| Johns Hopkins Community Physicians | |
|
4924 Campbell Blvd Ste 200 Nottingham MD 21236-5914 | |
| (410) 955-5000 | |
| Not Available |
| Full Name | Johns Hopkins Community Physicians |
|---|---|
| Speciality | Internal Medicine |
| Location | 4924 Campbell Blvd Ste 200, Nottingham, Maryland |
| Authorized Official Name and Position | Barbara G. Cook (PRESIDENT) |
| Authorized Official Contact | 4103383565 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Johns Hopkins Community Physicians 6201 Greenleigh Ave Middle River MD 21220-2004 Ph: (410) 933-5412 | Johns Hopkins Community Physicians 4924 Campbell Blvd Ste 200 Nottingham MD 21236-5914 Ph: (410) 955-5000 |
| NPI Number | 1578598868 |
|---|---|
| Provider Enumeration Date | 07/12/2006 |
| Last Update Date | 11/06/2023 |
| Medicare PECOS PAC ID | 8325943707 |
|---|---|
| Medicare Enrollment ID | O20031220000065 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578598868 | NPI | - | NPPES |
| 7645511 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| Provider Name | Amal Awadalla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366530651 PECOS PAC ID: 3971417015 Enrollment ID: I20031113000652 |
| Provider Name | Terry Lee Prahl |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1235166695 PECOS PAC ID: 0446164461 Enrollment ID: I20031114000169 |
| Provider Name | Kanthi Wickramaratne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760583660 PECOS PAC ID: 2466356043 Enrollment ID: I20031125000291 |
| Provider Name | Tsion Berhane |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1255336962 PECOS PAC ID: 4284539024 Enrollment ID: I20031204000472 |
| Provider Name | Karen A Mackinnon |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1346384328 PECOS PAC ID: 4486553542 Enrollment ID: I20040107000744 |
| Provider Name | Sheila M Hofert |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013082049 PECOS PAC ID: 2860388683 Enrollment ID: I20040226000985 |
| Provider Name | Jeannette T M Nazarian |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1518908458 PECOS PAC ID: 9133115132 Enrollment ID: I20040423001137 |
| Provider Name | Kari Murray |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487642740 PECOS PAC ID: 0042209496 Enrollment ID: I20040510001633 |
| Provider Name | Bonnie Ware |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316983646 PECOS PAC ID: 1153311790 Enrollment ID: I20040514000970 |
| Provider Name | Ellen Koehler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700831542 PECOS PAC ID: 6103809504 Enrollment ID: I20040608000718 |
| Provider Name | Laurie Bothwell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861537532 PECOS PAC ID: 8426031501 Enrollment ID: I20040610000103 |
| Provider Name | Tracie Ryberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730131269 PECOS PAC ID: 3779568720 Enrollment ID: I20040623000229 |
| Provider Name | Leah Wolfe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952339384 PECOS PAC ID: 2062499734 Enrollment ID: I20040630000902 |
| Provider Name | Leonard S Feldman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851333066 PECOS PAC ID: 8729066956 Enrollment ID: I20040713000553 |
| Provider Name | Jay Menaker |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1568437176 PECOS PAC ID: 6507845070 Enrollment ID: I20040717000373 |
| Provider Name | Regina Kundell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376546994 PECOS PAC ID: 3870573405 Enrollment ID: I20040723000053 |
| Provider Name | Terrance L Baker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073557906 PECOS PAC ID: 8628058211 Enrollment ID: I20040723000481 |
| Provider Name | Norman M Dy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215997275 PECOS PAC ID: 8820061047 Enrollment ID: I20040817000080 |
| Provider Name | Andrea Kwong |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215961610 PECOS PAC ID: 1355315995 Enrollment ID: I20040820000513 |
| Provider Name | John Sampson |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1215969332 PECOS PAC ID: 0143295758 Enrollment ID: I20040827000629 |
| Provider Name | Jennifer L Hayashi |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1497705636 PECOS PAC ID: 3072589118 Enrollment ID: I20040909000377 |
| Provider Name | Janna Spranza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982695201 PECOS PAC ID: 5698741627 Enrollment ID: I20040909001073 |
| Provider Name | Terri H Lunsford |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215915418 PECOS PAC ID: 2860460441 Enrollment ID: I20040921001146 |
| Provider Name | Jeanne G Prins |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1548261571 PECOS PAC ID: 6002884574 Enrollment ID: I20040930001082 |
| Provider Name | Rosalyn W Stewart |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619905338 PECOS PAC ID: 0840259305 Enrollment ID: I20041008001007 |
| Provider Name | Heidi Abdelhady |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1437106481 PECOS PAC ID: 9436112695 Enrollment ID: I20041109000159 |
| Provider Name | Christine A Marino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518068410 PECOS PAC ID: 6204890726 Enrollment ID: I20041115001074 |
| Provider Name | Shahriar Amin |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1376501882 PECOS PAC ID: 9830187921 Enrollment ID: I20041203000754 |
| Provider Name | Aasma Sheikh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952417677 PECOS PAC ID: 2264499649 Enrollment ID: I20041216001103 |
| Provider Name | John Eng |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407888092 PECOS PAC ID: 1153388418 Enrollment ID: I20041217000701 |
| Provider Name | Vivek Varma |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1043314362 PECOS PAC ID: 4688632706 Enrollment ID: I20041221000652 |
| Provider Name | Lauren A Gordon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699744466 PECOS PAC ID: 2264480276 Enrollment ID: I20050106000493 |
| Provider Name | Kimberly Turner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962418855 PECOS PAC ID: 8527014869 Enrollment ID: I20050330000045 |
| Provider Name | Christopher B Ish |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538263850 PECOS PAC ID: 5799722708 Enrollment ID: I20050412000400 |
| Provider Name | Danielle Gourley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336140391 PECOS PAC ID: 4486697133 Enrollment ID: I20050603000841 |
| Provider Name | Jennifer H Zinderman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932200755 PECOS PAC ID: 9335182732 Enrollment ID: I20050607000504 |
| Provider Name | Gloria F Moretz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013912039 PECOS PAC ID: 5597708834 Enrollment ID: I20050607000925 |
| Provider Name | Justin Somerville |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1023016672 PECOS PAC ID: 0749224178 Enrollment ID: I20050615001108 |
| Provider Name | Naomi P Cutler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003843020 PECOS PAC ID: 7113962481 Enrollment ID: I20050627001113 |
| Provider Name | Sandra W. Hairston |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790734259 PECOS PAC ID: 2264478346 Enrollment ID: I20050629000147 |
| Provider Name | Donna S Westervelt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497799142 PECOS PAC ID: 6204862428 Enrollment ID: I20050711000449 |
| Provider Name | Tara Hebert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225089337 PECOS PAC ID: 6204863277 Enrollment ID: I20050721000073 |
| Provider Name | Colleen M Leavitt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528042959 PECOS PAC ID: 8022098524 Enrollment ID: I20050804000869 |
| Provider Name | Martha D Mueller |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811940570 PECOS PAC ID: 1759311384 Enrollment ID: I20050815000097 |
| Provider Name | David A Madder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366526980 PECOS PAC ID: 9739125824 Enrollment ID: I20050826000755 |
| Provider Name | Kerri An Mross |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295780195 PECOS PAC ID: 8325079254 Enrollment ID: I20050830000677 |
| Provider Name | Susan H Schrock |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114952199 PECOS PAC ID: 6103841499 Enrollment ID: I20051005001112 |
| Provider Name | Shanthi Thomas King |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891724381 PECOS PAC ID: 0244257525 Enrollment ID: I20051026000452 |
| Provider Name | Anirudh Sridharan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366479800 PECOS PAC ID: 6103843065 Enrollment ID: I20051029000277 |
| Provider Name | Gerren Perry-fabrizio |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356328116 PECOS PAC ID: 5890736557 Enrollment ID: I20051116000339 |
| Provider Name | Mahbuba Akhter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457330466 PECOS PAC ID: 9931128741 Enrollment ID: I20051121000989 |
| Provider Name | Celian Valero Colon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407896236 PECOS PAC ID: 7810917200 Enrollment ID: I20051130000458 |
| Provider Name | Jean Wu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114953544 PECOS PAC ID: 7315960499 Enrollment ID: I20060105000060 |
| Provider Name | Chuckia Brown Tisdale |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306836804 PECOS PAC ID: 6709809775 Enrollment ID: I20060105000599 |
| Provider Name | Sidney Nelson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033152541 PECOS PAC ID: 4082628300 Enrollment ID: I20060125000976 |
| Provider Name | Jocelyne T Kouatchou |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811950546 PECOS PAC ID: 1658385331 Enrollment ID: I20060201000887 |
| Provider Name | Cynthia Marie Soriano |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1891828125 PECOS PAC ID: 2365458189 Enrollment ID: I20060302000306 |
| Provider Name | Wanda Rivera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073591665 PECOS PAC ID: 2264443282 Enrollment ID: I20060505000232 |
| Provider Name | Patricia Gillen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427096221 PECOS PAC ID: 4587675558 Enrollment ID: I20060505000670 |
| Provider Name | Denise M Kirkner-vourlos |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073580361 PECOS PAC ID: 4981609146 Enrollment ID: I20060921000091 |
| Provider Name | Mark L Plaster |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1265440408 PECOS PAC ID: 8123005485 Enrollment ID: I20061005000302 |
| Provider Name | Esteban Antonio Marquez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851352819 PECOS PAC ID: 7315943131 Enrollment ID: I20061018000160 |
| Provider Name | Columbus James Giles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740290139 PECOS PAC ID: 0042261778 Enrollment ID: I20061204000230 |
| Provider Name | Kathleen A Hartman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1194830406 PECOS PAC ID: 4880695204 Enrollment ID: I20070126000322 |
| Provider Name | Tamara D Terry |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972607406 PECOS PAC ID: 6002817491 Enrollment ID: I20070129000078 |
| Provider Name | Zishan K Siddiqui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154406338 PECOS PAC ID: 4183625346 Enrollment ID: I20070131000107 |
| Provider Name | Sabita Sharma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427167006 PECOS PAC ID: 7315949195 Enrollment ID: I20070207000401 |
| Provider Name | Louis Kokkinakos |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275550998 PECOS PAC ID: 2163524190 Enrollment ID: I20070222000379 |
| Provider Name | Margot Watson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538160569 PECOS PAC ID: 5698709186 Enrollment ID: I20070222000511 |
| Provider Name | Laura Np Lynch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124029285 PECOS PAC ID: 4284736232 Enrollment ID: I20070222000572 |
