| Iu Health Physicians | |
|
340 W Tenth St Indianapolis IN 46202-3082 | |
| (317) 278-3505 | |
| (317) 962-0861 |
| Full Name | Iu Health Physicians |
|---|---|
| Speciality | General Practice |
| Location | 340 W Tenth St, Indianapolis, Indiana |
| Authorized Official Name and Position | Todd A Williams (CFO) |
| Authorized Official Contact | 3179483525 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Iu Health Physicians 250 N Shadeland Ave Indianapolis IN 46219-4959 Ph: (888) 484-3258 | Iu Health Physicians 340 W Tenth St Indianapolis IN 46202-3082 Ph: (317) 278-3505 |
| NPI Number | 1902032832 |
|---|---|
| Provider Enumeration Date | 06/05/2009 |
| Last Update Date | 08/23/2024 |
| Medicare PECOS PAC ID | 5799755864 |
|---|---|
| Medicare Enrollment ID | O20040727000955 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902032832 | NPI | - | NPPES |
| 201015830 | Medicaid | IN | |
| 201034580 | Medicaid | IN | |
| 201075140 | Medicaid | IN | |
| 200967200 | Medicaid | IN | |
| 201033600 | Medicaid | IN | |
| 200976030 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| Provider Name | William Lee Weaver |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558301614 PECOS PAC ID: 9032013073 Enrollment ID: I20031121000458 |
| Provider Name | Thomas M Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487606083 PECOS PAC ID: 0648174052 Enrollment ID: I20031126000116 |
| Provider Name | Harold J Hileman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730129032 PECOS PAC ID: 2062319478 Enrollment ID: I20031215000588 |
| Provider Name | Thomas C Dascoli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922049360 PECOS PAC ID: 9234032038 Enrollment ID: I20040129000538 |
| Provider Name | David P Schlueter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831132851 PECOS PAC ID: 5597659474 Enrollment ID: I20040211000748 |
| Provider Name | Michael Summers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891719324 PECOS PAC ID: 3476442302 Enrollment ID: I20040310001445 |
| Provider Name | Mitchell Alan Harris |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285741942 PECOS PAC ID: 6305738949 Enrollment ID: I20040327000211 |
| Provider Name | Charles Loyd Carroll |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114927373 PECOS PAC ID: 9638165012 Enrollment ID: I20040421001514 |
| Provider Name | Gregory L Chupp |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003992025 PECOS PAC ID: 8820084882 Enrollment ID: I20040423000855 |
| Provider Name | Stephen R Myron |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801889142 PECOS PAC ID: 8729982434 Enrollment ID: I20040430000938 |
| Provider Name | Rattandeep V Juneja |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1194789917 PECOS PAC ID: 2062401821 Enrollment ID: I20040507001020 |
| Provider Name | Melody E Sands |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053397786 PECOS PAC ID: 9032108592 Enrollment ID: I20040510000889 |
| Provider Name | Kelly E Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528016912 PECOS PAC ID: 6204825771 Enrollment ID: I20040510001045 |
| Provider Name | Edwin Marshall Eppler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467472753 PECOS PAC ID: 9436149754 Enrollment ID: I20040517001424 |
| Provider Name | Marc J Estes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942229356 PECOS PAC ID: 7113917428 Enrollment ID: I20040518000054 |
| Provider Name | Jerome B Sneed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053492868 PECOS PAC ID: 5193716686 Enrollment ID: I20040522000218 |
| Provider Name | Jessica L Swenberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295755684 PECOS PAC ID: 6002897527 Enrollment ID: I20040528000905 |
| Provider Name | Sheldon G Weiss |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871670786 PECOS PAC ID: 9234111972 Enrollment ID: I20040604000915 |
| Provider Name | Wynter K Vik |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235188137 PECOS PAC ID: 4082696695 Enrollment ID: I20040607000075 |
| Provider Name | Kathryn A Stahl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659383768 PECOS PAC ID: 3779566989 Enrollment ID: I20040609000984 |
| Provider Name | Holly M Hendrickson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699733592 PECOS PAC ID: 8628052107 Enrollment ID: I20040614000799 |
| Provider Name | Dinesh C Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962427161 PECOS PAC ID: 3476542770 Enrollment ID: I20040617001029 |
| Provider Name | Carol Lynn Dellinger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689663031 PECOS PAC ID: 8527043983 Enrollment ID: I20040621000572 |
| Provider Name | Brant Sanders |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407841422 PECOS PAC ID: 5496731739 Enrollment ID: I20040628000011 |
| Provider Name | Sudarshan K Komanapalli |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1316915911 PECOS PAC ID: 8426949413 Enrollment ID: I20040628000542 |
| Provider Name | Hilton M Hudson |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1689614828 PECOS PAC ID: 7911984513 Enrollment ID: I20040702000867 |
| Provider Name | Frederick W Unverzagt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154375814 PECOS PAC ID: 2365422342 Enrollment ID: I20040721000628 |
| Provider Name | William Lee Wixom |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578594933 PECOS PAC ID: 9234119157 Enrollment ID: I20040722000002 |
| Provider Name | Malaz Boustani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891751079 PECOS PAC ID: 3274513932 Enrollment ID: I20040722001039 |
| Provider Name | Robert J Robinson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720063951 PECOS PAC ID: 0840270518 Enrollment ID: I20040722001174 |
| Provider Name | Ajay Jain |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1023067477 PECOS PAC ID: 5193705721 Enrollment ID: I20040723000097 |
| Provider Name | Mary I Pease |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437236346 PECOS PAC ID: 0749260305 Enrollment ID: I20040723000249 |
| Provider Name | Bradley A Stalter |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1477543924 PECOS PAC ID: 5193795292 Enrollment ID: I20040727001177 |
| Provider Name | Chad William Schultheis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295708022 PECOS PAC ID: 5496725954 Enrollment ID: I20040730000561 |
| Provider Name | Scott Terence Cunningham |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1841220787 PECOS PAC ID: 5698763266 Enrollment ID: I20040802001416 |
| Provider Name | Douglas H Webb |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1598872673 PECOS PAC ID: 3870564560 Enrollment ID: I20040805000034 |
| Provider Name | Darin W Dill |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1528015575 PECOS PAC ID: 3779556253 Enrollment ID: I20040813000323 |
| Provider Name | Michelle Lee Overfelt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609816628 PECOS PAC ID: 4183697493 Enrollment ID: I20040816000640 |
| Provider Name | Andrew Offerle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598785149 PECOS PAC ID: 5193798031 Enrollment ID: I20040818000338 |
| Provider Name | Tyler Michael Stepsis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588771497 PECOS PAC ID: 3870566714 Enrollment ID: I20040818000388 |
| Provider Name | Ravi Kant Misra |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1437199296 PECOS PAC ID: 7517930324 Enrollment ID: I20040818000937 |
| Provider Name | Cristina L Ashworth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811904790 PECOS PAC ID: 1254304041 Enrollment ID: I20040819000115 |
| Provider Name | Mary Ann Jolly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265622021 PECOS PAC ID: 1456324185 Enrollment ID: I20040819000452 |
| Provider Name | Kenneth C Schaab |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861412835 PECOS PAC ID: 3375517857 Enrollment ID: I20040820000870 |
| Provider Name | Robert A Chambers |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871540864 PECOS PAC ID: 7810961299 Enrollment ID: I20040823000166 |
| Provider Name | Tori D Clabaugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518955327 PECOS PAC ID: 4183699598 Enrollment ID: I20040830000585 |
| Provider Name | Beth A Barron |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679680151 PECOS PAC ID: 7214902352 Enrollment ID: I20040831001568 |
| Provider Name | Joanna E Chambers |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043267032 PECOS PAC ID: 1951377639 Enrollment ID: I20040903000324 |
| Provider Name | Lori J Beck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235101783 PECOS PAC ID: 8224004841 Enrollment ID: I20040904000140 |
| Provider Name | Chris T Hilbish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184632531 PECOS PAC ID: 4587630108 Enrollment ID: I20040904000143 |
| Provider Name | Daniel Frank Rexroth |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508803164 PECOS PAC ID: 1951377159 Enrollment ID: I20040909000027 |
| Provider Name | Chao-wen Lee |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1134187701 PECOS PAC ID: 5294701348 Enrollment ID: I20040909000478 |
| Provider Name | Jane Ellen Turner |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1730104738 PECOS PAC ID: 7911975529 Enrollment ID: I20040922000016 |
| Provider Name | Kevin W Schreiber |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427014976 PECOS PAC ID: 5799753109 Enrollment ID: I20040923000337 |
| Provider Name | Jenny Gojmerac Owens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750571394 PECOS PAC ID: 0042288367 Enrollment ID: I20040923000515 |
| Provider Name | Steven R Turner |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1235187378 PECOS PAC ID: 4587631759 Enrollment ID: I20040928000422 |
| Provider Name | Mary Verghese |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265466908 PECOS PAC ID: 9739158643 Enrollment ID: I20040928000644 |
| Provider Name | William J Gill |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598720120 PECOS PAC ID: 0244209518 Enrollment ID: I20041002000187 |
| Provider Name | Antonio J Navarrete-casas |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1265400683 PECOS PAC ID: 2264491562 Enrollment ID: I20041004000282 |
| Provider Name | Blair S Macphail |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1760440127 PECOS PAC ID: 2567421787 Enrollment ID: I20041005000095 |
| Provider Name | Lawrence S Klein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093773467 PECOS PAC ID: 3274509328 Enrollment ID: I20041005000108 |
| Provider Name | Kimberly A Keever |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871614925 PECOS PAC ID: 8628037850 Enrollment ID: I20041005000213 |
| Provider Name | Laura K Farmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649488131 PECOS PAC ID: 2567421522 Enrollment ID: I20041005001273 |
| Provider Name | Jeffrey W Walker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255414975 PECOS PAC ID: 1759340607 Enrollment ID: I20041006000748 |
| Provider Name | David K Sheldon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871592808 PECOS PAC ID: 6608789268 Enrollment ID: I20041007000486 |
| Provider Name | Michael A Moorman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1396760641 PECOS PAC ID: 2860451440 Enrollment ID: I20041008000310 |
| Provider Name | John M Delaney |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205883295 PECOS PAC ID: 8628039443 Enrollment ID: I20041025000343 |
| Provider Name | Anthony A Mcpherron |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1487645990 PECOS PAC ID: 1456312214 Enrollment ID: I20041025000663 |
| Provider Name | Laura J Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952414666 PECOS PAC ID: 2769477546 Enrollment ID: I20041027000900 |
| Provider Name | Avonelle A Dorant |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1578593414 PECOS PAC ID: 4284696709 Enrollment ID: I20041027001133 |
| Provider Name | Dylan D Cooper |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700996444 PECOS PAC ID: 7012979263 Enrollment ID: I20041029000692 |
| Provider Name | Alan H Hendrix |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1376543629 PECOS PAC ID: 2264418185 Enrollment ID: I20041030000256 |
| Provider Name | Thomas Sliwa |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992715965 PECOS PAC ID: 0648243188 Enrollment ID: I20041101001056 |
| Provider Name | Sean Mac Trivedi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558300517 PECOS PAC ID: 2860454899 Enrollment ID: I20041101001080 |
| Provider Name | Joseph A Parr |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1346291671 PECOS PAC ID: 2365420882 Enrollment ID: I20041102000826 |
| Provider Name | Karen H Adkins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467435792 PECOS PAC ID: 3577526821 Enrollment ID: I20041108000522 |
| Provider Name | Andrew P Mclaren |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710960844 PECOS PAC ID: 0345203592 Enrollment ID: I20041109000059 |
| Provider Name | David B Neff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770566960 PECOS PAC ID: 4789647934 Enrollment ID: I20041109000076 |
| Provider Name | Michael J Lisch |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1669497020 PECOS PAC ID: 5698738508 Enrollment ID: I20041110001023 |
| Provider Name | Larry A Hopkins |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1740211580 PECOS PAC ID: 6204899115 Enrollment ID: I20041110001045 |
| Provider Name | Chintan J Amin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083673594 PECOS PAC ID: 6406819226 Enrollment ID: I20041111000559 |
| Provider Name | David M Brown |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043259245 PECOS PAC ID: 7911962725 Enrollment ID: I20041122000222 |
| Provider Name | Richard Lee Keller |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265497515 PECOS PAC ID: 7719943760 Enrollment ID: I20041202000110 |
| Provider Name | Steven K Roumpf |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952345548 PECOS PAC ID: 8921064668 Enrollment ID: I20041206000079 |
| Provider Name | Beverly E Altman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265490569 PECOS PAC ID: 7810953569 Enrollment ID: I20041206000181 |
| Provider Name | James E Meacham |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1548216609 PECOS PAC ID: 6305802745 Enrollment ID: I20041207000752 |
| Provider Name | Gaylen M Kelton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689651721 PECOS PAC ID: 0042276362 Enrollment ID: I20041208000081 |
| Provider Name | Julie L Welch |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548203557 PECOS PAC ID: 5698731990 Enrollment ID: I20041208000736 |
| Provider Name | Coby S Maxwell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578503769 PECOS PAC ID: 5799741005 Enrollment ID: I20041208000804 |
| Provider Name | James R Davidson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669419693 PECOS PAC ID: 0941266159 Enrollment ID: I20041208000903 |
| Provider Name | Matthew S Kuchinski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285644393 PECOS PAC ID: 0749246908 Enrollment ID: I20041208001198 |
| Provider Name | Edward Alfred Bartkus |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528001484 PECOS PAC ID: 8921087123 Enrollment ID: I20041209000286 |
| Provider Name | Kristine A Nanagas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063422210 PECOS PAC ID: 3678539772 Enrollment ID: I20041209000318 |
| Provider Name | David K Cheng |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871519678 PECOS PAC ID: 4880588102 Enrollment ID: I20041209000549 |
| Provider Name | Megan R Crittendon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669589552 PECOS PAC ID: 3173589223 Enrollment ID: I20041209000669 |
| Provider Name | Jacqueline Denise Combellick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780694794 PECOS PAC ID: 2668439357 Enrollment ID: I20041214000859 |
| Provider Name | Lynn Tracy Coy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063529022 PECOS PAC ID: 6800853599 Enrollment ID: I20041214000891 |
| Provider Name | Dan M Chaffee |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528003308 PECOS PAC ID: 8022075498 Enrollment ID: I20041216000997 |
| Provider Name | Gary R Fisch |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1396759775 PECOS PAC ID: 9133186505 Enrollment ID: I20041216001055 |
| Provider Name | Gregory A Spurgin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487694295 PECOS PAC ID: 2264499573 Enrollment ID: I20041217000240 |
| Provider Name | Angela A De Bord Henriksen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750321576 PECOS PAC ID: 7315904604 Enrollment ID: I20041218000007 |
| Provider Name | Sheila S Zielinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235183336 PECOS PAC ID: 5890753065 Enrollment ID: I20041221000245 |
| Provider Name | Larry H Stevens |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548207657 PECOS PAC ID: 7810955879 Enrollment ID: I20041222000638 |
| Provider Name | Matthew Wade Crittendon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306953369 PECOS PAC ID: 5890753560 Enrollment ID: I20041228000535 |
| Provider Name | Chetan R Shukla |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1700848686 PECOS PAC ID: 9436117132 Enrollment ID: I20041229000331 |
| Provider Name | David B Henley Md |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316991110 PECOS PAC ID: 2961460282 Enrollment ID: I20050103000506 |
| Provider Name | Carl M Pafford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457340622 PECOS PAC ID: 9436107810 Enrollment ID: I20050112000559 |
| Provider Name | Daniel C Holbrook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437183639 PECOS PAC ID: 7315996121 Enrollment ID: I20050119000723 |
| Provider Name | Jeffery D Foy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881651636 PECOS PAC ID: 6103876016 Enrollment ID: I20050128000161 |
| Provider Name | Chun L Ng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447249990 PECOS PAC ID: 0749231793 Enrollment ID: I20050207000823 |
| Provider Name | Patricia Lynn Johnson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891736864 PECOS PAC ID: 0840241857 Enrollment ID: I20050208000247 |
| Provider Name | Rajesh Valchand Shah |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1487652152 PECOS PAC ID: 8729039680 Enrollment ID: I20050208000697 |
| Provider Name | Anita Pairitz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851376230 PECOS PAC ID: 8325092703 Enrollment ID: I20050309000130 |
| Provider Name | Robert M Meneghini |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1356325187 PECOS PAC ID: 7113989310 Enrollment ID: I20050317000201 |
| Provider Name | Shannon Lee Snyder |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396720959 PECOS PAC ID: 0941255426 Enrollment ID: I20050317000422 |
| Provider Name | Michael E Harper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790774032 PECOS PAC ID: 2163478710 Enrollment ID: I20050325000674 |
| Provider Name | Lee W Liu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992812853 PECOS PAC ID: 8527014000 Enrollment ID: I20050328000936 |
| Provider Name | Mehul M Patel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1922042142 PECOS PAC ID: 5597711838 Enrollment ID: I20050329001367 |
| Provider Name | James Estill Wells |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730100405 PECOS PAC ID: 8426005323 Enrollment ID: I20050404000179 |
| Provider Name | Jon N Winther |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740262252 PECOS PAC ID: 2769429042 Enrollment ID: I20050408000846 |
| Provider Name | Robert Marquez De Las Alas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386688182 PECOS PAC ID: 7214974724 Enrollment ID: I20050414001275 |
| Provider Name | Neal T Hoffman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871538835 PECOS PAC ID: 3678511011 Enrollment ID: I20050418000639 |
| Provider Name | William G Kronenberger |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184678609 PECOS PAC ID: 4587554464 Enrollment ID: I20050419001471 |
| Provider Name | Lindiwee-yaa Randall-hayes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770582777 PECOS PAC ID: 0446290175 Enrollment ID: I20050511000951 |
| Provider Name | Cory J Pitre |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710043658 PECOS PAC ID: 9234170580 Enrollment ID: I20050517000373 |
| Provider Name | Naomi B Swiezy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982658340 PECOS PAC ID: 9931140225 Enrollment ID: I20050517000720 |
| Provider Name | Judi A Knowles |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346217122 PECOS PAC ID: 0648212365 Enrollment ID: I20050526000760 |
| Provider Name | Danette A Baird |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700838919 PECOS PAC ID: 7911949177 Enrollment ID: I20050526001036 |
| Provider Name | Daniel J Fagan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831156330 PECOS PAC ID: 8022050988 Enrollment ID: I20050601000731 |
| Provider Name | Cami S Barger Jones |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467426429 PECOS PAC ID: 3870536485 Enrollment ID: I20050606000249 |
| Provider Name | Travis A Richardson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073606984 PECOS PAC ID: 1557305471 Enrollment ID: I20050613000328 |
| Provider Name | Robert E Grondahl |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922191816 PECOS PAC ID: 4587608401 Enrollment ID: I20050613000382 |
| Provider Name | Michael D Miller |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1760407019 PECOS PAC ID: 8921043928 Enrollment ID: I20050621000535 |
| Provider Name | William A Heisel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508819772 PECOS PAC ID: 5092750968 Enrollment ID: I20050621001211 |
| Provider Name | Arthur A Galstian |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407845795 PECOS PAC ID: 3779528518 Enrollment ID: I20050622001142 |
| Provider Name | Kirk D Perry |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609840578 PECOS PAC ID: 5991740730 Enrollment ID: I20050622001195 |
| Provider Name | Ryan C Thomas |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1902849540 PECOS PAC ID: 2567407299 Enrollment ID: I20050623000272 |
| Provider Name | Andrew J Smith |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487697025 PECOS PAC ID: 2567407711 Enrollment ID: I20050628000358 |
| Provider Name | Ryan J Mcquillan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1245255645 PECOS PAC ID: 2668417841 Enrollment ID: I20050628000641 |
| Provider Name | Ricky Cottrell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1962462648 PECOS PAC ID: 4284679473 Enrollment ID: I20050628000751 |
| Provider Name | Sean E Gardner |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1689605453 PECOS PAC ID: 2769418672 Enrollment ID: I20050712000996 |
| Provider Name | Kari A Lemme |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881764520 PECOS PAC ID: 3173550118 Enrollment ID: I20050721000625 |
| Provider Name | Charles P Rogers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407836752 PECOS PAC ID: 9335176189 Enrollment ID: I20050722000598 |
| Provider Name | Alexander S Choi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417988270 PECOS PAC ID: 5395773626 Enrollment ID: I20050728000769 |
| Provider Name | Cheryl Lynn Heck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730172032 PECOS PAC ID: 3072541689 Enrollment ID: I20050803000573 |
| Provider Name | Scott L Tarlton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417974288 PECOS PAC ID: 0840220067 Enrollment ID: I20050817000831 |
| Provider Name | Cheryl L Ditzler |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1851332654 PECOS PAC ID: 4183512361 Enrollment ID: I20050829000715 |
| Provider Name | Jennifer Diane Sullivan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992748982 PECOS PAC ID: 9638101405 Enrollment ID: I20050901000576 |
| Provider Name | Bradley L Hayes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891736419 PECOS PAC ID: 2264326735 Enrollment ID: I20050928001103 |
| Provider Name | Steven Raymond Counsell |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1932166832 PECOS PAC ID: 4587699335 Enrollment ID: I20050929000795 |
| Provider Name | Ayman Elfar |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1194774059 PECOS PAC ID: 0345211595 Enrollment ID: I20051004000634 |
| Provider Name | Charles William Tolan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235246158 PECOS PAC ID: 4082676598 Enrollment ID: I20051005000125 |
| Provider Name | Bruce Alan Becker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720195340 PECOS PAC ID: 8921024282 Enrollment ID: I20051018001202 |
| Provider Name | Greta P Peterson Clement |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518907344 PECOS PAC ID: 6800812876 Enrollment ID: I20051019000260 |
| Provider Name | Jerrlyn Jean Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235182320 PECOS PAC ID: 1759307721 Enrollment ID: I20051019000319 |
| Provider Name | John O Levine |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881694990 PECOS PAC ID: 0840235966 Enrollment ID: I20051019001034 |
| Provider Name | Theresa L Giannini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588775571 PECOS PAC ID: 6103843834 Enrollment ID: I20051101000403 |
| Provider Name | Larisa Allakhverdova |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144219023 PECOS PAC ID: 5092796920 Enrollment ID: I20051102000791 |
| Provider Name | Lilian Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932265212 PECOS PAC ID: 7810915014 Enrollment ID: I20051107000251 |
| Provider Name | Tessa J Thorstenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326038548 PECOS PAC ID: 7810915741 Enrollment ID: I20051109000108 |
| Provider Name | Muhammad Uppal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477507952 PECOS PAC ID: 3375500879 Enrollment ID: I20051109000181 |
| Provider Name | Mitchell D Krathwohl |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1447225818 PECOS PAC ID: 0749208643 Enrollment ID: I20051110000131 |
| Provider Name | Jeffrey Robert Mossler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356312896 PECOS PAC ID: 3779486709 Enrollment ID: I20051115000358 |
| Provider Name | Shannon L Colter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407814866 PECOS PAC ID: 1355360769 Enrollment ID: I20051115000761 |
| Provider Name | Melanie Ann Heniff |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215979349 PECOS PAC ID: 8123047396 Enrollment ID: I20051116000878 |
| Provider Name | Jack Kenneth Keene |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184667644 PECOS PAC ID: 9739108911 Enrollment ID: I20051116000903 |
| Provider Name | Elmer A Toliver |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053398552 PECOS PAC ID: 7113994690 Enrollment ID: I20051117000687 |
| Provider Name | Jeffrey Todd Meltzer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811074727 PECOS PAC ID: 0244210912 Enrollment ID: I20051117000910 |
| Provider Name | Bryan R Mayol |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1669484333 PECOS PAC ID: 0840219788 Enrollment ID: I20051121000306 |
| Provider Name | Ryan Christian Wallace |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316086291 PECOS PAC ID: 3173543865 Enrollment ID: I20051123000509 |
| Provider Name | Charles T Webster |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346222429 PECOS PAC ID: 5799689519 Enrollment ID: I20051128000501 |
| Provider Name | Darryl W Dixon |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1497771299 PECOS PAC ID: 4284654831 Enrollment ID: I20051129000311 |
| Provider Name | Christine Kirkendol Watson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053361196 PECOS PAC ID: 5890715734 Enrollment ID: I20051206000987 |
| Provider Name | Kendal Renee Baker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598764532 PECOS PAC ID: 6204857519 Enrollment ID: I20051214000817 |
| Provider Name | Tahira Saifuddin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1053388777 PECOS PAC ID: 5092795138 Enrollment ID: I20060103000184 |
| Provider Name | Kristen Laurel Combes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740247238 PECOS PAC ID: 2668495565 Enrollment ID: I20060106000032 |
| Provider Name | Timothy M Peklo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811985229 PECOS PAC ID: 7810911005 Enrollment ID: I20060113000720 |
| Provider Name | Victoria Marie Ball |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366483331 PECOS PAC ID: 0042261075 Enrollment ID: I20060117000295 |
| Provider Name | Jody Pavlinko Ghosh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154335818 PECOS PAC ID: 5890746788 Enrollment ID: I20060203000373 |
| Provider Name | Riley Joseph Snook |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407854045 PECOS PAC ID: 7214941608 Enrollment ID: I20060206000872 |
| Provider Name | Makram Hajj |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1194782698 PECOS PAC ID: 7517906910 Enrollment ID: I20060307000556 |
| Provider Name | Jan Roman Kornilow |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487653515 PECOS PAC ID: 0244143816 Enrollment ID: I20060413000119 |
| Provider Name | Glenn Mitra Batiller |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1346212487 PECOS PAC ID: 9830099118 Enrollment ID: I20060516000073 |
| Provider Name | Gerald D Mick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457315129 PECOS PAC ID: 9537170824 Enrollment ID: I20060530000167 |
| Provider Name | Evelyn E Bose |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1699728295 PECOS PAC ID: 9739192972 Enrollment ID: I20060711000167 |
| Provider Name | Carla J. Branson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841244084 PECOS PAC ID: 0345253464 Enrollment ID: I20060713000061 |
| Provider Name | Kenneth Allen Jongsma |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1245283209 PECOS PAC ID: 8426061557 Enrollment ID: I20060713000138 |
| Provider Name | Kurt Andrew Riegner |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1689643280 PECOS PAC ID: 3577576131 Enrollment ID: I20060726000367 |
| Provider Name | Jeffery White |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1891738480 PECOS PAC ID: 6901819572 Enrollment ID: I20060726000401 |
| Provider Name | Brian Mullis |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1598738437 PECOS PAC ID: 5395775761 Enrollment ID: I20060821000547 |
| Provider Name | Vipin Jain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801849112 PECOS PAC ID: 0244234151 Enrollment ID: I20060907000545 |
| Provider Name | Nathalie Castillo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568491355 PECOS PAC ID: 7113922899 Enrollment ID: I20061002000602 |
| Provider Name | Pooja Singal |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1306875588 PECOS PAC ID: 8224034897 Enrollment ID: I20061005000136 |
| Provider Name | Joseph K Richardson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1699703504 PECOS PAC ID: 3072519370 Enrollment ID: I20061010000380 |
| Provider Name | James Alexander Scheidler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053355057 PECOS PAC ID: 3577569383 Enrollment ID: I20061018000068 |
| Provider Name | Shane Leonard Guffey |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1922035278 PECOS PAC ID: 8325045610 Enrollment ID: I20061030000373 |
| Provider Name | Alan Peter Sawchuk |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1457317166 PECOS PAC ID: 9638131782 Enrollment ID: I20061101000373 |
| Provider Name | Woo Joo Yi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881632594 PECOS PAC ID: 1850398983 Enrollment ID: I20061101000560 |
| Provider Name | David R Diaz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932101391 PECOS PAC ID: 6709884349 Enrollment ID: I20061115000317 |
| Provider Name | Amy B Kressel |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1457390668 PECOS PAC ID: 6204828767 Enrollment ID: I20061128000389 |
| Provider Name | Douglas N Tannas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891735833 PECOS PAC ID: 7517966328 Enrollment ID: I20061205000300 |
| Provider Name | Michael S Byers |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1740239482 PECOS PAC ID: 0648279216 Enrollment ID: I20061208000078 |
| Provider Name | Timothy Coakley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073559985 PECOS PAC ID: 9133128713 Enrollment ID: I20061208000133 |
| Provider Name | Timothy J Ellender |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811902133 PECOS PAC ID: 7113926676 Enrollment ID: I20061211000172 |
| Provider Name | Robert William Collins |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316981251 PECOS PAC ID: 5597764985 Enrollment ID: I20061213000054 |
| Provider Name | Susan M Hoffert |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558389734 PECOS PAC ID: 4486653888 Enrollment ID: I20061213000076 |
| Provider Name | Jennifer H Kersey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427076603 PECOS PAC ID: 7012916414 Enrollment ID: I20061213000085 |
| Provider Name | Christian C Strachan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043250475 PECOS PAC ID: 7618933912 Enrollment ID: I20061213000099 |
| Provider Name | Peter J Healy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528006657 PECOS PAC ID: 0345249470 Enrollment ID: I20061218000531 |
| Provider Name | Benton R Hunter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932127305 PECOS PAC ID: 0345249397 Enrollment ID: I20061220000428 |
| Provider Name | Sheryl E Allen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598794067 PECOS PAC ID: 1759381643 Enrollment ID: I20061227000082 |
| Provider Name | Yvonne M Kieffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093751786 PECOS PAC ID: 9638179062 Enrollment ID: I20070108000487 |
| Provider Name | Carter L Starr |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720046972 PECOS PAC ID: 7214998699 Enrollment ID: I20070118000491 |
| Provider Name | Chad G Hemmer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720004682 PECOS PAC ID: 1254332059 Enrollment ID: I20070122000492 |
| Provider Name | David W Hart |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1639276199 PECOS PAC ID: 2365544897 Enrollment ID: I20070301000137 |
| Provider Name | Alicyn D Robb |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740387109 PECOS PAC ID: 5496858193 Enrollment ID: I20070319000317 |
| Provider Name | Jennifer A Priddy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215019898 PECOS PAC ID: 8224131883 Enrollment ID: I20070320000314 |
| Provider Name | Jeffrey J Kellams |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689612400 PECOS PAC ID: 6305949900 Enrollment ID: I20070320000622 |
| Provider Name | Carrie J Heuck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457466757 PECOS PAC ID: 4981708963 Enrollment ID: I20070330000532 |
| Provider Name | Andrew Kennedy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1467472167 PECOS PAC ID: 9931203890 Enrollment ID: I20070402000696 |
| Provider Name | Catherine O Oplinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821167073 PECOS PAC ID: 6305941782 Enrollment ID: I20070412000553 |
| Provider Name | Ahmed Ibrahim Elsahy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407805690 PECOS PAC ID: 5294830477 Enrollment ID: I20070417000286 |
| Provider Name | Wambui J Murage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689765729 PECOS PAC ID: 6406951375 Enrollment ID: I20070421000005 |
| Provider Name | Lynn R Klus |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972585537 PECOS PAC ID: 5092811778 Enrollment ID: I20070427000048 |
| Provider Name | Leigh R Meltzer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790767366 PECOS PAC ID: 9537265111 Enrollment ID: I20070427000061 |
| Provider Name | Edmund Gomez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912973207 PECOS PAC ID: 9234235706 Enrollment ID: I20070430000094 |
| Provider Name | Laura Stover Price |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396784864 PECOS PAC ID: 4284730284 Enrollment ID: I20070508000687 |
| Provider Name | Erin Lynn Tiu Tong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790893873 PECOS PAC ID: 1052418639 Enrollment ID: I20070515000597 |
| Provider Name | Ina L Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730272089 PECOS PAC ID: 6406953066 Enrollment ID: I20070517000036 |
| Provider Name | Jane E Wilson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659375335 PECOS PAC ID: 3173620499 Enrollment ID: I20070522000376 |
| Provider Name | Anne E Cunningham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629136213 PECOS PAC ID: 5799882908 Enrollment ID: I20070523000413 |
