8426486937 Enrollment ID: I20200317000431 |
| Provider Name | Barbara Myra Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164067484 PECOS PAC ID: 9537598131 Enrollment ID: I20200402001670 |
| Provider Name | Jeffrey Sutton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730110933 PECOS PAC ID: 4385825769 Enrollment ID: I20200402002608 |
| Provider Name | Dana C Ugwu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639461395 PECOS PAC ID: 5092959643 Enrollment ID: I20200514000870 |
| Provider Name | Naomi Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861022535 PECOS PAC ID: 0446671416 Enrollment ID: I20200528003278 |
| Provider Name | Casey Christine Carriger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154956142 PECOS PAC ID: 5597187807 Enrollment ID: I20200615001990 |
| Provider Name | Martin Alswang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215981881 PECOS PAC ID: 4688766280 Enrollment ID: I20200623001114 |
| Provider Name | William Austin Doss |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1033506704 PECOS PAC ID: 9931521705 Enrollment ID: I20200624001010 |
| Provider Name | Kelsey Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609328293 PECOS PAC ID: 9133542699 Enrollment ID: I20200701000698 |
| Provider Name | Shanelle M Stensaas |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1053968719 PECOS PAC ID: 8325461635 Enrollment ID: I20200706000511 |
| Provider Name | Derek K Biggs |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1376187674 PECOS PAC ID: 3577986629 Enrollment ID: I20200708000061 |
| Provider Name | Aftin Lois Johnston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649731860 PECOS PAC ID: 0941623896 Enrollment ID: I20200710000224 |
| Provider Name | Kyle Mock |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265876494 PECOS PAC ID: 8921422312 Enrollment ID: I20200717001876 |
| Provider Name | Ahmed Salim Salous |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245766864 PECOS PAC ID: 8729402946 Enrollment ID: I20200721003555 |
| Provider Name | Rhea Rushing Frans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114540184 PECOS PAC ID: 6406270586 Enrollment ID: I20200722001560 |
| Provider Name | Caitlin Schaede |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255870820 PECOS PAC ID: 7416372784 Enrollment ID: I20200803003329 |
| Provider Name | Julee Ann Riley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194099655 PECOS PAC ID: 1658797360 Enrollment ID: I20200812001276 |
| Provider Name | Kelly L Perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174181036 PECOS PAC ID: 5597181875 Enrollment ID: I20200818000165 |
| Provider Name | Kelsey Keoppel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003336132 PECOS PAC ID: 8325464548 Enrollment ID: I20200819001064 |
| Provider Name | Emily Muns |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871024109 PECOS PAC ID: 8729351531 Enrollment ID: I20200826000216 |
| Provider Name | Kristen Buzzard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972031961 PECOS PAC ID: 7911324900 Enrollment ID: I20200908000790 |
| Provider Name | Jessica C Frazier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528559549 PECOS PAC ID: 3870912462 Enrollment ID: I20201001000255 |
| Provider Name | Andrea Partida |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992151948 PECOS PAC ID: 0446670624 Enrollment ID: I20201009002088 |
| Provider Name | Christina J Erford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992310882 PECOS PAC ID: 5698195741 Enrollment ID: I20201012001915 |
| Provider Name | Jason Andrew Brown |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619316775 PECOS PAC ID: 1153555370 Enrollment ID: I20201016002175 |
| Provider Name | Kambri Monet Antwine |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427470723 PECOS PAC ID: 0547670549 Enrollment ID: I20201103000911 |
| Provider Name | Briana Manning |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215582713 PECOS PAC ID: 3870903750 Enrollment ID: I20201104000915 |
| Provider Name | Ryan Thomas Major |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710477856 PECOS PAC ID: 8628488160 Enrollment ID: I20201111002633 |
| Provider Name | Lindsey Dawn Barrie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033616164 PECOS PAC ID: 3274946298 Enrollment ID: I20210113000911 |
