| Internal Medical Associates-ebnhc | |
|
10 Gove St East Boston MA 02128-1920 | |
| (617) 569-5800 | |
| (617) 568-4756 |
| Full Name | Internal Medical Associates-ebnhc |
|---|---|
| Speciality | Clinic/Center |
| Location | 10 Gove St, East Boston, Massachusetts |
| Authorized Official Name and Position | Jackie S. Fantes (CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 6175695800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medical Associates-ebnhc 10 Gove St East Boston MA 02128-1920 Ph: (617) 569-5800 | Internal Medical Associates-ebnhc 10 Gove St East Boston MA 02128-1920 Ph: (617) 569-5800 |
| NPI Number | 1558481879 |
|---|---|
| Provider Enumeration Date | 03/30/2007 |
| Last Update Date | 12/29/2020 |
| Medicare PECOS PAC ID | 6103814371 |
|---|---|
| Medicare Enrollment ID | O20040505000853 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558481879 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
| Provider Name | Dennis A Silvers |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073575437 PECOS PAC ID: 9739092008 Enrollment ID: I20031112000137 |
| Provider Name | Catherine M Franklin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629177159 PECOS PAC ID: 9830095405 Enrollment ID: I20031212000416 |
| Provider Name | David B Kaplan |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1841299955 PECOS PAC ID: 9537061296 Enrollment ID: I20040122001112 |
| Provider Name | Deborah J Sheldon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457312613 PECOS PAC ID: 4880589571 Enrollment ID: I20040220000526 |
| Provider Name | Cheryl A Mcsweeney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811976897 PECOS PAC ID: 8325934078 Enrollment ID: I20040227000573 |
| Provider Name | Jaroslaw N. Tkacz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518938745 PECOS PAC ID: 4284525114 Enrollment ID: I20040322000909 |
| Provider Name | Osamu Sakai |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770550956 PECOS PAC ID: 2668363128 Enrollment ID: I20040323001465 |
| Provider Name | Jennifer J Raney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225084064 PECOS PAC ID: 3274425491 Enrollment ID: I20040325000054 |
| Provider Name | Charles T Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134107436 PECOS PAC ID: 4183614654 Enrollment ID: I20040517000162 |
| Provider Name | Timothy W Tsai |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740387356 PECOS PAC ID: 7719978576 Enrollment ID: I20040520000492 |
| Provider Name | Julia Bojanowski |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1225180508 PECOS PAC ID: 7517949613 Enrollment ID: I20040602001606 |
| Provider Name | Lillian E.c. Mcmahon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801873542 PECOS PAC ID: 6406839489 Enrollment ID: I20040610000972 |
| Provider Name | Laura R Fagioli Petrillo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649252669 PECOS PAC ID: 7810972700 Enrollment ID: I20040623001349 |
| Provider Name | Rachel K Mott Keis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447239439 PECOS PAC ID: 7517943566 Enrollment ID: I20040629000731 |
| Provider Name | Norman Kossayda |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215958418 PECOS PAC ID: 8527967074 Enrollment ID: I20040629001061 |
| Provider Name | David M Gunther |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467426536 PECOS PAC ID: 9739167230 Enrollment ID: I20040712000256 |
| Provider Name | Raymond V Mclaughlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972581106 PECOS PAC ID: 8820077258 Enrollment ID: I20040719000429 |
| Provider Name | Kenneth Gerweck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497733752 PECOS PAC ID: 6507752920 Enrollment ID: I20040720000037 |
| Provider Name | Milos Josef Janicek |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194792630 PECOS PAC ID: 4789655697 Enrollment ID: I20040804000600 |
| Provider Name | Susannah Rowe |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1073509741 PECOS PAC ID: 1355312026 Enrollment ID: I20040804001896 |
| Provider Name | Hasmeena Kathuria |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1801863485 PECOS PAC ID: 8820061468 Enrollment ID: I20040812001552 |
| Provider Name | Joyce L Stantial |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154380707 PECOS PAC ID: 2567436223 Enrollment ID: I20040819001514 |
| Provider Name | Mary A Gorman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346289832 PECOS PAC ID: 8426022633 Enrollment ID: I20040824000334 |
| Provider Name | Peter C Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437163110 PECOS PAC ID: 4082689807 Enrollment ID: I20040826000486 |
| Provider Name | Manish H Shah |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1255483657 PECOS PAC ID: 2668449364 Enrollment ID: I20040913000874 |
| Provider Name | Sandra Felder |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164583548 PECOS PAC ID: 1557320801 Enrollment ID: I20041004000689 |
| Provider Name | Pengwynne P Blevins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316925795 PECOS PAC ID: 2163484189 Enrollment ID: I20041102000516 |
| Provider Name | Philip E Knapp |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1407819444 PECOS PAC ID: 4981666781 Enrollment ID: I20041103000680 |
| Provider Name | Glennon J O Grady |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174502140 PECOS PAC ID: 0042282378 Enrollment ID: I20041207000246 |
| Provider Name | Donna Lee G Selland |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154309946 PECOS PAC ID: 9638135924 Enrollment ID: I20041208000694 |
| Provider Name | Richard Romero |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235129412 PECOS PAC ID: 0749176501 Enrollment ID: I20050301000253 |
| Provider Name | Cindy A Gaito |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851428452 PECOS PAC ID: 3072568245 Enrollment ID: I20050321000805 |
| Provider Name | Juan M Avila |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841342169 PECOS PAC ID: 4789630492 Enrollment ID: I20050325000287 |
| Provider Name | Donna L Springs |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043206501 PECOS PAC ID: 4688621386 Enrollment ID: I20050405000766 |
| Provider Name | Aline M Hutner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851370688 PECOS PAC ID: 0143277731 Enrollment ID: I20050406000149 |
| Provider Name | Sughra Raza |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447246459 PECOS PAC ID: 9335186881 Enrollment ID: I20050415000278 |
| Provider Name | Suzanne C Sarfaty |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1447238720 PECOS PAC ID: 7719924208 Enrollment ID: I20050415000574 |
| Provider Name | Irving S Danesh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922083278 PECOS PAC ID: 6305884602 Enrollment ID: I20050418001209 |
| Provider Name | Catherine M Silva |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740268234 PECOS PAC ID: 7416995741 Enrollment ID: I20050419000041 |
| Provider Name | Phillip M Falkoff |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134100506 PECOS PAC ID: 9537157037 Enrollment ID: I20050425000479 |
| Provider Name | David H Dorfman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871575936 PECOS PAC ID: 7911946264 Enrollment ID: I20050427000365 |
| Provider Name | Leslie J Scherl |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689653503 PECOS PAC ID: 0446299655 Enrollment ID: I20050427000895 |
| Provider Name | Mary Susan Schilling |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477680486 PECOS PAC ID: 7618916610 Enrollment ID: I20050428001037 |
| Provider Name | Charles M Bliss |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1740266477 PECOS PAC ID: 3072552835 Enrollment ID: I20050502000026 |
| Provider Name | Beth E Wigden |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104884907 PECOS PAC ID: 0345280947 Enrollment ID: I20050503000870 |
| Provider Name | Joel J Snider |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740268242 PECOS PAC ID: 9638119662 Enrollment ID: I20050509000833 |
| Provider Name | Phillip E Pulaski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780645507 PECOS PAC ID: 8527008416 Enrollment ID: I20050510000995 |
| Provider Name | Steven C Borkan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1790760650 PECOS PAC ID: 9537101266 Enrollment ID: I20050524000262 |
| Provider Name | Robert W Hansen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003882192 PECOS PAC ID: 3678533304 Enrollment ID: I20050616001136 |
| Provider Name | Vicki A Rieder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992783278 PECOS PAC ID: 3779528567 Enrollment ID: I20050622000800 |
| Provider Name | Karin Leschly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013996099 PECOS PAC ID: 3274578745 Enrollment ID: I20050624000428 |
| Provider Name | Alexander S Brough |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396752424 PECOS PAC ID: 2668418476 Enrollment ID: I20050701000486 |
| Provider Name | Thomas J Silva |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669451431 PECOS PAC ID: 2466498845 Enrollment ID: I20050707000611 |
| Provider Name | Jan G Dohlman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528046943 PECOS PAC ID: 8426084757 Enrollment ID: I20050708000737 |
| Provider Name | Stephanie N Quamo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457339731 PECOS PAC ID: 2365479052 Enrollment ID: I20050725000769 |
| Provider Name | Stephen J Simon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568440857 PECOS PAC ID: 1052348638 Enrollment ID: I20050726000232 |
| Provider Name | Raymond Walden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568514081 PECOS PAC ID: 0143258129 Enrollment ID: I20050801000425 |
| Provider Name | Judith A Linden |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902878184 PECOS PAC ID: 3072541630 Enrollment ID: I20050803001080 |
| Provider Name | Asim Z. Mian |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194792663 PECOS PAC ID: 9335178987 Enrollment ID: I20050804000645 |
| Provider Name | Edward Y Lee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659348753 PECOS PAC ID: 4688604655 Enrollment ID: I20050818000992 |
| Provider Name | Avneesh Gupta |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831166370 PECOS PAC ID: 6608807441 Enrollment ID: I20050822001203 |