| Provider Name | Dolly Rani |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1679663157 PECOS PAC ID: 1850316514 Enrollment ID: I20070524000050 |
| Provider Name | George E Revtyak |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1902867286 PECOS PAC ID: 7214830249 Enrollment ID: I20070531000243 |
| Provider Name | Bhaskar David S Bose |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1265411060 PECOS PAC ID: 8729053210 Enrollment ID: I20070601000311 |
| Provider Name | Hector C Torres |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356565782 PECOS PAC ID: 8527166057 Enrollment ID: I20070607000324 |
| Provider Name | Stephen H Castleman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1154426310 PECOS PAC ID: 8921044496 Enrollment ID: I20070608000094 |
| Provider Name | Daniel O Donnell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649489055 PECOS PAC ID: 9436257490 Enrollment ID: I20070614000521 |
| Provider Name | Deborah E Latran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477595197 PECOS PAC ID: 1951400928 Enrollment ID: I20070618000020 |
| Provider Name | Matthew Wack |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1356389928 PECOS PAC ID: 6406955905 Enrollment ID: I20070625000384 |
| Provider Name | Herbert R Mattison |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1043250939 PECOS PAC ID: 9133104680 Enrollment ID: I20070625000416 |
| Provider Name | Bradley J Weber |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356386304 PECOS PAC ID: 3173622420 Enrollment ID: I20070627000216 |
| Provider Name | Min Zhao |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1245360312 PECOS PAC ID: 4688773930 Enrollment ID: I20070627000253 |
| Provider Name | Sami M Aasar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1427086974 PECOS PAC ID: 2668460635 Enrollment ID: I20070627000491 |
| Provider Name | Elizabeth J Fuller |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1962535674 PECOS PAC ID: 8325000995 Enrollment ID: I20070706000543 |
| Provider Name | Leslie G Oleck |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1356567846 PECOS PAC ID: 3173623014 Enrollment ID: I20070709000011 |
| Provider Name | David M Stark |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1326253212 PECOS PAC ID: 3678673522 Enrollment ID: I20070709000069 |
| Provider Name | David Patrick Linton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295817864 PECOS PAC ID: 5294835971 Enrollment ID: I20070710000818 |
| Provider Name | Vincent R Gathings |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417966276 PECOS PAC ID: 3072517028 Enrollment ID: I20070717000375 |
| Provider Name | Sherif S Andrews |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366430381 PECOS PAC ID: 6103809355 Enrollment ID: I20070718000478 |
| Provider Name | Martha Louise Greenwald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326240607 PECOS PAC ID: 2264533405 Enrollment ID: I20070718000576 |
| Provider Name | Alexia M Torke |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1215132865 PECOS PAC ID: 2961503107 Enrollment ID: I20070718000590 |
| Provider Name | Mohsin Hasnain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093779829 PECOS PAC ID: 2365491073 Enrollment ID: I20070719000487 |
| Provider Name | Gail A Brown |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801843107 PECOS PAC ID: 5890896815 Enrollment ID: I20070720000545 |
| Provider Name | Elizabeth Weinstein |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205039583 PECOS PAC ID: 8527169382 Enrollment ID: I20070723000828 |
| Provider Name | Hal J Minnigan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558471276 PECOS PAC ID: 4688765480 Enrollment ID: I20070808000591 |
| Provider Name | Frank C Messina |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629188347 PECOS PAC ID: 2769573575 Enrollment ID: I20070808000709 |
| Provider Name | Daniel E Rusyniak |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841309739 PECOS PAC ID: 9032200779 Enrollment ID: I20070809000213 |
| Provider Name | Christopher S Weaver |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861435935 PECOS PAC ID: 2668563339 Enrollment ID: I20070809000427 |
| Provider Name | Tamika Shawnice Dawson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942400734 PECOS PAC ID: 0143312249 Enrollment ID: I20070822000026 |
| Provider Name | Jennifer M Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396835401 PECOS PAC ID: 7618063025 Enrollment ID: I20071017000300 |
| Provider Name | Sarah A Landsberger |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013033489 PECOS PAC ID: 1951497239 Enrollment ID: I20071018000017 |
| Provider Name | Michael S Metrick |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922189836 PECOS PAC ID: 8628165537 Enrollment ID: I20071024000419 |
| Provider Name | Jo L Swart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952464257 PECOS PAC ID: 7416044334 Enrollment ID: I20071024000517 |
| Provider Name | Seyed Hamid Sayar |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1851430862 PECOS PAC ID: 8123111622 Enrollment ID: I20071030000332 |
| Provider Name | Susan M Bilbrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487796652 PECOS PAC ID: 7618064817 Enrollment ID: I20071106000035 |
| Provider Name | Jennifer L Wilson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437351731 PECOS PAC ID: 2163519224 Enrollment ID: I20071106000577 |
| Provider Name | Christopher Zee Cheng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902876196 PECOS PAC ID: 7214025709 Enrollment ID: I20071116000322 |
| Provider Name | Kim K Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982746178 PECOS PAC ID: 4981792173 Enrollment ID: I20071126000228 |
| Provider Name | Robert M Schweitzer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700823002 PECOS PAC ID: 1951491091 Enrollment ID: I20071213000285 |
| Provider Name | Christy B Krieg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649474941 PECOS PAC ID: 8426138629 Enrollment ID: I20071228000491 |
| Provider Name | Janos P Ertl |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1558430587 PECOS PAC ID: 7012918451 Enrollment ID: I20080104000528 |
| Provider Name | Julie J Jarrett |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558547851 PECOS PAC ID: 1759463474 Enrollment ID: I20080201000502 |
| Provider Name | Thomas J Worster |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1962548529 PECOS PAC ID: 7012092828 Enrollment ID: I20080304000447 |
| Provider Name | Greg A Sachs |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1508929019 PECOS PAC ID: 7012092570 Enrollment ID: I20080307000196 |
| Provider Name | Devonne A Elkins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619913001 PECOS PAC ID: 1759385180 Enrollment ID: I20080318000402 |
| Provider Name | Melissa S Hockaday |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811180110 PECOS PAC ID: 5890871552 Enrollment ID: I20080321000171 |
| Provider Name | Karin E Comastri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245289685 PECOS PAC ID: 4688750128 Enrollment ID: I20080325000388 |
| Provider Name | Leslie A Hulvershorn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073782611 PECOS PAC ID: 1759467970 Enrollment ID: I20080327000445 |
| Provider Name | John I Nurnberger |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255378220 PECOS PAC ID: 6103905013 Enrollment ID: I20080505000064 |
| Provider Name | Robin A Fox |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881693893 PECOS PAC ID: 6709799372 Enrollment ID: I20080512000453 |
| Provider Name | Christopher M Bearden |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1962439414 PECOS PAC ID: 4880607266 Enrollment ID: I20080527000004 |
| Provider Name | Tricia J Kreuter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508063447 PECOS PAC ID: 0648340059 Enrollment ID: I20080528000179 |
| Provider Name | Melissa J Dzikowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710174438 PECOS PAC ID: 2769552843 Enrollment ID: I20080602000143 |
| Provider Name | Stacy A Lobodzinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174713820 PECOS PAC ID: 7911077763 Enrollment ID: I20080605000043 |
| Provider Name | Harpreetinder Singh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275635807 PECOS PAC ID: 1850462490 Enrollment ID: I20080625000379 |
| Provider Name | Nancy E Butler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588766042 PECOS PAC ID: 2860382744 Enrollment ID: I20080702000364 |
| Provider Name | Alan Breier |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598924334 PECOS PAC ID: 6507938263 Enrollment ID: I20080712000103 |
| Provider Name | Glynnis L Thatch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366466492 PECOS PAC ID: 7214001932 Enrollment ID: I20080729000754 |
| Provider Name | Ruben H Hernandez Mondragon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013181387 PECOS PAC ID: 0547334724 Enrollment ID: I20080806000326 |
| Provider Name | Andy R Dillingham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558531665 PECOS PAC ID: 8921172149 Enrollment ID: I20080806000721 |
| Provider Name | Jason P Medler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447453832 PECOS PAC ID: 6305911801 Enrollment ID: I20080819000020 |
| Provider Name | Daniel J Beckman |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1780797589 PECOS PAC ID: 8628144540 Enrollment ID: I20080829000072 |
| Provider Name | Rebecca J Trepcos-klinger |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1154535714 PECOS PAC ID: 4385637529 Enrollment ID: I20080905000065 |
| Provider Name | Gregory K Dedinsky |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1306934526 PECOS PAC ID: 9931157427 Enrollment ID: I20080905000320 |
| Provider Name | Michelle L Carlos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962668301 PECOS PAC ID: 3779659024 Enrollment ID: I20080910000291 |
| Provider Name | Anne Mary K Montero |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447467048 PECOS PAC ID: 2365519964 Enrollment ID: I20080924000150 |
| Provider Name | Ryan R Houghton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730205790 PECOS PAC ID: 3870661044 Enrollment ID: I20081001000685 |
| Provider Name | Hugo A Rios-meza |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1861664344 PECOS PAC ID: 0648339960 Enrollment ID: I20081031000269 |
| Provider Name | Jennifer A Acciani |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235333998 PECOS PAC ID: 0244399467 Enrollment ID: I20081103000641 |
| Provider Name | Rita L Wright White |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386801835 PECOS PAC ID: 0648339259 Enrollment ID: I20081111000285 |
| Provider Name | Elisabeth K Degenhardt |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1508041716 PECOS PAC ID: 9335208883 Enrollment ID: I20081112000706 |
| Provider Name | Philip M Tenbrink |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205916384 PECOS PAC ID: 1254492762 Enrollment ID: I20081202000762 |
| Provider Name | Jesse Spear |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447339684 PECOS PAC ID: 6204920416 Enrollment ID: I20081209000690 |
| Provider Name | Deon W Vigilance |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1982748661 PECOS PAC ID: 7517029267 Enrollment ID: I20081215000568 |
| Provider Name | Adam C Trammel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912129776 PECOS PAC ID: 5991867996 Enrollment ID: I20081230000243 |
| Provider Name | Anne L Ford |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1649398736 PECOS PAC ID: 7315009321 Enrollment ID: I20081230000296 |
| Provider Name | Catherine T Coscia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346458890 PECOS PAC ID: 3779645601 Enrollment ID: I20081230000573 |
| Provider Name | Michael R Kupon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548415284 PECOS PAC ID: 3375605181 Enrollment ID: I20090102000194 |
| Provider Name | Glenda R Westmoreland |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1720037906 PECOS PAC ID: 6002979887 Enrollment ID: I20090106000638 |
| Provider Name | James V March |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1801861091 PECOS PAC ID: 2365445731 Enrollment ID: I20090109000426 |
| Provider Name | Anil Achaen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063442994 PECOS PAC ID: 9335142140 Enrollment ID: I20090114000338 |
| Provider Name | Jodie Marie Franklin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235397100 PECOS PAC ID: 5890859656 Enrollment ID: I20090123000254 |
| Provider Name | Mark A Buono |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1467430140 PECOS PAC ID: 6901811124 Enrollment ID: I20090210000223 |
| Provider Name | Stephanie C Whittaker |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1902043755 PECOS PAC ID: 8628133808 Enrollment ID: I20090223000562 |
| Provider Name | Cary N Mariash |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1477636371 PECOS PAC ID: 7911096474 Enrollment ID: I20090225000015 |
| Provider Name | Noha F Minshawi-patterson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811165517 PECOS PAC ID: 1052477148 Enrollment ID: I20090225000210 |
| Provider Name | Paula Jean Rawls |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1346290921 PECOS PAC ID: 7214999564 Enrollment ID: I20090305000367 |
| Provider Name | Doris M Lee |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407940463 PECOS PAC ID: 2567444268 Enrollment ID: I20090306000348 |
| Provider Name | Maureen E Misinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205055845 PECOS PAC ID: 0749347748 Enrollment ID: I20090318000451 |
| Provider Name | Mark S Obrien |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124129267 PECOS PAC ID: 5496812877 Enrollment ID: I20090330000617 |
| Provider Name | Daniela A Lobo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720241144 PECOS PAC ID: 8123185501 Enrollment ID: I20090330000619 |
| Provider Name | Brandy Jo Mcclaughry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083867089 PECOS PAC ID: 1355408733 Enrollment ID: I20090330000682 |
| Provider Name | Jill A Baney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467429068 PECOS PAC ID: 1153421359 Enrollment ID: I20090415000579 |
| Provider Name | Charles A Warfield |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972619542 PECOS PAC ID: 4284782368 Enrollment ID: I20090429000160 |
| Provider Name | Ann M Lagges |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083661391 PECOS PAC ID: 9638236417 Enrollment ID: I20090430000073 |
| Provider Name | Nancy M Yoon |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1396918678 PECOS PAC ID: 0143370528 Enrollment ID: I20090604000641 |
| Provider Name | Cheryl C Chataignier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386685014 PECOS PAC ID: 0648320036 Enrollment ID: I20090605000017 |
| Provider Name | Michael A Litwiller |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033154067 PECOS PAC ID: 1759431158 Enrollment ID: I20090605000192 |
| Provider Name | John Lee Farr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992746374 PECOS PAC ID: 6608832910 Enrollment ID: I20090615000024 |
| Provider Name | Robert B Arthur |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376531798 PECOS PAC ID: 5799835518 Enrollment ID: I20090616000536 |
| Provider Name | Karen N Crevier |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881898765 PECOS PAC ID: 8628129723 Enrollment ID: I20090701000332 |
| Provider Name | Felipe P Perez |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1497798987 PECOS PAC ID: 1951488394 Enrollment ID: I20090714000708 |
| Provider Name | Anna M Steinbarger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336148352 PECOS PAC ID: 1759433279 Enrollment ID: I20090714000792 |
| Provider Name | Joel S Corvera |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1861677361 PECOS PAC ID: 8527132976 Enrollment ID: I20090720000320 |
| Provider Name | Ripley W Worman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1376701961 PECOS PAC ID: 1850443979 Enrollment ID: I20090720000539 |
| Provider Name | Aaron S Ashabraner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407841513 PECOS PAC ID: 7315090842 Enrollment ID: I20090731000338 |
| Provider Name | Andrea M Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063479533 PECOS PAC ID: 1951454271 Enrollment ID: I20090804000844 |
| Provider Name | Michael D Allen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578517520 PECOS PAC ID: 2961414511 Enrollment ID: I20090805000799 |
| Provider Name | Christine Diane Waller |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346453552 PECOS PAC ID: 7517010085 Enrollment ID: I20090810000590 |
| Provider Name | John D Baldea |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1831246347 PECOS PAC ID: 1850445255 Enrollment ID: I20090819000854 |
| Provider Name | Haihong Mao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023225901 PECOS PAC ID: 6507911641 Enrollment ID: I20090826000225 |
| Provider Name | Beverly J Vannatter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902940745 PECOS PAC ID: 0143376780 Enrollment ID: I20090923000096 |
| Provider Name | Camila L Arnaudo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770669137 PECOS PAC ID: 5698821999 Enrollment ID: I20090928000362 |
| Provider Name | Monica L Ott |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1639361967 PECOS PAC ID: 7719074111 Enrollment ID: I20090928000592 |
| Provider Name | Zachary L Worley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538320254 PECOS PAC ID: 5193861284 Enrollment ID: I20091002000282 |
| Provider Name | Olufunke L Brimmo-longe |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568418176 PECOS PAC ID: 4183686413 Enrollment ID: I20091005000071 |
| Provider Name | Mary Rebecca Haak |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396776852 PECOS PAC ID: 3678665916 Enrollment ID: I20091015000316 |
| Provider Name | Carrie E Ortwein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780634139 PECOS PAC ID: 1355487729 Enrollment ID: I20091015000459 |
| Provider Name | Laura M Tormoehlen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740496389 PECOS PAC ID: 9133266323 Enrollment ID: I20091020000645 |
| Provider Name | Kimberly A Casteel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013151224 PECOS PAC ID: 4587702303 Enrollment ID: I20091114000020 |
| Provider Name | Jessica D Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871727412 PECOS PAC ID: 9133268329 Enrollment ID: I20091201000434 |
| Provider Name | Mushkbar J Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013170430 PECOS PAC ID: 3274672290 Enrollment ID: I20091204000468 |
| Provider Name | Shelly J King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427044874 PECOS PAC ID: 1951441286 Enrollment ID: I20091217000613 |
| Provider Name | Kieren J Mather |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1528022340 PECOS PAC ID: 5092856450 Enrollment ID: I20100107000005 |
| Provider Name | Melissa K Cavaghan |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1649234436 PECOS PAC ID: 9830109925 Enrollment ID: I20100112000379 |
| Provider Name | Katie E Pettit |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962671602 PECOS PAC ID: 6305988049 Enrollment ID: I20100119000610 |
| Provider Name | Douglass S Hale |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386623254 PECOS PAC ID: 2668454455 Enrollment ID: I20100205000003 |
| Provider Name | Jennifer M Bow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144451014 PECOS PAC ID: 4981787876 Enrollment ID: I20100205000705 |
| Provider Name | Edwin B Liem |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1952354623 PECOS PAC ID: 5799742367 Enrollment ID: I20100217000619 |
| Provider Name | Kirsten E Kaisner-duncan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114984572 PECOS PAC ID: 3870637259 Enrollment ID: I20100223000735 |
| Provider Name | Katie M Trammel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790982445 PECOS PAC ID: 0143365759 Enrollment ID: I20100308000393 |
| Provider Name | Gail Stotsky |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215976907 PECOS PAC ID: 9931234184 Enrollment ID: I20100313000025 |
| Provider Name | Kelda H Walsh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164479572 PECOS PAC ID: 7012042260 Enrollment ID: I20100313000037 |
| Provider Name | David W Dunn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184661472 PECOS PAC ID: 3173658341 Enrollment ID: I20100315000228 |
| Provider Name | Reeta Bhargava |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275510547 PECOS PAC ID: 4587799176 Enrollment ID: I20100322000441 |
| Provider Name | Jeremy L Bricker |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1205090479 PECOS PAC ID: 1153456504 Enrollment ID: I20100324000350 |
| Provider Name | James E Lingeman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1316947096 PECOS PAC ID: 3375522196 Enrollment ID: I20100324001021 |
| Provider Name | Michael Busha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871660472 PECOS PAC ID: 9739075276 Enrollment ID: I20100325000216 |
| Provider Name | Gregory C Kiray |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639136906 PECOS PAC ID: 8729114921 Enrollment ID: I20100326000625 |
| Provider Name | Thomas R Marshall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932153947 PECOS PAC ID: 2466588041 Enrollment ID: I20100407000783 |
| Provider Name | Janet N Arno |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1588620959 PECOS PAC ID: 4688701766 Enrollment ID: I20100421000612 |
| Provider Name | Mary E Wermuth |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912940933 PECOS PAC ID: 6608905161 Enrollment ID: I20100521000810 |
| Provider Name | Jason T Schaffer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184651978 PECOS PAC ID: 6507995966 Enrollment ID: I20100522000035 |
| Provider Name | Geoffrey L Billows |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306889217 PECOS PAC ID: 4284763384 Enrollment ID: I20100528000164 |
| Provider Name | Bart R Besinger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508809468 PECOS PAC ID: 7517096613 Enrollment ID: I20100528000192 |
| Provider Name | Dallas E Peak |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629017074 PECOS PAC ID: 5193854156 Enrollment ID: I20100601000209 |
| Provider Name | Todd A Ryan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871537845 PECOS PAC ID: 1951430834 Enrollment ID: I20100602000808 |
| Provider Name | Stephen R Woock |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619913837 PECOS PAC ID: 7618006594 Enrollment ID: I20100602000887 |
| Provider Name | Sara I Schmidt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376584763 PECOS PAC ID: 7315076148 Enrollment ID: I20100603000484 |
| Provider Name | Robin A Beck |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1194781138 PECOS PAC ID: 3678603495 Enrollment ID: I20100604000709 |
| Provider Name | Christina P Ricks |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114240678 PECOS PAC ID: 9234269879 Enrollment ID: I20100609000117 |
| Provider Name | Mary R Brunner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871535567 PECOS PAC ID: 8628108198 Enrollment ID: I20100609000595 |
| Provider Name | Karen L Beard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720022726 PECOS PAC ID: 0446380927 Enrollment ID: I20100609000736 |
| Provider Name | Suzanne K Bielski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962442764 PECOS PAC ID: 8224168711 Enrollment ID: I20100609000902 |
| Provider Name | Belinda J Watts |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184665887 PECOS PAC ID: 0345370854 Enrollment ID: I20100610000092 |
| Provider Name | Jamie A Stonehouse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770716474 PECOS PAC ID: 8325178858 Enrollment ID: I20100610000248 |
| Provider Name | John F Schaefer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932142908 PECOS PAC ID: 9032249560 Enrollment ID: I20100610000263 |
| Provider Name | Deborah S Kinnamon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093759102 PECOS PAC ID: 4082744511 Enrollment ID: I20100610000325 |
| Provider Name | Karl L Yang |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1134120249 PECOS PAC ID: 5698671659 Enrollment ID: I20100610000344 |
| Provider Name | Elisabeth D Kline |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205879293 PECOS PAC ID: 4880724319 Enrollment ID: I20100610000351 |
| Provider Name | Christine A Turo-shields |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578505269 PECOS PAC ID: 5597895037 Enrollment ID: I20100610000390 |
| Provider Name | Issa Shammas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073554424 PECOS PAC ID: 1355471806 Enrollment ID: I20100610000576 |
| Provider Name | Edlyn N Jones |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407890445 PECOS PAC ID: 4789714148 Enrollment ID: I20100610000752 |
| Provider Name | James S Doll |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528000627 PECOS PAC ID: 4981734365 Enrollment ID: I20100610000964 |
| Provider Name | Dawn R Hostetler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902846793 PECOS PAC ID: 0143350538 Enrollment ID: I20100610001102 |
| Provider Name | Anne H Gilbert |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053356022 PECOS PAC ID: 7214067636 Enrollment ID: I20100611000175 |
| Provider Name | Louise W Kao |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912934795 PECOS PAC ID: 4688704018 Enrollment ID: I20100611000286 |
| Provider Name | Stephen Pollom |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124062690 PECOS PAC ID: 4981590239 Enrollment ID: I20100611000389 |
| Provider Name | Wendy S Stoelting Gettelfinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285881680 PECOS PAC ID: 7416087754 Enrollment ID: I20100611000527 |
| Provider Name | Jerry L Rushton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124086434 PECOS PAC ID: 8022148212 Enrollment ID: I20100615000328 |
| Provider Name | Kathryn B Johnston |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912100041 PECOS PAC ID: 6507996626 Enrollment ID: I20100615000834 |
| Provider Name | Michael S Brody |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902842669 PECOS PAC ID: 7416087556 Enrollment ID: I20100616000155 |
| Provider Name | Jana K Knable |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508807934 PECOS PAC ID: 8426188582 Enrollment ID: I20100616000406 |
| Provider Name | Sallie S Hahn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659533602 PECOS PAC ID: 2769512664 Enrollment ID: I20100618000410 |
| Provider Name | Charles D Christian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700822889 PECOS PAC ID: 4183755010 Enrollment ID: I20100622000003 |
| Provider Name | Warren J Hoyt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265473565 PECOS PAC ID: 6507997434 Enrollment ID: I20100622000054 |
| Provider Name | Linda L Harrell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346284999 PECOS PAC ID: 7315996816 Enrollment ID: I20100628000599 |
| Provider Name | Karen M Wheeler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073559290 PECOS PAC ID: 7517098973 Enrollment ID: I20100629000101 |
| Provider Name | Jeffrey J Couture |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336185115 PECOS PAC ID: 3870624281 Enrollment ID: I20100629000618 |
| Provider Name | Ronald S Boris |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1427254945 PECOS PAC ID: 3173654597 Enrollment ID: I20100629000791 |
| Provider Name | Debra L Moreland |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447286547 PECOS PAC ID: 9638200918 Enrollment ID: I20100630000550 |
| Provider Name | Ludmila O Trammell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497796106 PECOS PAC ID: 1052442282 Enrollment ID: I20100701000359 |
| Provider Name | Larissa Colleen Day Walz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316114770 PECOS PAC ID: 4789715814 Enrollment ID: I20100706000314 |
| Provider Name | Lindsay T Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124251160 PECOS PAC ID: 6002947140 Enrollment ID: I20100706000389 |
| Provider Name | Ronald A Mastouri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134389968 PECOS PAC ID: 4880725951 Enrollment ID: I20100706000814 |
| Provider Name | Donal P Dunne |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1366410706 PECOS PAC ID: 3375444714 Enrollment ID: I20100707000007 |
| Provider Name | Brittany C Szucs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669414058 PECOS PAC ID: 6709918691 Enrollment ID: I20100712000478 |
| Provider Name | Sunil B Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235173212 PECOS PAC ID: 9436281243 Enrollment ID: I20100714000575 |
| Provider Name | David S Batt |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1972547529 PECOS PAC ID: 0840322509 Enrollment ID: I20100715000177 |
| Provider Name | Divina C Reyes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114179397 PECOS PAC ID: 5597897041 Enrollment ID: I20100719000455 |
| Provider Name | Kim K Shimonek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457684581 PECOS PAC ID: 3870625221 Enrollment ID: I20100720000792 |
| Provider Name | James G Leatherman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215971775 PECOS PAC ID: 2961535075 Enrollment ID: I20100726000874 |
| Provider Name | Sakib K Khalid |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1760582365 PECOS PAC ID: 3577642529 Enrollment ID: I20100729000380 |
| Provider Name | Jonathan M Kirschner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356587778 PECOS PAC ID: 3870626708 Enrollment ID: I20100729000485 |
| Provider Name | Kofi K Quist |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1932428836 PECOS PAC ID: 8325171192 Enrollment ID: I20100730000015 |
| Provider Name | Randall James Strate |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396741393 PECOS PAC ID: 8820121627 Enrollment ID: I20100730000343 |
| Provider Name | Keith W Logie |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1699767780 PECOS PAC ID: 0446152144 Enrollment ID: I20100730000765 |
| Provider Name | Patricia A Treadwell |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1508892613 PECOS PAC ID: 3577696319 Enrollment ID: I20100730000856 |
| Provider Name | Michael J Maksimovich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649404377 PECOS PAC ID: 8729111406 Enrollment ID: I20100802000401 |
| Provider Name | Darlene R House |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558563874 PECOS PAC ID: 6507999034 Enrollment ID: I20100804000034 |
| Provider Name | Brian S Dean |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497894562 PECOS PAC ID: 4183777014 Enrollment ID: I20100804000614 |
| Provider Name | Vijayasree Paleru |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1043417819 PECOS PAC ID: 2567486178 Enrollment ID: I20100812000897 |
| Provider Name | Kristen Davis Skaggs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699719005 PECOS PAC ID: 6305970237 Enrollment ID: I20100814000019 |
| Provider Name | Lawrence Daniel Wurtz |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1861443194 PECOS PAC ID: 9830223619 Enrollment ID: I20100816000456 |
| Provider Name | James S Cohen |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1285678862 PECOS PAC ID: 0446384002 Enrollment ID: I20100818000163 |
| Provider Name | Elizabeth T Le |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1679512594 PECOS PAC ID: 3274667605 Enrollment ID: I20100819001123 |
| Provider Name | Ellen Stoesz |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1912946781 PECOS PAC ID: 8224162698 Enrollment ID: I20100820000340 |
| Provider Name | Sean C Keller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164466421 PECOS PAC ID: 2062546450 Enrollment ID: I20100820000610 |
| Provider Name | Robert Ingram |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831410703 PECOS PAC ID: 1658495593 Enrollment ID: I20100830001123 |
| Provider Name | Yeuk Ting Bonnie Wong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538328075 PECOS PAC ID: 3072637891 Enrollment ID: I20100901000083 |
| Provider Name | Karl D Shively |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1497914295 PECOS PAC ID: 7719001239 Enrollment ID: I20100903000615 |
| Provider Name | Jessica L Nicholson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275848525 PECOS PAC ID: 0648395939 Enrollment ID: I20100909000876 |
| Provider Name | Joseph S Turner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073777827 PECOS PAC ID: 3971628280 Enrollment ID: I20100909001083 |
| Provider Name | Tiru C Amin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245439066 PECOS PAC ID: 3870618838 Enrollment ID: I20100914000668 |
| Provider Name | Uroos A Raza |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528266756 PECOS PAC ID: 6507981453 Enrollment ID: I20100915000524 |
| Provider Name | Daniel William Voegele |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245271691 PECOS PAC ID: 0042335929 Enrollment ID: I20100915000927 |
| Provider Name | Leeanne M Nazer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124018965 PECOS PAC ID: 1850347311 Enrollment ID: I20100921000468 |
| Provider Name | Cynthia A Schmitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306079637 PECOS PAC ID: 1658497748 Enrollment ID: I20100927000371 |
| Provider Name | Martin R Morrow |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982911681 PECOS PAC ID: 1759573728 Enrollment ID: I20101008000496 |
| Provider Name | Amy L Frank |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740594167 PECOS PAC ID: 4183817711 Enrollment ID: I20101015000000 |
| Provider Name | Christopher M Callahan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104867043 PECOS PAC ID: 9638140908 Enrollment ID: I20101015000714 |
| Provider Name | Karen L Gallagher |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134186091 PECOS PAC ID: 0648463687 Enrollment ID: I20101021001370 |
| Provider Name | Julie J Lund |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710944830 PECOS PAC ID: 4183817133 Enrollment ID: I20101021001413 |
| Provider Name | Barbra A Bachmeier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003822263 PECOS PAC ID: 7911191267 Enrollment ID: I20101030000206 |
| Provider Name | Tara N Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992013957 PECOS PAC ID: 6608060587 Enrollment ID: I20101104000920 |
| Provider Name | Ronald J Piniecki |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1912164559 PECOS PAC ID: 2860687944 Enrollment ID: I20101115000913 |
| Provider Name | Robert W Brandt |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1952344954 PECOS PAC ID: 6709798135 Enrollment ID: I20101116000273 |
| Provider Name | Robert J Laviolette |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1689609893 PECOS PAC ID: 9436344330 Enrollment ID: I20101117000095 |
| Provider Name | Eric A Henricks |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1063408318 PECOS PAC ID: 7517153364 Enrollment ID: I20101119000322 |
| Provider Name | Douglas Groswald |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1215967070 PECOS PAC ID: 5698961456 Enrollment ID: I20101119000356 |
| Provider Name | Christopher J Adolay |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1124061718 PECOS PAC ID: 4587850250 Enrollment ID: I20101119000617 |
| Provider Name | Rajesh K Pai |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1134145816 PECOS PAC ID: 8022204700 Enrollment ID: I20101119000749 |
| Provider Name | James Qualkinbush |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487670170 PECOS PAC ID: 2163334590 Enrollment ID: I20101129000661 |
| Provider Name | Stephanie Lynn Haler Mora |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407188840 PECOS PAC ID: 2264628437 Enrollment ID: I20101130000789 |
| Provider Name | Janet L Wendeln |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1174561518 PECOS PAC ID: 5799971735 Enrollment ID: I20101202000168 |
| Provider Name | Galina N Klimek |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609833318 PECOS PAC ID: 9931396959 Enrollment ID: I20101202001315 |
| Provider Name | Jodie M Greenwood |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1497785257 PECOS PAC ID: 8820285851 Enrollment ID: I20101202001342 |
| Provider Name | Charles R Austgen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1679516264 PECOS PAC ID: 3375730302 Enrollment ID: I20101202001350 |
| Provider Name | Bradley A Meyer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1942225297 PECOS PAC ID: 8022205921 Enrollment ID: I20101203001040 |