| Provider Name | Mohamad Salah El Bash |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1235343922 PECOS PAC ID: 3870667538 Enrollment ID: I20210113003091 |
| Provider Name | Jonathan B Sperry |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689081143 PECOS PAC ID: 5597982132 Enrollment ID: I20210114001608 |
| Provider Name | Buffy Bunce |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891016614 PECOS PAC ID: 6305038514 Enrollment ID: I20210120000040 |
| Provider Name | Terri Lynn Quintero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700483302 PECOS PAC ID: 3375957137 Enrollment ID: I20210208000275 |
| Provider Name | Leon Besthoff Rosen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477661437 PECOS PAC ID: 5799758603 Enrollment ID: I20210209000065 |
| Provider Name | Courtney Nicole Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326637471 PECOS PAC ID: 8921414277 Enrollment ID: I20210310002869 |
| Provider Name | Kathy Speigel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578072542 PECOS PAC ID: 0042626350 Enrollment ID: I20210311001735 |
| Provider Name | Annette R Mcfarland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942453477 PECOS PAC ID: 0345304135 Enrollment ID: I20210316000038 |
| Provider Name | Courtney Christine Selman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285006395 PECOS PAC ID: 1355757386 Enrollment ID: I20210317000075 |
| Provider Name | Mohd Qutob |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679952584 PECOS PAC ID: 0244533842 Enrollment ID: I20210323002813 |
| Provider Name | Joanna Lynn Clem |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316106750 PECOS PAC ID: 2365711462 Enrollment ID: I20210330000762 |
| Provider Name | Michelle Anne Seright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720546930 PECOS PAC ID: 5991113623 Enrollment ID: I20210419002717 |
| Provider Name | Emily Rivera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932798089 PECOS PAC ID: 8022427095 Enrollment ID: I20210503002189 |
| Provider Name | Dorothy Yvonne Hooten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871991430 PECOS PAC ID: 8820311608 Enrollment ID: I20210525002093 |
| Provider Name | John Ground |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861840126 PECOS PAC ID: 6305246745 Enrollment ID: I20210607002227 |
| Provider Name | Christen Ground |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689021842 PECOS PAC ID: 3678811015 Enrollment ID: I20210629002299 |
| Provider Name | Blake Stepanovich |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1366895872 PECOS PAC ID: 1850792466 Enrollment ID: I20210701003752 |
| Provider Name | Manoj Mathew Abraham |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457841223 PECOS PAC ID: 1456753326 Enrollment ID: I20210714003238 |
| Provider Name | Megan Martin |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1760975916 PECOS PAC ID: 8921401282 Enrollment ID: I20210723001285 |
| Provider Name | Lauren Chandler Allford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386169076 PECOS PAC ID: 8820491889 Enrollment ID: I20210728001748 |
| Provider Name | Alyxandra Bui |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508354440 PECOS PAC ID: 8022412527 Enrollment ID: I20210805001169 |
| Provider Name | Terri Lynn O'connor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508310442 PECOS PAC ID: 9537565189 Enrollment ID: I20210907000955 |
| Provider Name | Derek James Pourtorkan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033601810 PECOS PAC ID: 8022414622 Enrollment ID: I20210907003198 |
| Provider Name | Cameron Phillip Steele |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891319893 PECOS PAC ID: 0941623094 Enrollment ID: I20210910001693 |
| Provider Name | Krista Pritchard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780203075 PECOS PAC ID: 7315343571 Enrollment ID: I20210914000929 |
| Provider Name | Emily Sue White |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1437506078 PECOS PAC ID: 5294004354 Enrollment ID: I20210914001800 |
| Provider Name | Jacob Michael Tipps |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790309870 PECOS PAC ID: 1557783255 Enrollment ID: I20210916000939 |
| Provider Name | Millard Lafayette Henry |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1275983777 PECOS PAC ID: 4183021728 Enrollment ID: I20210923002038 |