| Provider Name | Howard C Yang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982653663 PECOS PAC ID: 1658390737 Enrollment ID: I20070301000569 |
| Provider Name | Francisco Rojas |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497762199 PECOS PAC ID: 9830291202 Enrollment ID: I20070305000106 |
| Provider Name | Robert Davidson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760537831 PECOS PAC ID: 7810090263 Enrollment ID: I20070306000119 |
| Provider Name | Susan L Schoenfeld |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619013125 PECOS PAC ID: 7416050695 Enrollment ID: I20070308000106 |
| Provider Name | Lloyd Nagbe |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366582991 PECOS PAC ID: 1658474754 Enrollment ID: I20070309000443 |
| Provider Name | Bennett So |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558349381 PECOS PAC ID: 4385740679 Enrollment ID: I20070502000622 |
| Provider Name | Duniya Lancaster |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124097860 PECOS PAC ID: 7113024803 Enrollment ID: I20070514000539 |
| Provider Name | Sana Misalati |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881748259 PECOS PAC ID: 5496852360 Enrollment ID: I20070530000118 |
| Provider Name | Ritha Chea |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285750760 PECOS PAC ID: 2860450715 Enrollment ID: I20070614000627 |
| Provider Name | Shanthi Marur |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1457558207 PECOS PAC ID: 0446341291 Enrollment ID: I20070808000156 |
| Provider Name | Michael Charles Albert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811031297 PECOS PAC ID: 1254423635 Enrollment ID: I20070815000846 |
| Provider Name | Larry J Shranatan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245343342 PECOS PAC ID: 9830282078 Enrollment ID: I20070905000215 |
| Provider Name | Marjan Bahador |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1760605422 PECOS PAC ID: 6103919972 Enrollment ID: I20070910000899 |
| Provider Name | Danny E Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851379689 PECOS PAC ID: 2062508617 Enrollment ID: I20071012000466 |
| Provider Name | Sherin E Varghese |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952471153 PECOS PAC ID: 2365533007 Enrollment ID: I20071109000248 |
| Provider Name | Snehal Shah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487778981 PECOS PAC ID: 1153402672 Enrollment ID: I20080122000594 |
| Provider Name | Kweku Hayford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205895802 PECOS PAC ID: 8325009566 Enrollment ID: I20080215000377 |
| Provider Name | Joyce A Dietrich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902844962 PECOS PAC ID: 0648356790 Enrollment ID: I20080328000703 |
| Provider Name | Mary Alexandra Hartman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184814923 PECOS PAC ID: 7416026182 Enrollment ID: I20080521000201 |
| Provider Name | Katrina R Stephanos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053472662 PECOS PAC ID: 3173692688 Enrollment ID: I20080522000512 |
| Provider Name | Bernhard Birnbaum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619070125 PECOS PAC ID: 2163592197 Enrollment ID: I20080603000630 |
| Provider Name | Deepak A Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306878699 PECOS PAC ID: 3779655006 Enrollment ID: I20080702000201 |
| Provider Name | Chamara L Hasan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083623532 PECOS PAC ID: 2668487927 Enrollment ID: I20080702000274 |
| Provider Name | Athir Morad |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407994015 PECOS PAC ID: 8921172131 Enrollment ID: I20080806000637 |
| Provider Name | Harminder Kaur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083702799 PECOS PAC ID: 2961473434 Enrollment ID: I20080903000213 |
| Provider Name | Shaker Eid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265614796 PECOS PAC ID: 5092882118 Enrollment ID: I20080916000020 |
| Provider Name | Lisa Koulish |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558528125 PECOS PAC ID: 0840367850 Enrollment ID: I20080917000279 |
| Provider Name | Seema A Gadiwalla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477643013 PECOS PAC ID: 4688747827 Enrollment ID: I20080918000635 |
| Provider Name | Jessica L Colburn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548311830 PECOS PAC ID: 7214005776 Enrollment ID: I20081010000203 |
| Provider Name | Abul Arifuddowla |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851559611 PECOS PAC ID: 1456419209 Enrollment ID: I20081022000532 |
| Provider Name | Mark H Davino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508980459 PECOS PAC ID: 2264590066 Enrollment ID: I20081023000254 |
| Provider Name | Terry English |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295728558 PECOS PAC ID: 1557301165 Enrollment ID: I20081028000414 |
| Provider Name | Wajahath Mohsini |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467637751 PECOS PAC ID: 5698834455 Enrollment ID: I20081107000491 |
| Provider Name | Lopa Basu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124200662 PECOS PAC ID: 8729147327 Enrollment ID: I20081112000232 |
| Provider Name | Karlene V Ross |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518187822 PECOS PAC ID: 3375603244 Enrollment ID: I20081121000402 |
| Provider Name | Runa Sidhu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780861252 PECOS PAC ID: 5799840336 Enrollment ID: I20090220000040 |
| Provider Name | Tyler Cymet |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831148360 PECOS PAC ID: 1153478458 Enrollment ID: I20090402000073 |
| Provider Name | Lise M Greenberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932187390 PECOS PAC ID: 8921155540 Enrollment ID: I20090416000225 |
| Provider Name | Rachelle Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669478335 PECOS PAC ID: 0244388460 Enrollment ID: I20090428000252 |
| Provider Name | Khalid Puthawala |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1356397442 PECOS PAC ID: 5890797682 Enrollment ID: I20090615000124 |
| Provider Name | Dean Meadows |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1922064427 PECOS PAC ID: 2567514250 Enrollment ID: I20090709000724 |
| Provider Name | Che M Harris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629229364 PECOS PAC ID: 7517010937 Enrollment ID: I20090803000561 |
| Provider Name | Kevin Michael Groszkowski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548240716 PECOS PAC ID: 9931253606 Enrollment ID: I20090814000051 |
| Provider Name | Jill A. Crank |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033396882 PECOS PAC ID: 5092869297 Enrollment ID: I20090824000187 |
| Provider Name | Sheila V Ravendhran |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659427987 PECOS PAC ID: 8820143589 Enrollment ID: I20090901000426 |
| Provider Name | Carissa Jean Vea |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952516619 PECOS PAC ID: 5193861482 Enrollment ID: I20090929000568 |
| Provider Name | Ardalan Enkeshafi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003000126 PECOS PAC ID: 7517003643 Enrollment ID: I20091005000100 |
| Provider Name | Somajita Ghosal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154473999 PECOS PAC ID: 3870639347 Enrollment ID: I20091014000351 |
| Provider Name | Cherilyn Chanell Hall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922133701 PECOS PAC ID: 0547307902 Enrollment ID: I20091019000001 |
| Provider Name | Natalia A Colon Guzman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346388824 PECOS PAC ID: 4880731256 Enrollment ID: I20091019000027 |
| Provider Name | Lahaina L Hall |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871724054 PECOS PAC ID: 9739227802 Enrollment ID: I20091110000372 |
| Provider Name | William Neville Checkley |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1346386760 PECOS PAC ID: 7810035409 Enrollment ID: I20091119000478 |
| Provider Name | Fatima Syed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811120736 PECOS PAC ID: 9931248374 Enrollment ID: I20091125000123 |
| Provider Name | Carmen G Salvaterra |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1285639336 PECOS PAC ID: 6406995653 Enrollment ID: I20091201000076 |
| Provider Name | Francis S Chuidian |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1497750541 PECOS PAC ID: 6305986738 Enrollment ID: I20091216000434 |
| Provider Name | Ravinder K Wali |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821030933 PECOS PAC ID: 5092857300 Enrollment ID: I20100126000413 |
| Provider Name | Mozella Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578608618 PECOS PAC ID: 4587707146 Enrollment ID: I20100204000140 |
| Provider Name | Yue-cheng Yang |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801990064 PECOS PAC ID: 2567506231 Enrollment ID: I20100218000436 |
| Provider Name | David L Eisenberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487706883 PECOS PAC ID: 1759426661 Enrollment ID: I20100303000630 |
| Provider Name | Catherine Cordero-parrish |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124122494 PECOS PAC ID: 2466597943 Enrollment ID: I20100309000184 |
| Provider Name | Michael Crocetti |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255371399 PECOS PAC ID: 0345385753 Enrollment ID: I20100309000515 |
| Provider Name | Steven Kravet |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093756660 PECOS PAC ID: 2466597729 Enrollment ID: I20100311000209 |
| Provider Name | Mark D Phillips |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174627491 PECOS PAC ID: 6305971151 Enrollment ID: I20100318000086 |
| Provider Name | Raymond Zollinger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053349837 PECOS PAC ID: 9638204431 Enrollment ID: I20100318000567 |
| Provider Name | Swati Phatak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255415873 PECOS PAC ID: 7416082235 Enrollment ID: I20100318000712 |
| Provider Name | Susan T Shultz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033213301 PECOS PAC ID: 1557496296 Enrollment ID: I20100319000079 |
| Provider Name | Scott Feeser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942304217 PECOS PAC ID: 0840326369 Enrollment ID: I20100409000055 |
| Provider Name | Steven Joseph Blash |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851494363 PECOS PAC ID: 3274660543 Enrollment ID: I20100419000005 |
| Provider Name | Mary Theresa Forbes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467419671 PECOS PAC ID: 9537297593 Enrollment ID: I20100512000447 |
| Provider Name | Grace Gelletly |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629172887 PECOS PAC ID: 6800925942 Enrollment ID: I20100527000300 |
| Provider Name | Gregory Burt Kelly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235213851 PECOS PAC ID: 1355471947 Enrollment ID: I20100608000527 |
| Provider Name | Donna Myers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568414506 PECOS PAC ID: 9032249578 Enrollment ID: I20100610000396 |
| Provider Name | Ameet S Parikh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144417528 PECOS PAC ID: 8527199108 Enrollment ID: I20100625000283 |
| Provider Name | Anthony Harrell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497859763 PECOS PAC ID: 0244361335 Enrollment ID: I20100707000130 |
| Provider Name | Ketaki V Abhyankar |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922201367 PECOS PAC ID: 5698806644 Enrollment ID: I20100708000500 |
| Provider Name | Darlene M Fuchs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346288016 PECOS PAC ID: 5597897769 Enrollment ID: I20100723000403 |
| Provider Name | Kimberly Peairs |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508806514 PECOS PAC ID: 5597898163 Enrollment ID: I20100803000577 |
| Provider Name | Eric Rubin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093740359 PECOS PAC ID: 6204960990 Enrollment ID: I20100817000789 |
