| Internal Medicine Group | |
|
601 Elmwood Ave Rochester NY 14642-0001 | |
| (585) 275-4912 | |
| (585) 276-2144 |
| Full Name | Internal Medicine Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 601 Elmwood Ave, Rochester, New York |
| Authorized Official Name and Position | Jill M Hetterich (SENIOR DIRECTOR OF FINANCE URMFG) |
| Authorized Official Contact | 5857564008 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine Group 601 Elmwood Ave Box Med Rochester NY 14642-0001 Ph: (585) 784-9750 | Internal Medicine Group 601 Elmwood Ave Rochester NY 14642-0001 Ph: (585) 275-4912 |
| NPI Number | 1649220393 |
|---|---|
| Provider Enumeration Date | 05/11/2006 |
| Last Update Date | 08/24/2022 |
| Medicare PECOS PAC ID | 3476454661 |
|---|---|
| Medicare Enrollment ID | O20040120000491 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649220393 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Heather L Hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922049170 PECOS PAC ID: 4880672518 Enrollment ID: I20040709000821 |
| Provider Name | Dharmendra Persaud |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821184367 PECOS PAC ID: 3678547320 Enrollment ID: I20040819001390 |
| Provider Name | Debra M Ogie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417980087 PECOS PAC ID: 5991772816 Enrollment ID: I20040910001150 |
| Provider Name | Kyong Wook Yim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457390122 PECOS PAC ID: 0345299152 Enrollment ID: I20050119000789 |
| Provider Name | Heather J Cook Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255362794 PECOS PAC ID: 5890734370 Enrollment ID: I20050426000296 |
| Provider Name | Laurie Ann Patanella |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376568626 PECOS PAC ID: 6204725195 Enrollment ID: I20050513000597 |
| Provider Name | Luigi A Giugno |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538192042 PECOS PAC ID: 2062453525 Enrollment ID: I20050516000558 |
| Provider Name | William H Novak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366486037 PECOS PAC ID: 2264473727 Enrollment ID: I20050516000618 |
| Provider Name | Geoffrey Colin Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386673622 PECOS PAC ID: 0143264945 Enrollment ID: I20050613001104 |
| Provider Name | Nancy S Clark |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538198866 PECOS PAC ID: 5991798712 Enrollment ID: I20050614000110 |
| Provider Name | Elizabeth W Mckinley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154306942 PECOS PAC ID: 1355377078 Enrollment ID: I20050714000265 |
| Provider Name | Louis J Papa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881624443 PECOS PAC ID: 6305861220 Enrollment ID: I20051011000089 |
| Provider Name | Marc N Berliant |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154324317 PECOS PAC ID: 0345260980 Enrollment ID: I20051129000253 |
| Provider Name | Margaret M Bergin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184627358 PECOS PAC ID: 1850311408 Enrollment ID: I20051129000290 |
| Provider Name | Denise A Bilsback |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497758528 PECOS PAC ID: 3476573023 Enrollment ID: I20051129000303 |
| Provider Name | Yousaf Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225053515 PECOS PAC ID: 2668486127 Enrollment ID: I20060203000442 |
| Provider Name | Irina Kreminskiy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306899448 PECOS PAC ID: 7315958618 Enrollment ID: I20060530000213 |
| Provider Name | Ralph A Manchester |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053340927 PECOS PAC ID: 1759381312 Enrollment ID: I20070104000179 |
| Provider Name | Cynthia T Cappiello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801837620 PECOS PAC ID: 8224039920 Enrollment ID: I20070124000060 |
| Provider Name | Manuel A Enecilla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811928088 PECOS PAC ID: 2961504659 Enrollment ID: I20070227000512 |
| Provider Name | Maryana Konyk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891731824 PECOS PAC ID: 5092819987 Enrollment ID: I20070403000085 |
| Provider Name | Erika Lynne Griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982645032 PECOS PAC ID: 5991804908 Enrollment ID: I20070615000230 |
| Provider Name | Ali Hamdan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326140542 PECOS PAC ID: 3476652298 Enrollment ID: I20070620000143 |
| Provider Name | Youngrin L Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386697498 PECOS PAC ID: 3072605104 Enrollment ID: I20070822000274 |
| Provider Name | Sabrina M Bryant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063504777 PECOS PAC ID: 8022101245 Enrollment ID: I20070905000008 |
| Provider Name | Amy E Blatt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639181241 PECOS PAC ID: 8820181993 Enrollment ID: I20070905000532 |
| Provider Name | Keely E Dwyer Matzky |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437254828 PECOS PAC ID: 6507956133 Enrollment ID: I20071219000355 |
| Provider Name | Makiko Ban Hoefen |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1972600492 PECOS PAC ID: 3870662828 Enrollment ID: I20080517000003 |
| Provider Name | Aameera A Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619014461 PECOS PAC ID: 9638240955 Enrollment ID: I20080613000420 |