| Provider Name | Ahmed Alsaei |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528443876 PECOS PAC ID: 3779893847 Enrollment ID: I20210930000467 |
| Provider Name | Nicole Cottrell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1265664189 PECOS PAC ID: 5294001707 Enrollment ID: I20211004000199 |
| Provider Name | Kalli Wolf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033627187 PECOS PAC ID: 9537415781 Enrollment ID: I20211008001090 |
| Provider Name | Alan Garber |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1689683260 PECOS PAC ID: 5193756112 Enrollment ID: I20211011003065 |
| Provider Name | Kendra Rae Bond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760076731 PECOS PAC ID: 3375941966 Enrollment ID: I20211012003150 |
| Provider Name | Isha D Bhatt |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1598148363 PECOS PAC ID: 7214335827 Enrollment ID: I20211013000283 |
| Provider Name | Adam Nathaniel Moran |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851951115 PECOS PAC ID: 1557697158 Enrollment ID: I20211013001078 |
| Provider Name | Alexandria Nicole Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598324642 PECOS PAC ID: 0749678696 Enrollment ID: I20211026000483 |
| Provider Name | Robert Eli Rhoades |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578122479 PECOS PAC ID: 2668707860 Enrollment ID: I20211115001211 |
| Provider Name | Brandi Nichole Bass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235801648 PECOS PAC ID: 0547650079 Enrollment ID: I20211124000288 |
| Provider Name | Chavon Holland Wennersten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487226981 PECOS PAC ID: 9032500608 Enrollment ID: I20211216000231 |
| Provider Name | Chelsie Rae-anne Petrie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083385934 PECOS PAC ID: 6507257433 Enrollment ID: I20220103000522 |
| Provider Name | Melissa Dearing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235897422 PECOS PAC ID: 7113319088 Enrollment ID: I20220126002861 |
| Provider Name | Ankur Ashok Rughani |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346628856 PECOS PAC ID: 2668865528 Enrollment ID: I20220217000852 |
| Provider Name | Aaron L Morgan |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1588985402 PECOS PAC ID: 5395018816 Enrollment ID: I20220330000383 |
| Provider Name | Keanon Walker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609250083 PECOS PAC ID: 9638484157 Enrollment ID: I20220408001046 |
| Provider Name | Kaci Dawn Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659035541 PECOS PAC ID: 0345637534 Enrollment ID: I20220418000473 |
| Provider Name | Pamela Michelle Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821673039 PECOS PAC ID: 3971990607 Enrollment ID: I20220428000551 |
| Provider Name | Tamika M Burrus |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1447457353 PECOS PAC ID: 0941380570 Enrollment ID: I20220608000381 |
| Provider Name | Brittani Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316596075 PECOS PAC ID: 1658602271 Enrollment ID: I20220609000852 |
| Provider Name | Nathaniel Aaron Yokell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245855493 PECOS PAC ID: 9335564418 Enrollment ID: I20220615001230 |
| Provider Name | Stephen Mahoney |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1023496940 PECOS PAC ID: 6901113604 Enrollment ID: I20220615003206 |
| Provider Name | Lindsay Michelle Thielker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659960284 PECOS PAC ID: 4587043526 Enrollment ID: I20220621003025 |
| Provider Name | Kelsey Schones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912594995 PECOS PAC ID: 2567841539 Enrollment ID: I20220622000353 |
| Provider Name | Beth A Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407500135 PECOS PAC ID: 7517346331 Enrollment ID: I20220623003071 |
| Provider Name | Stephen Ricc Ross |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679131387 PECOS PAC ID: 9234510793 Enrollment ID: I20220715000875 |
| Provider Name | Suzan Parks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720713340 PECOS PAC ID: 7315320058 Enrollment ID: I20220813000065 |
| Provider Name | Michael R Harvey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760048045 PECOS PAC ID: 1557695632 Enrollment ID: I20220816000094 |
| Provider Name | Vicente Arcos |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1831480888 PECOS PAC ID: 3678705282 Enrollment ID: I20220919002768 |