| Provider Name | Sutapa Ghosh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003887456 PECOS PAC ID: 7911938543 Enrollment ID: I20050824000138 |
| Provider Name | Anjna Shrivastava |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801822879 PECOS PAC ID: 9234160615 Enrollment ID: I20050825000417 |
| Provider Name | Carmen T Delgado |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730265786 PECOS PAC ID: 3274564133 Enrollment ID: I20050830000889 |
| Provider Name | Ralph Upchurch |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1154498889 PECOS PAC ID: 9739111964 Enrollment ID: I20050908000350 |
| Provider Name | Ida Cristina E Zarraga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548295678 PECOS PAC ID: 6305879776 Enrollment ID: I20050915000807 |
| Provider Name | Nelson E Ochoa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760534366 PECOS PAC ID: 5193758399 Enrollment ID: I20050917000328 |
| Provider Name | Rebecca B Perkins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417930504 PECOS PAC ID: 1052345527 Enrollment ID: I20050923000409 |
| Provider Name | Michael A Mancusi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548347859 PECOS PAC ID: 8527093780 Enrollment ID: I20050927001219 |
| Provider Name | Ashley Davidoff |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063430395 PECOS PAC ID: 5193750727 Enrollment ID: I20051003000048 |
| Provider Name | Priscilla J Slanetz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932176070 PECOS PAC ID: 1951329564 Enrollment ID: I20051102000740 |
| Provider Name | Jennifer N Skolnick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114975380 PECOS PAC ID: 7012935257 Enrollment ID: I20051107000669 |
| Provider Name | Ron Medzon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861465825 PECOS PAC ID: 5597783639 Enrollment ID: I20051107000738 |
| Provider Name | Lorraine B Smith |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770557258 PECOS PAC ID: 6507885977 Enrollment ID: I20051115000390 |
| Provider Name | Susan K Boreri |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518931807 PECOS PAC ID: 7517986771 Enrollment ID: I20051116000777 |
| Provider Name | Anita L Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649219213 PECOS PAC ID: 3779507520 Enrollment ID: I20060119000187 |
| Provider Name | Janine M Hogan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851363840 PECOS PAC ID: 6002820867 Enrollment ID: I20060131000772 |
| Provider Name | Candace M Linehan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730108143 PECOS PAC ID: 9931113479 Enrollment ID: I20060203000346 |
| Provider Name | Jeffrey R Schapiro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760444129 PECOS PAC ID: 8820006042 Enrollment ID: I20060330000222 |
| Provider Name | Glenn D Barest |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326015967 PECOS PAC ID: 6507875549 Enrollment ID: I20060419000388 |
| Provider Name | Monica Manandhar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639157910 PECOS PAC ID: 3577575984 Enrollment ID: I20060630000145 |
| Provider Name | Allison A Brown |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225057524 PECOS PAC ID: 3779588579 Enrollment ID: I20060929000367 |
| Provider Name | Abigail L Fierman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336247840 PECOS PAC ID: 6204832884 Enrollment ID: I20061005000224 |
| Provider Name | Pamela H Guggina |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528006848 PECOS PAC ID: 2466423702 Enrollment ID: I20061025000285 |
| Provider Name | Julio Mazul |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932208857 PECOS PAC ID: 1759389174 Enrollment ID: I20061120000267 |
| Provider Name | Ramona K. Flightner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376542001 PECOS PAC ID: 9133189145 Enrollment ID: I20061212000517 |
| Provider Name | Lukas R Kolm |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548207558 PECOS PAC ID: 8022087097 Enrollment ID: I20070115000044 |
| Provider Name | Rebecca A Von Barta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689744880 PECOS PAC ID: 6901806074 Enrollment ID: I20070115000151 |
| Provider Name | Michele H Crissman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043383813 PECOS PAC ID: 2365442431 Enrollment ID: I20070115000156 |
| Provider Name | Ilse Castro-aragon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043244221 PECOS PAC ID: 0840291787 Enrollment ID: I20070120000039 |
| Provider Name | Dianne Georgian-smith |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134100043 PECOS PAC ID: 8527164144 Enrollment ID: I20070427000391 |
| Provider Name | Sonia Ananthakrishnan |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1912026543 PECOS PAC ID: 5193626091 Enrollment ID: I20070518000052 |
| Provider Name | Charles Maggio |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1275595662 PECOS PAC ID: 3577662816 Enrollment ID: I20070627000160 |
| Provider Name | Gregg A. Miller |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902820756 PECOS PAC ID: 5395845135 Enrollment ID: I20070710000427 |
| Provider Name | John J Pan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174740005 PECOS PAC ID: 1951402015 Enrollment ID: I20070719000739 |
| Provider Name | Ali Guermazi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275661357 PECOS PAC ID: 3779684790 Enrollment ID: I20070720000567 |
| Provider Name | Daniel J Pallin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700843166 PECOS PAC ID: 2466553771 Enrollment ID: I20070730000842 |
| Provider Name | Umbereen S Nehal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639199094 PECOS PAC ID: 3274624226 Enrollment ID: I20070807000034 |
| Provider Name | Andrew J Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427255801 PECOS PAC ID: 9830280684 Enrollment ID: I20070808000222 |
| Provider Name | Eileen M Pierce |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518176817 PECOS PAC ID: 7113018680 Enrollment ID: I20070813000520 |
| Provider Name | Stephan W Anderson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235243122 PECOS PAC ID: 7810089562 Enrollment ID: I20070825000012 |
| Provider Name | Daniela C Ramirez Schrempp |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356309256 PECOS PAC ID: 0941392401 Enrollment ID: I20070828001056 |
| Provider Name | Dorothy Y Chen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497976492 PECOS PAC ID: 7214021211 Enrollment ID: I20070921000262 |
| Provider Name | Shannon L Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417158296 PECOS PAC ID: 5597859272 Enrollment ID: I20070926000320 |
| Provider Name | Kathleen M Klein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114049012 PECOS PAC ID: 7315032042 Enrollment ID: I20070926000903 |
| Provider Name | Rajneesh S Hazarika |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841394707 PECOS PAC ID: 2163517921 Enrollment ID: I20071009000414 |
| Provider Name | Arianda Burgos Chaves |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063524734 PECOS PAC ID: 2365538063 Enrollment ID: I20071010000711 |
| Provider Name | Michelle C Perkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346216108 PECOS PAC ID: 1759477417 Enrollment ID: I20071011000405 |
| Provider Name | Sharon R Sloan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578552014 PECOS PAC ID: 5193812766 Enrollment ID: I20071029000551 |
| Provider Name | Joanne Caruso |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1629037734 PECOS PAC ID: 8325135395 Enrollment ID: I20071107000728 |
| Provider Name | Rebecca C Nuernberger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114093275 PECOS PAC ID: 1557459484 Enrollment ID: I20071110000072 |
| Provider Name | Luis M Henkel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578787248 PECOS PAC ID: 6002905411 Enrollment ID: I20071208000132 |
| Provider Name | Joseph M Dulac |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760421234 PECOS PAC ID: 2163488206 Enrollment ID: I20071218000247 |
| Provider Name | Leah E Schafer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003845173 PECOS PAC ID: 0941273692 Enrollment ID: I20071228000040 |
| Provider Name | Kimberlyn C Grams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841476207 PECOS PAC ID: 3072696590 Enrollment ID: I20080207000065 |
| Provider Name | Maria L Sellitto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295911337 PECOS PAC ID: 3678657723 Enrollment ID: I20080227000642 |
| Provider Name | Erin M Tullock |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1508907320 PECOS PAC ID: 3870581697 Enrollment ID: I20080228000452 |
| Provider Name | Pamela M Schuster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336332360 PECOS PAC ID: 3476638701 Enrollment ID: I20080311000597 |
| Provider Name | Steve T Cheche |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861475923 PECOS PAC ID: 6103809231 Enrollment ID: I20080315000032 |
| Provider Name | Sandra L Dabora |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821107822 PECOS PAC ID: 5294812368 Enrollment ID: I20080414000606 |
| Provider Name | Tamara C Kellogg |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467438069 PECOS PAC ID: 7214016062 Enrollment ID: I20080505000432 |
| Provider Name | Henry P Beauparlant |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285603415 PECOS PAC ID: 3971682733 Enrollment ID: I20080505000498 |
| Provider Name | Michael K Chung |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538107859 PECOS PAC ID: 2668541657 Enrollment ID: I20080516000304 |
| Provider Name | Stylianos Maheras |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821062621 PECOS PAC ID: 2567535735 Enrollment ID: I20080721000750 |
| Provider Name | Lori A Andersen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114918323 PECOS PAC ID: 8820161680 Enrollment ID: I20080728000056 |
| Provider Name | Nagaraj-setty A. Holalkere |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497881106 PECOS PAC ID: 5991871154 Enrollment ID: I20080911000721 |
| Provider Name | Neely L Hines |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1225201114 PECOS PAC ID: 4385711043 Enrollment ID: I20080922000411 |
| Provider Name | Elissa M Perkins |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689605933 PECOS PAC ID: 7517968522 Enrollment ID: I20081001000056 |