| Provider Name | Jorawar Singh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417132309 PECOS PAC ID: 9931223427 Enrollment ID: I20100907000359 |
| Provider Name | Erika Rose Larson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730169442 PECOS PAC ID: 2860516283 Enrollment ID: I20100907000887 |
| Provider Name | Theresa Dematteo Pugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841390713 PECOS PAC ID: 3870618879 Enrollment ID: I20100914001250 |
| Provider Name | Nadia Ijaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942409628 PECOS PAC ID: 6709901382 Enrollment ID: I20100920000845 |
| Provider Name | Eric E Howell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225084122 PECOS PAC ID: 8729005335 Enrollment ID: I20100924000247 |
| Provider Name | Marilyn Moshay Cooper |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215031612 PECOS PAC ID: 8123144003 Enrollment ID: I20100928001475 |
| Provider Name | Ta Ya Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497843783 PECOS PAC ID: 0840316766 Enrollment ID: I20100929000260 |
| Provider Name | Robert Neil Kass |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528148046 PECOS PAC ID: 2466578281 Enrollment ID: I20100929000395 |
| Provider Name | Maura J Mcguire |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164522025 PECOS PAC ID: 5294851069 Enrollment ID: I20100929000926 |
| Provider Name | Bimal Ashar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306801147 PECOS PAC ID: 4183816200 Enrollment ID: I20101007001116 |
| Provider Name | Diana L Heffner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912998121 PECOS PAC ID: 6103018924 Enrollment ID: I20101012000035 |
| Provider Name | Lisa L Miller |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1669422689 PECOS PAC ID: 9234322850 Enrollment ID: I20101014001417 |
| Provider Name | Colleen E Kennedy |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1134449077 PECOS PAC ID: 5193918241 Enrollment ID: I20101021000109 |
| Provider Name | Valerie E Goodman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659334852 PECOS PAC ID: 5193918258 Enrollment ID: I20101021000133 |
| Provider Name | Carlos Cuenca |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386748655 PECOS PAC ID: 2860686557 Enrollment ID: I20101026001424 |
| Provider Name | Marianne L Fingerhood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437259397 PECOS PAC ID: 7214121896 Enrollment ID: I20101027001006 |
| Provider Name | Shanta A Purcell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194885202 PECOS PAC ID: 4486848959 Enrollment ID: I20101028000641 |
| Provider Name | Amit Kumar Pahwa |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447469531 PECOS PAC ID: 2466646930 Enrollment ID: I20101028000661 |
| Provider Name | Waseem Khaliq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912928714 PECOS PAC ID: 7911090360 Enrollment ID: I20101101000561 |
| Provider Name | Tina Kumra |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235268764 PECOS PAC ID: 3577757327 Enrollment ID: I20101105000140 |
| Provider Name | Guoping Xu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972606481 PECOS PAC ID: 4587859806 Enrollment ID: I20101112000274 |
| Provider Name | Smita N Vazarkar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023127669 PECOS PAC ID: 7911192158 Enrollment ID: I20101112000696 |
| Provider Name | Charles Locke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700813177 PECOS PAC ID: 5395930291 Enrollment ID: I20101117000167 |
| Provider Name | Mohammed I Mehboob |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518921873 PECOS PAC ID: 9638162019 Enrollment ID: I20101122000076 |
| Provider Name | Corinne A Ahmar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932373305 PECOS PAC ID: 8527254978 Enrollment ID: I20101124000099 |
| Provider Name | Ileana L Ponor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285881540 PECOS PAC ID: 5193911584 Enrollment ID: I20101124000637 |
| Provider Name | Vera B Brown |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528161031 PECOS PAC ID: 2264628668 Enrollment ID: I20101124000805 |
| Provider Name | Mahin Choudhury |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992950174 PECOS PAC ID: 4284820697 Enrollment ID: I20101124000915 |
| Provider Name | Edith M. Vargo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790889970 PECOS PAC ID: 3072709211 Enrollment ID: I20101130000392 |
| Provider Name | Sharon E Gaines |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952405128 PECOS PAC ID: 6901092980 Enrollment ID: I20101202000683 |
| Provider Name | Hermon W Smith |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043314214 PECOS PAC ID: 4183811177 Enrollment ID: I20101202000982 |
| Provider Name | Raymond Taylor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235233412 PECOS PAC ID: 8527255587 Enrollment ID: I20101203000451 |
| Provider Name | Vinay K Sharma |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1609984517 PECOS PAC ID: 6204920531 Enrollment ID: I20101203000925 |
| Provider Name | Li Hua |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376741579 PECOS PAC ID: 6507053279 Enrollment ID: I20101207000616 |
| Provider Name | Janet Siddiqui |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902837750 PECOS PAC ID: 0547457103 Enrollment ID: I20101208000386 |
| Provider Name | Melinda Kantsiper |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275539421 PECOS PAC ID: 7911195912 Enrollment ID: I20101216001046 |
| Provider Name | Barry Bercovitz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265536585 PECOS PAC ID: 9436348497 Enrollment ID: I20110106001011 |
| Provider Name | Stefanie M Glenn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013954338 PECOS PAC ID: 6608055926 Enrollment ID: I20110119000515 |
| Provider Name | Brent B Macdonald |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356445514 PECOS PAC ID: 2769661644 Enrollment ID: I20110125000108 |
| Provider Name | Jodi Rennert-ariev |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417995929 PECOS PAC ID: 7315126125 Enrollment ID: I20110126000365 |
| Provider Name | Paul D Giles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104098326 PECOS PAC ID: 2961681697 Enrollment ID: I20110126000733 |
| Provider Name | Su Young Seh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861708059 PECOS PAC ID: 2062692387 Enrollment ID: I20110203000640 |
| Provider Name | Hsin Yi A Tang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831342484 PECOS PAC ID: 3870773120 Enrollment ID: I20110203000949 |
| Provider Name | Kathryn M Strain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407970353 PECOS PAC ID: 8820279094 Enrollment ID: I20110221000914 |
| Provider Name | Sonya Lecuona |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619914462 PECOS PAC ID: 6406037159 Enrollment ID: I20110301000228 |
| Provider Name | Junecia White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497056345 PECOS PAC ID: 5799966453 Enrollment ID: I20110301000329 |
| Provider Name | Sharon P Dlhosh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316048218 PECOS PAC ID: 3072795590 Enrollment ID: I20110304000368 |
| Provider Name | Natalia M Vasquez Martinez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447408851 PECOS PAC ID: 8921280223 Enrollment ID: I20110308000558 |
| Provider Name | Sheryl N Young |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548465297 PECOS PAC ID: 0840483137 Enrollment ID: I20110317000389 |
| Provider Name | Halcyeane T Dardaine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356599740 PECOS PAC ID: 4082897798 Enrollment ID: I20110317000518 |
| Provider Name | Allegra Hamman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104049063 PECOS PAC ID: 3072796382 Enrollment ID: I20110324000234 |
| Provider Name | Sajid Saeed Chaudry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386748606 PECOS PAC ID: 4981887007 Enrollment ID: I20110328000679 |
| Provider Name | Darcie Marie Hammer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730178062 PECOS PAC ID: 3072647056 Enrollment ID: I20110509000009 |
| Provider Name | Richard A Haupt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245218551 PECOS PAC ID: 5698951572 Enrollment ID: I20110510000371 |
| Provider Name | Amr A El-gamal |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1891919593 PECOS PAC ID: 1658557202 Enrollment ID: I20110516000365 |
| Provider Name | Kanwal S Awan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902067960 PECOS PAC ID: 7113101585 Enrollment ID: I20110523000715 |
| Provider Name | Haizia Amsler |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265612618 PECOS PAC ID: 1153497441 Enrollment ID: I20110525000103 |
| Provider Name | Tracey Reinecke Kashima |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386739803 PECOS PAC ID: 2466620505 Enrollment ID: I20110718000010 |
| Provider Name | Sean Agbor-enoh |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1811159858 PECOS PAC ID: 0345419354 Enrollment ID: I20110809000349 |
| Provider Name | Julia A Ejiogu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144472556 PECOS PAC ID: 7113072505 Enrollment ID: I20110816000232 |
| Provider Name | Suchitra Paranji |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548423924 PECOS PAC ID: 9931378536 Enrollment ID: I20110817000251 |
| Provider Name | Nafisa Tajir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538304639 PECOS PAC ID: 5395914998 Enrollment ID: I20110817000258 |
| Provider Name | Yasir Hamad |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1619130754 PECOS PAC ID: 7810167103 Enrollment ID: I20110824000040 |
| Provider Name | Sandeep Pandove |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679511059 PECOS PAC ID: 4981608429 Enrollment ID: I20110920000134 |
| Provider Name | Ayesha Khalil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730136086 PECOS PAC ID: 5496768723 Enrollment ID: I20110923000266 |
| Provider Name | David W Dowdy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619202173 PECOS PAC ID: 3072788512 Enrollment ID: I20111212000088 |
| Provider Name | Kristina M Neal |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1225310097 PECOS PAC ID: 6002082906 Enrollment ID: I20111227000160 |
| Provider Name | Paul A Gemma |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1548445794 PECOS PAC ID: 6901073873 Enrollment ID: I20120117000462 |
| Provider Name | Charisse Estess Sabath |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043478480 PECOS PAC ID: 0244407948 Enrollment ID: I20120120000571 |
| Provider Name | Motaz Baibars |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104121193 PECOS PAC ID: 7315105814 Enrollment ID: I20120229000435 |
| Provider Name | Kathryn R R Omron |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245390590 PECOS PAC ID: 3971548199 Enrollment ID: I20120329000398 |
| Provider Name | Kristen M Peichert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710144720 PECOS PAC ID: 1850552472 Enrollment ID: I20120409000219 |
| Provider Name | Kimberly M Crim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689958035 PECOS PAC ID: 9436310349 Enrollment ID: I20120419000286 |
| Provider Name | Nora Molloy Daly |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1073739215 PECOS PAC ID: 1557462892 Enrollment ID: I20120426000012 |
| Provider Name | Maria Khanuja |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134493612 PECOS PAC ID: 1254593627 Enrollment ID: I20120501000260 |
| Provider Name | Foong Chee C Cheah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912068164 PECOS PAC ID: 0840260725 Enrollment ID: I20120522001191 |
| Provider Name | Huong Nguyen |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1437151255 PECOS PAC ID: 8224292867 Enrollment ID: I20120612000479 |