| Provider Name | Parminder Minhas |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1932581592 PECOS PAC ID: 1951614031 Enrollment ID: I20220920001150 |
| Provider Name | Obaid Ashraf |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1982056586 PECOS PAC ID: 9032499264 Enrollment ID: I20220921000565 |
| Provider Name | Justin Daniel Haning |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1134669773 PECOS PAC ID: 3971988320 Enrollment ID: I20220921000822 |
| Provider Name | Steven Blake O'brien |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841853751 PECOS PAC ID: 8325423783 Enrollment ID: I20220921001310 |
| Provider Name | Dominykas Burneikis |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1982082913 PECOS PAC ID: 4688976525 Enrollment ID: I20220923001889 |
| Provider Name | Elizabeth Ann George |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962990937 PECOS PAC ID: 3072998244 Enrollment ID: I20220924000032 |
| Provider Name | Rachel Hein |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1376938142 PECOS PAC ID: 4789060914 Enrollment ID: I20220926002285 |
| Provider Name | Talia Burneikis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679952568 PECOS PAC ID: 5496155129 Enrollment ID: I20220927000284 |
| Provider Name | Christina Cook Barton |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1124525712 PECOS PAC ID: 0941686125 Enrollment ID: I20220927000506 |
| Provider Name | Alan Tran |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1245736180 PECOS PAC ID: 3779831557 Enrollment ID: I20220927002432 |
| Provider Name | Mitchell West |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750888285 PECOS PAC ID: 9335525666 Enrollment ID: I20221010002486 |
| Provider Name | Anna Lara Wilkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144968546 PECOS PAC ID: 5799151890 Enrollment ID: I20221014000340 |
| Provider Name | Melanie Reed |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447610837 PECOS PAC ID: 2961700349 Enrollment ID: I20221014001571 |
| Provider Name | Hurtis Tullos |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1194130229 PECOS PAC ID: 7517364052 Enrollment ID: I20221018002119 |
| Provider Name | Ashley Ann Potter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548908015 PECOS PAC ID: 6305213372 Enrollment ID: I20221103001739 |
| Provider Name | Belinda Lechtenberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356759120 PECOS PAC ID: 5294102265 Enrollment ID: I20221103001836 |
| Provider Name | Alexandra Marie Getz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811635196 PECOS PAC ID: 6406223494 Enrollment ID: I20221103002803 |
| Provider Name | Rioliz Ragasa Weaver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881330462 PECOS PAC ID: 7416324413 Enrollment ID: I20221103003188 |
| Provider Name | Ancy Susan Varughese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710401559 PECOS PAC ID: 0042688129 Enrollment ID: I20221121002287 |
| Provider Name | Rachel Jillian Truong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730853821 PECOS PAC ID: 2860860970 Enrollment ID: I20221122000019 |
| Provider Name | Shelley Larae Rauh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386377000 PECOS PAC ID: 4486022506 Enrollment ID: I20221122000457 |
| Provider Name | Lauren Elizabeth Terrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467174532 PECOS PAC ID: 8628446580 Enrollment ID: I20221125000447 |
| Provider Name | Jennifer Dawn Bauman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578160487 PECOS PAC ID: 7810365798 Enrollment ID: I20221128000471 |
| Provider Name | Meagan Marie Williams |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1518488592 PECOS PAC ID: 7911376207 Enrollment ID: I20221208000701 |
| Provider Name | Allison Alexander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154961621 PECOS PAC ID: 0547630139 Enrollment ID: I20221222001088 |
| Provider Name | Amanda N Berry |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104359728 PECOS PAC ID: 5496144800 Enrollment ID: I20230119000187 |
| Provider Name | Lori L Mcneal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952350001 PECOS PAC ID: 7012976913 Enrollment ID: I20230125001858 |
| Provider Name | Bushra Akram |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1962998781 PECOS PAC ID: 2062873995 Enrollment ID: I20230725002769 |