| Provider Name | Wan Y Park |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831356211 PECOS PAC ID: 1850465055 Enrollment ID: I20080806000506 |
| Provider Name | Sarmad M Siddiqui |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205033834 PECOS PAC ID: 5799846259 Enrollment ID: I20081203000296 |
| Provider Name | Julie E Yoon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013026665 PECOS PAC ID: 5597828335 Enrollment ID: I20090106000318 |
| Provider Name | Katherine E Webster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528095148 PECOS PAC ID: 5698832830 Enrollment ID: I20090316000335 |
| Provider Name | Judith A Allen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851320212 PECOS PAC ID: 0941351274 Enrollment ID: I20090626000535 |
| Provider Name | Saadia Sherazi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124168307 PECOS PAC ID: 7810042652 Enrollment ID: I20090901000122 |
| Provider Name | Wilhelmina Sizer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689851164 PECOS PAC ID: 1153499140 Enrollment ID: I20091015000518 |
| Provider Name | Sanin Syed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992953590 PECOS PAC ID: 4587701354 Enrollment ID: I20091027000776 |
| Provider Name | A Andrew Rudmann |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912930579 PECOS PAC ID: 3375678675 Enrollment ID: I20100311000689 |
| Provider Name | Catherine F Gracey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336185917 PECOS PAC ID: 4385779370 Enrollment ID: I20100316000491 |
| Provider Name | Valerie J Lang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508881897 PECOS PAC ID: 9638204621 Enrollment ID: I20100316000522 |
| Provider Name | John C Grable |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427090026 PECOS PAC ID: 8921133844 Enrollment ID: I20100317000836 |
| Provider Name | Donald R Bordley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740205095 PECOS PAC ID: 2163557968 Enrollment ID: I20100318000600 |
| Provider Name | Alec B Oconnor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669497954 PECOS PAC ID: 5496880205 Enrollment ID: I20100318000645 |
| Provider Name | David R Lambert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043254071 PECOS PAC ID: 9436285210 Enrollment ID: I20100331000594 |
| Provider Name | Robert J Panzer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184668212 PECOS PAC ID: 9739215294 Enrollment ID: I20100414000003 |
| Provider Name | Brett W Robbins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275577488 PECOS PAC ID: 2769511138 Enrollment ID: I20100524000020 |
| Provider Name | Carla Peracchia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275578031 PECOS PAC ID: 9133258569 Enrollment ID: I20100524000685 |
| Provider Name | Roy W Trumbo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285787606 PECOS PAC ID: 0840383014 Enrollment ID: I20100624000572 |
| Provider Name | Michael A Ferrantino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053436469 PECOS PAC ID: 2769514272 Enrollment ID: I20100720000185 |
| Provider Name | Julia M Trumbo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548471899 PECOS PAC ID: 3678640810 Enrollment ID: I20100729000483 |
| Provider Name | Valentin G Guset |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427387562 PECOS PAC ID: 8224162599 Enrollment ID: I20100823000607 |
| Provider Name | Asad Ullah |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275563470 PECOS PAC ID: 1254524374 Enrollment ID: I20101021001006 |
| Provider Name | Saisubhodhini S Reddy |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1174567127 PECOS PAC ID: 3375731946 Enrollment ID: I20101223000178 |
| Provider Name | Holly A Russell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013123389 PECOS PAC ID: 7719161868 Enrollment ID: I20110413001028 |
| Provider Name | Dawn Gillis Schmitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104937051 PECOS PAC ID: 7315121274 Enrollment ID: I20110418000685 |
| Provider Name | Ashish Boghani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386678563 PECOS PAC ID: 9133304173 Enrollment ID: I20110506000247 |
| Provider Name | Galina S Dushuk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942405394 PECOS PAC ID: 7719163534 Enrollment ID: I20110512000208 |
| Provider Name | Ahmad I Manasra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871785055 PECOS PAC ID: 0244419075 Enrollment ID: I20110603000038 |
| Provider Name | Thomas M Carroll |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902078413 PECOS PAC ID: 9335326180 Enrollment ID: I20110606000140 |
| Provider Name | Matthew D Wolfe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013189232 PECOS PAC ID: 8921285396 Enrollment ID: I20110613000153 |
| Provider Name | Ryan J Magnuson |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1750542684 PECOS PAC ID: 6901083310 Enrollment ID: I20110613000668 |
| Provider Name | Amit S. Dhamoon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104021278 PECOS PAC ID: 7012187271 Enrollment ID: I20110825000110 |
| Provider Name | Christine Marie Wille |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316227127 PECOS PAC ID: 0446421077 Enrollment ID: I20110912000477 |
| Provider Name | Bernadette Malaret |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205947900 PECOS PAC ID: 6103084074 Enrollment ID: I20120223000164 |