| Provider Name | Bobby Batra |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154392611 PECOS PAC ID: 7315903804 Enrollment ID: I20120627000661 |
| Provider Name | Adil T Degani |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1790965481 PECOS PAC ID: 6800051517 Enrollment ID: I20120703000165 |
| Provider Name | Anita U Anigbo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497985964 PECOS PAC ID: 9032372404 Enrollment ID: I20120712000152 |
| Provider Name | May Alattar |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1154523371 PECOS PAC ID: 3678739893 Enrollment ID: I20120716000435 |
| Provider Name | Bradley Charles Strunk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750567723 PECOS PAC ID: 4587810171 Enrollment ID: I20120815000052 |
| Provider Name | Sanjivani A Kolge |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851529267 PECOS PAC ID: 0143478883 Enrollment ID: I20120921000104 |
| Provider Name | Holly Bashura |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194771758 PECOS PAC ID: 8820006943 Enrollment ID: I20121017000577 |
| Provider Name | Jeremy Greene |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013052695 PECOS PAC ID: 9436224318 Enrollment ID: I20121018000461 |
| Provider Name | Fatima Sheikh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831492198 PECOS PAC ID: 1153571211 Enrollment ID: I20121025000576 |
| Provider Name | Karen Radowich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114275849 PECOS PAC ID: 1052561826 Enrollment ID: I20121101000513 |
| Provider Name | Gaurav Raman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609043389 PECOS PAC ID: 6406008895 Enrollment ID: I20121211000403 |
| Provider Name | Lee Rodney Haselhuhn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265575112 PECOS PAC ID: 4082742705 Enrollment ID: I20130107000082 |
| Provider Name | Raina R Crawford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760738876 PECOS PAC ID: 3577716224 Enrollment ID: I20130109000417 |
| Provider Name | Stefanie L Osterloh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588919260 PECOS PAC ID: 0840437380 Enrollment ID: I20130501000014 |
| Provider Name | Shahzad Hussain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366754327 PECOS PAC ID: 3274772934 Enrollment ID: I20130611000071 |
| Provider Name | Jon Steuernagle |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1598916215 PECOS PAC ID: 4789730946 Enrollment ID: I20130620000237 |
| Provider Name | Fernanda Porto Carreiro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538483284 PECOS PAC ID: 4486804432 Enrollment ID: I20130708000232 |
| Provider Name | Shawna Michelle Reshard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225272677 PECOS PAC ID: 7618114430 Enrollment ID: I20130708000436 |
| Provider Name | Kelly A Gibson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043559628 PECOS PAC ID: 4587804620 Enrollment ID: I20130712000379 |
| Provider Name | Sean A Tackett |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881910420 PECOS PAC ID: 3072762244 Enrollment ID: I20130729000089 |
| Provider Name | Amrish R Joseph |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275723868 PECOS PAC ID: 7719079490 Enrollment ID: I20130816000444 |
| Provider Name | Melinda E Afzal |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255586509 PECOS PAC ID: 7517109721 Enrollment ID: I20130816000489 |
| Provider Name | Mohamed Dauda |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124210026 PECOS PAC ID: 4183719628 Enrollment ID: I20130820000175 |
| Provider Name | Vanessa R Ruales |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174798276 PECOS PAC ID: 7315180544 Enrollment ID: I20130906000684 |
| Provider Name | Margie R Banzuelo Rio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255773248 PECOS PAC ID: 4587808357 Enrollment ID: I20130917000471 |
| Provider Name | Michael S Lasser |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629039615 PECOS PAC ID: 1951545516 Enrollment ID: I20130920000472 |
| Provider Name | Jehangir K Madan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164744397 PECOS PAC ID: 0648395517 Enrollment ID: I20130923000478 |
| Provider Name | Micaela Iantorno |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1558596411 PECOS PAC ID: 3072753342 Enrollment ID: I20130927000331 |
| Provider Name | Saritha Gorantla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174780571 PECOS PAC ID: 5799853362 Enrollment ID: I20131007001136 |
| Provider Name | Kadija Hersi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740593987 PECOS PAC ID: 9335374628 Enrollment ID: I20131022000824 |
| Provider Name | Jessica S Peters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609010701 PECOS PAC ID: 1355518333 Enrollment ID: I20131030000566 |
| Provider Name | James Ficke |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1043299852 PECOS PAC ID: 5991931131 Enrollment ID: I20131119000351 |
| Provider Name | Nicole L Matuska |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174962468 PECOS PAC ID: 6709012610 Enrollment ID: I20131126000021 |
| Provider Name | Innocent Monya Tambi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386829679 PECOS PAC ID: 8224263371 Enrollment ID: I20131221000024 |
| Provider Name | Ayesha Butt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770882631 PECOS PAC ID: 8022279546 Enrollment ID: I20140129000570 |
| Provider Name | Teresa Ann Dumpe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003845975 PECOS PAC ID: 1850537176 Enrollment ID: I20140228000562 |
| Provider Name | Jessica L O'brien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679909501 PECOS PAC ID: 0840426441 Enrollment ID: I20140411001608 |
| Provider Name | Debjeet Sarkar |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689777054 PECOS PAC ID: 8325276264 Enrollment ID: I20140514000651 |
| Provider Name | Manie Juneja |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609868975 PECOS PAC ID: 8921085093 Enrollment ID: I20140620000914 |
| Provider Name | Genese M Lamare |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841467651 PECOS PAC ID: 3779616230 Enrollment ID: I20140711000873 |
| Provider Name | Peter Phillip Olivieri |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1568761732 PECOS PAC ID: 3678798345 Enrollment ID: I20140714001366 |
| Provider Name | Daniel A Kim |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1134418874 PECOS PAC ID: 5597914762 Enrollment ID: I20140730000507 |
| Provider Name | Sara A Vazer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962452045 PECOS PAC ID: 3072594910 Enrollment ID: I20140730001739 |
| Provider Name | Shankar Awasthi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487901518 PECOS PAC ID: 0749424646 Enrollment ID: I20140806000785 |
| Provider Name | Alyssa Cook |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417136276 PECOS PAC ID: 7911179296 Enrollment ID: I20140811000012 |
| Provider Name | Laura Schoch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124438510 PECOS PAC ID: 9638397946 Enrollment ID: I20140828001564 |
| Provider Name | Maya Venkataramani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710121694 PECOS PAC ID: 8820236094 Enrollment ID: I20140908000956 |
| Provider Name | Kevin D Burns |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588898712 PECOS PAC ID: 2163671074 Enrollment ID: I20140911000923 |
| Provider Name | Ayesha Gulistan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609105386 PECOS PAC ID: 6204083785 Enrollment ID: I20140912000847 |
| Provider Name | Kisha Chase Lawton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073738480 PECOS PAC ID: 5799825790 Enrollment ID: I20140912001755 |
| Provider Name | Eniola Adejumo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104110675 PECOS PAC ID: 8628292729 Enrollment ID: I20140916000350 |
| Provider Name | Sara Taherkhani |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1386954436 PECOS PAC ID: 7618108259 Enrollment ID: I20140918001305 |
| Provider Name | Eduardo D Abarca-rojas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538447628 PECOS PAC ID: 4587883863 Enrollment ID: I20140918001318 |
| Provider Name | Veena Choubey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174848782 PECOS PAC ID: 5092965442 Enrollment ID: I20140923001002 |
| Provider Name | Erich Wedam |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1821010943 PECOS PAC ID: 5092952226 Enrollment ID: I20140925000735 |
| Provider Name | Sarah Warehime Lantzy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427260579 PECOS PAC ID: 3779634613 Enrollment ID: I20140925000886 |
| Provider Name | Rohitash Mehta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750592952 PECOS PAC ID: 7315127826 Enrollment ID: I20140925001592 |
| Provider Name | Monica Clare Mix |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053639831 PECOS PAC ID: 4082864178 Enrollment ID: I20140925001647 |
| Provider Name | Valerie Owings |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952695793 PECOS PAC ID: 3173743002 Enrollment ID: I20140927000499 |
| Provider Name | Sujay Pathak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013246081 PECOS PAC ID: 8123277977 Enrollment ID: I20141008000009 |
| Provider Name | Umar Khan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1487688271 PECOS PAC ID: 7517053150 Enrollment ID: I20141008001420 |
| Provider Name | James Lee Griffin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649373150 PECOS PAC ID: 8729276977 Enrollment ID: I20141015000264 |
| Provider Name | Haibing Jiang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750711727 PECOS PAC ID: 6800017179 Enrollment ID: I20141030000891 |
| Provider Name | Sara Mixter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386961274 PECOS PAC ID: 8426209792 Enrollment ID: I20141031001083 |
| Provider Name | Anne Patricia Stelmash |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518925023 PECOS PAC ID: 1355303769 Enrollment ID: I20141107001739 |
| Provider Name | Susan Ettinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144325275 PECOS PAC ID: 0648227082 Enrollment ID: I20141111001896 |
| Provider Name | Lisa Mea Ashe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033364708 PECOS PAC ID: 3274790217 Enrollment ID: I20141118000349 |
| Provider Name | Rachhya Regmi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881097350 PECOS PAC ID: 2365764347 Enrollment ID: I20141202000856 |
| Provider Name | Cynthia Moore |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265713317 PECOS PAC ID: 4385817063 Enrollment ID: I20141204001996 |
| Provider Name | Shuchi Vinayak Bhatt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174549836 PECOS PAC ID: 4587986237 Enrollment ID: I20141209001711 |
| Provider Name | Smita Jha |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104053644 PECOS PAC ID: 4082864988 Enrollment ID: I20141219000665 |
| Provider Name | Lisa Angeline Cooper |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841239985 PECOS PAC ID: 1951624071 Enrollment ID: I20141222001726 |
| Provider Name | Daniel Hicks Johnson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215113972 PECOS PAC ID: 8224200019 Enrollment ID: I20150113000135 |
| Provider Name | Amy J Burrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053718585 PECOS PAC ID: 2466776612 Enrollment ID: I20150120000137 |
| Provider Name | Elizabeth A Goldberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245631829 PECOS PAC ID: 5890019822 Enrollment ID: I20150122002629 |
| Provider Name | Meei-chen Liu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992941355 PECOS PAC ID: 7012060726 Enrollment ID: I20150202001796 |
| Provider Name | Anjali Sehmi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376728170 PECOS PAC ID: 7719169135 Enrollment ID: I20150206000038 |