| Provider Name | Joseph Elisha Coleman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295230860 PECOS PAC ID: 3476809138 Enrollment ID: I20230728000680 |
| Provider Name | Marguerite Kelly-salo |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902047608 PECOS PAC ID: 6406907815 Enrollment ID: I20230731000082 |
| Provider Name | Laila Babar |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1760907513 PECOS PAC ID: 3779849245 Enrollment ID: I20230731002741 |
| Provider Name | Hayley Hudson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952923153 PECOS PAC ID: 0345664801 Enrollment ID: I20230814000427 |
| Provider Name | Leah Sherylnn Skaggs |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306401344 PECOS PAC ID: 4688036056 Enrollment ID: I20230816003881 |
| Provider Name | Paul Rocco Allegra |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1851822274 PECOS PAC ID: 1355703554 Enrollment ID: I20230821002352 |
| Provider Name | Abhishek Watts |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356652606 PECOS PAC ID: 0840431011 Enrollment ID: I20230821003875 |
| Provider Name | Taylor Kliewer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144906199 PECOS PAC ID: 7113380122 Enrollment ID: I20230823004130 |
| Provider Name | Anna T Mcquary |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053976191 PECOS PAC ID: 1153784632 Enrollment ID: I20230831000530 |
| Provider Name | Whitney L Crowe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316574932 PECOS PAC ID: 7416379946 Enrollment ID: I20230901000560 |
| Provider Name | Erica Beth Romano |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1639661416 PECOS PAC ID: 0446613848 Enrollment ID: I20230901001510 |
| Provider Name | Maritza Scarlet Baez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952767220 PECOS PAC ID: 2860779451 Enrollment ID: I20230907003275 |
| Provider Name | Chance Morris |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1437716099 PECOS PAC ID: 0042549685 Enrollment ID: I20230918002094 |
| Provider Name | Ahel Mohamad Kheir El Haj Chehade |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1740630375 PECOS PAC ID: 9537404231 Enrollment ID: I20230919000828 |
| Provider Name | Jordan Leigh Eckert |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477059046 PECOS PAC ID: 4183972177 Enrollment ID: I20230922002416 |
| Provider Name | Devin Nicole Connell Locklear |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215617105 PECOS PAC ID: 5395190706 Enrollment ID: I20231004002963 |
| Provider Name | Valeriya Yabluchanska |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528521929 PECOS PAC ID: 6204213770 Enrollment ID: I20231006003017 |
| Provider Name | James Applebury |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1275850836 PECOS PAC ID: 6103055199 Enrollment ID: I20231007000274 |
| Provider Name | Jessnie Jose-mathews |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992292841 PECOS PAC ID: 6507262342 Enrollment ID: I20231018003868 |
| Provider Name | Brian Christopher Herritt |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467983510 PECOS PAC ID: 5991180762 Enrollment ID: I20231025000445 |
| Provider Name | Matthew Noble Alder |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609019470 PECOS PAC ID: 8729218946 Enrollment ID: I20231110001902 |
| Provider Name | Paula Jean Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396426094 PECOS PAC ID: 4789031873 Enrollment ID: I20231110002297 |
| Provider Name | Theresa Baughman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992455174 PECOS PAC ID: 1759764848 Enrollment ID: I20231113001754 |
| Provider Name | Emily Oehlert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588344972 PECOS PAC ID: 5799132486 Enrollment ID: I20231117001569 |
| Provider Name | Bonnie Jean Renfro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316722986 PECOS PAC ID: 4082062476 Enrollment ID: I20231123000184 |
| Provider Name | Shannon Mawyin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184041204 PECOS PAC ID: 1254557408 Enrollment ID: I20231205003300 |
| Provider Name | Brenna Nicole Stanley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538946751 PECOS PAC ID: 2961853833 Enrollment ID: I20240105000236 |
| Provider Name | Claire Elaine Creecy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457125122 PECOS PAC ID: 5193160398 Enrollment ID: I20240227004211 |