| Provider Name | Tammy A Pangrazio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053697284 PECOS PAC ID: 8921268038 Enrollment ID: I20120328000113 |
| Provider Name | Richard F Dunne |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1528200300 PECOS PAC ID: 2860656485 Enrollment ID: I20120612000256 |
| Provider Name | Jennifer M Zagursky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528200532 PECOS PAC ID: 5991969321 Enrollment ID: I20120614000160 |
| Provider Name | Melissa A Mroz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013181072 PECOS PAC ID: 7214192566 Enrollment ID: I20120711000567 |
| Provider Name | Jenny Y Shen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407171895 PECOS PAC ID: 3577706605 Enrollment ID: I20130821000381 |
| Provider Name | Mohammed R Karim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790924777 PECOS PAC ID: 2062559008 Enrollment ID: I20130904000852 |
| Provider Name | Paritosh Prasad |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1033245741 PECOS PAC ID: 9931250503 Enrollment ID: I20130911000001 |
| Provider Name | Jennifer M Pascoe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780909176 PECOS PAC ID: 5890939847 Enrollment ID: I20130913000401 |
| Provider Name | Sullafa Kadura |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720303118 PECOS PAC ID: 0547494866 Enrollment ID: I20130927000507 |
| Provider Name | Allison M Panzer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356583447 PECOS PAC ID: 2668608290 Enrollment ID: I20131204000111 |
| Provider Name | Ann M Quinn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770848137 PECOS PAC ID: 6608009154 Enrollment ID: I20140507001549 |
| Provider Name | Shannon M Jones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255659637 PECOS PAC ID: 8628291341 Enrollment ID: I20140528001255 |
| Provider Name | Tetyana Tymkiv |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639464118 PECOS PAC ID: 8921222936 Enrollment ID: I20140613000748 |
| Provider Name | Hugo E Valencia |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1265721344 PECOS PAC ID: 7618192758 Enrollment ID: I20140707000189 |
| Provider Name | Christine M Osborne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457675175 PECOS PAC ID: 2668697418 Enrollment ID: I20140710001869 |
| Provider Name | Jennifer K Readlynn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659660819 PECOS PAC ID: 4183849987 Enrollment ID: I20140711001118 |
| Provider Name | Christopher Montgomery |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700175965 PECOS PAC ID: 0840416913 Enrollment ID: I20140725000820 |
| Provider Name | Emily R Nayda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407017460 PECOS PAC ID: 5395914881 Enrollment ID: I20140814001814 |
| Provider Name | Brandi L Burke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083007579 PECOS PAC ID: 6002137247 Enrollment ID: I20150601000310 |
| Provider Name | Zachary D Suter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740556661 PECOS PAC ID: 4486966454 Enrollment ID: I20150706000104 |
| Provider Name | Mark H Hodges |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568738540 PECOS PAC ID: 5395058804 Enrollment ID: I20150713002078 |
| Provider Name | Mary C Desain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134485352 PECOS PAC ID: 8820301252 Enrollment ID: I20150714002655 |
| Provider Name | Jennifer A Kessler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659647600 PECOS PAC ID: 9032422977 Enrollment ID: I20150721001262 |
| Provider Name | Jason G Zittel |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1437425469 PECOS PAC ID: 7416260054 Enrollment ID: I20150724011864 |
| Provider Name | Brenda L Tesini |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1962674523 PECOS PAC ID: 9537473079 Enrollment ID: I20150728006462 |
| Provider Name | Emily R Salib |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396034518 PECOS PAC ID: 5698081529 Enrollment ID: I20150908002411 |
| Provider Name | Michael J Gavin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467741686 PECOS PAC ID: 4587971957 Enrollment ID: I20150917000274 |
| Provider Name | Kathleen A Dodge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023059847 PECOS PAC ID: 4688975030 Enrollment ID: I20151209001224 |
| Provider Name | Karen L Romano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992027437 PECOS PAC ID: 9436454881 Enrollment ID: I20160223000058 |
| Provider Name | Margaret M Odhner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558471128 PECOS PAC ID: 2769608090 Enrollment ID: I20160317000606 |
| Provider Name | Julie L. Gregware |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568838860 PECOS PAC ID: 3072811173 Enrollment ID: I20160405002214 |
| Provider Name | Jacinta A. Gardner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205064375 PECOS PAC ID: 2769780212 Enrollment ID: I20160415001678 |
| Provider Name | George D Heeks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316225287 PECOS PAC ID: 6901105139 Enrollment ID: I20160422000243 |
| Provider Name | Claire A Bourne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437512563 PECOS PAC ID: 5698065563 Enrollment ID: I20160606000732 |
| Provider Name | Rickinder S Grewal |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1508109836 PECOS PAC ID: 3870882939 Enrollment ID: I20160628000849 |