| Provider Name | Jennifer L Pfau |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134263502 PECOS PAC ID: 3375611858 Enrollment ID: I20081010000325 |
| Provider Name | Kit Wai Chan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528116571 PECOS PAC ID: 8325116833 Enrollment ID: I20081010000569 |
| Provider Name | David I Tapper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578719852 PECOS PAC ID: 8325106412 Enrollment ID: I20081017000524 |
| Provider Name | Mary A Breen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366691297 PECOS PAC ID: 0042379356 Enrollment ID: I20081031000231 |
| Provider Name | Katherine E O'brien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578712170 PECOS PAC ID: 3375603095 Enrollment ID: I20081125000268 |
| Provider Name | Dhrubajyoti Basu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740450618 PECOS PAC ID: 3678636586 Enrollment ID: I20090120000169 |
| Provider Name | Charmalie G Heller |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164401899 PECOS PAC ID: 5799849717 Enrollment ID: I20090205000286 |
| Provider Name | Margareth Y Chua |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114906369 PECOS PAC ID: 9133284201 Enrollment ID: I20090224000713 |
| Provider Name | Guity Valizadeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659427706 PECOS PAC ID: 8123184298 Enrollment ID: I20090226000133 |
| Provider Name | Harprit Singh Bedi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417158213 PECOS PAC ID: 4880751130 Enrollment ID: I20090401000053 |
| Provider Name | Soumya Ganapathy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093811648 PECOS PAC ID: 6709778459 Enrollment ID: I20090429000236 |
| Provider Name | Jansen M Tiongson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811182801 PECOS PAC ID: 7618027582 Enrollment ID: I20090615000697 |
| Provider Name | Troilus A Plante |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669496154 PECOS PAC ID: 8729083845 Enrollment ID: I20090716000596 |
| Provider Name | Christina A Lebedis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073703112 PECOS PAC ID: 2466504642 Enrollment ID: I20090720000065 |
| Provider Name | Jeanine A Ward |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770708570 PECOS PAC ID: 5991858151 Enrollment ID: I20090805000473 |
| Provider Name | Jacky Kong |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1851556021 PECOS PAC ID: 1658425467 Enrollment ID: I20090813000198 |
| Provider Name | Mustafa Khaled Mustafa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336384601 PECOS PAC ID: 9931254182 Enrollment ID: I20090911000337 |
| Provider Name | Hector A Marquez |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1831365840 PECOS PAC ID: 1951457324 Enrollment ID: I20090928000003 |
| Provider Name | Lilia H Cardenas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841406964 PECOS PAC ID: 7113063868 Enrollment ID: I20091009000269 |
| Provider Name | Boris N Bloch |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184866758 PECOS PAC ID: 7214073873 Enrollment ID: I20091013000183 |
| Provider Name | Roberto Mastroianni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174856744 PECOS PAC ID: 7618015991 Enrollment ID: I20091105000630 |
| Provider Name | Sanam Claudia Roder-dewan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376759423 PECOS PAC ID: 7416097985 Enrollment ID: I20091214000347 |
| Provider Name | Bindu N. Setty |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639205362 PECOS PAC ID: 0941341606 Enrollment ID: I20100104000486 |
| Provider Name | Megan M Leo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770757858 PECOS PAC ID: 4880735414 Enrollment ID: I20100105000425 |
| Provider Name | Rafael Fernandez Bohorquez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477791846 PECOS PAC ID: 5597806489 Enrollment ID: I20100114000466 |
| Provider Name | Kristin S Moreno |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891978946 PECOS PAC ID: 0547303539 Enrollment ID: I20100129000307 |
| Provider Name | Margaret S Lee |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1518120674 PECOS PAC ID: 8628113032 Enrollment ID: I20100309000499 |
| Provider Name | Sophal Lam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457596363 PECOS PAC ID: 6901931260 Enrollment ID: I20100312000155 |
| Provider Name | Tatjana Dujmic |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336289099 PECOS PAC ID: 2365571726 Enrollment ID: I20100522000105 |
| Provider Name | Leigh Ann Oppenheimer Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477877652 PECOS PAC ID: 9537299607 Enrollment ID: I20100616000516 |
| Provider Name | Cecilia Torres Girard |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1831175207 PECOS PAC ID: 7315079852 Enrollment ID: I20100719000326 |
| Provider Name | Larkin S Holt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396906061 PECOS PAC ID: 7416081450 Enrollment ID: I20100812001022 |
| Provider Name | Mark W Byrne |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710152467 PECOS PAC ID: 0648304576 Enrollment ID: I20100814000055 |
| Provider Name | Paul Hendessi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407839558 PECOS PAC ID: 0143344374 Enrollment ID: I20100825000466 |
| Provider Name | Jorge A. Soto |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225012396 PECOS PAC ID: 8527182500 Enrollment ID: I20100827000045 |
| Provider Name | Frances Ann Kuebler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588642912 PECOS PAC ID: 1557485547 Enrollment ID: I20100827000136 |
| Provider Name | Emault Louis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720277346 PECOS PAC ID: 5597880203 Enrollment ID: I20100918000146 |
| Provider Name | Aynslee M Velarde |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285830794 PECOS PAC ID: 8729103346 Enrollment ID: I20100920000008 |
| Provider Name | Akira M Murakami |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538335088 PECOS PAC ID: 6709079130 Enrollment ID: I20101019000178 |
| Provider Name | Elizabeth C Gaskins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639344500 PECOS PAC ID: 7416140850 Enrollment ID: I20101019000205 |
| Provider Name | Anne Theresa Dwyer-wilmer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619170255 PECOS PAC ID: 5799978946 Enrollment ID: I20101020000163 |
| Provider Name | Katrina E. Traber |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1194990648 PECOS PAC ID: 5496949513 Enrollment ID: I20101103000328 |
| Provider Name | Catherine A Hopkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497987986 PECOS PAC ID: 4183819857 Enrollment ID: I20101109000239 |
| Provider Name | Maura A Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134350424 PECOS PAC ID: 1355476854 Enrollment ID: I20101109000882 |
| Provider Name | Romelia C Salazar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972814929 PECOS PAC ID: 5597951954 Enrollment ID: I20101124000297 |
| Provider Name | Juan A Huanuco Perez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841458502 PECOS PAC ID: 7315134178 Enrollment ID: I20101207000344 |
| Provider Name | John J Pietrantonio |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1144282534 PECOS PAC ID: 6901094820 Enrollment ID: I20101220000544 |
| Provider Name | Robert C Capone |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1093777468 PECOS PAC ID: 0648468579 Enrollment ID: I20101220000656 |
| Provider Name | James F Pedulla |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1366467201 PECOS PAC ID: 6103014998 Enrollment ID: I20101221000270 |
| Provider Name | Meaghan K Hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447567037 PECOS PAC ID: 7315135639 Enrollment ID: I20101230000213 |
| Provider Name | Magnolia Venegas |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1942225891 PECOS PAC ID: 5890880413 Enrollment ID: I20110105000384 |
| Provider Name | Ewa B Smoczkiewicz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104805621 PECOS PAC ID: 0749479855 Enrollment ID: I20110105000425 |
| Provider Name | Julanne P Phillips |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871572370 PECOS PAC ID: 5496944506 Enrollment ID: I20110105000543 |
| Provider Name | Nien T Dong |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538148358 PECOS PAC ID: 8820287998 Enrollment ID: I20110105001274 |
| Provider Name | Emily M Wu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174597959 PECOS PAC ID: 1850580218 Enrollment ID: I20110115000082 |
| Provider Name | Lisa M Scarfo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790764215 PECOS PAC ID: 0547449712 Enrollment ID: I20110120000974 |
| Provider Name | Beatriz E. Meza-valencia |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073595914 PECOS PAC ID: 0042499741 Enrollment ID: I20110127000295 |
| Provider Name | Amanda E Davis |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1295937308 PECOS PAC ID: 2264502905 Enrollment ID: I20110128000627 |
| Provider Name | Barbara B Searles |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306923636 PECOS PAC ID: 5294915054 Enrollment ID: I20110210000801 |
| Provider Name | Molly E E Lemoine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992006969 PECOS PAC ID: 9537349287 Enrollment ID: I20110211000773 |
| Provider Name | Barbara A Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215924980 PECOS PAC ID: 4688856537 Enrollment ID: I20110314000635 |
| Provider Name | Dianna M Iandolo |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1891008298 PECOS PAC ID: 7719161140 Enrollment ID: I20110411000132 |
| Provider Name | Chandra Manuelpillai |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447442470 PECOS PAC ID: 0749451300 Enrollment ID: I20110913000071 |
| Provider Name | Monica Mendiola |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225355142 PECOS PAC ID: 8224162722 Enrollment ID: I20110913000719 |
| Provider Name | Margot N Tang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962664193 PECOS PAC ID: 1456522895 Enrollment ID: I20110915000611 |
| Provider Name | Rachel B. King |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831353945 PECOS PAC ID: 8729259643 Enrollment ID: I20110924000004 |
| Provider Name | Rena Oudan |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1952689093 PECOS PAC ID: 0840461505 Enrollment ID: I20110929000275 |