| Provider Name | Eunyoung Yang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366729089 PECOS PAC ID: 7214252055 Enrollment ID: I20150219000276 |
| Provider Name | Bindhu Anand |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720364482 PECOS PAC ID: 1658697347 Enrollment ID: I20150223001170 |
| Provider Name | Jemila R Venner-walcott |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730379710 PECOS PAC ID: 2264579234 Enrollment ID: I20150224000056 |
| Provider Name | David Ni |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1821255662 PECOS PAC ID: 0042451510 Enrollment ID: I20150226000080 |
| Provider Name | Jun Yan Bie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396150504 PECOS PAC ID: 0547586190 Enrollment ID: I20150226001466 |
| Provider Name | Janine Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477785053 PECOS PAC ID: 8729055322 Enrollment ID: I20150304000653 |
| Provider Name | Mary Kilavos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609841188 PECOS PAC ID: 8325069743 Enrollment ID: I20150318000523 |
| Provider Name | Mary Mcclure |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1225454879 PECOS PAC ID: 9931427671 Enrollment ID: I20150409001429 |
| Provider Name | Maneesha Ahluwalia |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1740437342 PECOS PAC ID: 1456416569 Enrollment ID: I20150421001651 |
| Provider Name | Poonum Korpe |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1881853950 PECOS PAC ID: 0749508836 Enrollment ID: I20150422000750 |
| Provider Name | Ronny Khatkar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336321710 PECOS PAC ID: 3779770482 Enrollment ID: I20150423000159 |
| Provider Name | Salman Shafiq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376570648 PECOS PAC ID: 2567566508 Enrollment ID: I20150429001082 |
| Provider Name | Ariana M Martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053601898 PECOS PAC ID: 1456670041 Enrollment ID: I20150504000615 |
| Provider Name | Thelma Ayensu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881883882 PECOS PAC ID: 7012102098 Enrollment ID: I20150513000357 |
| Provider Name | Jennifer E Obiadi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922265529 PECOS PAC ID: 0648333898 Enrollment ID: I20150601000684 |
| Provider Name | Michael J Kingan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861871881 PECOS PAC ID: 8527389915 Enrollment ID: I20150611000130 |
| Provider Name | Vasilios Pyrgos |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1932353786 PECOS PAC ID: 7315001633 Enrollment ID: I20150611002021 |
| Provider Name | Rachel Kruzan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689930976 PECOS PAC ID: 0547410169 Enrollment ID: I20150707000226 |
| Provider Name | Patrick C Oguejiofor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881982114 PECOS PAC ID: 8820301518 Enrollment ID: I20150724009872 |
| Provider Name | Tamika J Maxwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528449550 PECOS PAC ID: 7012221377 Enrollment ID: I20150730011452 |
| Provider Name | Mihail Zilbermint |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1083943716 PECOS PAC ID: 4385888288 Enrollment ID: I20150806010743 |
| Provider Name | Meghan Pratts O'connor |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164711370 PECOS PAC ID: 3173775756 Enrollment ID: I20150810001908 |
| Provider Name | Patrick Dantzer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740572437 PECOS PAC ID: 1052531530 Enrollment ID: I20150817001660 |
| Provider Name | Maryam Keshtkar Jahromi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558688200 PECOS PAC ID: 6608181839 Enrollment ID: I20150818004407 |
| Provider Name | Kendra Reisner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053637173 PECOS PAC ID: 6204141328 Enrollment ID: I20150819007646 |
| Provider Name | Katherine Rediger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679829097 PECOS PAC ID: 4688989627 Enrollment ID: I20150819008553 |
| Provider Name | David Holden |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1912007428 PECOS PAC ID: 9436052776 Enrollment ID: I20150820011499 |
| Provider Name | Stephen Martin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528357399 PECOS PAC ID: 1254576853 Enrollment ID: I20150820011853 |
| Provider Name | Li Han |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972866630 PECOS PAC ID: 1456667849 Enrollment ID: I20150831002001 |
| Provider Name | Katherine Shaw |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194014563 PECOS PAC ID: 5395995955 Enrollment ID: I20150903000100 |
| Provider Name | Bruce Ludwig |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1649250580 PECOS PAC ID: 9032202346 Enrollment ID: I20150908000257 |
| Provider Name | Justice C Madubuike |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710255815 PECOS PAC ID: 9133386600 Enrollment ID: I20150909000349 |
| Provider Name | Tokunbo Opeyemi Ajayi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255625307 PECOS PAC ID: 8224276233 Enrollment ID: I20150915002853 |
| Provider Name | Trushar Dungarani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902036858 PECOS PAC ID: 7315110798 Enrollment ID: I20150916000675 |
| Provider Name | Erica Gifford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063779502 PECOS PAC ID: 4385896984 Enrollment ID: I20150916001159 |
| Provider Name | Dipankar Roy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811252612 PECOS PAC ID: 8224345418 Enrollment ID: I20150921002349 |
| Provider Name | Juhi Moon |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1023313632 PECOS PAC ID: 3274840301 Enrollment ID: I20150922000846 |
| Provider Name | Emma Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003077538 PECOS PAC ID: 7618141011 Enrollment ID: I20150923002456 |
| Provider Name | Avenir Mulita |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568718708 PECOS PAC ID: 1153569157 Enrollment ID: I20150930002615 |
| Provider Name | James Withey |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841559861 PECOS PAC ID: 4284942517 Enrollment ID: I20151006001135 |
| Provider Name | Jeffrey P Bui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740574946 PECOS PAC ID: 2466674239 Enrollment ID: I20151006002038 |
| Provider Name | Hamid Ehsan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376808329 PECOS PAC ID: 7416267653 Enrollment ID: I20151030001172 |
| Provider Name | Payal Mecwan Christian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871992933 PECOS PAC ID: 3678883394 Enrollment ID: I20151110000928 |
| Provider Name | Erin Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699176149 PECOS PAC ID: 4183924376 Enrollment ID: I20151119000926 |
| Provider Name | Judith Greengold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417327487 PECOS PAC ID: 4688974728 Enrollment ID: I20151123000522 |
| Provider Name | Breanna Whitlock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376910331 PECOS PAC ID: 2466752324 Enrollment ID: I20151125000203 |
| Provider Name | Fri Jilla Longtchi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427319870 PECOS PAC ID: 1254631120 Enrollment ID: I20151125000368 |
| Provider Name | Amy Elizabeth Goad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386046019 PECOS PAC ID: 9830499656 Enrollment ID: I20151201001666 |
| Provider Name | Wehazit Petros |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720482573 PECOS PAC ID: 3779885751 Enrollment ID: I20160107002170 |
| Provider Name | Mindy S Poorman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790011377 PECOS PAC ID: 8729254628 Enrollment ID: I20160119000673 |
| Provider Name | Adejumoke O Osuntogun |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669627337 PECOS PAC ID: 0749475507 Enrollment ID: I20160128000482 |
| Provider Name | Jennifer Massetti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417277898 PECOS PAC ID: 2769642370 Enrollment ID: I20160201000863 |
| Provider Name | Dana Fleischhacker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881066843 PECOS PAC ID: 2961706205 Enrollment ID: I20160208001480 |
| Provider Name | Joseph P Balao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053786756 PECOS PAC ID: 1658675863 Enrollment ID: I20160209001772 |
| Provider Name | Latoya N White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750746178 PECOS PAC ID: 0648574558 Enrollment ID: I20160212000664 |
| Provider Name | Sarah Foote |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588069041 PECOS PAC ID: 9638474364 Enrollment ID: I20160218000046 |
| Provider Name | Kayla Nyakinye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881067072 PECOS PAC ID: 7517262082 Enrollment ID: I20160222000103 |
| Provider Name | Sophia Purekal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336438449 PECOS PAC ID: 1456670801 Enrollment ID: I20160318001137 |
| Provider Name | Edith M Muthungu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972879864 PECOS PAC ID: 7113178906 Enrollment ID: I20160331000190 |
| Provider Name | Brenda Lapkovsky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003286436 PECOS PAC ID: 8921305285 Enrollment ID: I20160331000946 |
| Provider Name | Eric Park |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932190766 PECOS PAC ID: 6507948494 Enrollment ID: I20160425002517 |
| Provider Name | Sarojini S Qasba |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326233362 PECOS PAC ID: 6507097227 Enrollment ID: I20160426002126 |
| Provider Name | Michael Andrew Cole |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1013983501 PECOS PAC ID: 3274766613 Enrollment ID: I20160504001725 |
| Provider Name | Katoya Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588990725 PECOS PAC ID: 0941349435 Enrollment ID: I20160520001578 |
| Provider Name | Andrew Demidowich |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144489717 PECOS PAC ID: 8426221581 Enrollment ID: I20160602000348 |
| Provider Name | Satish Potluri |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144427824 PECOS PAC ID: 7618078015 Enrollment ID: I20160610001292 |
| Provider Name | Nadereh Rezaeieh Azadi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356700413 PECOS PAC ID: 1850683020 Enrollment ID: I20160708000508 |
| Provider Name | Hawa Osime |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154539815 PECOS PAC ID: 0345315552 Enrollment ID: I20160721002356 |
| Provider Name | James M Brothers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487704862 PECOS PAC ID: 0143259762 Enrollment ID: I20160728000834 |
| Provider Name | Ishaan Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023458098 PECOS PAC ID: 9436442373 Enrollment ID: I20160729000535 |
| Provider Name | Mattan Schuchman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609141795 PECOS PAC ID: 3173837135 Enrollment ID: I20160805000830 |
| Provider Name | Berendena Vander Tuig |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558627976 PECOS PAC ID: 0941453351 Enrollment ID: I20160809000958 |
| Provider Name | Loi Tran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518373497 PECOS PAC ID: 0244451649 Enrollment ID: I20160812000434 |
| Provider Name | Bikram Shrestha |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679913008 PECOS PAC ID: 8325333123 Enrollment ID: I20160818000079 |
| Provider Name | Jenny Youjin Seo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740521541 PECOS PAC ID: 8123325404 Enrollment ID: I20160819001876 |
| Provider Name | Naomi Rios |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548531767 PECOS PAC ID: 9234371238 Enrollment ID: I20160901001401 |
| Provider Name | Maire Elizabeth Wray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700248390 PECOS PAC ID: 1355637018 Enrollment ID: I20160906001205 |
| Provider Name | Jacqueline Wisner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295164911 PECOS PAC ID: 7618263302 Enrollment ID: I20160906002437 |