| Provider Name | Christopher A Cole |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1063443489 PECOS PAC ID: 6305033259 Enrollment ID: I20101206000174 |
| Provider Name | Philip H Ireland |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1932102837 PECOS PAC ID: 5395845192 Enrollment ID: I20101206000294 |
| Provider Name | Marla L Slough |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1841238581 PECOS PAC ID: 3678760469 Enrollment ID: I20101206000826 |
| Provider Name | Pamela S Bryan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1790715159 PECOS PAC ID: 0244427706 Enrollment ID: I20101209000404 |
| Provider Name | Vu H Duong |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1801827217 PECOS PAC ID: 5991992315 Enrollment ID: I20101211000106 |
| Provider Name | Henry W Burnett |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1346270717 PECOS PAC ID: 7416144738 Enrollment ID: I20101211000142 |
| Provider Name | Douglas A Berebitsky |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1811935232 PECOS PAC ID: 0840487161 Enrollment ID: I20101211000181 |
| Provider Name | Aris Rodel O Abeleda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912185547 PECOS PAC ID: 0547458358 Enrollment ID: I20101221000532 |
| Provider Name | David B Thomas |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1104860329 PECOS PAC ID: 4183660293 Enrollment ID: I20101221001211 |
| Provider Name | Olajide O Odelowo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1013951235 PECOS PAC ID: 0648216754 Enrollment ID: I20101222000025 |
| Provider Name | Henry C Kim |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1073548277 PECOS PAC ID: 4789872417 Enrollment ID: I20101222000674 |
| Provider Name | Thomas A Marks-strauss |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1861425522 PECOS PAC ID: 2961690482 Enrollment ID: I20101228000938 |
| Provider Name | David Mumme |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417972787 PECOS PAC ID: 0547366304 Enrollment ID: I20101229000177 |
| Provider Name | Thomas Mote |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1205851557 PECOS PAC ID: 9537231394 Enrollment ID: I20101229000340 |
| Provider Name | Xiaotao F Qian |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1295760692 PECOS PAC ID: 3870781230 Enrollment ID: I20101229000531 |
| Provider Name | Christian N Beaton |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1003854423 PECOS PAC ID: 9335337732 Enrollment ID: I20101229000924 |
| Provider Name | Veronica M Somerville |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902112105 PECOS PAC ID: 3173711421 Enrollment ID: I20101230000582 |
| Provider Name | Noel E Sloan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1851339592 PECOS PAC ID: 1850589128 Enrollment ID: I20101230000785 |
| Provider Name | Susan M Holec-iwasko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356488928 PECOS PAC ID: 5890984009 Enrollment ID: I20110104000531 |
| Provider Name | Dorota Szczepaniak |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972597649 PECOS PAC ID: 0547459554 Enrollment ID: I20110106000449 |
| Provider Name | Renee S Weber |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1598076432 PECOS PAC ID: 0749479673 Enrollment ID: I20110107000750 |
| Provider Name | Lisa K Bunch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588966998 PECOS PAC ID: 4688854821 Enrollment ID: I20110205000013 |
| Provider Name | Palmer J Mackie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295793107 PECOS PAC ID: 7618157603 Enrollment ID: I20110208000829 |
| Provider Name | Jennessa R Johnston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184924524 PECOS PAC ID: 2668652496 Enrollment ID: I20110210000498 |
| Provider Name | Linda Ann Benedict |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053555292 PECOS PAC ID: 9830370303 Enrollment ID: I20110217000228 |
| Provider Name | Sandra Hervey Schwab |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346284387 PECOS PAC ID: 4880675875 Enrollment ID: I20110217000373 |
| Provider Name | Nicholas G Sansone |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992957369 PECOS PAC ID: 7214085851 Enrollment ID: I20110304000764 |
| Provider Name | Courtney A Browne |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871735084 PECOS PAC ID: 3779765862 Enrollment ID: I20110310000683 |
| Provider Name | Lea A Glancy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871512103 PECOS PAC ID: 1456533181 Enrollment ID: I20110316000657 |
| Provider Name | Michael Joseph Shugar |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861497463 PECOS PAC ID: 8921020678 Enrollment ID: I20110321000071 |
| Provider Name | Philip C Ferguson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093770265 PECOS PAC ID: 2365625506 Enrollment ID: I20110324000707 |
| Provider Name | David J Conrad |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1548419427 PECOS PAC ID: 0749464550 Enrollment ID: I20110401000650 |
| Provider Name | Onyekachi Nwabuko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366636235 PECOS PAC ID: 7618151481 Enrollment ID: I20110404000406 |
| Provider Name | Lindsey J Reese |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1467655282 PECOS PAC ID: 9830373018 Enrollment ID: I20110413000103 |
| Provider Name | Debra C Kirkpatrick |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609802891 PECOS PAC ID: 1759565872 Enrollment ID: I20110413000719 |
| Provider Name | Nicole P Scott |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770724700 PECOS PAC ID: 5799961462 Enrollment ID: I20110513000061 |
| Provider Name | Monica Staples |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871615443 PECOS PAC ID: 7618153396 Enrollment ID: I20110513000156 |
| Provider Name | Martin H Plawecki |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679730261 PECOS PAC ID: 8123204872 Enrollment ID: I20110516000219 |
| Provider Name | Debra Balos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306896923 PECOS PAC ID: 2365462520 Enrollment ID: I20110523000226 |
| Provider Name | Mark E Nielson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1942407838 PECOS PAC ID: 2668658808 Enrollment ID: I20110524000071 |
| Provider Name | Wayne R Woodard |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1144497090 PECOS PAC ID: 4880870054 Enrollment ID: I20110524000469 |
| Provider Name | Mark S Choi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1578723375 PECOS PAC ID: 1355527474 Enrollment ID: I20110525000207 |
| Provider Name | Alyssa A Hunter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285869206 PECOS PAC ID: 4789860818 Enrollment ID: I20110525000336 |
| Provider Name | Richard H Bernhardt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487850988 PECOS PAC ID: 3870770415 Enrollment ID: I20110607000559 |
| Provider Name | Evan T Russell |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609039973 PECOS PAC ID: 7012194632 Enrollment ID: I20110608000564 |
| Provider Name | Roderick W Fontenette |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164672499 PECOS PAC ID: 3971780362 Enrollment ID: I20110613000472 |
| Provider Name | Zainab J Sher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093878647 PECOS PAC ID: 6103812664 Enrollment ID: I20110615000166 |
| Provider Name | Heather R Saavedra |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295823102 PECOS PAC ID: 8820270747 Enrollment ID: I20110707000335 |
| Provider Name | Lindsay M Weaver |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578727327 PECOS PAC ID: 0143408542 Enrollment ID: I20110708000059 |
| Provider Name | Linda G Witham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659681344 PECOS PAC ID: 5799953048 Enrollment ID: I20110713000118 |
| Provider Name | Samantha M Sublette |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285857516 PECOS PAC ID: 8224206198 Enrollment ID: I20110720000107 |
| Provider Name | Nathan Lambert |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1356361018 PECOS PAC ID: 9032211479 Enrollment ID: I20110726000022 |
| Provider Name | Robert G Klitzman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1740433820 PECOS PAC ID: 3173676806 Enrollment ID: I20110802000401 |
| Provider Name | Connie Ignacio |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1316996259 PECOS PAC ID: 2860589850 Enrollment ID: I20110803000419 |
| Provider Name | Cherri D Hobgood |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083704274 PECOS PAC ID: 7214066869 Enrollment ID: I20110804000424 |
| Provider Name | Roger B Gandionco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851553796 PECOS PAC ID: 6406025485 Enrollment ID: I20110809000005 |
| Provider Name | Kristi Marie Lieb |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1417115080 PECOS PAC ID: 1951570944 Enrollment ID: I20110809000142 |
| Provider Name | Manisha Agarwala |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639325608 PECOS PAC ID: 4486823051 Enrollment ID: I20110816000720 |
| Provider Name | Dan M Hecimovich |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1649430943 PECOS PAC ID: 0446444749 Enrollment ID: I20110823000788 |
| Provider Name | Douglas K Nam |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1275652497 PECOS PAC ID: 1355511460 Enrollment ID: I20110829000456 |
| Provider Name | Ali F Iqtidar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1780781088 PECOS PAC ID: 0042480089 Enrollment ID: I20110830000190 |
| Provider Name | Mark Daniel Fisch |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1346448305 PECOS PAC ID: 7911039219 Enrollment ID: I20110909002692 |
| Provider Name | Andrew Cunningham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942484985 PECOS PAC ID: 0547337081 Enrollment ID: I20110912000271 |
| Provider Name | Meagan B Oneill |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841452216 PECOS PAC ID: 9133390529 Enrollment ID: I20110915000028 |
| Provider Name | Melissa C Knutson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578721783 PECOS PAC ID: 0446384598 Enrollment ID: I20110915000619 |
| Provider Name | Kathleen T Unroe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881852028 PECOS PAC ID: 1153592324 Enrollment ID: I20110920000069 |
| Provider Name | Margaret Elaine Southwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437160413 PECOS PAC ID: 0941471692 Enrollment ID: I20110929000133 |
| Provider Name | Yelena Chernyak |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013240738 PECOS PAC ID: 4082886403 Enrollment ID: I20111007000187 |
| Provider Name | Jaci R Glass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326320656 PECOS PAC ID: 9436321569 Enrollment ID: I20111013000124 |
| Provider Name | Thomas A Coffelt |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760683262 PECOS PAC ID: 1658543673 Enrollment ID: I20111017000162 |
| Provider Name | Christine R Stehman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063485746 PECOS PAC ID: 0143493635 Enrollment ID: I20111028000000 |
| Provider Name | Sonal J Bazeley |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1457541971 PECOS PAC ID: 1052405909 Enrollment ID: I20111123000424 |
| Provider Name | Margaret E Denham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306125455 PECOS PAC ID: 1355516188 Enrollment ID: I20111207000008 |
| Provider Name | Megan R Hovermale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790072114 PECOS PAC ID: 4688849383 Enrollment ID: I20111208000044 |
| Provider Name | Michael Didonna |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1841260072 PECOS PAC ID: 8820153042 Enrollment ID: I20111208000408 |
| Provider Name | Michelle D Turner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548258619 PECOS PAC ID: 4981870011 Enrollment ID: I20111220000578 |
| Provider Name | Gary Dale Rusk |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1962404632 PECOS PAC ID: 3779554563 Enrollment ID: I20111222000460 |
| Provider Name | Mohamed Homsi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952569121 PECOS PAC ID: 5092982264 Enrollment ID: I20120112000057 |
| Provider Name | Emily E Fried |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629239082 PECOS PAC ID: 2567639628 Enrollment ID: I20120113000194 |
| Provider Name | Teresa R Bradley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306113642 PECOS PAC ID: 7012184781 Enrollment ID: I20120120000139 |
| Provider Name | Kevin L Jones |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558398024 PECOS PAC ID: 9830366475 Enrollment ID: I20120123000079 |
| Provider Name | Sandra A Mccabe |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1427093376 PECOS PAC ID: 8325041346 Enrollment ID: I20120216000487 |
| Provider Name | Rebecca M Risser |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1598909061 PECOS PAC ID: 1456510452 Enrollment ID: I20120312000250 |
| Provider Name | Paul P Szotek |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649437922 PECOS PAC ID: 8527252741 Enrollment ID: I20120315000566 |
| Provider Name | Karla Loken |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457361487 PECOS PAC ID: 8224095641 Enrollment ID: I20120328000077 |
| Provider Name | Nancy Menning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225310147 PECOS PAC ID: 2668634718 Enrollment ID: I20120507000471 |
| Provider Name | Cory D Showalter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699982553 PECOS PAC ID: 3476628496 Enrollment ID: I20120523000381 |
| Provider Name | Lauren E Baker |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1407014061 PECOS PAC ID: 3173786191 Enrollment ID: I20120531000170 |
| Provider Name | Kashif Ahmed |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1154540474 PECOS PAC ID: 4587701974 Enrollment ID: I20120601000035 |
| Provider Name | Erin C Boente |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912133174 PECOS PAC ID: 6204090269 Enrollment ID: I20120604000491 |
| Provider Name | Kokila Bindiganavile Nagendran |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1386931806 PECOS PAC ID: 4880858844 Enrollment ID: I20120604000551 |
| Provider Name | Derrick L Hasenour |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295997450 PECOS PAC ID: 2567626401 Enrollment ID: I20120606000015 |
| Provider Name | John T Gripe |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1003077082 PECOS PAC ID: 9537323472 Enrollment ID: I20120606000043 |
| Provider Name | Evan T Miller |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982839296 PECOS PAC ID: 2264696103 Enrollment ID: I20120606000044 |
| Provider Name | Lindsey C Hansen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1174770788 PECOS PAC ID: 9335303270 Enrollment ID: I20120606000063 |
| Provider Name | Matthew J Mellon |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1841457439 PECOS PAC ID: 9931363785 Enrollment ID: I20120607000521 |
| Provider Name | Douglas J Kuxhausen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184874935 PECOS PAC ID: 0749444172 Enrollment ID: I20120614000230 |
| Provider Name | Kathryn M Colteryahn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841427580 PECOS PAC ID: 8820252208 Enrollment ID: I20120614000734 |
| Provider Name | Tochukwu Caius Iloabuchi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063659688 PECOS PAC ID: 4789848094 Enrollment ID: I20120619000072 |
| Provider Name | Daren M Beam |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962638213 PECOS PAC ID: 2466617394 Enrollment ID: I20120627000494 |
| Provider Name | Dorothy M Craig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336412345 PECOS PAC ID: 0941465421 Enrollment ID: I20120709000003 |
| Provider Name | Deia L Howell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134496201 PECOS PAC ID: 4284899790 Enrollment ID: I20120709000414 |
| Provider Name | Geetha A Rao |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1407983950 PECOS PAC ID: 6901886969 Enrollment ID: I20120710000155 |
| Provider Name | Brenna S Monsef |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205099819 PECOS PAC ID: 9032389895 Enrollment ID: I20120719000518 |
| Provider Name | James C Sloan |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1679573620 PECOS PAC ID: 6406945427 Enrollment ID: I20120720000427 |
| Provider Name | Mallery R Neff |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528387628 PECOS PAC ID: 2860648078 Enrollment ID: I20120803000217 |
| Provider Name | Alice M Mitchell-smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043234024 PECOS PAC ID: 7719965060 Enrollment ID: I20120806000071 |
| Provider Name | Jeffrey Kline |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740202316 PECOS PAC ID: 4981707031 Enrollment ID: I20120807000145 |
| Provider Name | Rachel B Yoder |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124347703 PECOS PAC ID: 0749436608 Enrollment ID: I20120808000459 |
| Provider Name | Miriam T Krober |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417160680 PECOS PAC ID: 3173676947 Enrollment ID: I20120808000901 |
| Provider Name | Toni E Lin |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1902014129 PECOS PAC ID: 6305092156 Enrollment ID: I20120809000512 |
| Provider Name | Michael M Francis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366676371 PECOS PAC ID: 0345498242 Enrollment ID: I20120919000127 |
| Provider Name | Elizabeth S Shuck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366777021 PECOS PAC ID: 8426207275 Enrollment ID: I20121011000260 |
| Provider Name | Erin L Wilkerson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689935660 PECOS PAC ID: 4284884784 Enrollment ID: I20121018000183 |
| Provider Name | Deborah K Brewster-yator |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699009522 PECOS PAC ID: 4880733500 Enrollment ID: I20121026000752 |
| Provider Name | Sarah J Hartman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730437930 PECOS PAC ID: 6103077326 Enrollment ID: I20121117000081 |
| Provider Name | April E Gandionco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336378926 PECOS PAC ID: 5799936639 Enrollment ID: I20121127000260 |
| Provider Name | Andrea L Moser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770831810 PECOS PAC ID: 2668624529 Enrollment ID: I20121129000173 |
| Provider Name | Jacqueline M Nonweiler- Parr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508036633 PECOS PAC ID: 1759428170 Enrollment ID: I20130102000172 |
| Provider Name | Amber D Hunt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487974622 PECOS PAC ID: 1951554443 Enrollment ID: I20130111000472 |
| Provider Name | Chilnille L Milbrooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669724373 PECOS PAC ID: 7012161813 Enrollment ID: I20130201000337 |
| Provider Name | Kimberly Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649522269 PECOS PAC ID: 8426203639 Enrollment ID: I20130219000156 |
| Provider Name | Yonas Adal |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487815395 PECOS PAC ID: 6002061223 Enrollment ID: I20130219000240 |
| Provider Name | Walter Warren Virkus |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1780663484 PECOS PAC ID: 0345203345 Enrollment ID: I20130221000177 |
| Provider Name | Anthony T Sorkin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1821103060 PECOS PAC ID: 5294638276 Enrollment ID: I20130222000489 |
| Provider Name | Todd O Mckinley |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1285629758 PECOS PAC ID: 9133267461 Enrollment ID: I20130225000025 |
| Provider Name | Michael Heit |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336143031 PECOS PAC ID: 3375539380 Enrollment ID: I20130226000071 |
| Provider Name | Holly M Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225301831 PECOS PAC ID: 0042455982 Enrollment ID: I20130326000323 |
| Provider Name | Luke S Ernstberger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821383209 PECOS PAC ID: 2365688686 Enrollment ID: I20130411000182 |
| Provider Name | Leesa D Foley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053657387 PECOS PAC ID: 1951547793 Enrollment ID: I20130423000237 |
| Provider Name | Megan S Alexander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982969267 PECOS PAC ID: 7113163841 Enrollment ID: I20130424000819 |
| Provider Name | Leslee A Kaper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265794663 PECOS PAC ID: 7618114067 Enrollment ID: I20130502000557 |
| Provider Name | Greg E Gaski |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1003017286 PECOS PAC ID: 6507015179 Enrollment ID: I20130503000152 |
| Provider Name | Samuel W Mwangi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043562259 PECOS PAC ID: 1355588724 Enrollment ID: I20130503000182 |
| Provider Name | Tracy L Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982943122 PECOS PAC ID: 6305083684 Enrollment ID: I20130503000371 |
| Provider Name | Stephanie D White |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013268093 PECOS PAC ID: 0446497606 Enrollment ID: I20130507000064 |
| Provider Name | Peter G Kamhout |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538180732 PECOS PAC ID: 1456242189 Enrollment ID: I20130507000271 |
| Provider Name | Sean M Thompson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740414168 PECOS PAC ID: 3274770359 Enrollment ID: I20130508000652 |
| Provider Name | Lanna M Guzman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366709701 PECOS PAC ID: 2860639481 Enrollment ID: I20130518000037 |
| Provider Name | Courtney B Cortez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972859452 PECOS PAC ID: 7618115056 Enrollment ID: I20130524000487 |
| Provider Name | Sarah Kristin Kennedy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669600805 PECOS PAC ID: 3072768753 Enrollment ID: I20130529000714 |
| Provider Name | Matthew J Rose |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619120334 PECOS PAC ID: 7517159874 Enrollment ID: I20130611000871 |
| Provider Name | Benjamin D Petty |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659660967 PECOS PAC ID: 4688813009 Enrollment ID: I20130615000121 |
| Provider Name | Martin Fb Springer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447409214 PECOS PAC ID: 5092970442 Enrollment ID: I20130715000661 |
| Provider Name | Joseph B Hinton |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1023279130 PECOS PAC ID: 5890951909 Enrollment ID: I20130717000836 |
| Provider Name | Andre P Schuler |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1588807507 PECOS PAC ID: 4486890233 Enrollment ID: I20130725000895 |
| Provider Name | Stacey L Smith |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356486682 PECOS PAC ID: 6406097880 Enrollment ID: I20130727000036 |
| Provider Name | Tracy Dianne Gunter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063407732 PECOS PAC ID: 2163589680 Enrollment ID: I20130727000149 |
| Provider Name | Frances M Russell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255566055 PECOS PAC ID: 0840448395 Enrollment ID: I20130730000217 |
| Provider Name | Sandra K Vanwye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417125386 PECOS PAC ID: 0941441190 Enrollment ID: I20130730000923 |
| Provider Name | Michael M Khouli |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598924565 PECOS PAC ID: 2466692868 Enrollment ID: I20130809000646 |
| Provider Name | Amanda N Williams |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538321864 PECOS PAC ID: 9830361336 Enrollment ID: I20130814000918 |
| Provider Name | Ruben Savella Montoya |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1588890099 PECOS PAC ID: 5991942286 Enrollment ID: I20130816000649 |
| Provider Name | James J Warr |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1629203062 PECOS PAC ID: 7810133022 Enrollment ID: I20130826001112 |
| Provider Name | Brandie Marie Blunck |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1053555730 PECOS PAC ID: 1951547140 Enrollment ID: I20130827000198 |
| Provider Name | Kyle B Yoder |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821315896 PECOS PAC ID: 3870736309 Enrollment ID: I20130830000282 |
| Provider Name | Brenda R Rues |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922241975 PECOS PAC ID: 0446493993 Enrollment ID: I20130830000511 |
| Provider Name | Brock D Mcmillen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952629644 PECOS PAC ID: 4082850862 Enrollment ID: I20130906000444 |
| Provider Name | Marina Weinstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124339262 PECOS PAC ID: 1355584574 Enrollment ID: I20130906000493 |
| Provider Name | Wen W Boynton |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1811171762 PECOS PAC ID: 7113101817 Enrollment ID: I20130909000027 |
| Provider Name | Stephen J Hartsock |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1114938453 PECOS PAC ID: 7214171362 Enrollment ID: I20130911000804 |
| Provider Name | Shakeel Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922084862 PECOS PAC ID: 6103848957 Enrollment ID: I20130913000455 |
| Provider Name | Dustin B Augenstine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386907996 PECOS PAC ID: 0042454621 Enrollment ID: I20130920000745 |
| Provider Name | Brian Eugene Wagers |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083821029 PECOS PAC ID: 9133275134 Enrollment ID: I20131002000220 |
| Provider Name | Carol L Patton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790121549 PECOS PAC ID: 2365676434 Enrollment ID: I20131002000591 |
| Provider Name | Anna M Helms |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952603433 PECOS PAC ID: 1052545100 Enrollment ID: I20131004000022 |
| Provider Name | Adnan Arseven |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1871573550 PECOS PAC ID: 8527094952 Enrollment ID: I20131004000037 |
| Provider Name | Matt A Rutz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184983983 PECOS PAC ID: 0648418517 Enrollment ID: I20131004000337 |
| Provider Name | Jatin Madhusudan Rana |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952693798 PECOS PAC ID: 1153555081 Enrollment ID: I20131009000586 |
| Provider Name | Julia L Ruckman-long |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295963775 PECOS PAC ID: 6103050885 Enrollment ID: I20131011001153 |
| Provider Name | Cassie D Karlsson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740409192 PECOS PAC ID: 6406080118 Enrollment ID: I20131014000239 |
| Provider Name | David J Hillhouse |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326308784 PECOS PAC ID: 8820237910 Enrollment ID: I20131014000953 |
| Provider Name | Som Dutt Tyagi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366698177 PECOS PAC ID: 1254599657 Enrollment ID: I20131014000999 |
| Provider Name | Daniel J Shirley |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1669473740 PECOS PAC ID: 8628173523 Enrollment ID: I20131014001454 |
| Provider Name | Jessica Kanis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558442715 PECOS PAC ID: 8325193485 Enrollment ID: I20131015000871 |
| Provider Name | Lori Kiefer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1033352943 PECOS PAC ID: 2466686902 Enrollment ID: I20131016000525 |
| Provider Name | Brian J Keyes |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1417078890 PECOS PAC ID: 1254596182 Enrollment ID: I20131018000262 |
| Provider Name | Cory R Long |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689806432 PECOS PAC ID: 1456521095 Enrollment ID: I20131021000375 |
| Provider Name | Jill C Fodstad |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710237458 PECOS PAC ID: 4183859465 Enrollment ID: I20131022000721 |
| Provider Name | Melissa H Stanton |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1255676730 PECOS PAC ID: 0941435242 Enrollment ID: I20131022001268 |
| Provider Name | Roy Abraham |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912214560 PECOS PAC ID: 6204083579 Enrollment ID: I20131023000060 |
| Provider Name | Jacqueline H Wylam |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1972946713 PECOS PAC ID: 4789819038 Enrollment ID: I20131023000420 |
| Provider Name | Lena J Buckwalter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659690550 PECOS PAC ID: 8527204098 Enrollment ID: I20131031000738 |
| Provider Name | Richard Lamar Cain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336410703 PECOS PAC ID: 7618102310 Enrollment ID: I20131106000267 |
| Provider Name | Hannah L Mies |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881030336 PECOS PAC ID: 8426283953 Enrollment ID: I20131108000697 |
| Provider Name | Bert H Oneil |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1588724199 PECOS PAC ID: 6901932649 Enrollment ID: I20131109000516 |
| Provider Name | Kristy J Umana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568895811 PECOS PAC ID: 8820224249 Enrollment ID: I20131113000973 |
| Provider Name | Tracy Gruning |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508148834 PECOS PAC ID: 8820256936 Enrollment ID: I20131122001394 |
| Provider Name | Aaron C Ermel |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1497913024 PECOS PAC ID: 9638316607 Enrollment ID: I20131125000545 |
| Provider Name | Heather M Denger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053604843 PECOS PAC ID: 2365678042 Enrollment ID: I20131203000215 |
| Provider Name | Alexandrea M Warren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619300753 PECOS PAC ID: 0840427126 Enrollment ID: I20131211001701 |
| Provider Name | Amy Wynn Hardin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972739266 PECOS PAC ID: 3577790807 Enrollment ID: I20131212000988 |
| Provider Name | Katie M Bussard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225359193 PECOS PAC ID: 4183851926 Enrollment ID: I20131226000372 |
| Provider Name | Stephanie M Crowell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346682895 PECOS PAC ID: 2365679131 Enrollment ID: I20131226001577 |
| Provider Name | Joseph I Indiano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457612053 PECOS PAC ID: 5193961506 Enrollment ID: I20131226001664 |
| Provider Name | Kailyn S Kahre-sights |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952660508 PECOS PAC ID: 2860632882 Enrollment ID: I20131231000509 |
| Provider Name | Jordan I Brooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619306586 PECOS PAC ID: 1850529504 Enrollment ID: I20140102000850 |
| Provider Name | Sheri T Cheng |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720309214 PECOS PAC ID: 3072759562 Enrollment ID: I20140103001536 |
| Provider Name | Karen S Ten Cate |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1356777916 PECOS PAC ID: 4981832524 Enrollment ID: I20140106001030 |
| Provider Name | Amber M Butcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659713378 PECOS PAC ID: 8426286881 Enrollment ID: I20140109000430 |
| Provider Name | Sarah K Bertoni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275696775 PECOS PAC ID: 6800024274 Enrollment ID: I20140109000738 |
| Provider Name | Breaha R Wininger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154615110 PECOS PAC ID: 8729216130 Enrollment ID: I20140110000272 |
| Provider Name | Lauren Walter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457615684 PECOS PAC ID: 5092943829 Enrollment ID: I20140124000271 |
| Provider Name | Melissa A Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104191402 PECOS PAC ID: 5092944363 Enrollment ID: I20140207000299 |
| Provider Name | Steffanie A Standish |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1629401385 PECOS PAC ID: 1951531854 Enrollment ID: I20140219002110 |
| Provider Name | Paul I Musey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104052471 PECOS PAC ID: 4082860960 Enrollment ID: I20140224001293 |
| Provider Name | Colleen E Werner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679902662 PECOS PAC ID: 4082844691 Enrollment ID: I20140227000752 |
| Provider Name | Krista Brucker |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1497076376 PECOS PAC ID: 3779713383 Enrollment ID: I20140227000935 |
| Provider Name | Katie Bennett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467647628 PECOS PAC ID: 4082844410 Enrollment ID: I20140305001113 |
| Provider Name | Rebecca Dawn Hiday |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982026589 PECOS PAC ID: 9830329077 Enrollment ID: I20140307001255 |
| Provider Name | Holli A Bowser |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1487867024 PECOS PAC ID: 0042440091 Enrollment ID: I20140313000907 |
| Provider Name | Tammy A Sarmiento |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245656172 PECOS PAC ID: 1052542057 Enrollment ID: I20140314000698 |
| Provider Name | Adam Ransford Corman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669608618 PECOS PAC ID: 1557505245 Enrollment ID: I20140322000094 |
| Provider Name | Catherine J Langston |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376623744 PECOS PAC ID: 4587559802 Enrollment ID: I20140322000125 |
| Provider Name | Steven J Mahon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710285788 PECOS PAC ID: 0941431373 Enrollment ID: I20140327000584 |
| Provider Name | Hilary D Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104102821 PECOS PAC ID: 2961676952 Enrollment ID: I20140404001161 |
| Provider Name | Sandra Bedwell |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1396166518 PECOS PAC ID: 9234361007 Enrollment ID: I20140409001017 |
| Provider Name | Amy E Williams |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437358413 PECOS PAC ID: 9234390485 Enrollment ID: I20140411001145 |
| Provider Name | Lisa E Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548686868 PECOS PAC ID: 2264664853 Enrollment ID: I20140414001419 |
| Provider Name | Michael N Kuria |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154765725 PECOS PAC ID: 3971744590 Enrollment ID: I20140414001601 |
| Provider Name | Julie J Borum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467877829 PECOS PAC ID: 5597997841 Enrollment ID: I20140421000661 |
| Provider Name | Sarah M Honaker |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912152976 PECOS PAC ID: 9830256452 Enrollment ID: I20140421000934 |
| Provider Name | Jessica E Knopp |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023307584 PECOS PAC ID: 3577703685 Enrollment ID: I20140423000705 |
| Provider Name | Howard Bialick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609870237 PECOS PAC ID: 1355311135 Enrollment ID: I20140501000099 |
| Provider Name | Gregory W Faris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720235401 PECOS PAC ID: 2062684186 Enrollment ID: I20140509000652 |
| Provider Name | Simran S Kapur |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255691713 PECOS PAC ID: 8921247610 Enrollment ID: I20140509001235 |
| Provider Name | Peter S Pang |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821029554 PECOS PAC ID: 6608845839 Enrollment ID: I20140512001161 |
| Provider Name | Melissa A Pyatskowit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154673820 PECOS PAC ID: 5698908010 Enrollment ID: I20140512001383 |
| Provider Name | Gregory S Zahn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710278635 PECOS PAC ID: 3072736552 Enrollment ID: I20140602001966 |
| Provider Name | Danielle N Wiese |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447559802 PECOS PAC ID: 5092939496 Enrollment ID: I20140604001428 |
| Provider Name | Steven Guichelaar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427476811 PECOS PAC ID: 0840414587 Enrollment ID: I20140619000222 |
| Provider Name | Omar Batal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1760656151 PECOS PAC ID: 1456591569 Enrollment ID: I20140620000698 |
| Provider Name | Danielle M Erney |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568690519 PECOS PAC ID: 7113142548 Enrollment ID: I20140627000427 |
| Provider Name | Haig V Setrakian |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770800807 PECOS PAC ID: 6507081411 Enrollment ID: I20140709002300 |
| Provider Name | Cole B Beeler |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1952694473 PECOS PAC ID: 0648410712 Enrollment ID: I20140716001127 |
| Provider Name | Sarah K Sanders |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861717316 PECOS PAC ID: 7416190756 Enrollment ID: I20140717000049 |
| Provider Name | Katherine A Pollard |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1063857936 PECOS PAC ID: 0446491195 Enrollment ID: I20140717000499 |
| Provider Name | Todd Bertrand |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1386804987 PECOS PAC ID: 1456577097 Enrollment ID: I20140717000510 |
| Provider Name | Manige Konig |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1629231584 PECOS PAC ID: 0042453169 Enrollment ID: I20140722002138 |