| Provider Name | Bethany A Croke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073891495 PECOS PAC ID: 5193997849 Enrollment ID: I20111003000040 |
| Provider Name | Elizabeth E Ferrenz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770724296 PECOS PAC ID: 5698947539 Enrollment ID: I20111018000833 |
| Provider Name | Hayley G Teich |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598923294 PECOS PAC ID: 4183897770 Enrollment ID: I20111026000566 |
| Provider Name | Jody A Kenneally Chase |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932410123 PECOS PAC ID: 3870766314 Enrollment ID: I20111028000566 |
| Provider Name | Phoebe H Chadwick-rivinus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578830022 PECOS PAC ID: 6507024650 Enrollment ID: I20120221000976 |
| Provider Name | Stephen Kelly |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558504258 PECOS PAC ID: 7113185117 Enrollment ID: I20120222000466 |
| Provider Name | Jennifer M Keller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710926837 PECOS PAC ID: 3870782352 Enrollment ID: I20120404000561 |
| Provider Name | Kari Anne Radoff |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1235416108 PECOS PAC ID: 7113188731 Enrollment ID: I20120409000123 |
| Provider Name | Virginia Ndoro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487833299 PECOS PAC ID: 5294997342 Enrollment ID: I20120507000375 |
| Provider Name | Tanya Geha |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124285226 PECOS PAC ID: 1850554049 Enrollment ID: I20120525000576 |
| Provider Name | Jordana Phillips |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477767028 PECOS PAC ID: 6002070299 Enrollment ID: I20120620000332 |
| Provider Name | Andrea Haffty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679842371 PECOS PAC ID: 7911162706 Enrollment ID: I20120628000461 |
| Provider Name | Michael Fishman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205093366 PECOS PAC ID: 8426213927 Enrollment ID: I20120709000335 |
| Provider Name | Caroline E Castleforte |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881827731 PECOS PAC ID: 7012055064 Enrollment ID: I20120803000029 |
| Provider Name | Neelam Ajit Vashi |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1871759076 PECOS PAC ID: 1254588957 Enrollment ID: I20120831000599 |
| Provider Name | Anissa E Dickerson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1821351404 PECOS PAC ID: 4587811054 Enrollment ID: I20120906000252 |
| Provider Name | Jai Govind Marathe |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1902096696 PECOS PAC ID: 0840448403 Enrollment ID: I20120924000706 |
| Provider Name | Annmarie Reich Lattanzi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811169030 PECOS PAC ID: 8527225457 Enrollment ID: I20120926000289 |
| Provider Name | Justin C Ogbonna |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1952626483 PECOS PAC ID: 7911192471 Enrollment ID: I20121005000002 |
| Provider Name | Kavita Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942464847 PECOS PAC ID: 6406005438 Enrollment ID: I20121005000387 |
| Provider Name | Nikolai S Velev |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831327485 PECOS PAC ID: 9133378854 Enrollment ID: I20121012000226 |
| Provider Name | Marion Ming Wai Hau |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1326328493 PECOS PAC ID: 4284897539 Enrollment ID: I20121018000749 |
| Provider Name | Elizabeth E Bodner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972602787 PECOS PAC ID: 8426209446 Enrollment ID: I20121121000043 |
| Provider Name | Maria K Bastos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720330558 PECOS PAC ID: 3173775566 Enrollment ID: I20121211000350 |
| Provider Name | Kristen H Behrens |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1730434754 PECOS PAC ID: 8921250036 Enrollment ID: I20121218000034 |
| Provider Name | Alexandra A Mendonca |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669751780 PECOS PAC ID: 8123273216 Enrollment ID: I20130220000475 |
| Provider Name | Laurie Goldman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780736272 PECOS PAC ID: 0042457426 Enrollment ID: I20130501000514 |
| Provider Name | Gabrielle A Jacquet |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821265174 PECOS PAC ID: 0840343380 Enrollment ID: I20130531000444 |
| Provider Name | Jennifer L Repp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598008054 PECOS PAC ID: 2769620749 Enrollment ID: I20130603000602 |
| Provider Name | Nancy B Seigal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932155496 PECOS PAC ID: 3476793977 Enrollment ID: I20130705000064 |
| Provider Name | Andrew J Kompel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710184429 PECOS PAC ID: 0941465892 Enrollment ID: I20130708000501 |
| Provider Name | Laura J Faherty |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053635508 PECOS PAC ID: 9638319882 Enrollment ID: I20130711000114 |
| Provider Name | Miguel A Concepcion |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619101052 PECOS PAC ID: 5193961381 Enrollment ID: I20130729000912 |
| Provider Name | Ellana Stinson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912135385 PECOS PAC ID: 1759537673 Enrollment ID: I20130801000582 |
| Provider Name | Jonathan A Hatoun |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669796645 PECOS PAC ID: 1254574635 Enrollment ID: I20130904000570 |
| Provider Name | Howard Hernandez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508021213 PECOS PAC ID: 3779727128 Enrollment ID: I20130925000226 |
| Provider Name | Caitlin F Crowley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013358381 PECOS PAC ID: 1456586106 Enrollment ID: I20131105000504 |
| Provider Name | Brittany Ann Diaz |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1932533189 PECOS PAC ID: 8325276652 Enrollment ID: I20140114000446 |
| Provider Name | Magen M Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982036166 PECOS PAC ID: 9638300882 Enrollment ID: I20140401001100 |
| Provider Name | Raul Vidoudez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548685779 PECOS PAC ID: 4284867839 Enrollment ID: I20140506000267 |
| Provider Name | Edward Kiho Sung |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194953398 PECOS PAC ID: 2769614825 Enrollment ID: I20140603000896 |
| Provider Name | Michael F Larochelle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710163944 PECOS PAC ID: 5991920274 Enrollment ID: I20140630000080 |
| Provider Name | Alexander Sheng |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023332897 PECOS PAC ID: 0345407284 Enrollment ID: I20140702000437 |
| Provider Name | Janine C Albert |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629395991 PECOS PAC ID: 1658514583 Enrollment ID: I20140715000600 |
| Provider Name | Sara Beste |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538457379 PECOS PAC ID: 5092958504 Enrollment ID: I20140715001221 |
| Provider Name | Patricio W Cabral |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639465305 PECOS PAC ID: 8224256664 Enrollment ID: I20140827001761 |
| Provider Name | Nyia L Noel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972822575 PECOS PAC ID: 6709005689 Enrollment ID: I20140909001080 |
| Provider Name | Michelle M Master |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609166339 PECOS PAC ID: 8123247418 Enrollment ID: I20140918001636 |
| Provider Name | Richard C Villa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467734962 PECOS PAC ID: 3375762479 Enrollment ID: I20140923001629 |
| Provider Name | Lauren M Pincus |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497915516 PECOS PAC ID: 2062644057 Enrollment ID: I20141016000626 |
| Provider Name | Johanna F Lam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629486477 PECOS PAC ID: 6305068172 Enrollment ID: I20141111001024 |
| Provider Name | Eliza J Newman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699109223 PECOS PAC ID: 1052540614 Enrollment ID: I20141120001638 |
| Provider Name | Renee S Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235419466 PECOS PAC ID: 2668694928 Enrollment ID: I20141121000197 |
| Provider Name | Nisha M Guralnick |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1740684844 PECOS PAC ID: 1658693619 Enrollment ID: I20141202000027 |
| Provider Name | James Cole Mccann |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659459287 PECOS PAC ID: 3971790874 Enrollment ID: I20141202001017 |
| Provider Name | Deanna L Corey |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1437460680 PECOS PAC ID: 7416189766 Enrollment ID: I20141211000613 |
| Provider Name | Kayleigh Ann Macgillivray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245637982 PECOS PAC ID: 2769707280 Enrollment ID: I20150204001297 |
| Provider Name | Richard J Ho |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1124450986 PECOS PAC ID: 7416180054 Enrollment ID: I20150316002234 |
| Provider Name | Jackie Fantes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275530719 PECOS PAC ID: 4789713587 Enrollment ID: I20150403000757 |
| Provider Name | Elizabeth J Misasi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447649843 PECOS PAC ID: 2466771217 Enrollment ID: I20150429002291 |
| Provider Name | Allyson Chesebro |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194020115 PECOS PAC ID: 8022259589 Enrollment ID: I20150618000211 |
| Provider Name | Jonathan E. Scalera |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962645846 PECOS PAC ID: 4981831377 Enrollment ID: I20150623001188 |
| Provider Name | Gillian L Mccafferty |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629335914 PECOS PAC ID: 5294969200 Enrollment ID: I20150625001165 |
| Provider Name | Anna Forbes Rives |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760619472 PECOS PAC ID: 4981836046 Enrollment ID: I20150702001361 |
| Provider Name | John E. Ricks |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538133830 PECOS PAC ID: 6800851734 Enrollment ID: I20150720001128 |
| Provider Name | Hristina N Natcheva |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184942286 PECOS PAC ID: 4284947219 Enrollment ID: I20150721000725 |