| Provider Name | Ngoc B Stad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154704179 PECOS PAC ID: 9234430299 Enrollment ID: I20160630001661 |
| Provider Name | Renee R Coco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083872881 PECOS PAC ID: 7012148489 Enrollment ID: I20160707002017 |
| Provider Name | Matthew M Brockway |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003251976 PECOS PAC ID: 0648563841 Enrollment ID: I20160726001649 |
| Provider Name | Christopher R Palma |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1811286032 PECOS PAC ID: 1759674625 Enrollment ID: I20160729001425 |
| Provider Name | Fahad Saeed |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1396901229 PECOS PAC ID: 0840433850 Enrollment ID: I20160801002757 |
| Provider Name | Katherine S Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649373531 PECOS PAC ID: 2163711433 Enrollment ID: I20160815001772 |
| Provider Name | Eliza K Weis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972923902 PECOS PAC ID: 8426274655 Enrollment ID: I20160819001142 |
| Provider Name | Hiloni Manoj Bhavsar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194968560 PECOS PAC ID: 6901046374 Enrollment ID: I20160824000894 |
| Provider Name | Justin L Hopkin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972640225 PECOS PAC ID: 7719048164 Enrollment ID: I20160826001010 |
| Provider Name | Robert P Legros |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619310083 PECOS PAC ID: 4981990413 Enrollment ID: I20160909001680 |
| Provider Name | Megan M Schlagman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548503873 PECOS PAC ID: 9032407085 Enrollment ID: I20161007000483 |
| Provider Name | Amanda Michelle Schantz |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1003268046 PECOS PAC ID: 3173802741 Enrollment ID: I20161123000164 |
| Provider Name | Katie M Rauber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922436765 PECOS PAC ID: 2860772811 Enrollment ID: I20161208000552 |
| Provider Name | Joshua D Calley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912359563 PECOS PAC ID: 8022306901 Enrollment ID: I20170206000381 |
| Provider Name | Susan M Hurst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629365788 PECOS PAC ID: 1254505001 Enrollment ID: I20170210000477 |
| Provider Name | Lindsay E Stone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760872063 PECOS PAC ID: 5890093777 Enrollment ID: I20170214001568 |
| Provider Name | Alicia M Rivera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508238650 PECOS PAC ID: 8729361928 Enrollment ID: I20170214001679 |
| Provider Name | Sara S Patrawala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821373705 PECOS PAC ID: 5496970220 Enrollment ID: I20170320000446 |
| Provider Name | Kathleen M Brennan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467403964 PECOS PAC ID: 6800186255 Enrollment ID: I20170426002366 |
| Provider Name | Jared Walsh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619395274 PECOS PAC ID: 2860783461 Enrollment ID: I20170516001047 |
| Provider Name | Janice M Cheong |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1962820324 PECOS PAC ID: 9133428519 Enrollment ID: I20170518000746 |
| Provider Name | Stewart C Mahler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952644270 PECOS PAC ID: 1355632050 Enrollment ID: I20170602000532 |
| Provider Name | Daniel S Whitman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184042285 PECOS PAC ID: 6608143144 Enrollment ID: I20170605000551 |
| Provider Name | Megan E Rulli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831638048 PECOS PAC ID: 1153698618 Enrollment ID: I20170605001395 |
| Provider Name | Alison L O'brien |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548604093 PECOS PAC ID: 1951605856 Enrollment ID: I20170731003357 |
| Provider Name | Michael D Monaco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982832119 PECOS PAC ID: 0143484881 Enrollment ID: I20170907000670 |
| Provider Name | April Marie Ho |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1184176166 PECOS PAC ID: 0648545822 Enrollment ID: I20171016000118 |
| Provider Name | Laura K Ogle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740719392 PECOS PAC ID: 9830465806 Enrollment ID: I20171018001758 |
| Provider Name | Mary E Cantin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194145896 PECOS PAC ID: 1759657075 Enrollment ID: I20171031002891 |
| Provider Name | Meghan K Train |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689998312 PECOS PAC ID: 3779801444 Enrollment ID: I20171110000740 |
| Provider Name | Suhayb M Kadura |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396163895 PECOS PAC ID: 3870850951 Enrollment ID: I20171128000437 |
| Provider Name | Rosalyn B Ruckert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740738822 PECOS PAC ID: 5597046920 Enrollment ID: I20180419000919 |
| Provider Name | James A Dooher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851760771 PECOS PAC ID: 1254637069 Enrollment ID: I20180425000200 |
| Provider Name | Erin E Ruggieri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407309024 PECOS PAC ID: 1254619851 Enrollment ID: I20180425000908 |
| Provider Name | Lauren B Bartus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013447747 PECOS PAC ID: 6800160367 Enrollment ID: I20180425002179 |