| Provider Name | Rickin Shah |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205133634 PECOS PAC ID: 7911123237 Enrollment ID: I20140723000559 |
| Provider Name | Bryrony D Homan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245554781 PECOS PAC ID: 2163666504 Enrollment ID: I20140723002353 |
| Provider Name | Jennifer L Carnahan |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1578706099 PECOS PAC ID: 0648401737 Enrollment ID: I20140724001265 |
| Provider Name | Robert Michael Schrock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932544533 PECOS PAC ID: 6901022086 Enrollment ID: I20140725000961 |
| Provider Name | Heiko Konig |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1730343575 PECOS PAC ID: 0840449559 Enrollment ID: I20140728000266 |
| Provider Name | Emily M Fitz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053671750 PECOS PAC ID: 0446498315 Enrollment ID: I20140731000973 |
| Provider Name | Grant A Carson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407175763 PECOS PAC ID: 1153567789 Enrollment ID: I20140731001356 |
| Provider Name | Sarah A Hemming-meyer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639518194 PECOS PAC ID: 6507007283 Enrollment ID: I20140731002366 |
| Provider Name | Yuzhu Tang |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1457659930 PECOS PAC ID: 1052552767 Enrollment ID: I20140801001892 |
| Provider Name | Kristin B Rapp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144635475 PECOS PAC ID: 4082831771 Enrollment ID: I20140804000094 |
| Provider Name | Anshu Sidana |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659662872 PECOS PAC ID: 4587801469 Enrollment ID: I20140814000758 |
| Provider Name | Christa N Robertson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609282946 PECOS PAC ID: 4082832795 Enrollment ID: I20140821001201 |
| Provider Name | Denisse M Ambler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356439830 PECOS PAC ID: 9638265440 Enrollment ID: I20140908001143 |
| Provider Name | Benjamin S Zachar |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982812582 PECOS PAC ID: 5496825135 Enrollment ID: I20140919001075 |
| Provider Name | Tamara L Nelson |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1578773172 PECOS PAC ID: 1951589217 Enrollment ID: I20140925000563 |
| Provider Name | Tara L Bouton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518392026 PECOS PAC ID: 5890923072 Enrollment ID: I20140929001639 |
| Provider Name | Amy J Warner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578992939 PECOS PAC ID: 1355561846 Enrollment ID: I20141006000339 |
| Provider Name | Ronald Stachler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366527327 PECOS PAC ID: 5799906640 Enrollment ID: I20141020000083 |
| Provider Name | Wei Shen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1639305733 PECOS PAC ID: 6709022023 Enrollment ID: I20141027000971 |
| Provider Name | Daniel N Seitz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093158917 PECOS PAC ID: 9032350947 Enrollment ID: I20141029002530 |
| Provider Name | Nash Whitaker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346685641 PECOS PAC ID: 9032359963 Enrollment ID: I20141104000683 |
| Provider Name | Natalie R Stafford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780089888 PECOS PAC ID: 3476875238 Enrollment ID: I20141205000077 |
| Provider Name | Timothy A Lines |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225175136 PECOS PAC ID: 8022104223 Enrollment ID: I20141205001463 |
| Provider Name | Rachel M Holmes |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073744496 PECOS PAC ID: 8921321993 Enrollment ID: I20141223001693 |
| Provider Name | Melissa A Butler |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528127511 PECOS PAC ID: 8022331875 Enrollment ID: I20141231000077 |
| Provider Name | Sarah Shank |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962810267 PECOS PAC ID: 0941524326 Enrollment ID: I20150112002023 |
| Provider Name | Kristine M Chapleau |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558662296 PECOS PAC ID: 9032433974 Enrollment ID: I20150123000878 |
| Provider Name | Deborah L Sturtevant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922401470 PECOS PAC ID: 2668795022 Enrollment ID: I20150129000853 |
| Provider Name | Amy L Draper Poe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366846453 PECOS PAC ID: 3375868896 Enrollment ID: I20150204000956 |
| Provider Name | Lindsey R Heitmeyer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285072991 PECOS PAC ID: 6608005491 Enrollment ID: I20150223000835 |
| Provider Name | Michelo Andrew Chikonka |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083011662 PECOS PAC ID: 6002132230 Enrollment ID: I20150306001149 |
| Provider Name | Krista L Lorenz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912395872 PECOS PAC ID: 5294052635 Enrollment ID: I20150325000063 |
| Provider Name | Stacy M Moss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952795114 PECOS PAC ID: 7911225065 Enrollment ID: I20150421001846 |
| Provider Name | Ausama M Ismail |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710245626 PECOS PAC ID: 4284870064 Enrollment ID: I20150515001800 |
| Provider Name | Andrew T Flack |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760742613 PECOS PAC ID: 9739403726 Enrollment ID: I20150520000634 |
| Provider Name | Tonya L Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205220290 PECOS PAC ID: 6800117904 Enrollment ID: I20150601002472 |
| Provider Name | Erica B Johnson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1518251487 PECOS PAC ID: 7618113242 Enrollment ID: I20150602002684 |
| Provider Name | Julie M Clary |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205061918 PECOS PAC ID: 1052557808 Enrollment ID: I20150604002794 |
| Provider Name | Ashley N Perkins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932408507 PECOS PAC ID: 1456582675 Enrollment ID: I20150610000349 |
| Provider Name | Kamal Wagle |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1013249838 PECOS PAC ID: 1153585260 Enrollment ID: I20150612000894 |
| Provider Name | Samuel A Locoh-donou |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558700831 PECOS PAC ID: 9739320698 Enrollment ID: I20150612000989 |
| Provider Name | Sagar Dipak Patel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265846752 PECOS PAC ID: 8921223033 Enrollment ID: I20150612001164 |
| Provider Name | Edward J Bastyr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831266154 PECOS PAC ID: 8729399050 Enrollment ID: I20150612001206 |
| Provider Name | Ashley M Overley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548581424 PECOS PAC ID: 4486890977 Enrollment ID: I20150619001688 |
| Provider Name | Chan Lee |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1821301268 PECOS PAC ID: 9234377417 Enrollment ID: I20150624002485 |
| Provider Name | Renato M Durham |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174554745 PECOS PAC ID: 2466411343 Enrollment ID: I20150626001335 |
| Provider Name | Christopher Anthony Gentile |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1952691909 PECOS PAC ID: 6002052834 Enrollment ID: I20150630000647 |
| Provider Name | Amy W Johnson |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1932463445 PECOS PAC ID: 6800036856 Enrollment ID: I20150701001487 |
| Provider Name | Daniel W Elliott |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457763161 PECOS PAC ID: 2466677588 Enrollment ID: I20150702001485 |
| Provider Name | Rebekah A Blickendorf |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548671084 PECOS PAC ID: 1759506876 Enrollment ID: I20150706001375 |
| Provider Name | Jonathan D Moulder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831459890 PECOS PAC ID: 4082850557 Enrollment ID: I20150706001828 |
| Provider Name | Alicia S Almeida Ponce |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194089409 PECOS PAC ID: 4688810153 Enrollment ID: I20150708002134 |
| Provider Name | Martin P Kane |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881955292 PECOS PAC ID: 2163734815 Enrollment ID: I20150708003124 |
| Provider Name | Matthew W Connelly |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194139402 PECOS PAC ID: 7618192733 Enrollment ID: I20150714001023 |
| Provider Name | Kimbre V Zahn |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1659662203 PECOS PAC ID: 1052542560 Enrollment ID: I20150715001039 |
| Provider Name | Jason K Kindrat |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679836530 PECOS PAC ID: 4385884782 Enrollment ID: I20150717000664 |
| Provider Name | Daniel R Bateman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942475678 PECOS PAC ID: 8426100280 Enrollment ID: I20150720000309 |
| Provider Name | Amanda J Patch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891060075 PECOS PAC ID: 6709019789 Enrollment ID: I20150721000190 |
| Provider Name | Thomas Zarchary Boone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699188672 PECOS PAC ID: 3476779364 Enrollment ID: I20150721002600 |
| Provider Name | Alyssa M Burkhart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518348887 PECOS PAC ID: 3173836939 Enrollment ID: I20150722005166 |
| Provider Name | Sarah K Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316337744 PECOS PAC ID: 0042523763 Enrollment ID: I20150723007652 |
| Provider Name | David Schnur |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962482372 PECOS PAC ID: 1456451962 Enrollment ID: I20150728004285 |
| Provider Name | Sophia Wang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710145370 PECOS PAC ID: 9739493289 Enrollment ID: I20150729006820 |
| Provider Name | Jean M Mensz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134407513 PECOS PAC ID: 3072827427 Enrollment ID: I20150730010828 |
| Provider Name | Samuel M Beard |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811301138 PECOS PAC ID: 4284859307 Enrollment ID: I20150730011480 |
| Provider Name | Katherine Mchugh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366725319 PECOS PAC ID: 8224277264 Enrollment ID: I20150730011665 |
| Provider Name | Meagan Lee Mcdurfee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033439542 PECOS PAC ID: 7719291889 Enrollment ID: I20150803001386 |
| Provider Name | Jill Dolores Kremer |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1881986529 PECOS PAC ID: 4688816234 Enrollment ID: I20150803001448 |
| Provider Name | Cara B Raunick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851661391 PECOS PAC ID: 0345403499 Enrollment ID: I20150805008246 |
| Provider Name | Brian A O Leary |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1255523940 PECOS PAC ID: 8921312612 Enrollment ID: I20150810001198 |
| Provider Name | Raven L Nix |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821470238 PECOS PAC ID: 0941515647 Enrollment ID: I20150810001919 |
| Provider Name | Michael Emery |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316003031 PECOS PAC ID: 0345311007 Enrollment ID: I20150812009254 |
| Provider Name | Larissa Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821479908 PECOS PAC ID: 1052627775 Enrollment ID: I20150826000893 |
| Provider Name | Sara L Sorrell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528471539 PECOS PAC ID: 1153541370 Enrollment ID: I20150826000959 |
| Provider Name | Brandin L Brinkerhoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215324587 PECOS PAC ID: 1850607599 Enrollment ID: I20150826001376 |
| Provider Name | Pantila Bateman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1699940361 PECOS PAC ID: 1456573013 Enrollment ID: I20150827002900 |
| Provider Name | Laura M Linville |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487021101 PECOS PAC ID: 9032425145 Enrollment ID: I20150904000266 |
| Provider Name | Addison G Haynes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295080620 PECOS PAC ID: 4688813751 Enrollment ID: I20150908000843 |
| Provider Name | Lucian C Warth |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1548496003 PECOS PAC ID: 1254571532 Enrollment ID: I20150911001278 |
| Provider Name | Kippie Lee Jonas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235542929 PECOS PAC ID: 6507081627 Enrollment ID: I20150916002270 |
| Provider Name | Khalid A Azzam |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1811128416 PECOS PAC ID: 0042436917 Enrollment ID: I20150916002873 |
| Provider Name | Poonam Paruchuri |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1265729297 PECOS PAC ID: 3072752815 Enrollment ID: I20150918002595 |
| Provider Name | Lillian Cabel Pfister |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730578279 PECOS PAC ID: 9234446410 Enrollment ID: I20150921002294 |
| Provider Name | Kyle M Roth |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326487596 PECOS PAC ID: 5698909224 Enrollment ID: I20150922002408 |
| Provider Name | Marilyn A Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003290974 PECOS PAC ID: 2163739244 Enrollment ID: I20150922002824 |
| Provider Name | Isaac Wayne Fehrenbacher |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1568782829 PECOS PAC ID: 2264679687 Enrollment ID: I20150923001994 |
| Provider Name | Anne-marie Foy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851589220 PECOS PAC ID: 5092023432 Enrollment ID: I20151005000091 |
| Provider Name | Daniel Corson-knowles |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073951497 PECOS PAC ID: 7012157985 Enrollment ID: I20151006000419 |
| Provider Name | Kristen Suzanne Montgomery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023494275 PECOS PAC ID: 5193033488 Enrollment ID: I20151007000146 |
| Provider Name | Jennifer L Woodard |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1528435427 PECOS PAC ID: 1052629276 Enrollment ID: I20151007001741 |
| Provider Name | Elaina N Diorio |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1902210255 PECOS PAC ID: 2163647280 Enrollment ID: I20151014001352 |
| Provider Name | Bryan C Schultz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477973840 PECOS PAC ID: 7214152321 Enrollment ID: I20151016001107 |
| Provider Name | Kerri A Pritchard-jones |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720481666 PECOS PAC ID: 9032331137 Enrollment ID: I20151020000460 |
| Provider Name | Stephen J Cico |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154418275 PECOS PAC ID: 1951372390 Enrollment ID: I20151102000249 |
| Provider Name | William H Kellermeyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043692460 PECOS PAC ID: 1254641285 Enrollment ID: I20151104000102 |
| Provider Name | Thomas M Dinardo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316230758 PECOS PAC ID: 3779702758 Enrollment ID: I20151116002168 |
| Provider Name | Marcela Chacon Enciso |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336439272 PECOS PAC ID: 9739328774 Enrollment ID: I20151120002151 |
| Provider Name | Geoffrey P Hays |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326481219 PECOS PAC ID: 6709027659 Enrollment ID: I20151125001136 |
| Provider Name | Laura Jill Littlejohn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659630812 PECOS PAC ID: 2567762974 Enrollment ID: I20151207002367 |
| Provider Name | Angela K Bradford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821465337 PECOS PAC ID: 6204137474 Enrollment ID: I20151211000977 |
| Provider Name | Dawn D Stidham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700256062 PECOS PAC ID: 5890096044 Enrollment ID: I20151214001361 |
| Provider Name | Lyree N Mikhail |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306872700 PECOS PAC ID: 9830372143 Enrollment ID: I20151215000576 |
| Provider Name | Sarah Elizabeth Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245604867 PECOS PAC ID: 3577864693 Enrollment ID: I20151215001370 |
| Provider Name | Gina M Nuzzo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467707596 PECOS PAC ID: 1759682388 Enrollment ID: I20151223001430 |
| Provider Name | Jennifer M Mardos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629003678 PECOS PAC ID: 3375560741 Enrollment ID: I20151228001585 |
| Provider Name | Jennifer A Stern |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225408016 PECOS PAC ID: 8123321742 Enrollment ID: I20160114001658 |
| Provider Name | Devina Prasad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881921344 PECOS PAC ID: 5294905063 Enrollment ID: I20160126001437 |
| Provider Name | Brittany J Mohrman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972894939 PECOS PAC ID: 8921248006 Enrollment ID: I20160215001240 |
| Provider Name | Lindsey R Parson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225494719 PECOS PAC ID: 2668777814 Enrollment ID: I20160225001183 |
| Provider Name | Heath D Brown |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629359252 PECOS PAC ID: 7810126604 Enrollment ID: I20160226001803 |
| Provider Name | Hillary S Blake |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962836759 PECOS PAC ID: 2163728825 Enrollment ID: I20160307002732 |
| Provider Name | Jenifer L Vohs |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376823641 PECOS PAC ID: 6709183288 Enrollment ID: I20160329000210 |
| Provider Name | Mildred Lezlie Blackford |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1740282110 PECOS PAC ID: 9830109495 Enrollment ID: I20160329001594 |
| Provider Name | Sarah Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447617477 PECOS PAC ID: 2567769607 Enrollment ID: I20160405000059 |
| Provider Name | Jeffrey A Jackson |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1972563443 PECOS PAC ID: 7517265671 Enrollment ID: I20160406001569 |
| Provider Name | Paul B Delonnay |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1548490097 PECOS PAC ID: 1456594696 Enrollment ID: I20160414001152 |
| Provider Name | Nicholle M Hise |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023472735 PECOS PAC ID: 5193024818 Enrollment ID: I20160502002230 |
| Provider Name | Leticia Nicolle Nunez De Perez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548665953 PECOS PAC ID: 1850690306 Enrollment ID: I20160504001859 |
| Provider Name | Anthony R Zabel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003253584 PECOS PAC ID: 2668601378 Enrollment ID: I20160505000806 |
| Provider Name | Jennifer L Beikes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538527767 PECOS PAC ID: 6103125455 Enrollment ID: I20160509000954 |
| Provider Name | Gena Gore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376959692 PECOS PAC ID: 7911296660 Enrollment ID: I20160518002708 |
| Provider Name | Aaron G Watters |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811288152 PECOS PAC ID: 8325286230 Enrollment ID: I20160519002161 |
| Provider Name | Jamie A Harrison |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1275897688 PECOS PAC ID: 9234364068 Enrollment ID: I20160524000440 |
| Provider Name | Lindsey N Haut |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124466396 PECOS PAC ID: 4486895513 Enrollment ID: I20160525002543 |
| Provider Name | Adam M Mchenry |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1659647857 PECOS PAC ID: 9830335025 Enrollment ID: I20160602000325 |
| Provider Name | Robert S Young |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003886862 PECOS PAC ID: 5799763520 Enrollment ID: I20160603001752 |
| Provider Name | Kerry Warner |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1073974101 PECOS PAC ID: 0648560334 Enrollment ID: I20160608002338 |
| Provider Name | Kristen C Dauss |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871886515 PECOS PAC ID: 3577700855 Enrollment ID: I20160609000040 |
| Provider Name | Victoria Watters |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255630604 PECOS PAC ID: 8729211891 Enrollment ID: I20160610000061 |
| Provider Name | Liza L Ilag |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1154499630 PECOS PAC ID: 6406147776 Enrollment ID: I20160616000214 |
| Provider Name | Christopher M Dipiro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285968149 PECOS PAC ID: 1355525296 Enrollment ID: I20160621000207 |
| Provider Name | Zachary W Adams |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063820637 PECOS PAC ID: 8123249067 Enrollment ID: I20160621000363 |
| Provider Name | Kristin A Tiedt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043657919 PECOS PAC ID: 3072754894 Enrollment ID: I20160621001475 |
| Provider Name | Nicole K Spears |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1811358963 PECOS PAC ID: 6507157187 Enrollment ID: I20160629001483 |
| Provider Name | Sarah E Schilling |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407119415 PECOS PAC ID: 9537310982 Enrollment ID: I20160701000367 |
| Provider Name | Brian C Phillips |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336430628 PECOS PAC ID: 2466691480 Enrollment ID: I20160705001292 |
| Provider Name | Sarah O'donoghue |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386081123 PECOS PAC ID: 6800188087 Enrollment ID: I20160708000205 |
| Provider Name | Bryan M Leber |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598100273 PECOS PAC ID: 1153555057 Enrollment ID: I20160708000624 |
| Provider Name | Peter A Carey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366784266 PECOS PAC ID: 3173756145 Enrollment ID: I20160708001047 |
| Provider Name | Lara E Darling |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174961528 PECOS PAC ID: 9537393673 Enrollment ID: I20160708001072 |
| Provider Name | Joanna E Manghelli |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265844849 PECOS PAC ID: 4789809807 Enrollment ID: I20160712000346 |
| Provider Name | Teena N Mulholland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487013025 PECOS PAC ID: 8527350511 Enrollment ID: I20160712002323 |
| Provider Name | Audrey G Herbert |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346535770 PECOS PAC ID: 7618281643 Enrollment ID: I20160712002638 |
| Provider Name | Thomas A Lardaro |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457681645 PECOS PAC ID: 1456662659 Enrollment ID: I20160714001660 |
| Provider Name | Emily M Kraft |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265878060 PECOS PAC ID: 3678899861 Enrollment ID: I20160714001664 |
| Provider Name | Burgundy S Stanley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073956421 PECOS PAC ID: 4688800477 Enrollment ID: I20160714001819 |
| Provider Name | Tyler S Arnold |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083930234 PECOS PAC ID: 3971818980 Enrollment ID: I20160714002030 |
| Provider Name | Eashwar B Chandrasekaran |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669738050 PECOS PAC ID: 4880986652 Enrollment ID: I20160714002252 |
| Provider Name | Conan V Chittick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396004404 PECOS PAC ID: 9830335306 Enrollment ID: I20160715000662 |
| Provider Name | Erin Kelsey Khan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013355577 PECOS PAC ID: 3971744632 Enrollment ID: I20160718001537 |
| Provider Name | Matthew W Wolenski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922367309 PECOS PAC ID: 9537305008 Enrollment ID: I20160727000182 |
| Provider Name | Karuna P Auble-iyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558707141 PECOS PAC ID: 6800024522 Enrollment ID: I20160728000320 |
| Provider Name | Stephen A Morse |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801234729 PECOS PAC ID: 0446474258 Enrollment ID: I20160803000639 |
| Provider Name | Aimee E Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992065353 PECOS PAC ID: 3577709468 Enrollment ID: I20160808001594 |
| Provider Name | Ibrahim S Abu Romeh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1215129341 PECOS PAC ID: 2163505009 Enrollment ID: I20160809000511 |
| Provider Name | Marwan F Saleh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760646228 PECOS PAC ID: 5496927139 Enrollment ID: I20160809000553 |
| Provider Name | Katherine A Ahlfeld |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730553447 PECOS PAC ID: 8729372883 Enrollment ID: I20160811002390 |
| Provider Name | Ashley D Mcginn |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225459191 PECOS PAC ID: 0446544522 Enrollment ID: I20160812000207 |
| Provider Name | Ellen Kaehr |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1336433432 PECOS PAC ID: 9537309588 Enrollment ID: I20160812000440 |
| Provider Name | Justen W Pettigrew |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104206507 PECOS PAC ID: 6204148117 Enrollment ID: I20160816000120 |
| Provider Name | Katherine A Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396197950 PECOS PAC ID: 0143515924 Enrollment ID: I20160817002669 |
| Provider Name | Stephanie E Hullmann |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518314160 PECOS PAC ID: 9638464423 Enrollment ID: I20160817002958 |
| Provider Name | Michael Q Graham |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1699723734 PECOS PAC ID: 4981999794 Enrollment ID: I20160818000314 |
| Provider Name | Stephen D Peretin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1689930679 PECOS PAC ID: 8426280306 Enrollment ID: I20160818000849 |
| Provider Name | Adner Pazo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245436021 PECOS PAC ID: 0840486247 Enrollment ID: I20160818001309 |
| Provider Name | Geeta Mantravadi |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1538328992 PECOS PAC ID: 1557540077 Enrollment ID: I20160822001222 |
| Provider Name | Adam David Bariteau |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164802856 PECOS PAC ID: 4789996687 Enrollment ID: I20160822001477 |
| Provider Name | Jennifer Downs |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285927418 PECOS PAC ID: 5597982272 Enrollment ID: I20160825001310 |
| Provider Name | Tanya Kezia Danielle Wilson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366887564 PECOS PAC ID: 4486897360 Enrollment ID: I20160902001984 |
| Provider Name | Anne C Whitehead |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932498904 PECOS PAC ID: 0244474708 Enrollment ID: I20160907002516 |
| Provider Name | Tiffany Romelle Tonismae |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245505478 PECOS PAC ID: 8022251818 Enrollment ID: I20160908002677 |
| Provider Name | Walter L Walters |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1548215601 PECOS PAC ID: 1951576487 Enrollment ID: I20160909001236 |
| Provider Name | Hillary B Risk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487007241 PECOS PAC ID: 2466748637 Enrollment ID: I20160914002074 |
| Provider Name | Patricia A Grabinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881147551 PECOS PAC ID: 7012203201 Enrollment ID: I20160914002820 |
| Provider Name | Akaber Elkhamra |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033373881 PECOS PAC ID: 0547419889 Enrollment ID: I20160914002949 |
| Provider Name | Shannon N James |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689916264 PECOS PAC ID: 2466749551 Enrollment ID: I20160916001101 |
| Provider Name | Michael Tyler King |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1306112669 PECOS PAC ID: 5799070264 Enrollment ID: I20160916001873 |
| Provider Name | Hannah C Hall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992047823 PECOS PAC ID: 5395978332 Enrollment ID: I20160919001138 |
| Provider Name | Hannah E Frederick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922465855 PECOS PAC ID: 8729387709 Enrollment ID: I20160923000462 |
| Provider Name | Allison M Weaver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679027171 PECOS PAC ID: 9335436997 Enrollment ID: I20160926000315 |
| Provider Name | Sarah E Poehlein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659732212 PECOS PAC ID: 8527356781 Enrollment ID: I20161004002330 |
| Provider Name | Amanda E Wakefield |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073067526 PECOS PAC ID: 0446548556 Enrollment ID: I20161005001181 |
| Provider Name | Patricia A Easton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841658952 PECOS PAC ID: 6901194075 Enrollment ID: I20161006000201 |
| Provider Name | Alisha N Pankiw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598125288 PECOS PAC ID: 6507154358 Enrollment ID: I20161011000193 |
| Provider Name | Casie Stevens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689129645 PECOS PAC ID: 3375831159 Enrollment ID: I20161011001222 |
| Provider Name | Leah A Broshears |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245687854 PECOS PAC ID: 7719275593 Enrollment ID: I20161011001260 |
| Provider Name | Hilary L Herendeen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376947184 PECOS PAC ID: 7012205834 Enrollment ID: I20161011002688 |
| Provider Name | Lindsey M Moorman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043760523 PECOS PAC ID: 4587952031 Enrollment ID: I20161017000363 |
| Provider Name | Richard P Bassi |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1508829409 PECOS PAC ID: 3072532696 Enrollment ID: I20161017000457 |
| Provider Name | Julia Krieger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740730969 PECOS PAC ID: 0042598070 Enrollment ID: I20161026002012 |
| Provider Name | Elizabeth A Savko |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588954572 PECOS PAC ID: 4587812904 Enrollment ID: I20161026002774 |
| Provider Name | Roman M. Natoli |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1972820421 PECOS PAC ID: 2567761778 Enrollment ID: I20161104000026 |
| Provider Name | Alexandra M Gerber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205383429 PECOS PAC ID: 3173801511 Enrollment ID: I20161104002062 |
| Provider Name | Jessamyn R Salter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881144715 PECOS PAC ID: 7517245988 Enrollment ID: I20161107000725 |
| Provider Name | Grant F Chernoby |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114307063 PECOS PAC ID: 7719299551 Enrollment ID: I20161109000533 |
| Provider Name | Gena Carney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588106389 PECOS PAC ID: 8123307063 Enrollment ID: I20161116001213 |
| Provider Name | Nathan V Mcclelland |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1144575598 PECOS PAC ID: 7810146487 Enrollment ID: I20161116001506 |
| Provider Name | Jennifer A Wilkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760939771 PECOS PAC ID: 0244519148 Enrollment ID: I20161117000455 |
| Provider Name | Smitha R Marri |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1730322892 PECOS PAC ID: 2264670173 Enrollment ID: I20161117001214 |
| Provider Name | Timothy Ying |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740381292 PECOS PAC ID: 0749251262 Enrollment ID: I20161118000344 |
| Provider Name | Stephanie Ann Wodowski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083877930 PECOS PAC ID: 3375676307 Enrollment ID: I20161128002354 |
| Provider Name | Mengchen Cao |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679953285 PECOS PAC ID: 6204148174 Enrollment ID: I20161129002687 |
| Provider Name | Ashley L Grigsby |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952715963 PECOS PAC ID: 1355566456 Enrollment ID: I20161130001587 |
| Provider Name | Jennifer L Connelly |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588045652 PECOS PAC ID: 8022320910 Enrollment ID: I20161201000157 |
| Provider Name | Stephanie A Didyk-horine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821540444 PECOS PAC ID: 9537449475 Enrollment ID: I20161209001478 |
| Provider Name | Sunshine Mia Wolfe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710421243 PECOS PAC ID: 2264713619 Enrollment ID: I20161227001385 |
| Provider Name | Daniel H Slubowski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194110494 PECOS PAC ID: 6507178407 Enrollment ID: I20161230001105 |
| Provider Name | Steven D Ritchey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295198927 PECOS PAC ID: 1951682772 Enrollment ID: I20170110000101 |
| Provider Name | Nora Deenik |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1649534934 PECOS PAC ID: 3476799222 Enrollment ID: I20170110001189 |
| Provider Name | Rachel E Atherton |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1902348204 PECOS PAC ID: 1254612963 Enrollment ID: I20170111000579 |
| Provider Name | Stephanie K. Hawley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245523091 PECOS PAC ID: 9830322932 Enrollment ID: I20170120001977 |
| Provider Name | David B Williams |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1124563556 PECOS PAC ID: 8820370604 Enrollment ID: I20170201000097 |
| Provider Name | Linda A Walkowicz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1952380636 PECOS PAC ID: 3779779277 Enrollment ID: I20170201000685 |
| Provider Name | Julie M Warnecke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003351339 PECOS PAC ID: 4587947288 Enrollment ID: I20170202002443 |
| Provider Name | Soren A Campbell |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1265429575 PECOS PAC ID: 0345414934 Enrollment ID: I20170208000654 |
| Provider Name | Julia D Loubeau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578014809 PECOS PAC ID: 1052694593 Enrollment ID: I20170208000916 |
| Provider Name | Christopher J Franke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801334966 PECOS PAC ID: 7214210582 Enrollment ID: I20170210001727 |
| Provider Name | Melissa A Redden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215474572 PECOS PAC ID: 4284917584 Enrollment ID: I20170213000197 |
| Provider Name | Sarah E Wagoner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720447683 PECOS PAC ID: 0446533749 Enrollment ID: I20170213000243 |
| Provider Name | Ke Yang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356893929 PECOS PAC ID: 0446533590 Enrollment ID: I20170215001216 |
| Provider Name | Dayle L Walsh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629454145 PECOS PAC ID: 7113221656 Enrollment ID: I20170216000516 |
| Provider Name | Amanda S Weinzierl |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1801937248 PECOS PAC ID: 1557644465 Enrollment ID: I20170220000159 |
| Provider Name | Deborah M Hammond |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1477853703 PECOS PAC ID: 1456634377 Enrollment ID: I20170220000233 |
| Provider Name | Kathleen R Corbin |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1568479863 PECOS PAC ID: 1658654587 Enrollment ID: I20170220000530 |
| Provider Name | Megan A Richards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487191227 PECOS PAC ID: 4880978782 Enrollment ID: I20170221000450 |
| Provider Name | Jaime M Hopper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467999151 PECOS PAC ID: 2062796998 Enrollment ID: I20170221001732 |
| Provider Name | Jeremiah W Bwatwa |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447485370 PECOS PAC ID: 6608150560 Enrollment ID: I20170222000200 |
| Provider Name | Valisa Roysdon |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1962419168 PECOS PAC ID: 0547544330 Enrollment ID: I20170222001230 |
| Provider Name | Amy Lynn Orr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518272582 PECOS PAC ID: 7719261502 Enrollment ID: I20170222001255 |
| Provider Name | Jacob M Capito |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124409578 PECOS PAC ID: 1557673431 Enrollment ID: I20170222001331 |
| Provider Name | Robert Wallace Byrn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700838307 PECOS PAC ID: 2365726940 Enrollment ID: I20170227000892 |
| Provider Name | Shawna J Perry |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174594261 PECOS PAC ID: 4183791478 Enrollment ID: I20170302000496 |
| Provider Name | Amy B Woebkenberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053866921 PECOS PAC ID: 2163706367 Enrollment ID: I20170308000722 |
| Provider Name | Angela R Boyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487191276 PECOS PAC ID: 7315221520 Enrollment ID: I20170308000862 |
| Provider Name | Hassan Mostafa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174939003 PECOS PAC ID: 1052537388 Enrollment ID: I20170405000315 |
| Provider Name | Kimberly Ann Eckert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013311083 PECOS PAC ID: 9537482864 Enrollment ID: I20170405002377 |
| Provider Name | Marc Euler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841739380 PECOS PAC ID: 6406132158 Enrollment ID: I20170411001899 |
| Provider Name | Kyra D Reed |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396002598 PECOS PAC ID: 7012157407 Enrollment ID: I20170413002160 |
| Provider Name | David J Smith |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1669470597 PECOS PAC ID: 4688771876 Enrollment ID: I20170419000825 |