| Provider Name | Shannon L Bell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912206707 PECOS PAC ID: 7012133028 Enrollment ID: I20150727000543 |
| Provider Name | Alessandro Cancelliere |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073888236 PECOS PAC ID: 3678887460 Enrollment ID: I20150807013329 |
| Provider Name | Lara Z Jirmanus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821319914 PECOS PAC ID: 7113233008 Enrollment ID: I20150909001210 |
| Provider Name | Bernadette V Jakomin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538231428 PECOS PAC ID: 5890726996 Enrollment ID: I20150916002174 |
| Provider Name | Lindsay C Corse |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639438476 PECOS PAC ID: 4385876614 Enrollment ID: I20151007002073 |
| Provider Name | Margaret Chapman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306009980 PECOS PAC ID: 3971812421 Enrollment ID: I20151022002511 |
| Provider Name | Francesco Massari |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730444894 PECOS PAC ID: 6406165927 Enrollment ID: I20151023002302 |
| Provider Name | Shereen Mohiuddin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013209824 PECOS PAC ID: 3779715123 Enrollment ID: I20151118001999 |
| Provider Name | Adriana G Mazzotta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801263546 PECOS PAC ID: 7719287960 Enrollment ID: I20151120000180 |
| Provider Name | Ricardo D Ribeiro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386993194 PECOS PAC ID: 1850691627 Enrollment ID: I20151201000070 |
| Provider Name | Noah Jared Chappell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134503469 PECOS PAC ID: 3173823903 Enrollment ID: I20151201002234 |
| Provider Name | Cindy Spier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881778306 PECOS PAC ID: 4688642994 Enrollment ID: I20151202000000 |
| Provider Name | Kelly E Hennessy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629446307 PECOS PAC ID: 8820399066 Enrollment ID: I20151214000957 |
| Provider Name | Raquel Dalzon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447526868 PECOS PAC ID: 8820390115 Enrollment ID: I20160104000918 |
| Provider Name | Carolyn A Matheson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801133467 PECOS PAC ID: 2769784412 Enrollment ID: I20160112002090 |
| Provider Name | Kathryn M Levasseur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811364953 PECOS PAC ID: 6507169737 Enrollment ID: I20160122000143 |
| Provider Name | Mariza O. Clement |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992962831 PECOS PAC ID: 5395048003 Enrollment ID: I20160129000117 |
| Provider Name | Ricardo J Sedan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215363262 PECOS PAC ID: 3173840774 Enrollment ID: I20160205001484 |
| Provider Name | Jeffrey F Lucero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427482256 PECOS PAC ID: 5092019950 Enrollment ID: I20160212001787 |
| Provider Name | Maya D Poorvu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891164984 PECOS PAC ID: 6305140203 Enrollment ID: I20160215000516 |
| Provider Name | Emily Flint Freiner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619351418 PECOS PAC ID: 4688978414 Enrollment ID: I20160215001698 |
| Provider Name | Trevor Catherman Morrison |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396056321 PECOS PAC ID: 4385876739 Enrollment ID: I20160318000826 |
| Provider Name | Daniela V Poles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831569532 PECOS PAC ID: 0345544540 Enrollment ID: I20160419002559 |
| Provider Name | Ty T Iancovici |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245697754 PECOS PAC ID: 3375842586 Enrollment ID: I20160421002170 |
| Provider Name | Suzanne Bradshaw |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710944640 PECOS PAC ID: 5799084927 Enrollment ID: I20160422000342 |
| Provider Name | Bianca M. Villar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578961702 PECOS PAC ID: 9234438771 Enrollment ID: I20160504001405 |
| Provider Name | Jonathan S Abrams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285916007 PECOS PAC ID: 7618267618 Enrollment ID: I20160603000515 |
| Provider Name | Carlos Acuna-villaorduna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598922742 PECOS PAC ID: 7315133659 Enrollment ID: I20160701000968 |
| Provider Name | Ryan Gilbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467879551 PECOS PAC ID: 9436450939 Enrollment ID: I20160721002423 |
| Provider Name | Joshua H. Brody |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932429016 PECOS PAC ID: 0547581977 Enrollment ID: I20160811001311 |
| Provider Name | Bailey Y. Chang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427494913 PECOS PAC ID: 5294967477 Enrollment ID: I20160829002067 |
| Provider Name | Elena Cotulbea |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376740985 PECOS PAC ID: 1557496452 Enrollment ID: I20160907001973 |
| Provider Name | Lauren E. Scott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194179234 PECOS PAC ID: 8628364957 Enrollment ID: I20160912002498 |
| Provider Name | Swati R Dhanireddy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740620426 PECOS PAC ID: 5496987455 Enrollment ID: I20160921000628 |
| Provider Name | Jeffrey S Gusenburg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376864520 PECOS PAC ID: 6204059371 Enrollment ID: I20160924000051 |
| Provider Name | Amanda Eva Deloureiro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598008518 PECOS PAC ID: 5193957744 Enrollment ID: I20161020000609 |
| Provider Name | Vanessa Louise Loukas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598113359 PECOS PAC ID: 1850679085 Enrollment ID: I20161024000325 |
| Provider Name | Jennalin Gabriele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174932560 PECOS PAC ID: 6406179258 Enrollment ID: I20161117000647 |
| Provider Name | Bethany A Sanders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417308750 PECOS PAC ID: 7012297542 Enrollment ID: I20161129001609 |
| Provider Name | Julia A Buresh-kapoor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558819441 PECOS PAC ID: 1759661853 Enrollment ID: I20161207000882 |
| Provider Name | Meghan E Vertovec |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003264961 PECOS PAC ID: 5193005205 Enrollment ID: I20161207001381 |
| Provider Name | Emily A Chase |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821547381 PECOS PAC ID: 3274813811 Enrollment ID: I20161216001682 |
| Provider Name | Swapna R Takkallapelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750823019 PECOS PAC ID: 0749561710 Enrollment ID: I20170105001308 |
| Provider Name | Maria Marques |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174067987 PECOS PAC ID: 5294016176 Enrollment ID: I20170109001233 |
| Provider Name | Julia E Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124579271 PECOS PAC ID: 0042592735 Enrollment ID: I20170112000977 |
| Provider Name | Colleen E Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245781897 PECOS PAC ID: 7911289558 Enrollment ID: I20170117000454 |
| Provider Name | Elizabeth W Patton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053647230 PECOS PAC ID: 6800020520 Enrollment ID: I20170124000023 |
| Provider Name | Isidra Guadalupe Hernandez-morelos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982913315 PECOS PAC ID: 6507149432 Enrollment ID: I20170220000777 |
| Provider Name | Joy A Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235594763 PECOS PAC ID: 0648554501 Enrollment ID: I20170222000011 |
| Provider Name | Michael A Brendel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528508249 PECOS PAC ID: 9739463704 Enrollment ID: I20170313000696 |
| Provider Name | Pushpa Gaulee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174070197 PECOS PAC ID: 8123303955 Enrollment ID: I20170317001603 |
| Provider Name | Elizabeth Dougherty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457728065 PECOS PAC ID: 6709161995 Enrollment ID: I20170331000013 |
| Provider Name | Kevin J Chang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588613491 PECOS PAC ID: 8527097583 Enrollment ID: I20170417000882 |
| Provider Name | Wilbur Hu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831431402 PECOS PAC ID: 8527290329 Enrollment ID: I20170711000145 |
| Provider Name | Gregory P Wu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114347416 PECOS PAC ID: 5193008407 Enrollment ID: I20170713002564 |
| Provider Name | Catherine Ann Sullivan |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1598031403 PECOS PAC ID: 9830415090 Enrollment ID: I20170815000178 |
| Provider Name | Stephanie Stapleton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538507272 PECOS PAC ID: 8628397379 Enrollment ID: I20170824003074 |
| Provider Name | Estee E Fleischman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609288265 PECOS PAC ID: 3173813334 Enrollment ID: I20170829000841 |
| Provider Name | Mothusi A Chilume |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427216514 PECOS PAC ID: 0840517249 Enrollment ID: I20170830002339 |
| Provider Name | Hediyeh Baradaran |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538450325 PECOS PAC ID: 0941573307 Enrollment ID: I20170906002602 |
| Provider Name | Maya Mauch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093129488 PECOS PAC ID: 7810282183 Enrollment ID: I20170925001893 |
| Provider Name | Girija S Phadke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841606894 PECOS PAC ID: 9234405341 Enrollment ID: I20171017003021 |
| Provider Name | Nancy A Resteghini |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205122876 PECOS PAC ID: 2365740222 Enrollment ID: I20171101000279 |
| Provider Name | Heba Haddad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659504439 PECOS PAC ID: 4688897150 Enrollment ID: I20171108002852 |
| Provider Name | Panagiotis Trilianos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609130020 PECOS PAC ID: 1557627486 Enrollment ID: I20171109002290 |
| Provider Name | George Shervanick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942241088 PECOS PAC ID: 0446239933 Enrollment ID: I20171127002547 |
| Provider Name | Camila Np Elizondo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568971588 PECOS PAC ID: 4880951912 Enrollment ID: I20171128002941 |