| Provider Name | Francis Hwang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295182962 PECOS PAC ID: 6800182353 Enrollment ID: I20160908002083 |
| Provider Name | Brandon Haugh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336584721 PECOS PAC ID: 9638466790 Enrollment ID: I20160919000459 |
| Provider Name | Agazi G Gebreselassie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235572843 PECOS PAC ID: 6406142447 Enrollment ID: I20160920000250 |
| Provider Name | Katherine Allen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679916753 PECOS PAC ID: 9133348857 Enrollment ID: I20160921000178 |
| Provider Name | Maureen Flood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407224702 PECOS PAC ID: 9133416902 Enrollment ID: I20160921002349 |
| Provider Name | Mojgan Sohi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205183126 PECOS PAC ID: 0547557811 Enrollment ID: I20160930000055 |
| Provider Name | Katherine Stevens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164976312 PECOS PAC ID: 7113215393 Enrollment ID: I20161004002906 |
| Provider Name | Thomas Kofi Mensah Cudjoe |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1366705667 PECOS PAC ID: 7517250038 Enrollment ID: I20161006001679 |
| Provider Name | Ethel Mojoko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336408160 PECOS PAC ID: 9234434523 Enrollment ID: I20161010000074 |
| Provider Name | Calin V Maniu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1528176484 PECOS PAC ID: 8224135223 Enrollment ID: I20161018000253 |
| Provider Name | Sameer B Ismailjee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669403341 PECOS PAC ID: 9335142496 Enrollment ID: I20161021001841 |
| Provider Name | Ameesh Harish Vora |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194081018 PECOS PAC ID: 7618105198 Enrollment ID: I20161024000568 |
| Provider Name | Mark Ball |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1275783375 PECOS PAC ID: 3375792765 Enrollment ID: I20161101000318 |
| Provider Name | Theresa Medicus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720453533 PECOS PAC ID: 1557640984 Enrollment ID: I20161108000423 |
| Provider Name | Kelly Olivier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538511654 PECOS PAC ID: 4183903271 Enrollment ID: I20161112000196 |
| Provider Name | Kristen Deitchman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477849149 PECOS PAC ID: 1355663436 Enrollment ID: I20161115000436 |
| Provider Name | Suma Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205190840 PECOS PAC ID: 9133351448 Enrollment ID: I20161117000525 |
| Provider Name | Wondaferew Berhie |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083973580 PECOS PAC ID: 1355599614 Enrollment ID: I20161117002334 |
| Provider Name | Ifechukwude Ebenuwa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376823997 PECOS PAC ID: 6103105952 Enrollment ID: I20161117002633 |
| Provider Name | Patti Henshel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669629002 PECOS PAC ID: 2668785593 Enrollment ID: I20161122000881 |
| Provider Name | Naseem Dawood |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710055660 PECOS PAC ID: 3678529195 Enrollment ID: I20161122001300 |
| Provider Name | Kendrick Gwynn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326330820 PECOS PAC ID: 8022237692 Enrollment ID: I20161129000094 |
| Provider Name | Isabel Pimenta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285926295 PECOS PAC ID: 4587815212 Enrollment ID: I20161212000534 |
| Provider Name | Kathryn Kloss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003363854 PECOS PAC ID: 5193006526 Enrollment ID: I20161227000451 |
| Provider Name | Azra Hasan Hussaini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245343987 PECOS PAC ID: 2961578208 Enrollment ID: I20161228001246 |
| Provider Name | Padma Venkatraman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003077785 PECOS PAC ID: 4880864545 Enrollment ID: I20161228001966 |
| Provider Name | Lorie Cram |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598744740 PECOS PAC ID: 1951481134 Enrollment ID: I20161229000144 |
| Provider Name | Carolyn Le |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669929733 PECOS PAC ID: 7810278777 Enrollment ID: I20170109000580 |
| Provider Name | Russell D Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639611767 PECOS PAC ID: 5294017927 Enrollment ID: I20170112003290 |
| Provider Name | Emilia L Alvarez Negron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730630575 PECOS PAC ID: 9234411083 Enrollment ID: I20170131001930 |
| Provider Name | Tarek H Alansari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063776771 PECOS PAC ID: 2264740885 Enrollment ID: I20170201001458 |
| Provider Name | Vladimir Alexander Valera Romero |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1053693242 PECOS PAC ID: 7517240294 Enrollment ID: I20170202001529 |
| Provider Name | Amanda Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669925194 PECOS PAC ID: 5597048199 Enrollment ID: I20170206001040 |
| Provider Name | Karen L Going |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588962369 PECOS PAC ID: 7719131945 Enrollment ID: I20170207000139 |
| Provider Name | Dhara Vaishnav |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437415254 PECOS PAC ID: 4486882495 Enrollment ID: I20170310000007 |
| Provider Name | Kelly Koay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497975809 PECOS PAC ID: 7618062043 Enrollment ID: I20170315000177 |
| Provider Name | Jennifer Britt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174068381 PECOS PAC ID: 2264717503 Enrollment ID: I20170328002208 |
| Provider Name | Marissa Erekson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1821534447 PECOS PAC ID: 2466739263 Enrollment ID: I20170504000447 |
| Provider Name | Nathan Steinberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801337894 PECOS PAC ID: 4789961012 Enrollment ID: I20170515001301 |
| Provider Name | Sean Mckay |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1417918004 PECOS PAC ID: 1456396118 Enrollment ID: I20170519001504 |
| Provider Name | Heather Wade |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700935228 PECOS PAC ID: 1254608623 Enrollment ID: I20170607000009 |
| Provider Name | Taira Everett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528353901 PECOS PAC ID: 8123242096 Enrollment ID: I20170608000837 |
| Provider Name | Felicia Nicholsonbrown |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528128345 PECOS PAC ID: 4981707395 Enrollment ID: I20170613000027 |
| Provider Name | Ghassan Kanj |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649359944 PECOS PAC ID: 7113914730 Enrollment ID: I20170613002176 |
| Provider Name | Nikita Leiter |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1215202312 PECOS PAC ID: 8325338445 Enrollment ID: I20170613002542 |
| Provider Name | David Levitt |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1497020564 PECOS PAC ID: 1850699257 Enrollment ID: I20170615001535 |
| Provider Name | Jawad Saade |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194987453 PECOS PAC ID: 5092987925 Enrollment ID: I20170627001420 |
| Provider Name | Bonita Coe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851357065 PECOS PAC ID: 2668489600 Enrollment ID: I20170707002533 |
| Provider Name | Catherine Chamberlain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083031199 PECOS PAC ID: 1759689144 Enrollment ID: I20170720000535 |
| Provider Name | Emily Insetta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073933180 PECOS PAC ID: 4981827599 Enrollment ID: I20170726001850 |
| Provider Name | Atena Kamali |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609294719 PECOS PAC ID: 7810110830 Enrollment ID: I20170807000513 |
| Provider Name | Vikas Kapoor |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871711309 PECOS PAC ID: 8426147307 Enrollment ID: I20170809000318 |
| Provider Name | Melanie Josephine Bukhari |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083058226 PECOS PAC ID: 8921240276 Enrollment ID: I20170901001525 |
| Provider Name | Vivian C Oriaku |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760823264 PECOS PAC ID: 7719110899 Enrollment ID: I20170901002143 |
| Provider Name | Selma Marie Siddiqui |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235417965 PECOS PAC ID: 1951695436 Enrollment ID: I20170905003083 |
| Provider Name | Nkiruka Chukudebelu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992118194 PECOS PAC ID: 3375849672 Enrollment ID: I20170907001227 |
| Provider Name | Meha Varma |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225304926 PECOS PAC ID: 6103055579 Enrollment ID: I20170907003159 |
| Provider Name | Amir Manoochehri |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871906156 PECOS PAC ID: 1456659937 Enrollment ID: I20170914000042 |
| Provider Name | Thomas Matthew |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1750372231 PECOS PAC ID: 1456248566 Enrollment ID: I20170915002219 |
| Provider Name | Heather Zade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528306784 PECOS PAC ID: 4284876186 Enrollment ID: I20170927000306 |
| Provider Name | Abby Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457873044 PECOS PAC ID: 1355616913 Enrollment ID: I20171006001496 |
| Provider Name | Candice Nalley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639412521 PECOS PAC ID: 4183860893 Enrollment ID: I20171020000353 |
| Provider Name | Isha Misra |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811330202 PECOS PAC ID: 2062726847 Enrollment ID: I20171025001224 |
| Provider Name | Seyyed Ali Sajjadi Oskouei |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912136896 PECOS PAC ID: 9931376837 Enrollment ID: I20171025001760 |
| Provider Name | Carol A Dodson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912420811 PECOS PAC ID: 4789950478 Enrollment ID: I20171025002117 |
| Provider Name | Dina F Zeki |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427468586 PECOS PAC ID: 5890051932 Enrollment ID: I20171107000644 |
| Provider Name | Samuel B Holzman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568725455 PECOS PAC ID: 6800045725 Enrollment ID: I20171109002037 |
| Provider Name | Anna Balkisue Lee Stuart Mccall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306092135 PECOS PAC ID: 8820144876 Enrollment ID: I20171113000743 |
| Provider Name | Melissa E Blakeman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548293590 PECOS PAC ID: 2860494317 Enrollment ID: I20171213000425 |
| Provider Name | Melanie Mahari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275043556 PECOS PAC ID: 0840558136 Enrollment ID: I20171214000612 |
| Provider Name | Debrahe Rowland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023556321 PECOS PAC ID: 5496014060 Enrollment ID: I20180108000531 |
| Provider Name | Kathryn Marie Cappell |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366785255 PECOS PAC ID: 2163781527 Enrollment ID: I20180116000299 |
| Provider Name | Wendy E Betah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356850325 PECOS PAC ID: 1658631106 Enrollment ID: I20180201002323 |
| Provider Name | Mary Lynn Hawkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588648547 PECOS PAC ID: 7810097912 Enrollment ID: I20180221001097 |
| Provider Name | Zaius Marsalek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326556291 PECOS PAC ID: 7315208717 Enrollment ID: I20180227003241 |
| Provider Name | Melissa Fleming |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1265989057 PECOS PAC ID: 8527320431 Enrollment ID: I20180312002476 |
| Provider Name | Carlos Olivares |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134591381 PECOS PAC ID: 2567724487 Enrollment ID: I20180313000089 |