| Provider Name | Jennifer Broaddus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689106056 PECOS PAC ID: 3274819479 Enrollment ID: I20170424000369 |
| Provider Name | David Kline |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013959923 PECOS PAC ID: 0547293391 Enrollment ID: I20170424001987 |
| Provider Name | Allison Koss |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265871412 PECOS PAC ID: 2769769876 Enrollment ID: I20170427000932 |
| Provider Name | Benjamin J Brown |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1932442654 PECOS PAC ID: 4688806425 Enrollment ID: I20170511002185 |
| Provider Name | Zachary R Cohen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1679894059 PECOS PAC ID: 3476782954 Enrollment ID: I20170518001261 |
| Provider Name | Rachel L Woltman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366983306 PECOS PAC ID: 7113294281 Enrollment ID: I20170519001104 |
| Provider Name | Rory Tropp |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801855747 PECOS PAC ID: 9537068572 Enrollment ID: I20170522000136 |
| Provider Name | Olubunmi I Amakor |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750709655 PECOS PAC ID: 7416180906 Enrollment ID: I20170525000409 |
| Provider Name | Makato Kataoka |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013357474 PECOS PAC ID: 5193969400 Enrollment ID: I20170526000448 |
| Provider Name | Timothy K Randolph |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1760724611 PECOS PAC ID: 3870725054 Enrollment ID: I20170526000881 |
| Provider Name | Christine Huang |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467714907 PECOS PAC ID: 2769759554 Enrollment ID: I20170526001068 |
| Provider Name | Nancy Marie Goodwine-wozniak |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700805942 PECOS PAC ID: 7315907375 Enrollment ID: I20170530001216 |
| Provider Name | Kathryn L Mcdermott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689109985 PECOS PAC ID: 6204103880 Enrollment ID: I20170602000515 |
| Provider Name | Brian F Freeze |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679990840 PECOS PAC ID: 2365736063 Enrollment ID: I20170605001514 |
| Provider Name | Rebecca A Cronin |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1316479371 PECOS PAC ID: 4587931985 Enrollment ID: I20170606000452 |
| Provider Name | Susan R Defrain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174064562 PECOS PAC ID: 5597032920 Enrollment ID: I20170606001635 |
| Provider Name | Hishan Krish |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407168263 PECOS PAC ID: 6608091418 Enrollment ID: I20170606001913 |
| Provider Name | Jeffrey L Stutler |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1891133955 PECOS PAC ID: 7012150543 Enrollment ID: I20170606002060 |
| Provider Name | Elyse A Shaw Ellis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255744785 PECOS PAC ID: 0749404135 Enrollment ID: I20170613000623 |
| Provider Name | Rachel L Day |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245640465 PECOS PAC ID: 0749558500 Enrollment ID: I20170620000678 |
| Provider Name | Sarah M Puffer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174933618 PECOS PAC ID: 6305060062 Enrollment ID: I20170621002699 |
| Provider Name | Jennifer R Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558894766 PECOS PAC ID: 6204104896 Enrollment ID: I20170623000477 |
| Provider Name | Rebecca Renae Dunn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760829162 PECOS PAC ID: 3072747971 Enrollment ID: I20170626000692 |
| Provider Name | Valerie M Wyant |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699138610 PECOS PAC ID: 2466721923 Enrollment ID: I20170627002246 |
| Provider Name | Patrick K Segeleon |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1427234236 PECOS PAC ID: 0547313553 Enrollment ID: I20170629000118 |
| Provider Name | Heather M Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629205273 PECOS PAC ID: 9537317482 Enrollment ID: I20170629002415 |
| Provider Name | Amy E Day |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417494634 PECOS PAC ID: 8123397221 Enrollment ID: I20170705002560 |
| Provider Name | Mallory A Simonton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093244162 PECOS PAC ID: 7113296849 Enrollment ID: I20170711003629 |
| Provider Name | Haley N Newton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093244139 PECOS PAC ID: 3779852397 Enrollment ID: I20170712003705 |
| Provider Name | Marzieh T Naderi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205369923 PECOS PAC ID: 5597035071 Enrollment ID: I20170717000110 |
| Provider Name | Anneliese Leinenbach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467982249 PECOS PAC ID: 5698045094 Enrollment ID: I20170718001466 |
| Provider Name | Benjamin Grandy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285976571 PECOS PAC ID: 1850531047 Enrollment ID: I20170720001812 |
| Provider Name | Camden B Burns |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1952620718 PECOS PAC ID: 2567778905 Enrollment ID: I20170720001938 |
| Provider Name | Emily Gifford Holmes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134480460 PECOS PAC ID: 6204135619 Enrollment ID: I20170721001878 |
| Provider Name | Deborah C Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093013401 PECOS PAC ID: 6608038773 Enrollment ID: I20170724002350 |
| Provider Name | Ashley Elizabeth Satorius |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831549492 PECOS PAC ID: 5991096802 Enrollment ID: I20170725000450 |
| Provider Name | Rachel M White |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346502382 PECOS PAC ID: 6103136965 Enrollment ID: I20170725000641 |
| Provider Name | Christina L Jackson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114307766 PECOS PAC ID: 4789998287 Enrollment ID: I20170725001964 |
| Provider Name | Benjamin Strange Cooley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508245770 PECOS PAC ID: 5395066401 Enrollment ID: I20170727002877 |
| Provider Name | Matthew A Eaton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205247384 PECOS PAC ID: 1850696931 Enrollment ID: I20170804002316 |
| Provider Name | Nicholas Roman Pettit |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730538794 PECOS PAC ID: 6709177249 Enrollment ID: I20170808001068 |
| Provider Name | Jessica L Cielo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902334659 PECOS PAC ID: 1951672989 Enrollment ID: I20170809000841 |
| Provider Name | Lindsey K Shine |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1881018745 PECOS PAC ID: 2163793142 Enrollment ID: I20170809003158 |
| Provider Name | Jillian Condon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023567104 PECOS PAC ID: 6608154927 Enrollment ID: I20170811000732 |
| Provider Name | Raheleh Rahimi Darabad |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1265791834 PECOS PAC ID: 5395035679 Enrollment ID: I20170815000156 |
| Provider Name | Tyler J Beckley |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1710008297 PECOS PAC ID: 7416127485 Enrollment ID: I20170815002341 |
| Provider Name | Dawn M Korson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114457892 PECOS PAC ID: 1355613035 Enrollment ID: I20170815002405 |
| Provider Name | Lisa K Keown |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1194156067 PECOS PAC ID: 8527286012 Enrollment ID: I20170816002890 |
| Provider Name | Dan Robert Leimann |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1306282066 PECOS PAC ID: 8527358431 Enrollment ID: I20170818001134 |
| Provider Name | Andrea M Schaffter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346526506 PECOS PAC ID: 8729350277 Enrollment ID: I20170818001334 |
| Provider Name | David A Rayburn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629480173 PECOS PAC ID: 1759506041 Enrollment ID: I20170823002925 |
| Provider Name | Theresa M Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578086997 PECOS PAC ID: 5890067854 Enrollment ID: I20170825001330 |
| Provider Name | Aimee N Black |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124541180 PECOS PAC ID: 9436422292 Enrollment ID: I20170830002771 |
| Provider Name | Jewell Robinson Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275988289 PECOS PAC ID: 6103104161 Enrollment ID: I20170905000369 |
| Provider Name | Jennifer K Rush |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1821515784 PECOS PAC ID: 2961775390 Enrollment ID: I20170907001113 |
| Provider Name | Justin D Garrett |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1417473422 PECOS PAC ID: 8820361256 Enrollment ID: I20170907001252 |
| Provider Name | Andrea E Tennancour |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356866834 PECOS PAC ID: 9537432968 Enrollment ID: I20170907001350 |
| Provider Name | Leslie R Gibbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922407998 PECOS PAC ID: 8628397429 Enrollment ID: I20170908003122 |
| Provider Name | Rebecca Elizabeth Saleet |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1427575729 PECOS PAC ID: 4486927514 Enrollment ID: I20170912000435 |
| Provider Name | Megan K Stoller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336481019 PECOS PAC ID: 1557504115 Enrollment ID: I20170912001237 |
| Provider Name | Katherine E Turk |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1053557389 PECOS PAC ID: 6305119454 Enrollment ID: I20170912001271 |
| Provider Name | Sarah Christine Lackermann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710121371 PECOS PAC ID: 6709034135 Enrollment ID: I20170915001722 |
| Provider Name | Gerald Eaton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497273031 PECOS PAC ID: 9537433461 Enrollment ID: I20170915002434 |
| Provider Name | Benjamin A Feinzimer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205003142 PECOS PAC ID: 3375712672 Enrollment ID: I20170918002303 |
| Provider Name | Morgan D Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316464167 PECOS PAC ID: 6305110131 Enrollment ID: I20170918002839 |
| Provider Name | Natasha Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326584012 PECOS PAC ID: 9739453374 Enrollment ID: I20170921000702 |
| Provider Name | Roma Gautam Patel |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1821446931 PECOS PAC ID: 3577854868 Enrollment ID: I20170925000922 |
| Provider Name | Hiedi Kathleen Linder |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801322557 PECOS PAC ID: 7911271283 Enrollment ID: I20170926000473 |
| Provider Name | Jeff Charles Reinhardt |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861472201 PECOS PAC ID: 8022141621 Enrollment ID: I20170927000864 |
| Provider Name | Natalie R Deburger |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1730631292 PECOS PAC ID: 3173802709 Enrollment ID: I20171010001976 |
| Provider Name | Emma J Hollingsworth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770993941 PECOS PAC ID: 8628293800 Enrollment ID: I20171011001111 |
| Provider Name | Brandi Foree |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598283012 PECOS PAC ID: 5799050167 Enrollment ID: I20171011001297 |
| Provider Name | Heather P Kelker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376839852 PECOS PAC ID: 2163724410 Enrollment ID: I20171011001853 |
| Provider Name | Kimberly A Mcgillicuddy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255840401 PECOS PAC ID: 1254607336 Enrollment ID: I20171017001726 |
| Provider Name | Ellen M Rovner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396127015 PECOS PAC ID: 7618281296 Enrollment ID: I20171017001822 |
| Provider Name | Nadav Mor |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043440639 PECOS PAC ID: 8123241163 Enrollment ID: I20171018003112 |
| Provider Name | Flynn A Rowan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1700176021 PECOS PAC ID: 8527389808 Enrollment ID: I20171019000915 |
| Provider Name | Rita R Patel |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1275598880 PECOS PAC ID: 5890061402 Enrollment ID: I20171026002562 |
| Provider Name | Jessica L Cheadle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700130564 PECOS PAC ID: 1254583461 Enrollment ID: I20171027002601 |
| Provider Name | Jennifer D White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750821401 PECOS PAC ID: 3577839927 Enrollment ID: I20171030002400 |
| Provider Name | Justin L Mcgee |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568842573 PECOS PAC ID: 8022320951 Enrollment ID: I20171030002970 |
| Provider Name | Lauren Elizabeth Falvo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972950483 PECOS PAC ID: 9638460728 Enrollment ID: I20171117001395 |
| Provider Name | Jacquelyn D Tobey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972016434 PECOS PAC ID: 3173880408 Enrollment ID: I20171122000156 |
| Provider Name | Kara Beth Kowalczyk |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063826501 PECOS PAC ID: 4880819275 Enrollment ID: I20171130001082 |
| Provider Name | Brogan E Bahler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750738258 PECOS PAC ID: 5395039861 Enrollment ID: I20171201002695 |
| Provider Name | Joseph P Gallagher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235594441 PECOS PAC ID: 4284991803 Enrollment ID: I20171206001486 |
| Provider Name | Susan M Cheney |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1548256696 PECOS PAC ID: 3274434576 Enrollment ID: I20171207000011 |
| Provider Name | Julie L Brockman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811420862 PECOS PAC ID: 9739446311 Enrollment ID: I20171207000368 |
| Provider Name | Nedda Karimi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265895486 PECOS PAC ID: 3476847955 Enrollment ID: I20171208001596 |
| Provider Name | Mark R Lentz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548773492 PECOS PAC ID: 3971861287 Enrollment ID: I20171214001282 |
| Provider Name | Danielle Victoria Lenz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043738263 PECOS PAC ID: 7719245752 Enrollment ID: I20171220000394 |
| Provider Name | Raja Sekar Mittapalli |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275610271 PECOS PAC ID: 2365546215 Enrollment ID: I20171220002023 |
| Provider Name | Taylor L Wang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497269815 PECOS PAC ID: 8820357098 Enrollment ID: I20180116000040 |
| Provider Name | Stephen M Evankovich |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1710312301 PECOS PAC ID: 3577790104 Enrollment ID: I20180117001948 |
| Provider Name | Melissa Biedron |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1396250734 PECOS PAC ID: 4486913571 Enrollment ID: I20180118000153 |
| Provider Name | Alexander B Niculescu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295831642 PECOS PAC ID: 8820357916 Enrollment ID: I20180118000211 |
| Provider Name | Amy E Branch |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1164934311 PECOS PAC ID: 8729347810 Enrollment ID: I20180118000244 |
| Provider Name | Samantha A Evankovich |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1174931877 PECOS PAC ID: 3274752779 Enrollment ID: I20180119001371 |
| Provider Name | Rebecca K Douglas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144436833 PECOS PAC ID: 9234499872 Enrollment ID: I20180131000153 |
| Provider Name | Holli Hill |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013296763 PECOS PAC ID: 0042445629 Enrollment ID: I20180201002882 |
| Provider Name | Erynn Thinnes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720466378 PECOS PAC ID: 4587976493 Enrollment ID: I20180208000786 |
| Provider Name | Tia L Brutscher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083129043 PECOS PAC ID: 4789944745 Enrollment ID: I20180212002910 |
| Provider Name | Sara C Sims |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316445752 PECOS PAC ID: 1557621562 Enrollment ID: I20180213002357 |
| Provider Name | Charlene Beth Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588164784 PECOS PAC ID: 1658632070 Enrollment ID: I20180228000745 |
| Provider Name | Jessica Lee Rubeck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306344676 PECOS PAC ID: 7214298355 Enrollment ID: I20180306000702 |
| Provider Name | Jan Paul Szatkowski |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1902813165 PECOS PAC ID: 7618972019 Enrollment ID: I20180307001624 |
| Provider Name | William J Martin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568859874 PECOS PAC ID: 7810208634 Enrollment ID: I20180307001722 |
| Provider Name | Krysta R Ramey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184002024 PECOS PAC ID: 6406169036 Enrollment ID: I20180315001039 |
| Provider Name | Jose C Mendez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013965482 PECOS PAC ID: 0941261887 Enrollment ID: I20180315001804 |
| Provider Name | Matthew E Deburger |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1902289101 PECOS PAC ID: 1658660725 Enrollment ID: I20180316001040 |
| Provider Name | Betsy Krause |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003262965 PECOS PAC ID: 8426342908 Enrollment ID: I20180323001081 |
| Provider Name | Jeffrey Brakora |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134579733 PECOS PAC ID: 7315238458 Enrollment ID: I20180402000160 |
| Provider Name | Amanda N Parsons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790284529 PECOS PAC ID: 7618230350 Enrollment ID: I20180411002434 |
| Provider Name | Rachel Courtney |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245685841 PECOS PAC ID: 4880985340 Enrollment ID: I20180413002158 |
| Provider Name | Erin C Matusz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023466885 PECOS PAC ID: 6507157385 Enrollment ID: I20180419000048 |
| Provider Name | Adam Milton Mizeracki |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1922316389 PECOS PAC ID: 8729341094 Enrollment ID: I20180419001052 |
| Provider Name | Jennifer Simmons |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356838064 PECOS PAC ID: 7911261052 Enrollment ID: I20180426000425 |
| Provider Name | Morgan L Kinney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013462068 PECOS PAC ID: 0446514343 Enrollment ID: I20180430002840 |
| Provider Name | Robert Gerard Kenter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194795542 PECOS PAC ID: 4981745338 Enrollment ID: I20180511000888 |
| Provider Name | Ping Fu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1821229329 PECOS PAC ID: 3577862861 Enrollment ID: I20180521000182 |
| Provider Name | Pamela C Soriano |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144609033 PECOS PAC ID: 1557626504 Enrollment ID: I20180523000889 |
| Provider Name | Leon Aaron Rosenberg |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548708597 PECOS PAC ID: 4385909266 Enrollment ID: I20180523002971 |
| Provider Name | Roxanna Lefort |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033301759 PECOS PAC ID: 7810038437 Enrollment ID: I20180523003033 |
| Provider Name | Robert S Avera |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871975466 PECOS PAC ID: 4082929732 Enrollment ID: I20180524001039 |
| Provider Name | Katrina Maddox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083101935 PECOS PAC ID: 7416212352 Enrollment ID: I20180524002299 |
| Provider Name | Mark Y Liao |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508203514 PECOS PAC ID: 3173835089 Enrollment ID: I20180526000036 |
| Provider Name | Kelsey K Ching |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235512872 PECOS PAC ID: 5294040945 Enrollment ID: I20180531001863 |
| Provider Name | Lars O Logdberg |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417376369 PECOS PAC ID: 7517222102 Enrollment ID: I20180601000441 |
| Provider Name | Courtney K Soley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164803706 PECOS PAC ID: 6901118827 Enrollment ID: I20180601001045 |
| Provider Name | Rami Ahmed |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376740092 PECOS PAC ID: 5597848382 Enrollment ID: I20180601001061 |
| Provider Name | Bridget C Thorne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366930331 PECOS PAC ID: 9537424023 Enrollment ID: I20180605000169 |
| Provider Name | Robert P Doggette |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295120137 PECOS PAC ID: 3476860727 Enrollment ID: I20180605001614 |
| Provider Name | Andreia B Alexander |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326468240 PECOS PAC ID: 6608131966 Enrollment ID: I20180607002234 |
| Provider Name | Roopa A Rao |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1043479322 PECOS PAC ID: 8224383559 Enrollment ID: I20180609000260 |
| Provider Name | Kevin M Nowak |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366824302 PECOS PAC ID: 8628381738 Enrollment ID: I20180619003023 |
| Provider Name | Amy R Herrin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881981793 PECOS PAC ID: 2769737568 Enrollment ID: I20180619003040 |
| Provider Name | Caroline C Yang |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336536507 PECOS PAC ID: 7810201589 Enrollment ID: I20180627003108 |
| Provider Name | Alyssa Dayne Swick |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194110544 PECOS PAC ID: 1951613371 Enrollment ID: I20180628001206 |
| Provider Name | Puja Jairaj Desai |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710376454 PECOS PAC ID: 1153677448 Enrollment ID: I20180628001216 |
| Provider Name | Habib Mohammad Bilfaqi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336534874 PECOS PAC ID: 3577865617 Enrollment ID: I20180629001878 |
| Provider Name | Jakoda A Snider |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063894517 PECOS PAC ID: 0345554390 Enrollment ID: I20180629002455 |
| Provider Name | Adam R Harker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366855082 PECOS PAC ID: 5092007484 Enrollment ID: I20180629002565 |
| Provider Name | Stefan William Malin |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1447639224 PECOS PAC ID: 7113239369 Enrollment ID: I20180703001312 |
| Provider Name | Peter T Zavislak |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1588959530 PECOS PAC ID: 2062724446 Enrollment ID: I20180711002384 |
| Provider Name | Danielle R Henderson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689958399 PECOS PAC ID: 0840547386 Enrollment ID: I20180716001312 |
| Provider Name | Michael A Bushey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558708420 PECOS PAC ID: 5698908515 Enrollment ID: I20180716001577 |
| Provider Name | Nathan Vandervinne |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902334568 PECOS PAC ID: 0648548131 Enrollment ID: I20180716001713 |
| Provider Name | Kristen M Schroeder |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265877690 PECOS PAC ID: 9032351028 Enrollment ID: I20180716001787 |
| Provider Name | Susan K Conroy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518372242 PECOS PAC ID: 0244456812 Enrollment ID: I20180716001998 |
| Provider Name | Kimberly A Hadler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770697062 PECOS PAC ID: 0648248252 Enrollment ID: I20180718000268 |
| Provider Name | Lindsey A Cunningham |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1831426444 PECOS PAC ID: 7618012477 Enrollment ID: I20180718001469 |
| Provider Name | Sarah N Book |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891281895 PECOS PAC ID: 0648527754 Enrollment ID: I20180720000831 |
| Provider Name | Joshua M Garcia |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811425036 PECOS PAC ID: 8820366925 Enrollment ID: I20180725000140 |
| Provider Name | Breanna M Scolaro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316433535 PECOS PAC ID: 8527315373 Enrollment ID: I20180725000172 |
| Provider Name | Andrea Purpura |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740710227 PECOS PAC ID: 9335417849 Enrollment ID: I20180725000227 |
| Provider Name | Haley A Pritchard |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1437492873 PECOS PAC ID: 8022365899 Enrollment ID: I20180725000854 |
| Provider Name | Adam Nevel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689930190 PECOS PAC ID: 8820226749 Enrollment ID: I20180725003649 |
| Provider Name | Kimberly J Vanryzin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770964413 PECOS PAC ID: 0143532010 Enrollment ID: I20180727001851 |
| Provider Name | Hannah M Locke |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770902926 PECOS PAC ID: 2860618527 Enrollment ID: I20180802002084 |
| Provider Name | Leah M Snyder |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1437645769 PECOS PAC ID: 9335497668 Enrollment ID: I20180802003342 |
| Provider Name | Jayme L Ramey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326533894 PECOS PAC ID: 5991053233 Enrollment ID: I20180802003670 |
| Provider Name | Sachin B Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841684768 PECOS PAC ID: 2163724477 Enrollment ID: I20180807001641 |
| Provider Name | Brittany Edmondson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679065932 PECOS PAC ID: 9335497072 Enrollment ID: I20180813000975 |
| Provider Name | Allen Brooks Barton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063942498 PECOS PAC ID: 9739457334 Enrollment ID: I20180813002198 |
| Provider Name | Emily A Roth |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437504883 PECOS PAC ID: 8729336417 Enrollment ID: I20180813003208 |
| Provider Name | Sara C Germann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396746145 PECOS PAC ID: 0345292280 Enrollment ID: I20180815000130 |
| Provider Name | Nakeeta L Stansberry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649400896 PECOS PAC ID: 1658620026 Enrollment ID: I20180817001027 |
| Provider Name | Joanna L Hunter-squires |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1023378437 PECOS PAC ID: 3678711595 Enrollment ID: I20180820000356 |
| Provider Name | Kassem Bourgi |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1780948299 PECOS PAC ID: 8426280983 Enrollment ID: I20180821000750 |
| Provider Name | John Christopher Jacobs |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336679430 PECOS PAC ID: 2466720065 Enrollment ID: I20180823002416 |
| Provider Name | Karen J Bowers |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427443985 PECOS PAC ID: 8123322195 Enrollment ID: I20180827001248 |
| Provider Name | Melissa Hendricks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407379928 PECOS PAC ID: 4284983172 Enrollment ID: I20180827001997 |
| Provider Name | Allison M Tann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164901724 PECOS PAC ID: 6507115300 Enrollment ID: I20180827002575 |
| Provider Name | Katyayan Dwivedi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164804068 PECOS PAC ID: 5193039733 Enrollment ID: I20180828004127 |
| Provider Name | Alexander Doxey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295265528 PECOS PAC ID: 4688943426 Enrollment ID: I20180830002192 |
| Provider Name | Devin M Doos |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780104323 PECOS PAC ID: 4688943574 Enrollment ID: I20180830002287 |
| Provider Name | Lauren K Stewart |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134500663 PECOS PAC ID: 3971815846 Enrollment ID: I20180904003467 |
| Provider Name | Jewell A Ohms |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104991637 PECOS PAC ID: 5092839522 Enrollment ID: I20180917001056 |
| Provider Name | Jesseca Wardwell Washburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043790090 PECOS PAC ID: 8426309196 Enrollment ID: I20180919000429 |
| Provider Name | Noelle Nicole Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700365111 PECOS PAC ID: 5193076859 Enrollment ID: I20180920000138 |
| Provider Name | Alannah M Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023598307 PECOS PAC ID: 7618228131 Enrollment ID: I20180924000323 |
| Provider Name | Jennifer Balandran Boyle |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700220720 PECOS PAC ID: 2163773680 Enrollment ID: I20180924000355 |
| Provider Name | Ryan Rasmus Harris |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205240850 PECOS PAC ID: 7810111408 Enrollment ID: I20180924002123 |
| Provider Name | Steven Matthew Wipprecht |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508216672 PECOS PAC ID: 7911298849 Enrollment ID: I20180924002162 |
| Provider Name | Mark A Wheeler |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1124001409 PECOS PAC ID: 5496943664 Enrollment ID: I20180926001902 |
| Provider Name | Michael Joseph Bojrab |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154777613 PECOS PAC ID: 5597046656 Enrollment ID: I20181001001831 |
| Provider Name | Jurga Tritenko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942788559 PECOS PAC ID: 7517218555 Enrollment ID: I20181001002778 |
| Provider Name | Stacia O'donnell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801249297 PECOS PAC ID: 6800148891 Enrollment ID: I20181002001600 |
| Provider Name | Kimberly Chernoby |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821527581 PECOS PAC ID: 7719257047 Enrollment ID: I20181002003148 |
| Provider Name | Edgar Petras |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457708240 PECOS PAC ID: 6608168166 Enrollment ID: I20181008001340 |
| Provider Name | Elizabeth Schafer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962989681 PECOS PAC ID: 0648522995 Enrollment ID: I20181015001498 |
| Provider Name | Carmanny S Dinkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083189146 PECOS PAC ID: 8527310754 Enrollment ID: I20181016002097 |
| Provider Name | Joshua John Retz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780174300 PECOS PAC ID: 0042563058 Enrollment ID: I20181022000705 |
| Provider Name | Tricia D Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215410832 PECOS PAC ID: 1355694969 Enrollment ID: I20181030000113 |
| Provider Name | Evan Daniel Robinson |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1962881102 PECOS PAC ID: 2860703428 Enrollment ID: I20181030002632 |
| Provider Name | Smrity Upadhyay |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1548693740 PECOS PAC ID: 1355639295 Enrollment ID: I20181105002181 |
| Provider Name | Siddharth S Bangar |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386091957 PECOS PAC ID: 2365724531 Enrollment ID: I20181108000284 |
| Provider Name | Andrew J Wolfe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760869366 PECOS PAC ID: 8527372580 Enrollment ID: I20181110000327 |
| Provider Name | Holly N Deckard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558842252 PECOS PAC ID: 3678827268 Enrollment ID: I20181119000148 |
| Provider Name | Gabriela M Rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558806448 PECOS PAC ID: 0345594891 Enrollment ID: I20181119003161 |
| Provider Name | Lisa Michelle Schuller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659879765 PECOS PAC ID: 8123362472 Enrollment ID: I20181128000216 |
| Provider Name | Kerry Rigsbee Mccarthy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841774627 PECOS PAC ID: 3971847237 Enrollment ID: I20181128001008 |
| Provider Name | Joshua Tomas Richey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386739589 PECOS PAC ID: 3375887573 Enrollment ID: I20181128002716 |
| Provider Name | Martha A Michel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326529132 PECOS PAC ID: 4981948841 Enrollment ID: I20181203003385 |
| Provider Name | Thomas J Willis |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487896866 PECOS PAC ID: 8527208842 Enrollment ID: I20181204003479 |
| Provider Name | Rachel Ann Cash |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700352853 PECOS PAC ID: 3971847724 Enrollment ID: I20181204003966 |
| Provider Name | Kelly D Sharp |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1962982660 PECOS PAC ID: 5991049694 Enrollment ID: I20181206003189 |
| Provider Name | Shana C Zwick |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518990738 PECOS PAC ID: 4082707781 Enrollment ID: I20181212003003 |
| Provider Name | Allen Fredrick Meyers |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578090502 PECOS PAC ID: 4981972023 Enrollment ID: I20181215000291 |
| Provider Name | Gregory Marshall Taylor |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578940011 PECOS PAC ID: 9436446077 Enrollment ID: I20181219000756 |
| Provider Name | Greta R Braun |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619404977 PECOS PAC ID: 3072858083 Enrollment ID: I20181219003291 |
| Provider Name | Robert W Wierenga |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881856888 PECOS PAC ID: 7214105899 Enrollment ID: I20181221001676 |
| Provider Name | Lucas M Teel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104392257 PECOS PAC ID: 8628314069 Enrollment ID: I20190107001805 |
| Provider Name | Hillary E Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932674298 PECOS PAC ID: 9537405691 Enrollment ID: I20190109003482 |
| Provider Name | Chad D Tarr |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598717639 PECOS PAC ID: 3072541978 Enrollment ID: I20190111000816 |
| Provider Name | Ciera R Jackson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134608359 PECOS PAC ID: 2466798210 Enrollment ID: I20190115002583 |
| Provider Name | Omar Faisal Khatib |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1235306507 PECOS PAC ID: 4082760392 Enrollment ID: I20190123001012 |
| Provider Name | Emily M Otter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063997146 PECOS PAC ID: 4284971516 Enrollment ID: I20190124002762 |
| Provider Name | Kimberly L Koors |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952875734 PECOS PAC ID: 8527305747 Enrollment ID: I20190125002915 |
| Provider Name | Lora D Defreese |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1336618644 PECOS PAC ID: 4880931021 Enrollment ID: I20190128000138 |
| Provider Name | David R Howard |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1184924037 PECOS PAC ID: 6305032269 Enrollment ID: I20190207000503 |
| Provider Name | Benjamin Robert Cohen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558830646 PECOS PAC ID: 9436497823 Enrollment ID: I20190211000202 |
| Provider Name | Tessa E Mccoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558816751 PECOS PAC ID: 2365730843 Enrollment ID: I20190219000197 |
| Provider Name | Kristen Suzanne Scheffel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194298752 PECOS PAC ID: 3476892019 Enrollment ID: I20190226003471 |
| Provider Name | Ioana M Laslo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861930307 PECOS PAC ID: 9335488972 Enrollment ID: I20190227000117 |
| Provider Name | Rebecca J Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316384233 PECOS PAC ID: 3274842364 Enrollment ID: I20190305001464 |
| Provider Name | Sean Kristen Jones |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215403167 PECOS PAC ID: 0446599633 Enrollment ID: I20190306000874 |
| Provider Name | Mecca K Maxey-smartt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629255377 PECOS PAC ID: 4880765890 Enrollment ID: I20190311002290 |
| Provider Name | Mindy M Knowles |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205393881 PECOS PAC ID: 4385983253 Enrollment ID: I20190312000829 |
| Provider Name | Melissa Hope Nice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407807134 PECOS PAC ID: 0446590194 Enrollment ID: I20190318000497 |
| Provider Name | Kalyn N Oesch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396220505 PECOS PAC ID: 8224378484 Enrollment ID: I20190326000856 |
| Provider Name | Darla Berry |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1073594255 PECOS PAC ID: 2860790755 Enrollment ID: I20190327002545 |
| Provider Name | Reagan E Hirschy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982162491 PECOS PAC ID: 8123369592 Enrollment ID: I20190411002543 |
| Provider Name | Laurae Rettig |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861658130 PECOS PAC ID: 0749402220 Enrollment ID: I20190416002514 |
| Provider Name | Amy E Cramer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093378259 PECOS PAC ID: 6002158185 Enrollment ID: I20190422002479 |
| Provider Name | Carter L Cramer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861975682 PECOS PAC ID: 6406198407 Enrollment ID: I20190423001060 |
| Provider Name | Jeffrey Florek |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992156178 PECOS PAC ID: 3779876586 Enrollment ID: I20190514000342 |
| Provider Name | Nicholas Saltarelli |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184074932 PECOS PAC ID: 0648561431 Enrollment ID: I20190515003334 |