| Provider Name | Kelsey H. Potter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548782808 PECOS PAC ID: 7214293802 Enrollment ID: I20180425002679 |
| Provider Name | Corey J Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427432343 PECOS PAC ID: 8224392386 Enrollment ID: I20180426001095 |
| Provider Name | Erica T Walton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851732432 PECOS PAC ID: 8527298694 Enrollment ID: I20180426001803 |
| Provider Name | David M Dobrzynski |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1851659155 PECOS PAC ID: 1355652165 Enrollment ID: I20180508002743 |
| Provider Name | Charles Jiao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023404126 PECOS PAC ID: 1759679715 Enrollment ID: I20180514001570 |
| Provider Name | Emily E Andrea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356871750 PECOS PAC ID: 8729344056 Enrollment ID: I20180515002163 |
| Provider Name | Michael Riordan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629487343 PECOS PAC ID: 1658636832 Enrollment ID: I20180518000882 |
| Provider Name | Michael V Hannon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043607195 PECOS PAC ID: 1052676194 Enrollment ID: I20180521001619 |
| Provider Name | Alexis M Munding |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457881120 PECOS PAC ID: 8123384302 Enrollment ID: I20180522000944 |
| Provider Name | Dominick Roto |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366838468 PECOS PAC ID: 5294090940 Enrollment ID: I20180530000174 |
| Provider Name | Gwen W Delany |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649389792 PECOS PAC ID: 0143519421 Enrollment ID: I20180612003100 |
| Provider Name | David J Nagel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1023300654 PECOS PAC ID: 5092934596 Enrollment ID: I20180613000261 |
| Provider Name | Ciandra D D'souza |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1184043408 PECOS PAC ID: 9133474976 Enrollment ID: I20180619000497 |
| Provider Name | Jennifer M Boehly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336378363 PECOS PAC ID: 7113234477 Enrollment ID: I20180619003070 |
| Provider Name | Dylan M Ruebeck |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679951925 PECOS PAC ID: 5395043582 Enrollment ID: I20180622000491 |
| Provider Name | Kenneth T Chin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134516289 PECOS PAC ID: 9931490570 Enrollment ID: I20180705001942 |
| Provider Name | Anat Kohn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154718559 PECOS PAC ID: 9335495134 Enrollment ID: I20180710001218 |
| Provider Name | Jacqueline P Cullen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801209275 PECOS PAC ID: 9830413806 Enrollment ID: I20180716000319 |
| Provider Name | Katherine Nicholson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679968747 PECOS PAC ID: 9931456084 Enrollment ID: I20180719002602 |
| Provider Name | Wunnie Brima |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508280603 PECOS PAC ID: 2365715182 Enrollment ID: I20180731003981 |
| Provider Name | Aaron J Roy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861879751 PECOS PAC ID: 9537417795 Enrollment ID: I20180803000404 |
| Provider Name | Valarie L Schiano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659864643 PECOS PAC ID: 8729337746 Enrollment ID: I20180823001767 |
| Provider Name | Ernestine I Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205112836 PECOS PAC ID: 3274765847 Enrollment ID: I20180904000407 |
| Provider Name | Kelsey A Huussen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841783800 PECOS PAC ID: 5597015016 Enrollment ID: I20180904003231 |
| Provider Name | Christina D Schreiber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922592138 PECOS PAC ID: 2567712730 Enrollment ID: I20180910000855 |
| Provider Name | Fatima Shahid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720462443 PECOS PAC ID: 9234432717 Enrollment ID: I20180920002021 |
| Provider Name | Lorraine M Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841776309 PECOS PAC ID: 4183977010 Enrollment ID: I20181023002656 |
| Provider Name | Kristian Vitu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053897801 PECOS PAC ID: 7012260268 Enrollment ID: I20181105003033 |
| Provider Name | Grace B Mcneil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538643572 PECOS PAC ID: 4082968417 Enrollment ID: I20181121000269 |
| Provider Name | Roberta A Verdine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699259366 PECOS PAC ID: 4082950076 Enrollment ID: I20190111002224 |
| Provider Name | Carnel Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336523257 PECOS PAC ID: 0345504734 Enrollment ID: I20190116000516 |
| Provider Name | Marissa R Perillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073995262 PECOS PAC ID: 3678879335 Enrollment ID: I20190124003635 |
| Provider Name | Michael S Rothberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629398326 PECOS PAC ID: 1658515432 Enrollment ID: I20190214000344 |
| Provider Name | Elizabeth A Palermo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518917863 PECOS PAC ID: 0244579936 Enrollment ID: I20190225000168 |
| Provider Name | Emily T Riethmiller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851856967 PECOS PAC ID: 5799024121 Enrollment ID: I20190301002447 |