| Provider Name | Roger Samuels |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205271186 PECOS PAC ID: 8628201423 Enrollment ID: I20180320001310 |
| Provider Name | Grace Benton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023525011 PECOS PAC ID: 4284996729 Enrollment ID: I20180322000691 |
| Provider Name | Sadia Sarzynski |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1760794333 PECOS PAC ID: 2062775018 Enrollment ID: I20180405000966 |
| Provider Name | Yao-yao Zhu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205888591 PECOS PAC ID: 5395743587 Enrollment ID: I20180410000154 |
| Provider Name | Christopher Hillman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245730811 PECOS PAC ID: 9133482227 Enrollment ID: I20180425000532 |
| Provider Name | Jennifer Dorsch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750640215 PECOS PAC ID: 7416172796 Enrollment ID: I20180515000357 |
| Provider Name | Heather S Newhard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497277149 PECOS PAC ID: 0244595221 Enrollment ID: I20180522000560 |
| Provider Name | Amanda Rauda Tellawi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033475371 PECOS PAC ID: 3870891120 Enrollment ID: I20180620000108 |
| Provider Name | Anne K Platt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871090704 PECOS PAC ID: 9830444264 Enrollment ID: I20180626001363 |
| Provider Name | Michelle Joffe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124466537 PECOS PAC ID: 1850529165 Enrollment ID: I20180705001086 |
| Provider Name | Catherine B Gates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245515808 PECOS PAC ID: 8820255391 Enrollment ID: I20180706000775 |
| Provider Name | Adina Cappell |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053667295 PECOS PAC ID: 0244528842 Enrollment ID: I20180706002387 |
| Provider Name | Sung-min Min Cho |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760828271 PECOS PAC ID: 3678840261 Enrollment ID: I20180720000673 |
| Provider Name | Mahwish Shakil Khurram |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548654429 PECOS PAC ID: 6709133820 Enrollment ID: I20180720001339 |
| Provider Name | Kolapo Idowu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285020867 PECOS PAC ID: 3476800038 Enrollment ID: I20180727001786 |
| Provider Name | Rebeccah Brusca |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669886222 PECOS PAC ID: 1658690904 Enrollment ID: I20180730000294 |
| Provider Name | Mariah Robertson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639556590 PECOS PAC ID: 9032439682 Enrollment ID: I20180813000352 |
| Provider Name | Wondwossen Bekele |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205221223 PECOS PAC ID: 8325396005 Enrollment ID: I20180813002418 |
| Provider Name | Mahsa Motevalli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043718653 PECOS PAC ID: 9537418140 Enrollment ID: I20180815001086 |
| Provider Name | David Kim |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1063726461 PECOS PAC ID: 5395031439 Enrollment ID: I20180822001029 |
| Provider Name | Fayyaz Hashmi |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1790757847 PECOS PAC ID: 5193788446 Enrollment ID: I20180830000835 |
| Provider Name | Raena J Hariharan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235517798 PECOS PAC ID: 9537477567 Enrollment ID: I20180830001381 |
| Provider Name | Jeffrey Marshall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780978114 PECOS PAC ID: 6901023449 Enrollment ID: I20180830001494 |
| Provider Name | Linda Bame |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649761248 PECOS PAC ID: 3274883731 Enrollment ID: I20180904001081 |
| Provider Name | Patrina Gordon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699096396 PECOS PAC ID: 6507004306 Enrollment ID: I20180905001962 |
| Provider Name | Jayanti Dasgupta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598159774 PECOS PAC ID: 7214283993 Enrollment ID: I20180905002287 |
| Provider Name | William F Simonds |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1285625152 PECOS PAC ID: 9032196050 Enrollment ID: I20180906000063 |
| Provider Name | Danielle Felisha Greene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346729506 PECOS PAC ID: 7113277112 Enrollment ID: I20180913000346 |
| Provider Name | Caroline Moughon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447746144 PECOS PAC ID: 0345591269 Enrollment ID: I20180914002592 |
| Provider Name | Diana Nicole Spell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285052803 PECOS PAC ID: 1355624826 Enrollment ID: I20180920002412 |
| Provider Name | Edward Len |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1033477310 PECOS PAC ID: 3274765821 Enrollment ID: I20180924000399 |
| Provider Name | Kathryn Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730596487 PECOS PAC ID: 8123379500 Enrollment ID: I20180925000017 |
| Provider Name | Weilin Yang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295121218 PECOS PAC ID: 8729392535 Enrollment ID: I20180925000136 |
| Provider Name | Aman Gebremedhin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558742510 PECOS PAC ID: 7719130467 Enrollment ID: I20181003000737 |
| Provider Name | Ranisha Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841450897 PECOS PAC ID: 3577733310 Enrollment ID: I20181004001112 |
| Provider Name | Payal Vasantrai Gokal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376964148 PECOS PAC ID: 0042442998 Enrollment ID: I20181009000056 |
| Provider Name | Eric James Williamson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205337540 PECOS PAC ID: 4284997941 Enrollment ID: I20181018002456 |
| Provider Name | Regina Dolores Howell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710102181 PECOS PAC ID: 6204133739 Enrollment ID: I20181106002244 |
| Provider Name | Lubna Jabbar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205210200 PECOS PAC ID: 8123375524 Enrollment ID: I20181109001783 |
| Provider Name | Benjamin M Fakheri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760700074 PECOS PAC ID: 0749404747 Enrollment ID: I20181115000044 |
| Provider Name | Samuel Brusca |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174942148 PECOS PAC ID: 7517180169 Enrollment ID: I20181128000096 |
| Provider Name | Jeremy Pamplin |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1821159088 PECOS PAC ID: 3577618263 Enrollment ID: I20181206000321 |
| Provider Name | Issa Kallie Toure |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1932335395 PECOS PAC ID: 6103042171 Enrollment ID: I20181214000197 |
| Provider Name | Justin Thomas Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518286970 PECOS PAC ID: 9133318108 Enrollment ID: I20181218001276 |
| Provider Name | Nouman Akbar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265817514 PECOS PAC ID: 5698021467 Enrollment ID: I20181218003249 |
| Provider Name | Latoya Victor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538559778 PECOS PAC ID: 1153699095 Enrollment ID: I20181219001002 |
| Provider Name | Nidal N Babaa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396150371 PECOS PAC ID: 6305102468 Enrollment ID: I20181221002067 |
| Provider Name | Mariya Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679055420 PECOS PAC ID: 5193060812 Enrollment ID: I20181227000177 |
| Provider Name | Marissa Amelia Watts |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720345358 PECOS PAC ID: 7012149065 Enrollment ID: I20190108000537 |
| Provider Name | Shannon M Larmooh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306312541 PECOS PAC ID: 2961748272 Enrollment ID: I20190108001828 |
| Provider Name | Angela L Ferrari-walczak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235605684 PECOS PAC ID: 4587900568 Enrollment ID: I20190111002014 |
| Provider Name | Preethi Sural |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1033387352 PECOS PAC ID: 6002987062 Enrollment ID: I20190122002750 |
| Provider Name | David Warren Herzig |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184885915 PECOS PAC ID: 6608098868 Enrollment ID: I20190123001502 |
| Provider Name | Shruthi Bellapu |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1508009200 PECOS PAC ID: 7719017672 Enrollment ID: I20190123003033 |
| Provider Name | Nikhil Huprikar |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1578853156 PECOS PAC ID: 2365765583 Enrollment ID: I20190201001019 |
| Provider Name | Loretta Sutphin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144388729 PECOS PAC ID: 9234130238 Enrollment ID: I20190204000095 |
| Provider Name | Binnur Genc |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518311513 PECOS PAC ID: 2062790991 Enrollment ID: I20190204000289 |
| Provider Name | Sean R Terwilliger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790272623 PECOS PAC ID: 2264779263 Enrollment ID: I20190214002802 |
| Provider Name | Kamal Deol |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114260106 PECOS PAC ID: 8426350133 Enrollment ID: I20190218001759 |
| Provider Name | Ayesha Abid |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437565868 PECOS PAC ID: 8224319835 Enrollment ID: I20190318001289 |
| Provider Name | Priya Bajracharya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558649426 PECOS PAC ID: 6507026200 Enrollment ID: I20190321000373 |
| Provider Name | Krista Marie Colopinto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861848798 PECOS PAC ID: 1850684598 Enrollment ID: I20190326000973 |
| Provider Name | Jennifer Linehan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336606193 PECOS PAC ID: 7517208416 Enrollment ID: I20190402001808 |
| Provider Name | Cynthia June Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437327095 PECOS PAC ID: 6103815550 Enrollment ID: I20190404002430 |
| Provider Name | Stecy A Ola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609204528 PECOS PAC ID: 2163645268 Enrollment ID: I20190408001850 |
| Provider Name | Mustafa Al-mashat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821397290 PECOS PAC ID: 0143472605 Enrollment ID: I20190418001205 |
| Provider Name | Azuka A Olele |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1992166532 PECOS PAC ID: 3678871688 Enrollment ID: I20190430000160 |
| Provider Name | Manu Deep Kaushal |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1902035918 PECOS PAC ID: 8729234539 Enrollment ID: I20190508002703 |
| Provider Name | Roxanne Smith-white |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154403293 PECOS PAC ID: 4385625383 Enrollment ID: I20190515000965 |
| Provider Name | Amr Abdelbaky |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1659637585 PECOS PAC ID: 8729367768 Enrollment ID: I20190523000096 |
| Provider Name | Robert L Baillieu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982024378 PECOS PAC ID: 5395035356 Enrollment ID: I20190524002078 |
| Provider Name | Mudita Malhotra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336256502 PECOS PAC ID: 1254358930 Enrollment ID: I20190606001408 |
| Provider Name | Rachael E Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801311378 PECOS PAC ID: 0345501979 Enrollment ID: I20190621000213 |
| Provider Name | Torre Halscott |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114155561 PECOS PAC ID: 6406092147 Enrollment ID: I20190624002912 |
| Provider Name | Melanie Ondrejko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992265656 PECOS PAC ID: 3375877111 Enrollment ID: I20190627001252 |
| Provider Name | William Yang |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811359011 PECOS PAC ID: 7315245867 Enrollment ID: I20190701000904 |
| Provider Name | Alexandra Loffredo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306954656 PECOS PAC ID: 9638148471 Enrollment ID: I20190709000099 |