| Provider Name | Anna Mary Bona |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851755193 PECOS PAC ID: 0648514323 Enrollment ID: I20190517000041 |
| Provider Name | Sheila Elaika Segura |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1891061370 PECOS PAC ID: 0446591101 Enrollment ID: I20190517001601 |
| Provider Name | Stacey Lynn Draper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184183113 PECOS PAC ID: 7315280195 Enrollment ID: I20190517001725 |
| Provider Name | Olivia Lyn Beaver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881250058 PECOS PAC ID: 0446593164 Enrollment ID: I20190521003197 |
| Provider Name | Amit Kalra |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1124255393 PECOS PAC ID: 6608093679 Enrollment ID: I20190522001459 |
| Provider Name | Bryan J Ross |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821444878 PECOS PAC ID: 3971856766 Enrollment ID: I20190606000863 |
| Provider Name | Carlo P Balmaseda |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114583564 PECOS PAC ID: 3173856192 Enrollment ID: I20190606001577 |
| Provider Name | Robinson Mark Ferre |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093745721 PECOS PAC ID: 6204904246 Enrollment ID: I20190610002172 |
| Provider Name | Tyler Fulks |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548611296 PECOS PAC ID: 2163716978 Enrollment ID: I20190611000631 |
| Provider Name | Michael Supples |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689037988 PECOS PAC ID: 4981999828 Enrollment ID: I20190611003030 |
| Provider Name | Michelle Ann Timmons |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720173008 PECOS PAC ID: 9032442777 Enrollment ID: I20190611003071 |
| Provider Name | Mark L Hopkins |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730530411 PECOS PAC ID: 4385930460 Enrollment ID: I20190613000414 |
| Provider Name | Assad Mukhtar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609259001 PECOS PAC ID: 7315240876 Enrollment ID: I20190614000437 |
| Provider Name | Joe M Hannah |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417059536 PECOS PAC ID: 3072846443 Enrollment ID: I20190618001285 |
| Provider Name | Krunal S Patel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407295777 PECOS PAC ID: 5799056230 Enrollment ID: I20190618003301 |
| Provider Name | Allyson Lindsae Dir |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770046187 PECOS PAC ID: 3476887712 Enrollment ID: I20190620001622 |
| Provider Name | Stephanie Lynn Reynolds |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386095719 PECOS PAC ID: 6305139080 Enrollment ID: I20190624000263 |
| Provider Name | Vanessa D Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437717295 PECOS PAC ID: 3476887183 Enrollment ID: I20190701001200 |
| Provider Name | Mitchell R Mcclean |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356797948 PECOS PAC ID: 8527359454 Enrollment ID: I20190703002774 |
| Provider Name | Leonard T Buller |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1578805313 PECOS PAC ID: 3779846589 Enrollment ID: I20190710000369 |
| Provider Name | Blair S Dina |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194116624 PECOS PAC ID: 7315250297 Enrollment ID: I20190710000424 |
| Provider Name | Nicolas Barros Baertl |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1316387996 PECOS PAC ID: 4789935511 Enrollment ID: I20190710000907 |
| Provider Name | Jennifer Michelle Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659931400 PECOS PAC ID: 4587999420 Enrollment ID: I20190715001112 |
| Provider Name | Maurizio M Pugliese |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518386390 PECOS PAC ID: 0042514119 Enrollment ID: I20190717000223 |
| Provider Name | Jordan S Parrett |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164951125 PECOS PAC ID: 2961773908 Enrollment ID: I20190724000751 |
| Provider Name | Peggy Sue Chang |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1427443746 PECOS PAC ID: 7618278482 Enrollment ID: I20190724003744 |
| Provider Name | Mauli K. Shah |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790134377 PECOS PAC ID: 1456639863 Enrollment ID: I20190730000042 |
| Provider Name | Shane A Hiatt |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1457627101 PECOS PAC ID: 4486980232 Enrollment ID: I20190731002598 |
| Provider Name | Stephen M Mcbride |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265962898 PECOS PAC ID: 5698043370 Enrollment ID: I20190801003097 |
| Provider Name | Caleb Larsen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629561378 PECOS PAC ID: 5991050858 Enrollment ID: I20190805001588 |
| Provider Name | Erin R Dammann |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1801273826 PECOS PAC ID: 0446563613 Enrollment ID: I20190806000467 |
| Provider Name | Clint W Riley |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1306233580 PECOS PAC ID: 6608103239 Enrollment ID: I20190806000591 |
| Provider Name | Nicole Sawada |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1265871503 PECOS PAC ID: 1254573223 Enrollment ID: I20190806001439 |
| Provider Name | Clare Jung Eun Lee |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1861650236 PECOS PAC ID: 2567611270 Enrollment ID: I20190806004336 |
| Provider Name | Sumita Jain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497000871 PECOS PAC ID: 1052541091 Enrollment ID: I20190808001183 |
| Provider Name | Suparna Clasen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700171212 PECOS PAC ID: 6608025820 Enrollment ID: I20190809003039 |
| Provider Name | Evan Mitchell Landry Tomkiewicz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124518931 PECOS PAC ID: 8426313370 Enrollment ID: I20190814004053 |
| Provider Name | Tonya M Butler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356994123 PECOS PAC ID: 1951638832 Enrollment ID: I20190815000862 |
| Provider Name | Karan Samir Shah |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922427301 PECOS PAC ID: 1456638790 Enrollment ID: I20190815001462 |
| Provider Name | Wendy Joy Sonoda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568016418 PECOS PAC ID: 3173850930 Enrollment ID: I20190816001119 |
| Provider Name | Lee Ann Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922562289 PECOS PAC ID: 0345578969 Enrollment ID: I20190821000611 |
| Provider Name | Carina Thea Marcella David |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629424254 PECOS PAC ID: 9133411846 Enrollment ID: I20190821001203 |
| Provider Name | Patrick Neal Siparsky |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1902119894 PECOS PAC ID: 8426291063 Enrollment ID: I20190821001212 |
| Provider Name | Amy J Dockrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013569821 PECOS PAC ID: 8729316369 Enrollment ID: I20190821001373 |
| Provider Name | Christine Megan Nix |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013362839 PECOS PAC ID: 2365731874 Enrollment ID: I20190822000093 |
| Provider Name | Jillian Murphy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548799695 PECOS PAC ID: 1052689940 Enrollment ID: I20190822000701 |
| Provider Name | Daniel George Hsu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437642121 PECOS PAC ID: 4284989237 Enrollment ID: I20190823003042 |
| Provider Name | Allison E Garrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922654227 PECOS PAC ID: 0345578639 Enrollment ID: I20190823003173 |
| Provider Name | Evan Lynn Rossi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922472612 PECOS PAC ID: 1658664321 Enrollment ID: I20190826001688 |
| Provider Name | Lori K Armold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669032983 PECOS PAC ID: 1951639962 Enrollment ID: I20190828001711 |
| Provider Name | Allison Rose Hammer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508191750 PECOS PAC ID: 1355584079 Enrollment ID: I20190829001282 |
| Provider Name | Victor Douglas Lohla |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225391949 PECOS PAC ID: 7618222191 Enrollment ID: I20190829002256 |
| Provider Name | A Rum Kim |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1174871743 PECOS PAC ID: 2567697394 Enrollment ID: I20190911002598 |
| Provider Name | Sarah Elizabeth Robinson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1427601822 PECOS PAC ID: 9234468539 Enrollment ID: I20190911003871 |
| Provider Name | Banu Berkem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225681992 PECOS PAC ID: 9638408834 Enrollment ID: I20190913001184 |
| Provider Name | Lisa Marie Clark |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1215998927 PECOS PAC ID: 6002709243 Enrollment ID: I20190918000703 |
| Provider Name | Melissa G Collier |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003025511 PECOS PAC ID: 9436435633 Enrollment ID: I20190926000665 |
| Provider Name | Tammy Jo Dukeshire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710441415 PECOS PAC ID: 0446581532 Enrollment ID: I20191003000907 |
| Provider Name | Ashley E Henthorn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689220485 PECOS PAC ID: 2961733977 Enrollment ID: I20191004002795 |
| Provider Name | Madelyn Vickery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093363277 PECOS PAC ID: 6507198546 Enrollment ID: I20191024001769 |
| Provider Name | Li'toia C Kendrick |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1801146295 PECOS PAC ID: 3577703065 Enrollment ID: I20191024002727 |
| Provider Name | Jason D. Haviza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891346763 PECOS PAC ID: 2961734835 Enrollment ID: I20191025000343 |
| Provider Name | Bethany L. Odero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184266827 PECOS PAC ID: 4880926765 Enrollment ID: I20191025000736 |
| Provider Name | Jayde S. Wall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013566884 PECOS PAC ID: 7113259870 Enrollment ID: I20191029003376 |
| Provider Name | Jami Lynn Cecil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669930566 PECOS PAC ID: 7315279957 Enrollment ID: I20191030003202 |
| Provider Name | Emily Eileena Key |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740838606 PECOS PAC ID: 4183956626 Enrollment ID: I20191101000749 |
| Provider Name | Kevin D Hess |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942249107 PECOS PAC ID: 1658430665 Enrollment ID: I20191105002105 |
| Provider Name | Hong Zhou |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851850549 PECOS PAC ID: 8325370679 Enrollment ID: I20191106000697 |
| Provider Name | Nancy K Glober |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508283490 PECOS PAC ID: 2466797915 Enrollment ID: I20191106002753 |
| Provider Name | Raeven N Cole |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1588223267 PECOS PAC ID: 3971935503 Enrollment ID: I20191119002610 |
| Provider Name | Kelly Lormore |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1851949820 PECOS PAC ID: 4082047022 Enrollment ID: I20191205002950 |
| Provider Name | Christine V Pankau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932612587 PECOS PAC ID: 7113350059 Enrollment ID: I20191205003198 |
| Provider Name | Tammy Lynn Fuller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760027569 PECOS PAC ID: 0547693418 Enrollment ID: I20191206000792 |
| Provider Name | Joseph Edward Bellamy |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1205093689 PECOS PAC ID: 3274705074 Enrollment ID: I20191209001146 |
| Provider Name | Toni Suarez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073156360 PECOS PAC ID: 5496188070 Enrollment ID: I20191212001817 |
| Provider Name | Danielle N Mcclendon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609426410 PECOS PAC ID: 7416381629 Enrollment ID: I20191221000403 |
| Provider Name | Ali Abbas Zaidi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174013320 PECOS PAC ID: 7214292382 Enrollment ID: I20191227000573 |
| Provider Name | Sarah Lynn Harris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902900434 PECOS PAC ID: 0840624557 Enrollment ID: I20200103001959 |
| Provider Name | Kasey Mackenzie Mckay |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568954030 PECOS PAC ID: 2567717630 Enrollment ID: I20200120000646 |
| Provider Name | Sherry Dawn Hash |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922647841 PECOS PAC ID: 2961685029 Enrollment ID: I20200122000207 |
| Provider Name | Shannon G Malecki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053950105 PECOS PAC ID: 1052746997 Enrollment ID: I20200122002749 |
| Provider Name | Michael J Siap |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629519764 PECOS PAC ID: 7416227285 Enrollment ID: I20200123002714 |
| Provider Name | Elaine A Gilbert |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629572789 PECOS PAC ID: 3779919451 Enrollment ID: I20200129001812 |
| Provider Name | Kerri Rene Dexter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528616513 PECOS PAC ID: 6103252572 Enrollment ID: I20200203001288 |
| Provider Name | Ashly Fay Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184254732 PECOS PAC ID: 3870929987 Enrollment ID: I20200210001518 |
| Provider Name | Gabrielle Clark |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1568092559 PECOS PAC ID: 3779919717 Enrollment ID: I20200211000429 |
| Provider Name | Taylor Danielle Carlsgaard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184263600 PECOS PAC ID: 9234566050 Enrollment ID: I20200217001553 |
| Provider Name | Laura Maxwell Redelman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699061242 PECOS PAC ID: 1153758644 Enrollment ID: I20200221002198 |
| Provider Name | Carl Hurtig |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487184917 PECOS PAC ID: 7113295601 Enrollment ID: I20200310001232 |
| Provider Name | Tyler E Heavin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497246862 PECOS PAC ID: 9436404399 Enrollment ID: I20200316001195 |
| Provider Name | Michael Lincoln Weber |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922597590 PECOS PAC ID: 8022373497 Enrollment ID: I20200322000133 |
| Provider Name | Melinda Dee Christian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780074708 PECOS PAC ID: 8527496702 Enrollment ID: I20200323000739 |
| Provider Name | Antonino Bucca |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508358128 PECOS PAC ID: 0446505192 Enrollment ID: I20200323002212 |
| Provider Name | Michelle Nicole Hokl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821624461 PECOS PAC ID: 6204265101 Enrollment ID: I20200327002186 |
| Provider Name | Joann Fluent Peistrup |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1124014055 PECOS PAC ID: 4981591229 Enrollment ID: I20200329000328 |
| Provider Name | Molly Etling Gilbert |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669979456 PECOS PAC ID: 3072942754 Enrollment ID: I20200331003171 |
| Provider Name | Dakota Gilbert |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023515921 PECOS PAC ID: 0244669943 Enrollment ID: I20200401000331 |
| Provider Name | William J Ford |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295129195 PECOS PAC ID: 5890090732 Enrollment ID: I20200407001076 |
| Provider Name | Tina Marie Doyle |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1841342706 PECOS PAC ID: 7911061775 Enrollment ID: I20200407002986 |
| Provider Name | Joshua A Levine |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1306264882 PECOS PAC ID: 7214232263 Enrollment ID: I20200413003021 |
| Provider Name | Jocelyn Mattoon |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407350564 PECOS PAC ID: 0749610624 Enrollment ID: I20200416001071 |
| Provider Name | Tabatha D Landrum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700398666 PECOS PAC ID: 0648600569 Enrollment ID: I20200416003063 |
| Provider Name | Breeanna Wright |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1114576725 PECOS PAC ID: 2365872132 Enrollment ID: I20200417001949 |
| Provider Name | Joseph Jacobson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1982051280 PECOS PAC ID: 9032401096 Enrollment ID: I20200421003001 |
| Provider Name | Kristy Lynn Mardis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679101356 PECOS PAC ID: 3577993153 Enrollment ID: I20200422001726 |
| Provider Name | Jamea A Umendu |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1801251640 PECOS PAC ID: 7012208010 Enrollment ID: I20200429000860 |
| Provider Name | Yohan Jang |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1730448663 PECOS PAC ID: 3274830781 Enrollment ID: I20200506001365 |
| Provider Name | Abigail Nicole Swisher |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1083240626 PECOS PAC ID: 7911338926 Enrollment ID: I20200507000324 |
| Provider Name | Kristina Kay Sloderbeck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295372845 PECOS PAC ID: 2466883400 Enrollment ID: I20200507001913 |
| Provider Name | Victoria Kimberely Floyd |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1144662164 PECOS PAC ID: 7113358003 Enrollment ID: I20200508001781 |
| Provider Name | Nikhil Atul Shukla |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1740667369 PECOS PAC ID: 0143532234 Enrollment ID: I20200511003444 |
| Provider Name | Kathryn E Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144681917 PECOS PAC ID: 8325345903 Enrollment ID: I20200515000570 |
| Provider Name | Abbey Bolden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770114118 PECOS PAC ID: 6002247624 Enrollment ID: I20200515001149 |
| Provider Name | Matthew Routh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649621988 PECOS PAC ID: 5294020046 Enrollment ID: I20200518001990 |
| Provider Name | Michael J Dymond |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1063613727 PECOS PAC ID: 2062694193 Enrollment ID: I20200519003112 |
| Provider Name | Keegan M Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538797212 PECOS PAC ID: 9638500986 Enrollment ID: I20200520003149 |
| Provider Name | Malia J Moore |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962847319 PECOS PAC ID: 0941583157 Enrollment ID: I20200522000361 |
| Provider Name | Trisha M Marshall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144840893 PECOS PAC ID: 7214358431 Enrollment ID: I20200526002188 |
| Provider Name | Julia Vaizer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578926838 PECOS PAC ID: 2860785235 Enrollment ID: I20200527002159 |
| Provider Name | Preet Bagi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1245432145 PECOS PAC ID: 1254584006 Enrollment ID: I20200529002084 |
| Provider Name | Danielle Elise Beaver |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174987952 PECOS PAC ID: 6002100575 Enrollment ID: I20200604002161 |
| Provider Name | Rina Bhalani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164951943 PECOS PAC ID: 5991074171 Enrollment ID: I20200608000549 |
| Provider Name | Brock D Vanderbush |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396162749 PECOS PAC ID: 4385937762 Enrollment ID: I20200608001415 |
| Provider Name | Manognya Muttineni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023490208 PECOS PAC ID: 6901119908 Enrollment ID: I20200608002932 |
| Provider Name | Emily Grove |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780165597 PECOS PAC ID: 4880938752 Enrollment ID: I20200610003463 |
| Provider Name | Emily W Peat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518590504 PECOS PAC ID: 3173944535 Enrollment ID: I20200611000169 |
| Provider Name | Danielle K Patterson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831579861 PECOS PAC ID: 1951613066 Enrollment ID: I20200611000308 |
| Provider Name | Christian C Dawes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548619596 PECOS PAC ID: 5890117972 Enrollment ID: I20200618000188 |
| Provider Name | Megan N Nyee Macki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417578584 PECOS PAC ID: 0547682411 Enrollment ID: I20200623000436 |
| Provider Name | Harsha V Musunuru |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063941292 PECOS PAC ID: 0941622518 Enrollment ID: I20200629000276 |
| Provider Name | Kelsey Morgan Hutchison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245856137 PECOS PAC ID: 8820411390 Enrollment ID: I20200701001199 |
| Provider Name | Ryan Joseph Kozlowski |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1497198758 PECOS PAC ID: 6709189426 Enrollment ID: I20200702001785 |
| Provider Name | Katherine Leigh Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093331084 PECOS PAC ID: 8123441490 Enrollment ID: I20200702001863 |
| Provider Name | Justin James Carroll |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801327622 PECOS PAC ID: 5092138271 Enrollment ID: I20200707000176 |
| Provider Name | Michael David Gabbard |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1053739508 PECOS PAC ID: 1557587748 Enrollment ID: I20200707002676 |
| Provider Name | Joshua Scott Everhart |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1063857613 PECOS PAC ID: 4082841309 Enrollment ID: I20200707002809 |
| Provider Name | Laura Kathleen Daugherty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245854819 PECOS PAC ID: 6103249149 Enrollment ID: I20200708003549 |
| Provider Name | Bobette Makoyi |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982233359 PECOS PAC ID: 6901229863 Enrollment ID: I20200710000428 |
| Provider Name | Shaun Kelli Chalfant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558980565 PECOS PAC ID: 9931522646 Enrollment ID: I20200713003319 |
| Provider Name | Richard Sukhee Jung |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144740176 PECOS PAC ID: 9234408402 Enrollment ID: I20200714003069 |
| Provider Name | Paige Randolph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013538826 PECOS PAC ID: 2264855881 Enrollment ID: I20200714003418 |
| Provider Name | Brandon Bell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275896201 PECOS PAC ID: 2668760166 Enrollment ID: I20200715003181 |
| Provider Name | Alexis Danielle Meriweather |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083102206 PECOS PAC ID: 0648525881 Enrollment ID: I20200717002519 |
| Provider Name | Kevin Andrew Sonn |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1134546161 PECOS PAC ID: 0648570523 Enrollment ID: I20200720002198 |
| Provider Name | Bailey Noel Cole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043838261 PECOS PAC ID: 9335563642 Enrollment ID: I20200720003562 |
| Provider Name | Nathan Francis Marcinkowski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760913891 PECOS PAC ID: 9436427663 Enrollment ID: I20200721002442 |
| Provider Name | Carli Danielle Van Hoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487279980 PECOS PAC ID: 8729402920 Enrollment ID: I20200721002891 |
| Provider Name | Michelle Nicole Gibson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902414709 PECOS PAC ID: 4082038195 Enrollment ID: I20200722002577 |
| Provider Name | Katherine Mosher Hiller |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841265147 PECOS PAC ID: 9436057387 Enrollment ID: I20200724001308 |
| Provider Name | Ryan Kristopher Harrison |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1528295169 PECOS PAC ID: 8820240401 Enrollment ID: I20200727001640 |
| Provider Name | Christopher David Collier |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1649615816 PECOS PAC ID: 2264670538 Enrollment ID: I20200727001854 |
| Provider Name | Caitrin M Kelly |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255712667 PECOS PAC ID: 9638487242 Enrollment ID: I20200727002151 |
| Provider Name | Daniel Douglas Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255320834 PECOS PAC ID: 0749209872 Enrollment ID: I20200727003216 |
| Provider Name | Amna T Ahmed |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1841243987 PECOS PAC ID: 8820004070 Enrollment ID: I20200728001181 |
| Provider Name | Cheryl Kristine Groth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609408004 PECOS PAC ID: 6507280286 Enrollment ID: I20200728002501 |
| Provider Name | Brooke Senken |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295256899 PECOS PAC ID: 2567887201 Enrollment ID: I20200729000744 |
| Provider Name | Stacie Hirota |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720442353 PECOS PAC ID: 1052608544 Enrollment ID: I20200803000182 |
| Provider Name | Dylan L Holcomb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205454857 PECOS PAC ID: 9234554502 Enrollment ID: I20200803003336 |
| Provider Name | Huicong Teshima |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124559521 PECOS PAC ID: 7315218484 Enrollment ID: I20200804003284 |
| Provider Name | Luke A Lopas |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1144631490 PECOS PAC ID: 5193050946 Enrollment ID: I20200806001598 |
| Provider Name | Kathleen Isabel Crum |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861000762 PECOS PAC ID: 0042635088 Enrollment ID: I20200807000246 |
| Provider Name | Marcia M Jefferson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831682095 PECOS PAC ID: 3971928938 Enrollment ID: I20200807001019 |
| Provider Name | Elizabeth Ann Ewer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295343903 PECOS PAC ID: 3870918832 Enrollment ID: I20200807001049 |
| Provider Name | Daniel Grissom |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063943686 PECOS PAC ID: 3476824483 Enrollment ID: I20200811000421 |
| Provider Name | Sarah Elizabeth Munson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417567249 PECOS PAC ID: 7113343823 Enrollment ID: I20200812001583 |
| Provider Name | Robert G Tysklind |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1205254711 PECOS PAC ID: 7113249095 Enrollment ID: I20200813000306 |
| Provider Name | Corissa Elizabeth Dionisio |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295122299 PECOS PAC ID: 5395057152 Enrollment ID: I20200817001975 |
| Provider Name | Shana L Dendy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992336713 PECOS PAC ID: 0244656528 Enrollment ID: I20200818000108 |
| Provider Name | Kathryn M Gorenflo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164030144 PECOS PAC ID: 8820414139 Enrollment ID: I20200818001023 |
| Provider Name | Wade E Oliver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508475526 PECOS PAC ID: 2062838378 Enrollment ID: I20200818001230 |
| Provider Name | Zachary Antil |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851879068 PECOS PAC ID: 3577812593 Enrollment ID: I20200819002531 |
| Provider Name | Sarah Spitnagle Bosslet |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962462531 PECOS PAC ID: 3870505928 Enrollment ID: I20200821000383 |
| Provider Name | Taeyong Sim |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1417396003 PECOS PAC ID: 7416249487 Enrollment ID: I20200825001777 |
| Provider Name | Jennifer Lee Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043828635 PECOS PAC ID: 7113344797 Enrollment ID: I20200827001361 |
| Provider Name | Taylor Hahn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699112821 PECOS PAC ID: 3072753284 Enrollment ID: I20200827001852 |
| Provider Name | Mindy L Metzcar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649882812 PECOS PAC ID: 5092132522 Enrollment ID: I20200831000093 |
| Provider Name | Anu A Ade Owofadeju |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205444775 PECOS PAC ID: 6002234911 Enrollment ID: I20200909001719 |
| Provider Name | Lauren Rose Averbuch |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043553928 PECOS PAC ID: 7911231832 Enrollment ID: I20200921000611 |
| Provider Name | Chakrapani D Gupta |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1578539474 PECOS PAC ID: 4385664382 Enrollment ID: I20200924003191 |
| Provider Name | Jessica M Healey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821446774 PECOS PAC ID: 1951694470 Enrollment ID: I20200928002396 |
| Provider Name | Yogesh S Jethava |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1841622701 PECOS PAC ID: 9739313743 Enrollment ID: I20201002001653 |
| Provider Name | Sally Rose Dunn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073120325 PECOS PAC ID: 0042639452 Enrollment ID: I20201005002267 |
| Provider Name | Adam O Weir |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457976615 PECOS PAC ID: 0840619128 Enrollment ID: I20201006002432 |
| Provider Name | Jason Chen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1407241375 PECOS PAC ID: 9335458629 Enrollment ID: I20201006002477 |
| Provider Name | Jennifer Nicole Nattam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497361554 PECOS PAC ID: 2668891953 Enrollment ID: I20201006002870 |
| Provider Name | Michele Tsai Owens |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134583750 PECOS PAC ID: 7810240280 Enrollment ID: I20201009002463 |
| Provider Name | Carlyanne Whitney Wenzel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477150746 PECOS PAC ID: 0143640995 Enrollment ID: I20201015001801 |
| Provider Name | Elyse Lyn Thorne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598399461 PECOS PAC ID: 7315367133 Enrollment ID: I20201016001455 |
| Provider Name | Christy Lynn March |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316545775 PECOS PAC ID: 3577983097 Enrollment ID: I20201021001656 |
| Provider Name | Amy Nguyen Ford |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1609260264 PECOS PAC ID: 1456652841 Enrollment ID: I20201021002728 |
| Provider Name | Anahli Mayank Patel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689273849 PECOS PAC ID: 1951721398 Enrollment ID: I20201023000708 |
| Provider Name | Nisha Chawla |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841604618 PECOS PAC ID: 8628294667 Enrollment ID: I20201103002787 |
| Provider Name | Zachary Camden Grimes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013521905 PECOS PAC ID: 8921418880 Enrollment ID: I20201104000272 |
| Provider Name | Diane M Kuhn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821488826 PECOS PAC ID: 2062787880 Enrollment ID: I20201104003084 |
| Provider Name | Jacqueline K Cheng |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952711772 PECOS PAC ID: 3476778739 Enrollment ID: I20201105000332 |
| Provider Name | Michelle Louise Miller |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063032712 PECOS PAC ID: 1850712746 Enrollment ID: I20201117002331 |
| Provider Name | Alicia Marie Johnson Bryant |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578924924 PECOS PAC ID: 9931510252 Enrollment ID: I20201117002960 |
| Provider Name | Sharmistha Dev |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033437181 PECOS PAC ID: 9335371194 Enrollment ID: I20201130001689 |
| Provider Name | Cindy Kay Zimmerman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699207613 PECOS PAC ID: 3476964925 Enrollment ID: I20201204001363 |
| Provider Name | Kara Irene Anoskey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235732256 PECOS PAC ID: 5597176057 Enrollment ID: I20201204001710 |
| Provider Name | Laura Katherine Durr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952900961 PECOS PAC ID: 7618389933 Enrollment ID: I20201210001077 |
| Provider Name | Brittany N Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881290088 PECOS PAC ID: 7416369202 Enrollment ID: I20201221000578 |
| Provider Name | Adil Sheikh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679986509 PECOS PAC ID: 7315162369 Enrollment ID: I20201222001019 |
| Provider Name | Shayna L Aguilar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275159485 PECOS PAC ID: 7911319561 Enrollment ID: I20201223002187 |
| Provider Name | Megan L Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639771447 PECOS PAC ID: 5395158448 Enrollment ID: I20210108001462 |
| Provider Name | Brittany Taylor Kocoj |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962002238 PECOS PAC ID: 6901219898 Enrollment ID: I20210114001145 |
| Provider Name | Mary Elizabeth Blaha |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164914628 PECOS PAC ID: 6901151786 Enrollment ID: I20210129000362 |
| Provider Name | Caitlyn Carolyn Shuck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255930657 PECOS PAC ID: 9830503952 Enrollment ID: I20210202001096 |
| Provider Name | Stacey Jo Snellenbarger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063001287 PECOS PAC ID: 6204241623 Enrollment ID: I20210217002095 |
| Provider Name | Caroline Ann Kiszka Brosmer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942581764 PECOS PAC ID: 1850706094 Enrollment ID: I20210219001755 |
| Provider Name | Aaron Frederick Martin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215428305 PECOS PAC ID: 9436414166 Enrollment ID: I20210219002172 |
| Provider Name | Piotr Norbert Galaska |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710966247 PECOS PAC ID: 3375624414 Enrollment ID: I20210224000839 |
| Provider Name | Sarah A Sharp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407440563 PECOS PAC ID: 6204242183 Enrollment ID: I20210302001098 |
| Provider Name | Christine Anne Motzkus |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649733890 PECOS PAC ID: 4385978501 Enrollment ID: I20210302001570 |
| Provider Name | Phillip B Mitchell Ii |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598356099 PECOS PAC ID: 6901212786 Enrollment ID: I20210302001694 |
| Provider Name | Michael Edward Ferrante |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1952745101 PECOS PAC ID: 2163665530 Enrollment ID: I20210304001962 |
| Provider Name | Rachel Ackerman |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1053920728 PECOS PAC ID: 3274949862 Enrollment ID: I20210305000629 |
| Provider Name | Holly Irwin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689028474 PECOS PAC ID: 4587963665 Enrollment ID: I20210308000737 |
| Provider Name | Madison Marie Devault |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235724139 PECOS PAC ID: 1759797285 Enrollment ID: I20210309000916 |
| Provider Name | Baljit K Rehal |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1558696179 PECOS PAC ID: 5193131621 Enrollment ID: I20210309000980 |
| Provider Name | Stephanie Shapiro Wieczorek |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1992198527 PECOS PAC ID: 8729494166 Enrollment ID: I20210309001938 |
| Provider Name | Olga Y Andrews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699367755 PECOS PAC ID: 4385050673 Enrollment ID: I20210311000965 |
| Provider Name | Kristin M Day |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083174874 PECOS PAC ID: 1759618747 Enrollment ID: I20210405000862 |
| Provider Name | Jessica C Ahonen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659956951 PECOS PAC ID: 9537576848 Enrollment ID: I20210405001330 |
| Provider Name | Jaime Freeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275113870 PECOS PAC ID: 3072921022 Enrollment ID: I20210413000888 |
| Provider Name | Diana De Jesus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336446392 PECOS PAC ID: 3678898814 Enrollment ID: I20210415002986 |
| Provider Name | Kendra Mifflin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245811769 PECOS PAC ID: 0840608402 Enrollment ID: I20210420001241 |
| Provider Name | Andrea Christine Hittle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669051009 PECOS PAC ID: 6901215912 Enrollment ID: I20210504000775 |
| Provider Name | Milton Marvin Ang Chua |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1215283320 PECOS PAC ID: 3173819034 Enrollment ID: I20210504001138 |
| Provider Name | Tamara L Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427637347 PECOS PAC ID: 2668881608 Enrollment ID: I20210504002156 |
| Provider Name | Christy L Rund |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669029500 PECOS PAC ID: 9537578174 Enrollment ID: I20210511001418 |
| Provider Name | Kirsten Rashae Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477100519 PECOS PAC ID: 4587073069 Enrollment ID: I20210513000977 |
| Provider Name | Alok Harwani |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700312238 PECOS PAC ID: 6103196365 Enrollment ID: I20210517000672 |
| Provider Name | Sapna Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205400710 PECOS PAC ID: 4284033358 Enrollment ID: I20210521000398 |
| Provider Name | Maamoon Tammaa |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740497908 PECOS PAC ID: 7012031297 Enrollment ID: I20210609001617 |
| Provider Name | Rani Sree Ramaswamy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164717781 PECOS PAC ID: 9032428008 Enrollment ID: I20210611001852 |
| Provider Name | Regina Ohaya |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235703547 PECOS PAC ID: 5597165498 Enrollment ID: I20210615001235 |
| Provider Name | Nicholas J Regas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962907196 PECOS PAC ID: 9234488982 Enrollment ID: I20210617000232 |