| Provider Name | Taylor M Fox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720542160 PECOS PAC ID: 0941540488 Enrollment ID: I20190320002494 |
| Provider Name | Cheryl P Rozario |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932553252 PECOS PAC ID: 2668725060 Enrollment ID: I20190513001884 |
| Provider Name | Yu Lin Chen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265886527 PECOS PAC ID: 7810231784 Enrollment ID: I20190515001044 |
| Provider Name | Ted Louie |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1700856093 PECOS PAC ID: 7810011897 Enrollment ID: I20190516002594 |
| Provider Name | Patrick A Donohue |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1487000626 PECOS PAC ID: 5597009878 Enrollment ID: I20190521000548 |
| Provider Name | Matthew D Preslar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871875526 PECOS PAC ID: 1355685595 Enrollment ID: I20190521001409 |
| Provider Name | Mical O Raz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508204991 PECOS PAC ID: 2163796434 Enrollment ID: I20190523000049 |
| Provider Name | Emily Aman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881257731 PECOS PAC ID: 2668715111 Enrollment ID: I20190524000098 |
| Provider Name | Adam E Bracken |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174902415 PECOS PAC ID: 4385939743 Enrollment ID: I20190524000622 |
| Provider Name | Jill B Chodak |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1841752987 PECOS PAC ID: 3678816998 Enrollment ID: I20190529002799 |
| Provider Name | Jimmy Mullally |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922461177 PECOS PAC ID: 7810283504 Enrollment ID: I20190530001913 |
| Provider Name | Daniel C Chun |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1730536301 PECOS PAC ID: 5597050088 Enrollment ID: I20190531001657 |
| Provider Name | Ellie M Garbade |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902250590 PECOS PAC ID: 0840543237 Enrollment ID: I20190604002132 |
| Provider Name | Juliana Wu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609221993 PECOS PAC ID: 4981957123 Enrollment ID: I20190604002967 |
| Provider Name | Lisa P Beyers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346694619 PECOS PAC ID: 6204189616 Enrollment ID: I20190715000290 |
| Provider Name | Clare Bp Park |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427448778 PECOS PAC ID: 6305130444 Enrollment ID: I20190719002025 |
| Provider Name | Christy J Dillon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285950378 PECOS PAC ID: 5890021588 Enrollment ID: I20190802000567 |
| Provider Name | Bushra Tbakhi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760832844 PECOS PAC ID: 4880980150 Enrollment ID: I20190808001257 |
| Provider Name | Robin Lisa Wagner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861847444 PECOS PAC ID: 7012200223 Enrollment ID: I20190920001709 |
| Provider Name | Cheyenne J Thannikkotu-lombardo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851742357 PECOS PAC ID: 6002151446 Enrollment ID: I20191014002628 |
| Provider Name | Vanessa S Riley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831550268 PECOS PAC ID: 9739511528 Enrollment ID: I20191115002714 |
| Provider Name | Nina T Rosien |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1104456284 PECOS PAC ID: 3375971062 Enrollment ID: I20200311001123 |
| Provider Name | Brendan W Robinson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528591195 PECOS PAC ID: 0042563447 Enrollment ID: I20200605001092 |
| Provider Name | Conrad D Gleber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235662065 PECOS PAC ID: 9133463425 Enrollment ID: I20200610002829 |
| Provider Name | David W Staudt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407382872 PECOS PAC ID: 3274955497 Enrollment ID: I20200617000435 |
| Provider Name | Sara L Morneweck |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831626985 PECOS PAC ID: 8426301706 Enrollment ID: I20200617001588 |
| Provider Name | Ashley Marie Jenkins |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558621177 PECOS PAC ID: 0840429452 Enrollment ID: I20200622001850 |
| Provider Name | Catherine E Glatz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821442500 PECOS PAC ID: 7618262064 Enrollment ID: I20200623002962 |
| Provider Name | Nayan S Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033643465 PECOS PAC ID: 0840543195 Enrollment ID: I20200623003353 |
| Provider Name | Kristina D Myers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932636164 PECOS PAC ID: 5698028876 Enrollment ID: I20200727002244 |
| Provider Name | Luke Eastburg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649626508 PECOS PAC ID: 7214222041 Enrollment ID: I20200807001071 |
| Provider Name | Rebecca N Rice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760005482 PECOS PAC ID: 1557789872 Enrollment ID: I20200917001696 |
| Provider Name | Katherine J Arden |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538696794 PECOS PAC ID: 8426301763 Enrollment ID: I20201013002954 |
| Provider Name | Natalie M Dixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225289424 PECOS PAC ID: 6709019268 Enrollment ID: I20201109001108 |
| Provider Name | Felice Egli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114540358 PECOS PAC ID: 6709296148 Enrollment ID: I20201113000890 |
| Provider Name | Stephanie Merica |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588271944 PECOS PAC ID: 0345651089 Enrollment ID: I20201201001608 |