| Provider Name | Bianca A Farro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659818953 PECOS PAC ID: 1658638796 Enrollment ID: I20171128003208 |
| Provider Name | Caroline Slater Mullin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861802274 PECOS PAC ID: 1759509953 Enrollment ID: I20171201001487 |
| Provider Name | Estefany Flores-godaire |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1023520046 PECOS PAC ID: 4284993965 Enrollment ID: I20180126000445 |
| Provider Name | Rachel N Berkowitz |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1417332214 PECOS PAC ID: 6204125180 Enrollment ID: I20180201000948 |
| Provider Name | Deanne Dworski-riggs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093114332 PECOS PAC ID: 1850652165 Enrollment ID: I20180301001729 |
| Provider Name | T.lee Shostack |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013298827 PECOS PAC ID: 4880956325 Enrollment ID: I20180322000436 |
| Provider Name | Jessica L Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316440506 PECOS PAC ID: 7113281833 Enrollment ID: I20180504001844 |
| Provider Name | Angela Olson Wilson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336375724 PECOS PAC ID: 1052563707 Enrollment ID: I20180508001012 |
| Provider Name | Valerie Levy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689194011 PECOS PAC ID: 5890050751 Enrollment ID: I20180523001651 |
| Provider Name | Jessica L Lebow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659895647 PECOS PAC ID: 2567727241 Enrollment ID: I20180530000917 |
| Provider Name | Jesse C Rayan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083058317 PECOS PAC ID: 5991060311 Enrollment ID: I20180605001865 |
| Provider Name | Haben F Kefella |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1629498290 PECOS PAC ID: 1052530771 Enrollment ID: I20180612000817 |
| Provider Name | Yong Kwok |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205971215 PECOS PAC ID: 1557466497 Enrollment ID: I20180613003267 |
| Provider Name | Ariel M Hoch |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1639432917 PECOS PAC ID: 7911212147 Enrollment ID: I20180709002563 |
| Provider Name | M Judith D Post |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336174994 PECOS PAC ID: 6305962663 Enrollment ID: I20180719003678 |
| Provider Name | Malcolm K Johnson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699111005 PECOS PAC ID: 5597085704 Enrollment ID: I20180720001429 |
| Provider Name | Andrew Dean Alex Marshall |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609257609 PECOS PAC ID: 2668775545 Enrollment ID: I20180727000455 |
| Provider Name | Julia Ann Bartolomeo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912394297 PECOS PAC ID: 2163739210 Enrollment ID: I20180731001186 |
| Provider Name | Simon Onderi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871850438 PECOS PAC ID: 5496003170 Enrollment ID: I20180813002553 |
| Provider Name | Matthew E Maeder |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1043505142 PECOS PAC ID: 3971898008 Enrollment ID: I20180814000711 |
| Provider Name | Jessica Np Bardina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013424480 PECOS PAC ID: 5395095426 Enrollment ID: I20180911000799 |
| Provider Name | Boram Han |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275948796 PECOS PAC ID: 5799036422 Enrollment ID: I20180919003236 |
| Provider Name | Jaime Gerardo Gallegos Salazar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598022980 PECOS PAC ID: 0648585984 Enrollment ID: I20181001000462 |
| Provider Name | Katherine Woodall |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1124567680 PECOS PAC ID: 8123379153 Enrollment ID: I20181001002405 |
| Provider Name | Rose-marie A Khnaizir |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437696465 PECOS PAC ID: 6103178082 Enrollment ID: I20181003002174 |
| Provider Name | Keila Casillas Claudio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679851711 PECOS PAC ID: 4789855784 Enrollment ID: I20181008001071 |
| Provider Name | Daniel Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194013292 PECOS PAC ID: 4688808751 Enrollment ID: I20181012001407 |
| Provider Name | Michaela Kearney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780100099 PECOS PAC ID: 3072866425 Enrollment ID: I20181101000043 |
| Provider Name | Autumn Eglitis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992116610 PECOS PAC ID: 0143508366 Enrollment ID: I20181120002837 |
| Provider Name | Jasmin Irizarry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508364142 PECOS PAC ID: 6204180508 Enrollment ID: I20181126000508 |
| Provider Name | Gustavo A Borda Sanchez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376927152 PECOS PAC ID: 6305180274 Enrollment ID: I20181204000495 |
| Provider Name | Candy Bernier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376020099 PECOS PAC ID: 2961747365 Enrollment ID: I20181212002679 |
| Provider Name | Joan W Kamata |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740765650 PECOS PAC ID: 3870838204 Enrollment ID: I20181213000298 |
| Provider Name | Stephanie R Friend |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255710174 PECOS PAC ID: 0143538173 Enrollment ID: I20181219002494 |
| Provider Name | Jacqueline M Fluegel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104394279 PECOS PAC ID: 9739424458 Enrollment ID: I20181227000146 |
| Provider Name | Martha J Duffy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821417379 PECOS PAC ID: 8123244498 Enrollment ID: I20190109002941 |
| Provider Name | Naresh Ramarajan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407080450 PECOS PAC ID: 2668623786 Enrollment ID: I20190204001000 |
| Provider Name | Heather E Vargus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801363452 PECOS PAC ID: 6103164678 Enrollment ID: I20190207000872 |
| Provider Name | Johnathan Ly |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396123717 PECOS PAC ID: 3274898242 Enrollment ID: I20190207001740 |
| Provider Name | Franz Toro Pape |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417381211 PECOS PAC ID: 0446501878 Enrollment ID: I20190218002815 |
| Provider Name | Talia R Walker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407291180 PECOS PAC ID: 3870898455 Enrollment ID: I20190308001283 |
| Provider Name | Felix Trede |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174958243 PECOS PAC ID: 4880934892 Enrollment ID: I20190328001363 |
| Provider Name | Mollie E Fitzgerald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225596331 PECOS PAC ID: 1759623572 Enrollment ID: I20190426001937 |
| Provider Name | Alexandra S Rautiola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649704800 PECOS PAC ID: 9234471608 Enrollment ID: I20190506000376 |
| Provider Name | Brian Paul Jewers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841799046 PECOS PAC ID: 2769724152 Enrollment ID: I20190506000877 |
| Provider Name | Michael Wasserman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346669751 PECOS PAC ID: 3870712201 Enrollment ID: I20190514001443 |
| Provider Name | Chad W Farris |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275946758 PECOS PAC ID: 9335454479 Enrollment ID: I20190516000606 |
| Provider Name | Adam J Kaye |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942658190 PECOS PAC ID: 7214261338 Enrollment ID: I20190624002731 |
| Provider Name | Joshua C Ellis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740644293 PECOS PAC ID: 5698067866 Enrollment ID: I20190701000143 |
| Provider Name | Siavash Behbahani |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194164731 PECOS PAC ID: 4587999156 Enrollment ID: I20190718002219 |
| Provider Name | Vanesa Carlota Andreu Arasa |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619347382 PECOS PAC ID: 0244535482 Enrollment ID: I20190806000974 |
| Provider Name | Adi Rattner Nevo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235552415 PECOS PAC ID: 3173818572 Enrollment ID: I20190806003105 |
| Provider Name | Celia M Bora |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861057879 PECOS PAC ID: 5092044479 Enrollment ID: I20190910002743 |
| Provider Name | Galen G Harnden |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730506098 PECOS PAC ID: 4082924535 Enrollment ID: I20190918002425 |
| Provider Name | Michael S Roux |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285071142 PECOS PAC ID: 7315181542 Enrollment ID: I20191002002530 |
| Provider Name | Michael D Defabrizio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568013175 PECOS PAC ID: 6709117997 Enrollment ID: I20191021000943 |
| Provider Name | Sibyl Lynn Salisbury |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609009893 PECOS PAC ID: 5698093888 Enrollment ID: I20191021002550 |
| Provider Name | Kareena A Richards |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588140925 PECOS PAC ID: 0042542623 Enrollment ID: I20191031001342 |
| Provider Name | Elyse M Riegel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699325902 PECOS PAC ID: 0749512168 Enrollment ID: I20191104001894 |
| Provider Name | Santia Berberena |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922318492 PECOS PAC ID: 2668805987 Enrollment ID: I20191127000610 |
| Provider Name | Christopher Ma |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1962814921 PECOS PAC ID: 6204138159 Enrollment ID: I20191202001354 |
| Provider Name | William O'shea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205235462 PECOS PAC ID: 3375977143 Enrollment ID: I20200102002708 |
| Provider Name | James Mullen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770663312 PECOS PAC ID: 5294728093 Enrollment ID: I20200109001185 |
| Provider Name | Guy Nuki |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346209582 PECOS PAC ID: 3971577487 Enrollment ID: I20200109001682 |
| Provider Name | Rima Olga Gemayel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134781644 PECOS PAC ID: 7416382692 Enrollment ID: I20200116000284 |
| Provider Name | Sarah M Diamond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215580691 PECOS PAC ID: 8325473556 Enrollment ID: I20200116002048 |
| Provider Name | Lauren M Ciszak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437563723 PECOS PAC ID: 2769787076 Enrollment ID: I20200219002599 |