| Provider Name | Rachel L Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144836990 PECOS PAC ID: 1951701507 Enrollment ID: I20210618000304 |
| Provider Name | Kristin Catherine Brown Lipanot |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881191898 PECOS PAC ID: 2062836893 Enrollment ID: I20210707000186 |
| Provider Name | Ryan S Squires |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427541143 PECOS PAC ID: 6204170301 Enrollment ID: I20210712000945 |
| Provider Name | Matthew Christopher Tews |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780616458 PECOS PAC ID: 7618970088 Enrollment ID: I20210712000962 |
| Provider Name | Albert L Zhang |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033606959 PECOS PAC ID: 7315286556 Enrollment ID: I20210712001329 |
| Provider Name | Amanda Agard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598113854 PECOS PAC ID: 1052602760 Enrollment ID: I20210713000547 |
| Provider Name | Eli Casalini |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1356872741 PECOS PAC ID: 2668741349 Enrollment ID: I20210716001864 |
| Provider Name | Jacob O'sullivan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1477084846 PECOS PAC ID: 8921377185 Enrollment ID: I20210719001324 |
| Provider Name | Wesley Porter |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1972034486 PECOS PAC ID: 5496023442 Enrollment ID: I20210721002219 |
| Provider Name | James Adam Keith |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1194257964 PECOS PAC ID: 6507269065 Enrollment ID: I20210722000265 |
| Provider Name | Bharath Raju |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477947307 PECOS PAC ID: 1254631591 Enrollment ID: I20210722001655 |
| Provider Name | Katherine Chelsea Hokama Soe |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396192183 PECOS PAC ID: 6901197177 Enrollment ID: I20210726001018 |
| Provider Name | Paige Ostahowski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841795366 PECOS PAC ID: 4789939745 Enrollment ID: I20210726001530 |
| Provider Name | Lindsey Nikoa Grabek |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1922530344 PECOS PAC ID: 5698044360 Enrollment ID: I20210727002329 |
| Provider Name | Arthur Wilson Daigh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760974422 PECOS PAC ID: 5799186839 Enrollment ID: I20210728001962 |
| Provider Name | Alyssa Mechelle Hatfield |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942875133 PECOS PAC ID: 3779986591 Enrollment ID: I20210730000692 |
| Provider Name | Michael David Kaplan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1316915200 PECOS PAC ID: 8426135864 Enrollment ID: I20210802001350 |
| Provider Name | Olawale Ojo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134672942 PECOS PAC ID: 2365865888 Enrollment ID: I20210803001156 |
| Provider Name | Daniel C Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063917045 PECOS PAC ID: 3072860279 Enrollment ID: I20210803001296 |
| Provider Name | Jonathan Withers |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497280911 PECOS PAC ID: 7719255496 Enrollment ID: I20210803001404 |
| Provider Name | Michael Charles Mondheim |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639606270 PECOS PAC ID: 1759785462 Enrollment ID: I20210803001430 |
| Provider Name | Tiffany Jingmon Fan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396272076 PECOS PAC ID: 1951705672 Enrollment ID: I20210803001769 |
| Provider Name | Aaron Whipp |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1861835688 PECOS PAC ID: 9436399474 Enrollment ID: I20210803001783 |
| Provider Name | Parth K Patel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811435878 PECOS PAC ID: 4789954686 Enrollment ID: I20210804003498 |
| Provider Name | Mariju Fleur Baluyot |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528452810 PECOS PAC ID: 0749592434 Enrollment ID: I20210810002750 |
| Provider Name | Kimberley Yasmine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710367479 PECOS PAC ID: 5799058053 Enrollment ID: I20210811000965 |
| Provider Name | Kendra E. Hinton-froese |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992268882 PECOS PAC ID: 1557765609 Enrollment ID: I20210811001761 |
| Provider Name | Joshua Christopher Kaine |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093244386 PECOS PAC ID: 3678842077 Enrollment ID: I20210812003193 |
| Provider Name | David Michael Thrush |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871164335 PECOS PAC ID: 7719381797 Enrollment ID: I20210812003464 |
| Provider Name | Davies Agyekum |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1134651425 PECOS PAC ID: 1557766433 Enrollment ID: I20210817000669 |
| Provider Name | Charlotte Seasly |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225521438 PECOS PAC ID: 8729333539 Enrollment ID: I20210817001145 |
| Provider Name | Megan R Cox |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861996977 PECOS PAC ID: 5698170496 Enrollment ID: I20210817001949 |
| Provider Name | Nicole Novotny |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952895609 PECOS PAC ID: 1456607811 Enrollment ID: I20210817002021 |
| Provider Name | Jon A Karel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497275119 PECOS PAC ID: 1456621887 Enrollment ID: I20210817002068 |
| Provider Name | Melissa Kay Hord |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518374347 PECOS PAC ID: 7618372426 Enrollment ID: I20210817002308 |
| Provider Name | Jessica Cooper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780172114 PECOS PAC ID: 5890050439 Enrollment ID: I20210817003093 |
| Provider Name | Ethan D Valinetz |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1427437482 PECOS PAC ID: 2769793298 Enrollment ID: I20210818002418 |
| Provider Name | Yunpeng Yang |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1780117275 PECOS PAC ID: 6406104439 Enrollment ID: I20210823000090 |
| Provider Name | Priyanka Reddy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013364462 PECOS PAC ID: 8820389612 Enrollment ID: I20210823002337 |
| Provider Name | Sara L Manning |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952664195 PECOS PAC ID: 9234368713 Enrollment ID: I20210824000324 |
| Provider Name | Daniel Franklyn Drake |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1679951800 PECOS PAC ID: 0244520880 Enrollment ID: I20210824000497 |
| Provider Name | Whitney Powe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730717901 PECOS PAC ID: 5597160994 Enrollment ID: I20210824000498 |
| Provider Name | Daniel Saul Brenner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942662960 PECOS PAC ID: 3173816683 Enrollment ID: I20210824000780 |
| Provider Name | Swetha Jalli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114372489 PECOS PAC ID: 4981977865 Enrollment ID: I20210824001036 |
| Provider Name | Nicholas E Harrison |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447611371 PECOS PAC ID: 6709177215 Enrollment ID: I20210824001108 |
| Provider Name | Victoria Powers |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326573528 PECOS PAC ID: 6800291212 Enrollment ID: I20210824001275 |
| Provider Name | Mary K Milder |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407520356 PECOS PAC ID: 0143625566 Enrollment ID: I20210824001428 |
| Provider Name | Joshua Adam Creasy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972278976 PECOS PAC ID: 7911302344 Enrollment ID: I20210824002043 |
| Provider Name | Monica N Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497326870 PECOS PAC ID: 0446655872 Enrollment ID: I20210824002131 |
| Provider Name | Cheongae Stella Welch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487248159 PECOS PAC ID: 9335544634 Enrollment ID: I20210825001645 |
| Provider Name | George-thomas Pugh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942735360 PECOS PAC ID: 0244645745 Enrollment ID: I20210825002143 |
| Provider Name | Shannon S Dillon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770796955 PECOS PAC ID: 6406946326 Enrollment ID: I20210825002288 |
| Provider Name | Khusboo J Desai |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1831585157 PECOS PAC ID: 5698013969 Enrollment ID: I20210830001046 |
| Provider Name | Caroline Toke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568959450 PECOS PAC ID: 1153727128 Enrollment ID: I20210831002264 |
| Provider Name | David V Braitman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598151383 PECOS PAC ID: 3476866021 Enrollment ID: I20210831002728 |
| Provider Name | Jesi A Atkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689340333 PECOS PAC ID: 9234535212 Enrollment ID: I20210831002755 |
| Provider Name | Benjamin Obaseki |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780176925 PECOS PAC ID: 1951707934 Enrollment ID: I20210831002796 |
| Provider Name | Amanda V Broderick |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1720752553 PECOS PAC ID: 7214333293 Enrollment ID: I20210831002831 |
| Provider Name | Emily N Fischer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164199907 PECOS PAC ID: 8022414531 Enrollment ID: I20210909000306 |
| Provider Name | Henry T Tran |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1346502754 PECOS PAC ID: 5294971495 Enrollment ID: I20210909000662 |
| Provider Name | Mark Thomas Dillon |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1578629572 PECOS PAC ID: 3072600907 Enrollment ID: I20210910001640 |
| Provider Name | Syed Asad Hussain |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487001368 PECOS PAC ID: 5193072239 Enrollment ID: I20210913002434 |
| Provider Name | Spencer C. Jasper |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1730617341 PECOS PAC ID: 7719242809 Enrollment ID: I20210914001393 |
| Provider Name | Gary Sharpe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891006227 PECOS PAC ID: 9234356619 Enrollment ID: I20210914001568 |
| Provider Name | Lane M Sawyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841804655 PECOS PAC ID: 2163828344 Enrollment ID: I20210914001708 |
| Provider Name | Eric T Degraaf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316614605 PECOS PAC ID: 1153727342 Enrollment ID: I20210914001799 |
| Provider Name | Madeleine J St. James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922612530 PECOS PAC ID: 7719383918 Enrollment ID: I20210914002593 |
| Provider Name | Cooper Field |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679036149 PECOS PAC ID: 4587061353 Enrollment ID: I20210921002014 |
| Provider Name | Nancy M Glenn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265102321 PECOS PAC ID: 7113324765 Enrollment ID: I20210923002294 |
| Provider Name | Vassilina V Hinova |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265069074 PECOS PAC ID: 8022415629 Enrollment ID: I20210924000219 |
| Provider Name | Hannah Michelle Deluna |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891283792 PECOS PAC ID: 8022363191 Enrollment ID: I20211001000723 |
| Provider Name | Eric Whelchel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609364959 PECOS PAC ID: 1658626460 Enrollment ID: I20211004001297 |
| Provider Name | Kristin Marie Johanning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164013629 PECOS PAC ID: 3678971645 Enrollment ID: I20211005001866 |
| Provider Name | Elizabeth Partain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124407655 PECOS PAC ID: 3971837162 Enrollment ID: I20211007000464 |
| Provider Name | Caroline Pilewicz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083385637 PECOS PAC ID: 5698173524 Enrollment ID: I20211007001337 |
| Provider Name | Kristen L Chitwood |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1649948670 PECOS PAC ID: 5991103400 Enrollment ID: I20211014001383 |
| Provider Name | Megan Keough |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336817543 PECOS PAC ID: 7315335619 Enrollment ID: I20211019000672 |
| Provider Name | Sofia Y Ligard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124413612 PECOS PAC ID: 1456650399 Enrollment ID: I20211019001455 |
| Provider Name | Jill S Dana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063184869 PECOS PAC ID: 0547658874 Enrollment ID: I20211019002036 |
| Provider Name | Kirstin J Tidquist |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700551918 PECOS PAC ID: 7517355316 Enrollment ID: I20211028000158 |
| Provider Name | Olivia Nirmalasari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821302225 PECOS PAC ID: 7113154022 Enrollment ID: I20211104001866 |
| Provider Name | Nicole Catherine Carpp |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003377185 PECOS PAC ID: 0547593329 Enrollment ID: I20211105000232 |
| Provider Name | Shakeeta M Cotton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508529306 PECOS PAC ID: 0143619569 Enrollment ID: I20211105000273 |
| Provider Name | Andrew Raymond Newell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407525645 PECOS PAC ID: 8729477989 Enrollment ID: I20211110001623 |
| Provider Name | Lauren Michelle Harper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861168700 PECOS PAC ID: 0749679769 Enrollment ID: I20211112002333 |
| Provider Name | Jennifer M Spors |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003487604 PECOS PAC ID: 8426447442 Enrollment ID: I20211112002569 |
| Provider Name | Ashley A Mcfarland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295498558 PECOS PAC ID: 7214326255 Enrollment ID: I20211115000214 |
| Provider Name | Nathen L Steininger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568139111 PECOS PAC ID: 0143619734 Enrollment ID: I20211122000243 |
| Provider Name | Amanda C Behrmann |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275299174 PECOS PAC ID: 1052701513 Enrollment ID: I20211124001325 |
| Provider Name | Teresa Lynn Drescher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417540881 PECOS PAC ID: 3072903533 Enrollment ID: I20211124001643 |
| Provider Name | Ashley Marie Burks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740942382 PECOS PAC ID: 2062802317 Enrollment ID: I20211201001083 |
| Provider Name | Sara Poirier Culleton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043748056 PECOS PAC ID: 8527337310 Enrollment ID: I20211201001583 |
| Provider Name | Elvira Shreder Payne |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306338454 PECOS PAC ID: 1254681604 Enrollment ID: I20211202001074 |
| Provider Name | Kara C Lutes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467088823 PECOS PAC ID: 4082043211 Enrollment ID: I20211216000620 |
| Provider Name | Hanna Elizabeth Degen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326576117 PECOS PAC ID: 2466721725 Enrollment ID: I20220110001110 |
| Provider Name | Jennifer Lynn Schrader |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477223261 PECOS PAC ID: 5799177374 Enrollment ID: I20220111000365 |
| Provider Name | Elaine Leo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902287667 PECOS PAC ID: 9234464793 Enrollment ID: I20220112002493 |
| Provider Name | Gordon A Lang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013380591 PECOS PAC ID: 5698076206 Enrollment ID: I20220119000781 |
| Provider Name | Sally Lynn Fleming |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700330172 PECOS PAC ID: 2769874858 Enrollment ID: I20220124000198 |
| Provider Name | Daniel Wesley Epperson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629697412 PECOS PAC ID: 7214358639 Enrollment ID: I20220201001660 |
| Provider Name | Andrea F Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275293979 PECOS PAC ID: 6608269170 Enrollment ID: I20220204000390 |
| Provider Name | Jennifer Siriwardane |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124556220 PECOS PAC ID: 2860763018 Enrollment ID: I20220208001036 |
| Provider Name | Amy Charlotte Sprunger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083241236 PECOS PAC ID: 7113310368 Enrollment ID: I20220210001305 |
| Provider Name | Alycia Marie Leatherman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609534817 PECOS PAC ID: 7416340401 Enrollment ID: I20220216000516 |
| Provider Name | Bryce T De Venecia |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568091924 PECOS PAC ID: 8921429481 Enrollment ID: I20220218001446 |
| Provider Name | Darrin Ray Mcclure |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003582388 PECOS PAC ID: 1153715826 Enrollment ID: I20220222001866 |
| Provider Name | Lindsay Anne Schroeder |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154748614 PECOS PAC ID: 7416233648 Enrollment ID: I20220301002164 |
| Provider Name | Kayla Marie Singleton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437800430 PECOS PAC ID: 0143614446 Enrollment ID: I20220302002769 |
| Provider Name | Hanan Yacoub Curtice |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376172817 PECOS PAC ID: 1153742804 Enrollment ID: I20220303001838 |
| Provider Name | Rachel Kathryn Demerly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144971839 PECOS PAC ID: 5496149445 Enrollment ID: I20220308001861 |
| Provider Name | Kelly Elizabeth Allison Foy |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1508412388 PECOS PAC ID: 3577957539 Enrollment ID: I20220308002317 |
| Provider Name | Laura R Haisley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558014696 PECOS PAC ID: 1658765623 Enrollment ID: I20220308002878 |
| Provider Name | Lauren Elizabeth Bowers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740713726 PECOS PAC ID: 0244625127 Enrollment ID: I20220310001729 |
| Provider Name | Sarah M Spolyar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619634482 PECOS PAC ID: 2567857931 Enrollment ID: I20220322000527 |
| Provider Name | Catherine B Badru |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467972083 PECOS PAC ID: 9335483635 Enrollment ID: I20220324001062 |
| Provider Name | Maria Gross |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1740945823 PECOS PAC ID: 6800282997 Enrollment ID: I20220329000692 |
| Provider Name | Taylor Grant Hero |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184186207 PECOS PAC ID: 6103159694 Enrollment ID: I20220329000771 |
| Provider Name | Allison L Gardner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811646540 PECOS PAC ID: 4082000732 Enrollment ID: I20220405001391 |
| Provider Name | Angela Marie Scaringe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174284921 PECOS PAC ID: 8527454206 Enrollment ID: I20220405002699 |
| Provider Name | Kate E Meyer |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1083360291 PECOS PAC ID: 6406242189 Enrollment ID: I20220405002888 |
| Provider Name | Erin Powers Kinney |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528379617 PECOS PAC ID: 5799928123 Enrollment ID: I20220407000866 |
| Provider Name | Apryll Marie Shores |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306592415 PECOS PAC ID: 1658767165 Enrollment ID: I20220411000946 |
| Provider Name | Pamela Isabel Cooper |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285830059 PECOS PAC ID: 6709064785 Enrollment ID: I20220414001717 |
| Provider Name | Melissa J Barnaby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689316234 PECOS PAC ID: 8224425194 Enrollment ID: I20220422001318 |
| Provider Name | Lindsay G Flegge |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558032466 PECOS PAC ID: 4789081274 Enrollment ID: I20220426001553 |
| Provider Name | Derrick Oaxaca |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124581814 PECOS PAC ID: 1254664238 Enrollment ID: I20220426002497 |
| Provider Name | Stephen M Strakowski |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720009541 PECOS PAC ID: 2062302946 Enrollment ID: I20220506001770 |
| Provider Name | Brandon Michael Chambers |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699334086 PECOS PAC ID: 4486989886 Enrollment ID: I20220512002623 |
| Provider Name | Christopher L Stewart |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114946852 PECOS PAC ID: 8224099551 Enrollment ID: I20220513000588 |
| Provider Name | Karla Andrea Vergara Capecci |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831797455 PECOS PAC ID: 9739566506 Enrollment ID: I20220517000566 |
| Provider Name | Madison Alexandra Plumer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790398824 PECOS PAC ID: 8921485673 Enrollment ID: I20220518001263 |
| Provider Name | Emma Rice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770225260 PECOS PAC ID: 4284011628 Enrollment ID: I20220524001970 |
| Provider Name | Patrick Stephen Finnegan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144717265 PECOS PAC ID: 2769732247 Enrollment ID: I20220526001020 |
| Provider Name | Teodora Botez |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1548379738 PECOS PAC ID: 5890173959 Enrollment ID: I20220601001018 |
| Provider Name | Clinton Matthew Bunde |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962063198 PECOS PAC ID: 1951638733 Enrollment ID: I20220601001135 |
| Provider Name | Andrea Michelle Sellmeyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588304133 PECOS PAC ID: 8921486085 Enrollment ID: I20220601001240 |
| Provider Name | James Patrick Gilstrap |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568935344 PECOS PAC ID: 7618216367 Enrollment ID: I20220603002332 |
| Provider Name | Murtaza Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801457650 PECOS PAC ID: 5294062162 Enrollment ID: I20220604000350 |
| Provider Name | Matthew Stephen Booher |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154989929 PECOS PAC ID: 6103159777 Enrollment ID: I20220606000868 |
| Provider Name | Anup Padmakar Deshpande |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992239198 PECOS PAC ID: 6204173735 Enrollment ID: I20220606002026 |
| Provider Name | Melissa Jane Mccarthy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366009755 PECOS PAC ID: 5991197436 Enrollment ID: I20220607002080 |
| Provider Name | Carla Marie Black |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124473749 PECOS PAC ID: 0941595136 Enrollment ID: I20220609000353 |
| Provider Name | Brittney Michelle Vogel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962816991 PECOS PAC ID: 3577964154 Enrollment ID: I20220610001364 |
| Provider Name | Fnu Robin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760968739 PECOS PAC ID: 6709265291 Enrollment ID: I20220613002213 |
| Provider Name | Holly S Rose |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770074684 PECOS PAC ID: 7416200381 Enrollment ID: I20220617001208 |
| Provider Name | Ethan Charles Blocher-smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922667765 PECOS PAC ID: 3476932666 Enrollment ID: I20220617001473 |
| Provider Name | Katie Ann Lange |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609416171 PECOS PAC ID: 9830527696 Enrollment ID: I20220617001605 |
| Provider Name | Samantha Mary Kay |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1457846305 PECOS PAC ID: 7618223751 Enrollment ID: I20220617001730 |
| Provider Name | Andrew Hybarger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750944930 PECOS PAC ID: 0143554139 Enrollment ID: I20220621000992 |
| Provider Name | Neggin Afsari |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861953416 PECOS PAC ID: 8729313408 Enrollment ID: I20220621001328 |
| Provider Name | Sujoy Phookan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1245625391 PECOS PAC ID: 3173825908 Enrollment ID: I20220621001898 |
| Provider Name | Brian Jacob O'neill |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700311677 PECOS PAC ID: 4880961275 Enrollment ID: I20220621002222 |
| Provider Name | Sean J Dangelmajer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1023513942 PECOS PAC ID: 1052744612 Enrollment ID: I20220622002321 |
| Provider Name | Randall S. Garing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336878628 PECOS PAC ID: 3779962790 Enrollment ID: I20220622002407 |
| Provider Name | Nicolas E Ellis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740774546 PECOS PAC ID: 7214280999 Enrollment ID: I20220622002515 |
| Provider Name | Brooke Nicole Henderson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427583368 PECOS PAC ID: 8224307350 Enrollment ID: I20220623000438 |
| Provider Name | Scott Thomas Wagoner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134738057 PECOS PAC ID: 1254710148 Enrollment ID: I20220623001785 |
| Provider Name | Parker E Latshaw |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992368757 PECOS PAC ID: 5092049593 Enrollment ID: I20220627000109 |
| Provider Name | Peyton Andrew Keeling |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1639604150 PECOS PAC ID: 7214316942 Enrollment ID: I20220627000408 |
| Provider Name | Sean Tokita |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275987737 PECOS PAC ID: 1658669155 Enrollment ID: I20220627000819 |
| Provider Name | Lydia Joy Fischer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225563034 PECOS PAC ID: 9234406778 Enrollment ID: I20220627003549 |
| Provider Name | Harsh Rashmikant Shah |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386273936 PECOS PAC ID: 1355762832 Enrollment ID: I20220628002940 |
| Provider Name | Fangzhong M Luo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225532997 PECOS PAC ID: 6002150158 Enrollment ID: I20220629000135 |
| Provider Name | Meagan Beeler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336884634 PECOS PAC ID: 2567842123 Enrollment ID: I20220629002273 |
| Provider Name | Blair Michael Skinner |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386164416 PECOS PAC ID: 2264702992 Enrollment ID: I20220630000490 |
| Provider Name | Drew J Frey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588223960 PECOS PAC ID: 3779818174 Enrollment ID: I20220630002064 |
| Provider Name | Michael Depasquale |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811526270 PECOS PAC ID: 7416379730 Enrollment ID: I20220705000382 |
| Provider Name | Allison C Malley |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1245658368 PECOS PAC ID: 7911205620 Enrollment ID: I20220706001357 |
| Provider Name | Cassandra Nicole Kelly |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447744420 PECOS PAC ID: 6103173596 Enrollment ID: I20220707000455 |
| Provider Name | Emily Meudt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972031953 PECOS PAC ID: 7618245374 Enrollment ID: I20220707001519 |
| Provider Name | John Z Gallien |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235367731 PECOS PAC ID: 6709035520 Enrollment ID: I20220707001996 |
| Provider Name | Kelsey Hope Peri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982356754 PECOS PAC ID: 1052791084 Enrollment ID: I20220707002334 |
| Provider Name | Bevan Johnson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639798580 PECOS PAC ID: 2668894742 Enrollment ID: I20220707003162 |
| Provider Name | Kylie Hayes Klemann |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295364867 PECOS PAC ID: 1254752231 Enrollment ID: I20220711000419 |
| Provider Name | Chelsea Renae Sexton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699413328 PECOS PAC ID: 6608256482 Enrollment ID: I20220711002739 |
| Provider Name | Thomas Robert Freije |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003379090 PECOS PAC ID: 3072847037 Enrollment ID: I20220711003559 |
| Provider Name | Brittany Lynn Rennier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104573518 PECOS PAC ID: 1456731181 Enrollment ID: I20220712000562 |
| Provider Name | Kylie J Miller |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295354462 PECOS PAC ID: 6800218975 Enrollment ID: I20220712000619 |
| Provider Name | Akhilesh Dakwale |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356803472 PECOS PAC ID: 4688055312 Enrollment ID: I20220713000658 |
| Provider Name | Melinda S Hintermeister |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1871579565 PECOS PAC ID: 0446290027 Enrollment ID: I20220713001836 |
| Provider Name | Joshua Timothy Vanderwall |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801393020 PECOS PAC ID: 3274879895 Enrollment ID: I20220714002792 |
| Provider Name | Taylor Twiggs Sutter |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205331774 PECOS PAC ID: 1456693738 Enrollment ID: I20220714003474 |
| Provider Name | Kyle Andrew Schoppel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174960744 PECOS PAC ID: 3678868452 Enrollment ID: I20220716000104 |
| Provider Name | Protibha Shoma Sanyal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134783301 PECOS PAC ID: 3072848977 Enrollment ID: I20220718001530 |
| Provider Name | Sanjay Bhikhubhai Kuber |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982646592 PECOS PAC ID: 5193746485 Enrollment ID: I20220721002649 |
| Provider Name | Madilyn Alexandra Sheerer |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1639840721 PECOS PAC ID: 0648651612 Enrollment ID: I20220721003143 |
| Provider Name | Elizabeth Jannett Mathews |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932660628 PECOS PAC ID: 8820470644 Enrollment ID: I20220726002964 |
| Provider Name | Kathryn Kristen Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194457804 PECOS PAC ID: 0446632269 Enrollment ID: I20220726003116 |
| Provider Name | Shelby Ann Beil |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1720641038 PECOS PAC ID: 8628301496 Enrollment ID: I20220728000446 |
| Provider Name | Jordan L Hartung |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1376278143 PECOS PAC ID: 8729460365 Enrollment ID: I20220729000890 |
| Provider Name | Danielle M Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518619923 PECOS PAC ID: 0143602607 Enrollment ID: I20220729001999 |
| Provider Name | Allison Elizabeth Meyer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952968711 PECOS PAC ID: 8325420847 Enrollment ID: I20220801000984 |
| Provider Name | Ruthie S Cooper |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447612742 PECOS PAC ID: 6305237751 Enrollment ID: I20220802002386 |
| Provider Name | Cody W Mccoy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1033612841 PECOS PAC ID: 4082015847 Enrollment ID: I20220804002684 |
| Provider Name | Joshua Michael Herber |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346772977 PECOS PAC ID: 1355618612 Enrollment ID: I20220805000350 |
| Provider Name | Patrick Joseph Fitzgerald |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306378674 PECOS PAC ID: 8224307707 Enrollment ID: I20220805001951 |
| Provider Name | Teagan M Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679209795 PECOS PAC ID: 6103208293 Enrollment ID: I20220805002414 |
| Provider Name | Stephen S Erickson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1235620063 PECOS PAC ID: 6406101856 Enrollment ID: I20220809001731 |
| Provider Name | Samantha Nino |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1942721030 PECOS PAC ID: 6709269624 Enrollment ID: I20220810001109 |
| Provider Name | Cherri Jennewein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932413994 PECOS PAC ID: 8628395522 Enrollment ID: I20220810002782 |
| Provider Name | Etta H Eckerstrom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922745009 PECOS PAC ID: 5294118006 Enrollment ID: I20220811001153 |
| Provider Name | Nicholas Gerard Vonschrott |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497218440 PECOS PAC ID: 5698009942 Enrollment ID: I20220811001408 |
| Provider Name | Sarah A Daily |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538699517 PECOS PAC ID: 5395018477 Enrollment ID: I20220813000317 |
| Provider Name | Chris Martin Olson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679138093 PECOS PAC ID: 9638403991 Enrollment ID: I20220816002678 |
| Provider Name | Dhrumil Suryakant Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275027047 PECOS PAC ID: 7618396839 Enrollment ID: I20220818001463 |
| Provider Name | Nicole Marie Wong |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1831846781 PECOS PAC ID: 5698158939 Enrollment ID: I20220818001651 |
| Provider Name | Caitlin Elizabeth Maxie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205276433 PECOS PAC ID: 6103209366 Enrollment ID: I20220820000306 |
| Provider Name | Melanie Theresa Barber |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1053048918 PECOS PAC ID: 2466835525 Enrollment ID: I20220823000723 |
| Provider Name | Jessica Wren Deis |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1932669306 PECOS PAC ID: 4183958473 Enrollment ID: I20220823001176 |
| Provider Name | Joshua J Barzilai |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1134532583 PECOS PAC ID: 5991927592 Enrollment ID: I20220825003774 |
| Provider Name | Lorenzo T Hughes |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1033230404 PECOS PAC ID: 2466646583 Enrollment ID: I20220831001248 |
| Provider Name | Nomi Kate Sherwin |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1285169300 PECOS PAC ID: 0446528574 Enrollment ID: I20220901002743 |
| Provider Name | John Peacock |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780213926 PECOS PAC ID: 2860814100 Enrollment ID: I20220902000996 |
| Provider Name | Erin A Henneberry |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427586916 PECOS PAC ID: 9638445265 Enrollment ID: I20220908002443 |
| Provider Name | Natalie Rose Mendel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912634627 PECOS PAC ID: 2567847619 Enrollment ID: I20220910000101 |
| Provider Name | Heidi Jeanene Padgett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992443584 PECOS PAC ID: 6507241650 Enrollment ID: I20220910000352 |
| Provider Name | Jenna M Westwick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194450866 PECOS PAC ID: 6305221474 Enrollment ID: I20220912000254 |
| Provider Name | Katelyn Jelden |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982233144 PECOS PAC ID: 0840612727 Enrollment ID: I20220913000330 |
| Provider Name | Alicia Kornicki |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336544949 PECOS PAC ID: 3678897345 Enrollment ID: I20220915000885 |
| Provider Name | Sarah Ann Stainko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053039354 PECOS PAC ID: 5193100667 Enrollment ID: I20220920000639 |
| Provider Name | Casey Anne Pederson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881103067 PECOS PAC ID: 0547646747 Enrollment ID: I20220926000657 |
| Provider Name | Lynette F Meece |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1699207282 PECOS PAC ID: 7012332471 Enrollment ID: I20220926002231 |
| Provider Name | Kaitlyn Brooke Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598306037 PECOS PAC ID: 3375977051 Enrollment ID: I20220926002803 |
| Provider Name | Dhwani Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861138539 PECOS PAC ID: 4385020106 Enrollment ID: I20221003001032 |
| Provider Name | Kyle Edward Wilson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265011134 PECOS PAC ID: 5193125896 Enrollment ID: I20221004001384 |
| Provider Name | Bradley Dean Upchurch |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144809112 PECOS PAC ID: 4688074123 Enrollment ID: I20221004002526 |
| Provider Name | Brenda A Perkey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124755582 PECOS PAC ID: 4587040076 Enrollment ID: I20221006002525 |
| Provider Name | Amy Denise Wimbleduff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508587445 PECOS PAC ID: 7911383401 Enrollment ID: I20221006002632 |
| Provider Name | Asad John Torabi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649708835 PECOS PAC ID: 0446529705 Enrollment ID: I20221007000856 |
| Provider Name | Susan N Cooper-morphew |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629206164 PECOS PAC ID: 1456585819 Enrollment ID: I20221014002597 |
| Provider Name | Susan N Moruri |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1306006861 PECOS PAC ID: 4981621059 Enrollment ID: I20221018003447 |
| Provider Name | Darren D Jefferies |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649349945 PECOS PAC ID: 4981612975 Enrollment ID: I20221019002199 |
| Provider Name | Jie Zhang |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1932336369 PECOS PAC ID: 6800035262 Enrollment ID: I20221021000526 |
| Provider Name | Jillian A Ludwig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659093110 PECOS PAC ID: 9931575503 Enrollment ID: I20221022000248 |
| Provider Name | Edwin Gonzalez |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730687211 PECOS PAC ID: 1355604786 Enrollment ID: I20221024000183 |
| Provider Name | Ryan W Moyer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508344540 PECOS PAC ID: 0941551584 Enrollment ID: I20221024000618 |