| Provider Name | Sulaimon Bakre |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891256616 PECOS PAC ID: 6406181502 Enrollment ID: I20240318001869 |
| Provider Name | Pauravi Rana |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801010194 PECOS PAC ID: 7113279225 Enrollment ID: I20240320000668 |
| Provider Name | James Block |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093277444 PECOS PAC ID: 3274918578 Enrollment ID: I20240320003864 |
| Provider Name | Chang Su |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417410671 PECOS PAC ID: 5395071765 Enrollment ID: I20240325003784 |
| Provider Name | Urooj Saeed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710272588 PECOS PAC ID: 2163732801 Enrollment ID: I20240326000851 |
| Provider Name | Olusegun Popoola |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164900205 PECOS PAC ID: 7214271832 Enrollment ID: I20240326003880 |
| Provider Name | Tania Jafary |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902210131 PECOS PAC ID: 8426272451 Enrollment ID: I20240327000723 |
| Provider Name | Kolawole Adediran |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578981239 PECOS PAC ID: 2567760499 Enrollment ID: I20240327002244 |
| Provider Name | Isabella Adjinah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710242151 PECOS PAC ID: 7911255583 Enrollment ID: I20240328002091 |
| Provider Name | Khoa Dang Nguyen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245674159 PECOS PAC ID: 3779784699 Enrollment ID: I20240409003307 |
| Provider Name | Adam Lipsitt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447601869 PECOS PAC ID: 5092095067 Enrollment ID: I20240415001908 |
| Provider Name | Julie Eldredge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386407393 PECOS PAC ID: 0345689907 Enrollment ID: I20240415003616 |
| Provider Name | Timothy Barnard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831480508 PECOS PAC ID: 1254642093 Enrollment ID: I20240418000879 |
| Provider Name | Bradley Peet |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346635380 PECOS PAC ID: 4183920499 Enrollment ID: I20240424004279 |
| Provider Name | Mandy Thompson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245673045 PECOS PAC ID: 4981846631 Enrollment ID: I20240501000480 |
| Provider Name | Jorden Pope |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851817407 PECOS PAC ID: 2264763309 Enrollment ID: I20240510001803 |
| Provider Name | Bryan John Butel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790309938 PECOS PAC ID: 5193166486 Enrollment ID: I20240517001393 |
| Provider Name | Adedamola Adepoju |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1003259979 PECOS PAC ID: 3173868916 Enrollment ID: I20240517003174 |
| Provider Name | Mariam Bekhit |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952330060 PECOS PAC ID: 5193729093 Enrollment ID: I20240530002599 |
| Provider Name | Megan V Mcfarland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023786183 PECOS PAC ID: 4688016066 Enrollment ID: I20240530003008 |
| Provider Name | Mumtaz Suleman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023017431 PECOS PAC ID: 0143320051 Enrollment ID: I20240604003355 |
Oklahoma Mental Health Council Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4420 N Lincoln Blvd, Oklahoma City, OK 73105 Phone: 405-424-7711 | |
American Current Care P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7100 S I-35 Service Road, Suite 7, Oklahoma City, OK 73149 Phone: 405-632-1002 Fax: 405-632-3131 | |
St Anthony Primary Care Physicians North Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6201 N Santa Fe Ave, Suite 2020, Oklahoma City, OK 73118 Phone: 405-272-5433 Fax: 405-272-5435 | |
Oklahoma Pain & Rehab Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2149 Sw 59th St, Suite 201, Oklahoma City, OK 73119 Phone: 405-681-5800 | |
Board Of Regents Of The Univ Of Okla Ou Physicians Employer Spons Clin Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 N Robinson Ave, Suite 200, Oklahoma City, OK 73102 Phone: 405-271-8880 Fax: 405-208-8732 | |
St Anthony North Urgent Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6201 N Santa Fe Ave, Suite 1010, Oklahoma City, OK 73118 Phone: 405-772-8687 Fax: 405-772-8688 | |
Barreto Health Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3418 Nw 135th St, Oklahoma City, OK 73120 Phone: 405-286-1075 Fax: 405-608-1075 |