| Provider Name | Caitlin Susanne Woo Pierce |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871835272 PECOS PAC ID: 2466671839 Enrollment ID: I20200226001735 |
| Provider Name | Janet E Calderaro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922668383 PECOS PAC ID: 2264860048 Enrollment ID: I20200309001748 |
| Provider Name | Marthe J Pierre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093181398 PECOS PAC ID: 4183053051 Enrollment ID: I20200330001288 |
| Provider Name | Nairobi Oller Laureano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356993596 PECOS PAC ID: 7719316470 Enrollment ID: I20200331001971 |
| Provider Name | Desiree Nicole Millett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215292800 PECOS PAC ID: 7719316389 Enrollment ID: I20200402000164 |
| Provider Name | Peter P Bertolozzi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588841068 PECOS PAC ID: 7517018427 Enrollment ID: I20200417001839 |
| Provider Name | Blaire A Siefken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073861050 PECOS PAC ID: 6204085335 Enrollment ID: I20200507003064 |
| Provider Name | Brandon E Giberson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265886956 PECOS PAC ID: 6800129545 Enrollment ID: I20200514001545 |
| Provider Name | Isdin Oke |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1811346588 PECOS PAC ID: 3678849833 Enrollment ID: I20200609000794 |
| Provider Name | Lanna S Kwon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992834246 PECOS PAC ID: 0244330595 Enrollment ID: I20200812001627 |
| Provider Name | Danielle Kathleen O'rourke-suchoff |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295196178 PECOS PAC ID: 0648559237 Enrollment ID: I20200902000506 |
| Provider Name | Lindsey A Landwehrle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770191868 PECOS PAC ID: 7517385487 Enrollment ID: I20200910000342 |
| Provider Name | Candice E Newmyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073122271 PECOS PAC ID: 2365852449 Enrollment ID: I20201030000453 |
| Provider Name | Jessica Syswerda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750904710 PECOS PAC ID: 8123438009 Enrollment ID: I20201104000992 |
| Provider Name | Kristen E Janko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811514235 PECOS PAC ID: 6901216803 Enrollment ID: I20201104001769 |
| Provider Name | Rachel A Blake |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326494998 PECOS PAC ID: 7810283637 Enrollment ID: I20201113001048 |
| Provider Name | Daniel F Guarderas Paredes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306297411 PECOS PAC ID: 1951712967 Enrollment ID: I20201124000382 |
| Provider Name | Rahul Gujrathi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790270239 PECOS PAC ID: 2163767799 Enrollment ID: I20201207000370 |
| Provider Name | Priya Sapra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184076515 PECOS PAC ID: 9234541301 Enrollment ID: I20201214002186 |
| Provider Name | Megan J Aitro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639791650 PECOS PAC ID: 6507278405 Enrollment ID: I20201217002463 |
| Provider Name | Nicole M Ciolfi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528679198 PECOS PAC ID: 4486067097 Enrollment ID: I20201228001778 |
| Provider Name | Arthur Cabus Montenegro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972031722 PECOS PAC ID: 5395158497 Enrollment ID: I20210111000755 |
| Provider Name | Zoe L Blatt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396356663 PECOS PAC ID: 4789097718 Enrollment ID: I20210111002566 |
| Provider Name | Grace A Segovia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487256954 PECOS PAC ID: 0345653390 Enrollment ID: I20210112000396 |
| Provider Name | Kaylee A Krigest Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164058269 PECOS PAC ID: 2365855186 Enrollment ID: I20210114002603 |
| Provider Name | Laura M Shapiro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487902284 PECOS PAC ID: 7214340082 Enrollment ID: I20210115001676 |
| Provider Name | Elisabeth V Moreno |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891940268 PECOS PAC ID: 4688087349 Enrollment ID: I20210119002489 |
| Provider Name | Hung Vinh Le |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972098762 PECOS PAC ID: 5799035143 Enrollment ID: I20210304001912 |
| Provider Name | Arilene I Hernandez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033775085 PECOS PAC ID: 9436565801 Enrollment ID: I20210309002902 |
| Provider Name | Monica Lau Katamura |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487996492 PECOS PAC ID: 3274814801 Enrollment ID: I20210311001569 |
| Provider Name | Eliza S Sparkes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568831634 PECOS PAC ID: 7012324684 Enrollment ID: I20210326000494 |
| Provider Name | Ami S Makwana |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164869210 PECOS PAC ID: 8628363769 Enrollment ID: I20210402000919 |
| Provider Name | Loulya Chahine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770003477 PECOS PAC ID: 0446525042 Enrollment ID: I20210426002074 |
| Provider Name | Sumana Setty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710417563 PECOS PAC ID: 8820368244 Enrollment ID: I20210510001008 |
| Provider Name | Elizabeth L Shum |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457722829 PECOS PAC ID: 3476952631 Enrollment ID: I20210520002589 |
| Provider Name | Lucy O Panoyan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1801414529 PECOS PAC ID: 3173925195 Enrollment ID: I20210714001161 |
| Provider Name | Ashish Verma |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1770967143 PECOS PAC ID: 9032492533 Enrollment ID: I20210715000244 |
| Provider Name | Laura Semine Misbach |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467834168 PECOS PAC ID: 8426352782 Enrollment ID: I20210728003913 |
| Provider Name | Chandler H Hicks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235701343 PECOS PAC ID: 1355746561 Enrollment ID: I20210826002153 |
| Provider Name | John P O'brien |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417480351 PECOS PAC ID: 3476802000 Enrollment ID: I20210826003452 |
| Provider Name | Andrea Kaseguma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912576687 PECOS PAC ID: 6800291907 Enrollment ID: I20210827002475 |
| Provider Name | Gwynneth M Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720527005 PECOS PAC ID: 0143626358 Enrollment ID: I20210913002349 |
| Provider Name | Stephanie E Kuntz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689056897 PECOS PAC ID: 0244661528 Enrollment ID: I20210916003123 |
| Provider Name | Ester L Coelho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265003230 PECOS PAC ID: 9739586199 Enrollment ID: I20210928002045 |
| Provider Name | Christina Pindar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649775958 PECOS PAC ID: 9830449248 Enrollment ID: I20211019001860 |
| Provider Name | Samantha L Borrelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730850678 PECOS PAC ID: 8123416260 Enrollment ID: I20211022001103 |
| Provider Name | Debra Louise Booth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043846942 PECOS PAC ID: 1658769344 Enrollment ID: I20211029000831 |
| Provider Name | Asmae El Alami |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790312767 PECOS PAC ID: 9931598729 Enrollment ID: I20211117000515 |
| Provider Name | Robyn J Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568000305 PECOS PAC ID: 1456742907 Enrollment ID: I20211217000612 |
| Provider Name | Jeanine T Freliech |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578619086 PECOS PAC ID: 9638560345 Enrollment ID: I20220106000472 |
| Provider Name | Sheena M Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336800788 PECOS PAC ID: 0042602252 Enrollment ID: I20220120002142 |
| Provider Name | Nahiris M Bahamon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750762886 PECOS PAC ID: 8022315134 Enrollment ID: I20220124002143 |
| Provider Name | Jarrod L Hersey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942795018 PECOS PAC ID: 1850642240 Enrollment ID: I20220124002536 |
| Provider Name | Jennifer Gamez-samayoa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881350130 PECOS PAC ID: 9931591963 Enrollment ID: I20220124002610 |
| Provider Name | Jessica Wilcoxson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053065946 PECOS PAC ID: 1052706538 Enrollment ID: I20220319000105 |
| Provider Name | Karol V Delgado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558854836 PECOS PAC ID: 0143616367 Enrollment ID: I20220414002109 |
| Provider Name | Ranjiv Advani |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396716742 PECOS PAC ID: 5496746331 Enrollment ID: I20220506000305 |
| Provider Name | Brian Diehl |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245679372 PECOS PAC ID: 4688052905 Enrollment ID: I20220527000855 |
| Provider Name | Kristin L. Koo |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1588200042 PECOS PAC ID: 9537598180 Enrollment ID: I20220609001281 |
| Provider Name | Ari Damla |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326495136 PECOS PAC ID: 6103110259 Enrollment ID: I20220622001648 |
| Provider Name | Clare B Poynton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588019111 PECOS PAC ID: 5294088621 Enrollment ID: I20220625000180 |
| Provider Name | Nathaniel A Shirley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356087829 PECOS PAC ID: 8123408358 Enrollment ID: I20220706002586 |
| Provider Name | Mark Philip Bernstein |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609830132 PECOS PAC ID: 1052307733 Enrollment ID: I20220707002385 |
| Provider Name | Claire M Mathon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184390924 PECOS PAC ID: 4082095781 Enrollment ID: I20220712003659 |
| Provider Name | Austin Ian Mcdonald |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730642695 PECOS PAC ID: 6305179847 Enrollment ID: I20220714002661 |
| Provider Name | Frederick Ethan Weiss |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871760538 PECOS PAC ID: 1951533207 Enrollment ID: I20220728001505 |
| Provider Name | Emily L. Geldwert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881154078 PECOS PAC ID: 2668706474 Enrollment ID: I20220818001175 |