| Provider Name | Donna L Madrid |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831117787 PECOS PAC ID: 2466519491 Enrollment ID: I20221024002159 |
| Provider Name | Joy Graham |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881669034 PECOS PAC ID: 9133102114 Enrollment ID: I20221025002671 |
| Provider Name | Sharon J Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508586249 PECOS PAC ID: 6204202708 Enrollment ID: I20221025002987 |
| Provider Name | Kevin S Henson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558319111 PECOS PAC ID: 6507871522 Enrollment ID: I20221026002397 |
| Provider Name | Mary Elizabeth Rominger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881366441 PECOS PAC ID: 4183090574 Enrollment ID: I20221027000488 |
| Provider Name | Jill K Denney |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1215901954 PECOS PAC ID: 0345138905 Enrollment ID: I20221027000626 |
| Provider Name | Reuben M Hoch |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1033135702 PECOS PAC ID: 7315006988 Enrollment ID: I20221027000862 |
| Provider Name | Sofia Diane Pattyn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063031375 PECOS PAC ID: 2466874425 Enrollment ID: I20221028001915 |
| Provider Name | Steven R Tung |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1427217082 PECOS PAC ID: 3678631116 Enrollment ID: I20221031000692 |
| Provider Name | Gina Anne Corsaro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134851413 PECOS PAC ID: 2062889140 Enrollment ID: I20221102000976 |
| Provider Name | Victoria R Budd |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1871218107 PECOS PAC ID: 9133596067 Enrollment ID: I20221107002415 |
| Provider Name | Terri L Clarkson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740421379 PECOS PAC ID: 2365691151 Enrollment ID: I20221108001377 |
| Provider Name | Aina Castelluccio |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417571134 PECOS PAC ID: 7618394057 Enrollment ID: I20221109000715 |
| Provider Name | Katherine Marie Hogg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336877554 PECOS PAC ID: 0547637001 Enrollment ID: I20221114000823 |
| Provider Name | Simona L Wildman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700509338 PECOS PAC ID: 8022486315 Enrollment ID: I20221117000699 |
| Provider Name | Eric Youngyoon Shin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1972860732 PECOS PAC ID: 6103122783 Enrollment ID: I20221117002624 |
| Provider Name | Kirsten A Pecoraro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902520729 PECOS PAC ID: 1658749809 Enrollment ID: I20221121000800 |
| Provider Name | Tilak Raj |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1760450084 PECOS PAC ID: 7517971609 Enrollment ID: I20221121001555 |
| Provider Name | Mitesh J Patel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1073527123 PECOS PAC ID: 7517937006 Enrollment ID: I20221121001901 |
| Provider Name | Daniel E Perkins |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952920563 PECOS PAC ID: 3274955323 Enrollment ID: I20221122001822 |
| Provider Name | Salvatore Vitale |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1043215353 PECOS PAC ID: 0345137659 Enrollment ID: I20221128000966 |
| Provider Name | Fred Thomas Hurst |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841247954 PECOS PAC ID: 7618969015 Enrollment ID: I20221207002695 |
| Provider Name | Quinn Watson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942829775 PECOS PAC ID: 1557792173 Enrollment ID: I20221208002737 |
| Provider Name | Rabail Razi-akmal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659638930 PECOS PAC ID: 7416265731 Enrollment ID: I20221209002614 |
| Provider Name | Stacia L Frazee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124770466 PECOS PAC ID: 2163891367 Enrollment ID: I20221209002625 |
| Provider Name | Nilaben Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629795414 PECOS PAC ID: 3375912587 Enrollment ID: I20221210000235 |
| Provider Name | Lacandia N Sellers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164199386 PECOS PAC ID: 1850760869 Enrollment ID: I20221214002172 |
| Provider Name | Gregory L Whitaker |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1114906336 PECOS PAC ID: 4688726649 Enrollment ID: I20221214002543 |
| Provider Name | Peter Joseph Gindling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023726106 PECOS PAC ID: 8527437433 Enrollment ID: I20221216000261 |
| Provider Name | Thomas M Donahue |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1003016585 PECOS PAC ID: 2668694670 Enrollment ID: I20221216001378 |
| Provider Name | Erica Ann Snodgrass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669181194 PECOS PAC ID: 8224408935 Enrollment ID: I20221221000694 |
| Provider Name | Leo Hsiao |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1164560207 PECOS PAC ID: 2163596248 Enrollment ID: I20221222000551 |
| Provider Name | Muhammad F Bilal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417290057 PECOS PAC ID: 6608181078 Enrollment ID: I20221223000595 |
| Provider Name | Shamila Gopaul |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104286285 PECOS PAC ID: 0244538965 Enrollment ID: I20221223000854 |
| Provider Name | Paul Lion |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1144759176 PECOS PAC ID: 7012311178 Enrollment ID: I20221230000710 |
| Provider Name | Sarah Kathleen Adrian-stephenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669183448 PECOS PAC ID: 4688044605 Enrollment ID: I20230106002052 |
| Provider Name | Kenlyn J Hobley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821294216 PECOS PAC ID: 0143413583 Enrollment ID: I20230110001728 |
| Provider Name | Christopher M Mccarty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346865920 PECOS PAC ID: 5294145165 Enrollment ID: I20230124002651 |
| Provider Name | George Morris Smith |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891358966 PECOS PAC ID: 0042695769 Enrollment ID: I20230126002434 |
| Provider Name | Katelyn C Gustafson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912454455 PECOS PAC ID: 2466732094 Enrollment ID: I20230130000362 |
| Provider Name | Maddison N Tolliver-lynn |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1477267383 PECOS PAC ID: 7214308147 Enrollment ID: I20230131003572 |
| Provider Name | Jon A Johnson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356519177 PECOS PAC ID: 2264502087 Enrollment ID: I20230202000675 |
| Provider Name | Madison Rachel Funk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598472904 PECOS PAC ID: 8729450416 Enrollment ID: I20230206001995 |
| Provider Name | Katherine Nicole Schwartzkopf |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1952709867 PECOS PAC ID: 3678945300 Enrollment ID: I20230207000579 |
| Provider Name | Corey Joseph Mitscher |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1982319505 PECOS PAC ID: 9335511930 Enrollment ID: I20230208000836 |
| Provider Name | Dmitriy S Tckachenko |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1285645531 PECOS PAC ID: 9537165402 Enrollment ID: I20230208002965 |
| Provider Name | Salamatou Ibrahim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003528902 PECOS PAC ID: 3870965189 Enrollment ID: I20230215001237 |
| Provider Name | Courtland R Blount |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366977795 PECOS PAC ID: 7810390119 Enrollment ID: I20230216000684 |
| Provider Name | Lora D Sanders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043917644 PECOS PAC ID: 4183097116 Enrollment ID: I20230222001621 |
| Provider Name | Thao H Vu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1891787453 PECOS PAC ID: 8527053016 Enrollment ID: I20230222002089 |
| Provider Name | Caitlin Gilmore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851097927 PECOS PAC ID: 1759754138 Enrollment ID: I20230306001702 |
| Provider Name | Jennifer Marie Buehre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528766466 PECOS PAC ID: 0941673263 Enrollment ID: I20230307000509 |
| Provider Name | Sophia L Miller |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1508382318 PECOS PAC ID: 3476927583 Enrollment ID: I20230313000936 |
| Provider Name | Ashley Evelyn Dunkerly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295431179 PECOS PAC ID: 0345614368 Enrollment ID: I20230314002759 |
| Provider Name | Tanner J Hulin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356097026 PECOS PAC ID: 8729473525 Enrollment ID: I20230315001561 |
| Provider Name | Adam Daniel Camp |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1518107606 PECOS PAC ID: 0042453599 Enrollment ID: I20230317001161 |
| Provider Name | Tylor S Payne |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1538873807 PECOS PAC ID: 2062883275 Enrollment ID: I20230319000044 |
| Provider Name | Steven G Wilson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922533009 PECOS PAC ID: 8921377466 Enrollment ID: I20230321000695 |
| Provider Name | Katherine L Pierce |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861460941 PECOS PAC ID: 4880771351 Enrollment ID: I20230324002521 |
| Provider Name | Heather Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073144457 PECOS PAC ID: 7911335195 Enrollment ID: I20230330001268 |
| Provider Name | Ana C Mendia |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386178887 PECOS PAC ID: 8426324682 Enrollment ID: I20230406000236 |
| Provider Name | Dallas Joann England |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881291763 PECOS PAC ID: 9638544372 Enrollment ID: I20230411000552 |
| Provider Name | Brandon Bealer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366025066 PECOS PAC ID: 6204238777 Enrollment ID: I20230508001972 |
| Provider Name | Elizabeth M Sullivan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033747241 PECOS PAC ID: 2860865599 Enrollment ID: I20230509002163 |
| Provider Name | Dylan Jasper Long |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043848120 PECOS PAC ID: 3375909799 Enrollment ID: I20230509002794 |
| Provider Name | Katharina Lynn Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386332716 PECOS PAC ID: 9931565140 Enrollment ID: I20230512002402 |
| Provider Name | Halimah Yusra Oral |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013570191 PECOS PAC ID: 6103150602 Enrollment ID: I20230515002734 |
| Provider Name | Josselyn M Howell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518669019 PECOS PAC ID: 7214393313 Enrollment ID: I20230516001250 |
| Provider Name | Leonard W Edwards |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982231098 PECOS PAC ID: 2466872668 Enrollment ID: I20230516002774 |
| Provider Name | Brian A Romito |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992909527 PECOS PAC ID: 1951482991 Enrollment ID: I20230521000033 |
| Provider Name | Alaa Kassir |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124769138 PECOS PAC ID: 5395123285 Enrollment ID: I20230523002962 |
| Provider Name | Narindra Khalikaprasad |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376170324 PECOS PAC ID: 2163888736 Enrollment ID: I20230524001685 |
| Provider Name | Daniel Feyrouz Saadeh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730716606 PECOS PAC ID: 2163897646 Enrollment ID: I20230525002026 |
| Provider Name | Bobby R Burches |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1598992828 PECOS PAC ID: 0648416057 Enrollment ID: I20230525003347 |
| Provider Name | Thomas R Maher |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1225248958 PECOS PAC ID: 1153495650 Enrollment ID: I20230526001583 |
| Provider Name | Kayla Headley Nussbaum |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033798459 PECOS PAC ID: 7113328451 Enrollment ID: I20230526001706 |
| Provider Name | Pamela D Allen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740471812 PECOS PAC ID: 2466546387 Enrollment ID: I20230526002275 |
| Provider Name | Hajirah T Ishaq |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942761937 PECOS PAC ID: 3870820780 Enrollment ID: I20230531001491 |
| Provider Name | Gabrielle Michaeli |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295316701 PECOS PAC ID: 4486033305 Enrollment ID: I20230602002220 |
| Provider Name | Shan Zhao |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1548764020 PECOS PAC ID: 4486988979 Enrollment ID: I20230606003133 |
| Provider Name | Jacquelyn Ramirez |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1083643415 PECOS PAC ID: 5496714883 Enrollment ID: I20230607001211 |
| Provider Name | Patrick Joseph Dugan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922663012 PECOS PAC ID: 6002237088 Enrollment ID: I20230607001458 |
| Provider Name | Lorne D Mckay |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1144291592 PECOS PAC ID: 2860551892 Enrollment ID: I20230607002811 |
| Provider Name | Harry Lin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982230918 PECOS PAC ID: 9830556752 Enrollment ID: I20230608002183 |
| Provider Name | Rodolfo Macias |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841819497 PECOS PAC ID: 6901227883 Enrollment ID: I20230609000934 |
| Provider Name | Betsy Wilson Stevens |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124657697 PECOS PAC ID: 1052733417 Enrollment ID: I20230612001362 |
| Provider Name | Rachel Nicole Knight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316635709 PECOS PAC ID: 1355709833 Enrollment ID: I20230614003543 |
| Provider Name | John Nelson Hauber |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871115790 PECOS PAC ID: 8224450044 Enrollment ID: I20230615000506 |
| Provider Name | Bronson Delbert Stanley |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1982227567 PECOS PAC ID: 9739547258 Enrollment ID: I20230615000936 |
| Provider Name | Diego F Armas Cadavid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962192021 PECOS PAC ID: 8325406846 Enrollment ID: I20230615001124 |
| Provider Name | Tia R Hinkle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386159598 PECOS PAC ID: 5395103832 Enrollment ID: I20230615001642 |
| Provider Name | Zachary R Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043875883 PECOS PAC ID: 9537582937 Enrollment ID: I20230615002087 |
| Provider Name | Basil Abraham Alhassan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689162737 PECOS PAC ID: 7810355211 Enrollment ID: I20230616000471 |
| Provider Name | Matteo Respino |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215597554 PECOS PAC ID: 4385979913 Enrollment ID: I20230616000642 |
| Provider Name | Michelle Beth Herberts |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1003270786 PECOS PAC ID: 6204128218 Enrollment ID: I20230616001490 |
| Provider Name | Ashleigh M Mather |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871286138 PECOS PAC ID: 4880052125 Enrollment ID: I20230620000944 |
| Provider Name | George Chen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437736899 PECOS PAC ID: 9335549948 Enrollment ID: I20230620002429 |
| Provider Name | Courtney Irving |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467064022 PECOS PAC ID: 0547670051 Enrollment ID: I20230621002443 |
| Provider Name | Meenakshi S Madhur |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750565198 PECOS PAC ID: 2961568894 Enrollment ID: I20230621002616 |
| Provider Name | Colton Junod |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477294130 PECOS PAC ID: 0749668259 Enrollment ID: I20230625000064 |
| Provider Name | Alexandria Patricia Weston |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912532110 PECOS PAC ID: 2860891330 Enrollment ID: I20230626000725 |
| Provider Name | Daniel Udrea |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174029755 PECOS PAC ID: 6103235759 Enrollment ID: I20230627001622 |
| Provider Name | Alexander John Robert Benedick |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1629500640 PECOS PAC ID: 7911275912 Enrollment ID: I20230627002562 |
| Provider Name | Julie A Klensch |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508392689 PECOS PAC ID: 9133497282 Enrollment ID: I20230628002929 |
| Provider Name | Justin D Schrager |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144586157 PECOS PAC ID: 1759694284 Enrollment ID: I20230629001941 |
| Provider Name | Eli Martinez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720667413 PECOS PAC ID: 9335549260 Enrollment ID: I20230703000231 |
| Provider Name | Waiel Almardini |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861021735 PECOS PAC ID: 1557784683 Enrollment ID: I20230703001292 |
| Provider Name | Arcangelo M Iusco |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609834225 PECOS PAC ID: 3577466564 Enrollment ID: I20230703001389 |
| Provider Name | Seema Shashank Patel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093202707 PECOS PAC ID: 2860757382 Enrollment ID: I20230705001029 |
| Provider Name | Zachary A Snyder |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548880354 PECOS PAC ID: 8820457120 Enrollment ID: I20230705001831 |
| Provider Name | Heidi L Alvey |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1386938702 PECOS PAC ID: 4981904133 Enrollment ID: I20230705003374 |
| Provider Name | Pamela M Wisel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548954902 PECOS PAC ID: 8729447966 Enrollment ID: I20230706000271 |
| Provider Name | Carly Rae Allen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033772587 PECOS PAC ID: 7012330186 Enrollment ID: I20230707000349 |
| Provider Name | Joshua C Burton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184219461 PECOS PAC ID: 7517326689 Enrollment ID: I20230707000837 |
| Provider Name | Malynda S Wynn |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1164914834 PECOS PAC ID: 0840546693 Enrollment ID: I20230707001086 |
| Provider Name | Andrew T Filipowicz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013574193 PECOS PAC ID: 7719212836 Enrollment ID: I20230711003996 |
| Provider Name | Sean M Cady |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962031245 PECOS PAC ID: 7618391129 Enrollment ID: I20230712002642 |
| Provider Name | Ting Wei |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1861999773 PECOS PAC ID: 4789930819 Enrollment ID: I20230712004247 |
| Provider Name | Anthony Robert Ragusa |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942944038 PECOS PAC ID: 4789066838 Enrollment ID: I20230714000409 |
| Provider Name | Micah T Mathai |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407313489 PECOS PAC ID: 3870953359 Enrollment ID: I20230714003468 |
| Provider Name | Kyle Reece Mackey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114480886 PECOS PAC ID: 0143554782 Enrollment ID: I20230714003581 |
| Provider Name | Maham Fatima |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063028009 PECOS PAC ID: 4880013705 Enrollment ID: I20230715000696 |
| Provider Name | Sarah Beth Puryear |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548895659 PECOS PAC ID: 4082014147 Enrollment ID: I20230719003788 |
| Provider Name | Olivia R Johnson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689253668 PECOS PAC ID: 3870994395 Enrollment ID: I20230721001854 |
| Provider Name | Vincent Boston |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134572340 PECOS PAC ID: 1456686740 Enrollment ID: I20230724001657 |
| Provider Name | Meredith L Greene |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1700014362 PECOS PAC ID: 9436343969 Enrollment ID: I20230724003388 |
| Provider Name | Trevor R Call |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1558709774 PECOS PAC ID: 1759608805 Enrollment ID: I20230724003671 |
| Provider Name | Nimisha R Swali |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982232807 PECOS PAC ID: 8820427180 Enrollment ID: I20230725000960 |
| Provider Name | Jennifer K Magnuson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508429648 PECOS PAC ID: 2769717099 Enrollment ID: I20230802000124 |
| Provider Name | Courtney M Jackson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013533926 PECOS PAC ID: 7719300292 Enrollment ID: I20230804000959 |
| Provider Name | Marko Trkulja |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1760815526 PECOS PAC ID: 3274763107 Enrollment ID: I20230804003223 |
| Provider Name | Brigid R Marriott |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013609809 PECOS PAC ID: 3870954860 Enrollment ID: I20230808000439 |
| Provider Name | Austin Reed Daly |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275112682 PECOS PAC ID: 9830590165 Enrollment ID: I20230808001241 |
| Provider Name | Leah Kathryn Westrick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659990406 PECOS PAC ID: 9537581624 Enrollment ID: I20230810001848 |
| Provider Name | Sagar J Patel |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1255053278 PECOS PAC ID: 6901282672 Enrollment ID: I20230821001352 |
| Provider Name | Santosh M Bhat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225667223 PECOS PAC ID: 6406218601 Enrollment ID: I20230821002142 |
| Provider Name | Kristen M Mylcraine |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609517960 PECOS PAC ID: 1951780287 Enrollment ID: I20230822001467 |
| Provider Name | Emily Michelle Sampson Lyons |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568106474 PECOS PAC ID: 7315326840 Enrollment ID: I20230822001756 |
| Provider Name | Emily E Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710667266 PECOS PAC ID: 2860855772 Enrollment ID: I20230824004192 |
| Provider Name | Shailesh Zaveri |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104898345 PECOS PAC ID: 8729015557 Enrollment ID: I20230825001163 |
| Provider Name | Justin David Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497496459 PECOS PAC ID: 6305225368 Enrollment ID: I20230828000806 |
| Provider Name | Hannah Claire Buck |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912692534 PECOS PAC ID: 9234592064 Enrollment ID: I20230828001381 |
| Provider Name | Nicholas Andrew Seitz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619556958 PECOS PAC ID: 5193125102 Enrollment ID: I20230828002483 |
| Provider Name | Israa O Al-gburi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144757949 PECOS PAC ID: 6800168063 Enrollment ID: I20230829000571 |
| Provider Name | Amy N Baldwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629766068 PECOS PAC ID: 8325401839 Enrollment ID: I20230831001503 |
| Provider Name | Meagan Kristine Kelley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316566052 PECOS PAC ID: 4789006016 Enrollment ID: I20230901003593 |
| Provider Name | Brooke G Baker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659063279 PECOS PAC ID: 2365806445 Enrollment ID: I20230907002239 |
| Provider Name | Brent A Parker |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1700901915 PECOS PAC ID: 1052485265 Enrollment ID: I20230911000764 |
| Provider Name | Patrick W Sarette |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588306674 PECOS PAC ID: 2769861806 Enrollment ID: I20230912000535 |
| Provider Name | Lucas Ryan Frickey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588305932 PECOS PAC ID: 5092193565 Enrollment ID: I20230912000730 |
| Provider Name | Lindsay Van Houten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194286856 PECOS PAC ID: 7416281738 Enrollment ID: I20230912002068 |
| Provider Name | Julie L Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609225085 PECOS PAC ID: 9335503093 Enrollment ID: I20230913002667 |
| Provider Name | Benjamin R Haggard |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467034751 PECOS PAC ID: 8729489158 Enrollment ID: I20230913003815 |
| Provider Name | Arooj Imtiaz Ahmad |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1023509510 PECOS PAC ID: 2365797842 Enrollment ID: I20230914003812 |
| Provider Name | Rachel Nicole Shuck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154003895 PECOS PAC ID: 1759745151 Enrollment ID: I20230919002081 |
| Provider Name | Nicholas William Pantazis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780468843 PECOS PAC ID: 3476917790 Enrollment ID: I20230919003567 |
| Provider Name | Jessica Loren Snyder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255117222 PECOS PAC ID: 4385098219 Enrollment ID: I20230927000760 |
| Provider Name | Tayler B Eldridge |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1144515982 PECOS PAC ID: 0547533259 Enrollment ID: I20230927001297 |
| Provider Name | Rei Christian Salinas Calma |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962060343 PECOS PAC ID: 7315272358 Enrollment ID: I20230927001592 |
| Provider Name | Shanelle Reynolds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225815681 PECOS PAC ID: 8820442551 Enrollment ID: I20230928001261 |
| Provider Name | Megan A Houser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538945779 PECOS PAC ID: 5991159675 Enrollment ID: I20230928003365 |
| Provider Name | Bennet Joseph Ladowski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316566706 PECOS PAC ID: 8022439496 Enrollment ID: I20230929000662 |
| Provider Name | Shannon Deanna Faehling |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477296408 PECOS PAC ID: 5092187898 Enrollment ID: I20231005001047 |
| Provider Name | Daniel T Stec |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1972058477 PECOS PAC ID: 8729368907 Enrollment ID: I20231005003025 |
| Provider Name | Daniel Patrick Riggins |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912404427 PECOS PAC ID: 7113282427 Enrollment ID: I20231006003141 |
| Provider Name | Terra Lynnette Montrose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568177293 PECOS PAC ID: 7214382217 Enrollment ID: I20231011002043 |
| Provider Name | Nefeli Maria Kalafatis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184405003 PECOS PAC ID: 8729434915 Enrollment ID: I20231024002827 |
| Provider Name | Brittany R Montgomery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093595415 PECOS PAC ID: 3375999253 Enrollment ID: I20231030000320 |
| Provider Name | Mary Jo Hawkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740968866 PECOS PAC ID: 5890142830 Enrollment ID: I20231113001241 |
| Provider Name | Hannah E Shaffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194430827 PECOS PAC ID: 3274981626 Enrollment ID: I20231127001594 |
| Provider Name | Megan Nicole Cochran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740989540 PECOS PAC ID: 3971951781 Enrollment ID: I20231204002411 |
| Provider Name | Allyson Diane Hunsinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073111597 PECOS PAC ID: 7416305230 Enrollment ID: I20231204002905 |
| Provider Name | Emily K Thompson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598380867 PECOS PAC ID: 3577986504 Enrollment ID: I20231206001504 |
| Provider Name | Lia M Allen |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1982183596 PECOS PAC ID: 7810234408 Enrollment ID: I20231208001826 |
| Provider Name | Kristen Jewel Esterlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306611330 PECOS PAC ID: 7911356423 Enrollment ID: I20231208003148 |
| Provider Name | Scott M Mccarty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457083214 PECOS PAC ID: 9830566967 Enrollment ID: I20231211002752 |
| Provider Name | Jonathon R Roullard |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1124556261 PECOS PAC ID: 8022363712 Enrollment ID: I20231213001680 |
| Provider Name | Ashlee N Fort |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932973468 PECOS PAC ID: 5294184131 Enrollment ID: I20231218001344 |
| Provider Name | Sujata Ghate |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730848235 PECOS PAC ID: 1557710407 Enrollment ID: I20231218001766 |
| Provider Name | Adrien J Gupton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669814331 PECOS PAC ID: 3577792308 Enrollment ID: I20231221002209 |
| Provider Name | Steven R Tung |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1427217082 PECOS PAC ID: 3678631116 Enrollment ID: I20231229002204 |
| Provider Name | Kelly A Kean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750653994 PECOS PAC ID: 5991964827 Enrollment ID: I20231229002441 |
| Provider Name | Amber N Floyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477338309 PECOS PAC ID: 0345691143 Enrollment ID: I20240105001693 |
| Provider Name | Jessica Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366091886 PECOS PAC ID: 8628400553 Enrollment ID: I20240109001960 |
| Provider Name | Regina L Mash |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1477928679 PECOS PAC ID: 2365743168 Enrollment ID: I20240109003299 |
| Provider Name | Eric Andrew Bryan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457714701 PECOS PAC ID: 4688026792 Enrollment ID: I20240113000483 |
| Provider Name | Marissa A Babbitt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902561657 PECOS PAC ID: 5890147664 Enrollment ID: I20240117001717 |
| Provider Name | Laura Reece |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376176065 PECOS PAC ID: 2466804141 Enrollment ID: I20240118000704 |
| Provider Name | Adlai L Pappy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1316919376 PECOS PAC ID: 8628059540 Enrollment ID: I20240118001747 |
| Provider Name | Brian J Bill |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700097953 PECOS PAC ID: 8527410240 Enrollment ID: I20240118002282 |
| Provider Name | Victoria L Crosby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053012021 PECOS PAC ID: 1254783970 Enrollment ID: I20240118002287 |
| Provider Name | Dawn Renae Goodman-martin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194831271 PECOS PAC ID: 7416309034 Enrollment ID: I20240119000912 |
| Provider Name | Kayla K Watkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235906421 PECOS PAC ID: 8921451758 Enrollment ID: I20240129002668 |
| Provider Name | Alexandrah Natane Transier |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1235907619 PECOS PAC ID: 5193178614 Enrollment ID: I20240131001922 |
| Provider Name | Tamika C Zapolski |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1366210585 PECOS PAC ID: 4789027939 Enrollment ID: I20240205003725 |
| Provider Name | Rebekah R Burgette |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477088185 PECOS PAC ID: 5092158493 Enrollment ID: I20240213000261 |
| Provider Name | Sarah Grace Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255051660 PECOS PAC ID: 5193169472 Enrollment ID: I20240214002310 |
| Provider Name | Motasem Al Maaieh |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1790053841 PECOS PAC ID: 3173832300 Enrollment ID: I20240215000870 |
| Provider Name | Stacey J Coghill |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164990495 PECOS PAC ID: 6507200573 Enrollment ID: I20240217000174 |
| Provider Name | Sarah B Young |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477630523 PECOS PAC ID: 9537251178 Enrollment ID: I20240217000373 |
| Provider Name | Christa Ann Kabbes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861966426 PECOS PAC ID: 2365886801 Enrollment ID: I20240222003907 |
| Provider Name | Renee M Brownlee |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093145955 PECOS PAC ID: 8123462603 Enrollment ID: I20240223001152 |
| Provider Name | Kristen C Anderson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558890202 PECOS PAC ID: 6608146584 Enrollment ID: I20240227003759 |
| Provider Name | Reagan M Gambill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629843792 PECOS PAC ID: 1456796648 Enrollment ID: I20240227003814 |
| Provider Name | Ashley M Seei |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841716834 PECOS PAC ID: 1153689898 Enrollment ID: I20240228000171 |
| Provider Name | Jodi L Cole |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578609707 PECOS PAC ID: 2365887015 Enrollment ID: I20240304002544 |
| Provider Name | Joy M Boyd |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467056648 PECOS PAC ID: 6901242544 Enrollment ID: I20240306001372 |
| Provider Name | Kambui Abdullah |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790234268 PECOS PAC ID: 8325484652 Enrollment ID: I20240308003321 |
| Provider Name | Brittany Leonard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811461882 PECOS PAC ID: 7214373430 Enrollment ID: I20240311002260 |
| Provider Name | Letitia E Obot |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679903587 PECOS PAC ID: 0244682581 Enrollment ID: I20240312000877 |
| Provider Name | Kelley N Sheller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942706197 PECOS PAC ID: 9739438219 Enrollment ID: I20240312001223 |
| Provider Name | Shelby Elizabeth Linn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801667928 PECOS PAC ID: 8921444910 Enrollment ID: I20240313000753 |
| Provider Name | Yun Wang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679342729 PECOS PAC ID: 5395181390 Enrollment ID: I20240313001161 |
| Provider Name | Emily Jean Schaefer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619619525 PECOS PAC ID: 7719366764 Enrollment ID: I20240314000740 |
| Provider Name | Scott William Sabbagh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629719059 PECOS PAC ID: 1153709688 Enrollment ID: I20240315001312 |
| Provider Name | Lauren A Gonzalez |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1083231070 PECOS PAC ID: 0941626543 Enrollment ID: I20240315003048 |
| Provider Name | Kelly M Leach |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548835796 PECOS PAC ID: 3678910999 Enrollment ID: I20240322000734 |
| Provider Name | Alexander J Burks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710692710 PECOS PAC ID: 3274970363 Enrollment ID: I20240325003542 |
| Provider Name | Ushasree Chamarthy |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1033215967 PECOS PAC ID: 7810953965 Enrollment ID: I20240327002278 |
| Provider Name | Brian J Klein |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1104537570 PECOS PAC ID: 4082051263 Enrollment ID: I20240405000418 |
| Provider Name | Lisa M Glazik |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1881675478 PECOS PAC ID: 8628376217 Enrollment ID: I20240409004693 |
| Provider Name | Timothy Dwyer Kelly |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649805888 PECOS PAC ID: 9234539255 Enrollment ID: I20240419000834 |
| Provider Name | Alycia Valerie Graves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710750666 PECOS PAC ID: 6608215843 Enrollment ID: I20240419002456 |
| Provider Name | Hannah E Kalk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851155808 PECOS PAC ID: 9234578402 Enrollment ID: I20240420000025 |
| Provider Name | Whitney Lee Buck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306411855 PECOS PAC ID: 9133569965 Enrollment ID: I20240426002539 |
| Provider Name | Margaret Hajje |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1699100644 PECOS PAC ID: 8820223472 Enrollment ID: I20240510000767 |
| Provider Name | Bryan M Saltzman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1316385719 PECOS PAC ID: 1355631516 Enrollment ID: I20240513002373 |
| Provider Name | Tari Gulbrandsen |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1720705668 PECOS PAC ID: 6507207222 Enrollment ID: I20240513002500 |
| Provider Name | Kathryn C Kimpel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124608526 PECOS PAC ID: 9234671181 Enrollment ID: I20240606001236 |
| Provider Name | Cynthia Marie Julcarima |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699530501 PECOS PAC ID: 1557803921 Enrollment ID: I20240613000561 |
Moazzam Habib Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9240 N Meridian St, Suite 240, Indianapolis, IN 46260 Phone: 317-571-0030 Fax: 317-571-0031 | |
Shalom 56th Street-new Access Point Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5750 W 56th St, Indianapolis, IN 46254 Phone: 317-291-7422 Fax: 317-291-4912 | |
Franciscan Health Indianapolis & Mooresville Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5230a East Stop 11 Road, Suite 250, Indianapolis, IN 46237 Phone: 317-528-8921 Fax: 317-528-6916 | |
Evernorth Care Providers - Delaware Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8888 Keystone Xing Ste 1300, Indianapolis, IN 46240 Phone: 773-292-4800 Fax: 312-564-4059 | |
Eskenazi Health Center Cottage Corner Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1434 Shelby St, Indianapolis, IN 46203 Phone: 317-655-3200 Fax: 317-655-3210 | |
Hello Wellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1040 E 86th St, Suite 48-a, Indianapolis, IN 46240 Phone: 317-569-1800 | |
Indiana Neurodiagnostics, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9465 Counselors Row, Ste. 200 Office 257, Indianapolis, IN 46240 Phone: 317-614-0310 Fax: 866-279-4704 |