| Provider Name | Susan E Hendee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043400880 PECOS PAC ID: 9133407224 Enrollment ID: I20201207001104 |
| Provider Name | Erin M Armenia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194110601 PECOS PAC ID: 3173839693 Enrollment ID: I20201211002591 |
| Provider Name | Jackelyn F Ciaccia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255940474 PECOS PAC ID: 9032521729 Enrollment ID: I20201222002548 |
| Provider Name | Carley R Molisani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508454810 PECOS PAC ID: 2466867908 Enrollment ID: I20210216001869 |
| Provider Name | Kimberly Marie Matula |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932791134 PECOS PAC ID: 1658789755 Enrollment ID: I20210408002246 |
| Provider Name | Robert W Reynolds |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033616487 PECOS PAC ID: 7719230119 Enrollment ID: I20210429000969 |
| Provider Name | Edward Shanley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467940122 PECOS PAC ID: 6002169414 Enrollment ID: I20210429001232 |
| Provider Name | Siobahn M Evans |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467959924 PECOS PAC ID: 4880947233 Enrollment ID: I20210429001396 |
| Provider Name | Katlyn F Mcbride |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760989180 PECOS PAC ID: 7618220807 Enrollment ID: I20210429002174 |
| Provider Name | Christopher S Nelson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235626391 PECOS PAC ID: 1658624994 Enrollment ID: I20210507000840 |
| Provider Name | Justin R Sysol |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356832943 PECOS PAC ID: 5890048177 Enrollment ID: I20210510000477 |
| Provider Name | Kayla Elizabeth Womeldorff |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1881178291 PECOS PAC ID: 7911316625 Enrollment ID: I20210511000140 |
| Provider Name | Kriti Thapa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598252033 PECOS PAC ID: 5092068403 Enrollment ID: I20210511001068 |
| Provider Name | Elizabeth Pope Collins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235629429 PECOS PAC ID: 4284987686 Enrollment ID: I20210512000074 |
| Provider Name | Lalita Nagini Movva |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396273223 PECOS PAC ID: 6709120959 Enrollment ID: I20210512000125 |
| Provider Name | Georgia Farrell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851827190 PECOS PAC ID: 4880938976 Enrollment ID: I20210512002012 |
| Provider Name | Susan Dressner Gasparino |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962526343 PECOS PAC ID: 3870994882 Enrollment ID: I20210629000542 |
| Provider Name | Maria M Dahar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790104008 PECOS PAC ID: 7315243250 Enrollment ID: I20210701000601 |
| Provider Name | Nichole M Coleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073189098 PECOS PAC ID: 0941601637 Enrollment ID: I20210701002742 |
| Provider Name | Sindhuja Kadambi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760879050 PECOS PAC ID: 3870884489 Enrollment ID: I20210706002577 |
| Provider Name | Sarah Ann Yandow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467020016 PECOS PAC ID: 3173927985 Enrollment ID: I20210802000498 |
| Provider Name | Whitney Anne Kugler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891361689 PECOS PAC ID: 8527462829 Enrollment ID: I20210809003384 |
| Provider Name | Carlos A Diaz-balzac |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982137709 PECOS PAC ID: 3577816891 Enrollment ID: I20210812002088 |
| Provider Name | Kayla Maier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871161059 PECOS PAC ID: 2264837723 Enrollment ID: I20210820001540 |
| Provider Name | Emily Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528636370 PECOS PAC ID: 4082019559 Enrollment ID: I20210820002038 |
| Provider Name | Joshua A Gorski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366975104 PECOS PAC ID: 1254684632 Enrollment ID: I20210825002603 |
| Provider Name | Leah Webster |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1871135863 PECOS PAC ID: 7517362742 Enrollment ID: I20210825002916 |
| Provider Name | Mary Dalgi Nowak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306517644 PECOS PAC ID: 0648660183 Enrollment ID: I20211124000684 |
| Provider Name | Brandon Victor Witenzen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750043469 PECOS PAC ID: 0244620607 Enrollment ID: I20211130000303 |
| Provider Name | Amanda L Carpenter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205598596 PECOS PAC ID: 2860882164 Enrollment ID: I20211130002599 |
| Provider Name | Courtney Lynn Frame |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790453397 PECOS PAC ID: 3072903962 Enrollment ID: I20211208002422 |
| Provider Name | Julie M Pillittere |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710476411 PECOS PAC ID: 2860739471 Enrollment ID: I20220128001475 |
| Provider Name | Mujtaba Soniwala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902460454 PECOS PAC ID: 6103152822 Enrollment ID: I20220504002439 |
| Provider Name | Timothy J Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215593678 PECOS PAC ID: 8123354826 Enrollment ID: I20220511000351 |