| Provider Name | Ahmed Y. El-araby |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447606413 PECOS PAC ID: 6901184258 Enrollment ID: I20220822001262 |
| Provider Name | Jeanne K Cooke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881330272 PECOS PAC ID: 2365826419 Enrollment ID: I20220908002540 |
| Provider Name | Ayesha Khalid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932629557 PECOS PAC ID: 4183969090 Enrollment ID: I20220922000202 |
| Provider Name | Talya J Briana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053032888 PECOS PAC ID: 0547646358 Enrollment ID: I20221003000584 |
| Provider Name | Mary E Ladesic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417433186 PECOS PAC ID: 9335515246 Enrollment ID: I20221018002319 |
| Provider Name | Onome Esuturie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528791001 PECOS PAC ID: 7113393927 Enrollment ID: I20221019002543 |
| Provider Name | Alyssa Velotta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093434961 PECOS PAC ID: 5294101978 Enrollment ID: I20221020002343 |
| Provider Name | Ella M Isaacson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801536016 PECOS PAC ID: 7911373345 Enrollment ID: I20221026000763 |
| Provider Name | Cristina M Mansilla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265151047 PECOS PAC ID: 0345616702 Enrollment ID: I20221026002462 |
| Provider Name | Daniela M Marinho Tridente |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669949988 PECOS PAC ID: 1052788320 Enrollment ID: I20221031001698 |
| Provider Name | Samantha Rossignol |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174124705 PECOS PAC ID: 5890162093 Enrollment ID: I20221101000620 |
| Provider Name | Lyan Chung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932842929 PECOS PAC ID: 1254709330 Enrollment ID: I20221121002153 |
| Provider Name | Daniel Moore |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730660630 PECOS PAC ID: 8325417116 Enrollment ID: I20221219000813 |
| Provider Name | Brianna Allene Casciello |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1811605215 PECOS PAC ID: 7618347527 Enrollment ID: I20230110000269 |
| Provider Name | Kelly A Plantey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215646260 PECOS PAC ID: 7416328604 Enrollment ID: I20230126001385 |
| Provider Name | Elizabeth E Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114632445 PECOS PAC ID: 3678946266 Enrollment ID: I20230301002441 |
| Provider Name | Roy L Moss |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912978172 PECOS PAC ID: 3173553864 Enrollment ID: I20230302001685 |
| Provider Name | Allison Marie Ebrahimi Gold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225689763 PECOS PAC ID: 3072945252 Enrollment ID: I20230313001649 |
| Provider Name | Jose Perez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740756352 PECOS PAC ID: 5092187773 Enrollment ID: I20230417000336 |
| Provider Name | Nayana Ramesh Somayaji |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407477359 PECOS PAC ID: 0840683553 Enrollment ID: I20230525000390 |
| Provider Name | Jeremy Kasparian |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801588637 PECOS PAC ID: 5496112385 Enrollment ID: I20230608000873 |
| Provider Name | Christopher M Kearney |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1912437161 PECOS PAC ID: 1951674118 Enrollment ID: I20230628003724 |
| Provider Name | Erik H Christensen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558851873 PECOS PAC ID: 6901230895 Enrollment ID: I20230705000689 |
| Provider Name | Ruth Y Dottin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841721081 PECOS PAC ID: 4789959461 Enrollment ID: I20230711003772 |
| Provider Name | Katherine Mary Rizzolo |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1154775070 PECOS PAC ID: 2365738648 Enrollment ID: I20230724001154 |
| Provider Name | Courtney E Gannon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245922665 PECOS PAC ID: 7517327471 Enrollment ID: I20230724003564 |
| Provider Name | Michelle C Dolan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205590924 PECOS PAC ID: 6305207812 Enrollment ID: I20230801000414 |
| Provider Name | Michael S Tcheyan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972162881 PECOS PAC ID: 7911231899 Enrollment ID: I20230803003935 |
| Provider Name | Dunya M Imad |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255962700 PECOS PAC ID: 5294115937 Enrollment ID: I20230815003038 |
| Provider Name | Deborah P Claflin-williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588263057 PECOS PAC ID: 9032572797 Enrollment ID: I20230828003558 |
| Provider Name | Hannah W Frankel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003595240 PECOS PAC ID: 1658725130 Enrollment ID: I20231003000499 |
| Provider Name | Minaliza Shahlapour |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528695368 PECOS PAC ID: 0749691376 Enrollment ID: I20231005003489 |
| Provider Name | Pamela G Gudino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346720109 PECOS PAC ID: 1557615234 Enrollment ID: I20231019001285 |
| Provider Name | Kayla H Henry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265912794 PECOS PAC ID: 4486000999 Enrollment ID: I20231019001462 |
| Provider Name | Kristen M Nocka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700561560 PECOS PAC ID: 7315393881 Enrollment ID: I20231020000058 |
| Provider Name | Helen V Tsiagras |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386245835 PECOS PAC ID: 4688020886 Enrollment ID: I20231024003597 |
| Provider Name | Kanayo Sakai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790222677 PECOS PAC ID: 3971959941 Enrollment ID: I20231026003686 |
| Provider Name | Henon Beyene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245957455 PECOS PAC ID: 5496101420 Enrollment ID: I20231027001821 |
| Provider Name | Brandon J Neal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952087967 PECOS PAC ID: 5991151581 Enrollment ID: I20231102003122 |
| Provider Name | Davin E. Eurich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912670530 PECOS PAC ID: 2961859038 Enrollment ID: I20231110001311 |
| Provider Name | Emma B Dreyfus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912554247 PECOS PAC ID: 0840648846 Enrollment ID: I20231201001306 |
| Provider Name | Katherine C Love |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467238899 PECOS PAC ID: 4587013024 Enrollment ID: I20231211000079 |
| Provider Name | Anastasiya Yanusheuskaya |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699259325 PECOS PAC ID: 7012369077 Enrollment ID: I20240116002198 |
| Provider Name | Madelaine M Bustamante Cabrera |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831689173 PECOS PAC ID: 6608228366 Enrollment ID: I20240118000142 |
| Provider Name | Edlira A Joseph |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811620743 PECOS PAC ID: 8628420338 Enrollment ID: I20240118001837 |
| Provider Name | Erin M Walsh-mulkerrin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598443863 PECOS PAC ID: 5698128338 Enrollment ID: I20240129003378 |
| Provider Name | Sarah Isabella Watler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578121000 PECOS PAC ID: 3375910284 Enrollment ID: I20240206001308 |
| Provider Name | Soo H Ko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114673092 PECOS PAC ID: 3173967726 Enrollment ID: I20240222000671 |
| Provider Name | Michael J Hitchner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205511797 PECOS PAC ID: 8628413036 Enrollment ID: I20240226000975 |
| Provider Name | Anastasia Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245015593 PECOS PAC ID: 1759726185 Enrollment ID: I20240226001555 |
| Provider Name | Thomas R Kelleher |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1801973987 PECOS PAC ID: 8729423868 Enrollment ID: I20240229000102 |
| Provider Name | Ricardo J Gamez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437390580 PECOS PAC ID: 2264877208 Enrollment ID: I20240229000202 |
| Provider Name | Osilia D Trigueros |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376640680 PECOS PAC ID: 6305281346 Enrollment ID: I20240229000403 |
| Provider Name | Maria S Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619744364 PECOS PAC ID: 8527403468 Enrollment ID: I20240229004092 |
| Provider Name | Kaitlin M Hammon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699458067 PECOS PAC ID: 8628413242 Enrollment ID: I20240305001239 |
| Provider Name | Melissa Clarke |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265776686 PECOS PAC ID: 9638516842 Enrollment ID: I20240325000169 |
| Provider Name | Ashley A Altmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558134619 PECOS PAC ID: 6103263140 Enrollment ID: I20240326001789 |
| Provider Name | Katherine Henao-martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033801485 PECOS PAC ID: 1456798396 Enrollment ID: I20240327001059 |
| Provider Name | Christina E Colliton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063276129 PECOS PAC ID: 4981045093 Enrollment ID: I20240507002484 |
| Provider Name | Gabriela Perez-gil Del Valle |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538419015 PECOS PAC ID: 3678918802 Enrollment ID: I20240508003706 |
| Provider Name | Rigoberto Lopez Saldana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942828983 PECOS PAC ID: 9537510664 Enrollment ID: I20240611000628 |
Medical Associates Of Ebnhc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 Gove St, East Boston, MA 02128 Phone: 617-569-5800 Fax: 617-568-4780 | |
Neighborhealth Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10 Gove St, East Boston, MA 02128 Phone: 617-569-5800 Fax: 617-568-4756 | |
Excel Physical Therapy, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2 Neptune Rd Suite 171, East Boston, MA 02128 Phone: 617-895-7684 | |
North Suffolk Community Services Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 14 Porter St, East Boston, MA 02128 Phone: 617-569-3189 Fax: 617-569-7890 | |
Central Square Medical Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 40 Central Sq, East Boston, MA 02128 Phone: 617-202-9036 | |
Concentra Urgent Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Harborside Dr, East Boston, MA 02128 Phone: 617-265-6500 Fax: 617-568-6573 |