| Provider Name | Sara E Gianfagna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679138713 PECOS PAC ID: 3870829518 Enrollment ID: I20220525001778 |
| Provider Name | Timothy J Hansen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437715869 PECOS PAC ID: 8921334673 Enrollment ID: I20220526000765 |
| Provider Name | Shivani Sockanathan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558896969 PECOS PAC ID: 4789937681 Enrollment ID: I20220601000999 |
| Provider Name | Gabriella Logrono |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285290650 PECOS PAC ID: 9436485166 Enrollment ID: I20220607001125 |
| Provider Name | Hassan Rao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578907424 PECOS PAC ID: 7618286477 Enrollment ID: I20220609002702 |
| Provider Name | Christopher M Nolan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487210712 PECOS PAC ID: 2961738638 Enrollment ID: I20220611000010 |
| Provider Name | Kevin Hannon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528624012 PECOS PAC ID: 6800122573 Enrollment ID: I20220615003080 |
| Provider Name | Shalom N Schlagman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316474539 PECOS PAC ID: 9739423757 Enrollment ID: I20220621001043 |
| Provider Name | Jenny L Schreiber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518523950 PECOS PAC ID: 4587990254 Enrollment ID: I20220622000506 |
| Provider Name | Guylda Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013407360 PECOS PAC ID: 4385988559 Enrollment ID: I20220706002864 |
| Provider Name | Christine M Papastamelos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255997730 PECOS PAC ID: 3173859832 Enrollment ID: I20220713002536 |
| Provider Name | Ramandeep Babbra |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811286743 PECOS PAC ID: 0648491019 Enrollment ID: I20220831002394 |
| Provider Name | Bethany Grace Moran |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1417672007 PECOS PAC ID: 4486027885 Enrollment ID: I20230307000886 |
| Provider Name | Sarah E Rusnak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396364386 PECOS PAC ID: 4486078912 Enrollment ID: I20230512000860 |
| Provider Name | Piotr Karmilowicz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770102428 PECOS PAC ID: 3577988146 Enrollment ID: I20230519000846 |
| Provider Name | Anima Ghimire |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043831944 PECOS PAC ID: 8527482199 Enrollment ID: I20230522000504 |
| Provider Name | Bethany D Corbin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063946473 PECOS PAC ID: 2264770338 Enrollment ID: I20230522001671 |
| Provider Name | Annamarie G Fernandes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033679147 PECOS PAC ID: 6103153069 Enrollment ID: I20230605001903 |
| Provider Name | Manuel A Cabrera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467915363 PECOS PAC ID: 7012244478 Enrollment ID: I20230609000898 |
| Provider Name | Denzil A Harris |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1467915504 PECOS PAC ID: 6507108164 Enrollment ID: I20230613001032 |
| Provider Name | Taylor L Cox |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265051296 PECOS PAC ID: 5890119473 Enrollment ID: I20230621002328 |
| Provider Name | Daniel J Prechtl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588362065 PECOS PAC ID: 2365801198 Enrollment ID: I20230711002287 |
| Provider Name | Rachel Fogley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447872114 PECOS PAC ID: 9032533690 Enrollment ID: I20230711002926 |
| Provider Name | Matthew Drew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285320226 PECOS PAC ID: 0648639401 Enrollment ID: I20230711003504 |
| Provider Name | Nicole Marie Terrana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073204368 PECOS PAC ID: 0840650784 Enrollment ID: I20230724002338 |
| Provider Name | Kristine Konyk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396431813 PECOS PAC ID: 2264886662 Enrollment ID: I20231003001678 |
| Provider Name | Elizabeth L Eisnor |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1366146037 PECOS PAC ID: 1355796350 Enrollment ID: I20231011002281 |
| Provider Name | Allison Steinberger |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1306529748 PECOS PAC ID: 2264876655 Enrollment ID: I20240213003510 |
Jeffrey A Liberman Do Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 485 Titus Ave Ste H, Rochester, NY 14617 Phone: 585-544-5368 Fax: 585-287-5304 | |
Brown Square Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 322 Lake Ave, Brown Square Center, Rochester, NY 14608 Phone: 585-254-6480 Fax: 585-254-1092 | |
Diabetes Prevention Recognition Program Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2655 Ridgeway Ave Ste 220, Rochester, NY 14626 Phone: 585-368-6542 Fax: 585-368-4373 | |
Rekhi & Rekhi Physicians Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1561 Long Pond Rd, Suite 411, Rochester, NY 14626 Phone: 585-426-9930 Fax: 585-426-6242 | |
Highland Hospital Of Rochester Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 South Ave, Rochester, NY 14620 Phone: 585-341-6895 Fax: 585-341-8401 | |
Joy Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 918 N Goodman St, Rochester, NY 14609 Phone: 585-697-0004 Fax: 585-697-0046 | |
Adult Complex Care Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 905 Culver Rd, Rochester, NY 14609 Phone: 585-276-7900 Fax: 585-275-2352 |