| Provider Name | Rimsky Denis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710399613 PECOS PAC ID: 9133346844 Enrollment ID: I20190715003303 |
| Provider Name | Jaytoya Chenelle Manget |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972835023 PECOS PAC ID: 0345566055 Enrollment ID: I20190716001299 |
| Provider Name | Jessica Erin Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568897320 PECOS PAC ID: 8426292939 Enrollment ID: I20190717001083 |
| Provider Name | Samiha Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669826202 PECOS PAC ID: 5799075404 Enrollment ID: I20190722000916 |
| Provider Name | Lauren Irene White |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720465941 PECOS PAC ID: 9032469184 Enrollment ID: I20190723002369 |
| Provider Name | Brian Hasselfeld |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700270360 PECOS PAC ID: 0244525095 Enrollment ID: I20190725001654 |
| Provider Name | Alicia Gopman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952730855 PECOS PAC ID: 9739499146 Enrollment ID: I20190726000033 |
| Provider Name | Vikrant R Agrawal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184988131 PECOS PAC ID: 1951535228 Enrollment ID: I20190727000070 |
| Provider Name | Jordan Nahas-vigon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215381348 PECOS PAC ID: 3779872965 Enrollment ID: I20190806000565 |
| Provider Name | Nina Guo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396162608 PECOS PAC ID: 1658595251 Enrollment ID: I20190807000274 |
| Provider Name | Emififen Udejiofor |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447613583 PECOS PAC ID: 7618263815 Enrollment ID: I20190812000366 |
| Provider Name | Melody F Nangle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982155164 PECOS PAC ID: 1355614348 Enrollment ID: I20190812000654 |
| Provider Name | Heather Louise Brown Dorius |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508289992 PECOS PAC ID: 5496077216 Enrollment ID: I20190815001711 |
| Provider Name | Caroline Jennifer Jjingo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487854899 PECOS PAC ID: 4183713837 Enrollment ID: I20190827001197 |
| Provider Name | Malik Adil |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1174941488 PECOS PAC ID: 5890914956 Enrollment ID: I20190827002993 |
| Provider Name | Ophelia Langhorne |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568858744 PECOS PAC ID: 9830466242 Enrollment ID: I20190828000006 |
| Provider Name | Carolyn G Stone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225580483 PECOS PAC ID: 1951670926 Enrollment ID: I20190828001058 |
| Provider Name | Jesse Lee Mcdermeit |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912360454 PECOS PAC ID: 3173821899 Enrollment ID: I20190829001430 |
| Provider Name | Veronika Levin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770962680 PECOS PAC ID: 0446543573 Enrollment ID: I20190909003547 |
| Provider Name | Nitin K Yerram |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1063858595 PECOS PAC ID: 6305137860 Enrollment ID: I20190911001684 |
| Provider Name | Theodros H Gebremeskel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215367008 PECOS PAC ID: 6305127440 Enrollment ID: I20190916001889 |
| Provider Name | Priya Kamath |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639585508 PECOS PAC ID: 1557633252 Enrollment ID: I20190927000093 |
| Provider Name | Laura Coryn Schanberger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295399939 PECOS PAC ID: 5395075469 Enrollment ID: I20191003000040 |
| Provider Name | Venkata C Sami |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245450337 PECOS PAC ID: 3779679956 Enrollment ID: I20191003000176 |
| Provider Name | Preethi Gaddam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669825642 PECOS PAC ID: 1052642113 Enrollment ID: I20191004000222 |
| Provider Name | Janet Wulf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306490271 PECOS PAC ID: 6901137801 Enrollment ID: I20191008000086 |
| Provider Name | Kristine E Batty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548362320 PECOS PAC ID: 7113979618 Enrollment ID: I20191008000959 |
| Provider Name | Marie Pereira |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124480637 PECOS PAC ID: 3971898727 Enrollment ID: I20191031000376 |
| Provider Name | Mariam Sunila Philip |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689129314 PECOS PAC ID: 7810283736 Enrollment ID: I20191101000733 |
| Provider Name | Shivani Bassi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639525363 PECOS PAC ID: 4284926916 Enrollment ID: I20191106003171 |
| Provider Name | James Andrew Clyne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952697047 PECOS PAC ID: 6002036696 Enrollment ID: I20191111000047 |
| Provider Name | Samantha Blum Ober |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235524034 PECOS PAC ID: 6507162039 Enrollment ID: I20191114000171 |
| Provider Name | Sergio Lizama-hernandez |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1780079129 PECOS PAC ID: 1951646090 Enrollment ID: I20191115000043 |
| Provider Name | Deanna Louise Glass Macenka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659938272 PECOS PAC ID: 5698107324 Enrollment ID: I20191118001340 |
| Provider Name | Amber Nicole Richert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568757888 PECOS PAC ID: 6204052772 Enrollment ID: I20191126000300 |
| Provider Name | Parizad Torabi-parizi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1720124118 PECOS PAC ID: 2365603685 Enrollment ID: I20191230000468 |
| Provider Name | Meghan Roman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760036834 PECOS PAC ID: 8820422553 Enrollment ID: I20200106000050 |
| Provider Name | Emily Danika Kuehn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811538226 PECOS PAC ID: 3274969423 Enrollment ID: I20200206000067 |
| Provider Name | Adaobi Udenwa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982866729 PECOS PAC ID: 0244402584 Enrollment ID: I20200206001126 |
| Provider Name | Sanjay Agarwal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346200391 PECOS PAC ID: 5698711158 Enrollment ID: I20200220001114 |
| Provider Name | Richard Lapin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598784969 PECOS PAC ID: 1456322254 Enrollment ID: I20200325001517 |
| Provider Name | Daniel Ballantine |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063703130 PECOS PAC ID: 7810112489 Enrollment ID: I20200326000084 |
| Provider Name | John Kylan Lynch |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356409098 PECOS PAC ID: 4789013608 Enrollment ID: I20200327003062 |
| Provider Name | Amir Hossein Lebastchi |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1972895142 PECOS PAC ID: 0547578890 Enrollment ID: I20200328000007 |
| Provider Name | Rose Yu |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1184018350 PECOS PAC ID: 5193073500 Enrollment ID: I20200401003461 |
| Provider Name | Atul Rohatgi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740271600 PECOS PAC ID: 1557348919 Enrollment ID: I20200403000043 |
| Provider Name | Love Leger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588033765 PECOS PAC ID: 9032548292 Enrollment ID: I20200409001030 |
| Provider Name | Sara Saliem |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568095768 PECOS PAC ID: 5193154375 Enrollment ID: I20200409001821 |
| Provider Name | Nishant Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497940159 PECOS PAC ID: 5294905428 Enrollment ID: I20200416000909 |
| Provider Name | Alexys Hillman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548603798 PECOS PAC ID: 3375973282 Enrollment ID: I20200416002505 |
| Provider Name | Linda Thu Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407104813 PECOS PAC ID: 0547531170 Enrollment ID: I20200420000112 |
| Provider Name | Katherine Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942839709 PECOS PAC ID: 6406286061 Enrollment ID: I20200422001039 |
| Provider Name | Roopa Dhatt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023455961 PECOS PAC ID: 8628352267 Enrollment ID: I20200422001898 |
| Provider Name | Mihir Chaudhary |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1902250814 PECOS PAC ID: 7012266083 Enrollment ID: I20200427000094 |
| Provider Name | Giovana Olivera Caceres |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871984542 PECOS PAC ID: 1254640865 Enrollment ID: I20200504000232 |
| Provider Name | Alexis M Rybny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457742009 PECOS PAC ID: 4880905595 Enrollment ID: I20200505001547 |
| Provider Name | Brittany Moyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649899287 PECOS PAC ID: 0840621975 Enrollment ID: I20200505002545 |
| Provider Name | Shabina Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023145521 PECOS PAC ID: 4981856374 Enrollment ID: I20200512002229 |
| Provider Name | Katherine H Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982940995 PECOS PAC ID: 8022449321 Enrollment ID: I20200520000714 |
| Provider Name | Bhavna Seth |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497140941 PECOS PAC ID: 2769797927 Enrollment ID: I20200521001430 |
| Provider Name | Heather Chalfin |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1750652152 PECOS PAC ID: 9638319064 Enrollment ID: I20200604000843 |
| Provider Name | Andrew Frei |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487065413 PECOS PAC ID: 6103195706 Enrollment ID: I20200610000473 |
| Provider Name | Bhuwan Kayastha |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750697223 PECOS PAC ID: 6406097112 Enrollment ID: I20200624002633 |
| Provider Name | Katherine Kurzius |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912553686 PECOS PAC ID: 4688097264 Enrollment ID: I20200715001226 |
| Provider Name | Nelson Maniscalco |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1225489339 PECOS PAC ID: 9830513159 Enrollment ID: I20200721000032 |
| Provider Name | Sasha Nelson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134579360 PECOS PAC ID: 0648694851 Enrollment ID: I20200721003199 |
| Provider Name | Ugochi Ebiye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679107916 PECOS PAC ID: 4789008608 Enrollment ID: I20200723002678 |
| Provider Name | Kevin Yi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518498112 PECOS PAC ID: 8820369556 Enrollment ID: I20200727003140 |
| Provider Name | Muhammad Aziz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275066995 PECOS PAC ID: 2769744291 Enrollment ID: I20200728000754 |
| Provider Name | Sara Elizabeth Hensley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366078826 PECOS PAC ID: 0345665055 Enrollment ID: I20200728003851 |
| Provider Name | Minhal Makshood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265965214 PECOS PAC ID: 5991081333 Enrollment ID: I20200729001707 |
| Provider Name | Donique Cross |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598296337 PECOS PAC ID: 7416225388 Enrollment ID: I20200806003765 |
| Provider Name | Carolyn Wu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1427461797 PECOS PAC ID: 0941427397 Enrollment ID: I20200811000520 |
| Provider Name | Michael Tatusov |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1811130347 PECOS PAC ID: 7113182478 Enrollment ID: I20200812001212 |
| Provider Name | Brandon Ross Cohen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366890154 PECOS PAC ID: 4981974375 Enrollment ID: I20200817001953 |
| Provider Name | Omid Motabar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184003337 PECOS PAC ID: 4284962937 Enrollment ID: I20200821000482 |
| Provider Name | Ifeanyichukwu Anidi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184069965 PECOS PAC ID: 7911291257 Enrollment ID: I20200825000653 |
| Provider Name | Leora M Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295177293 PECOS PAC ID: 8820229198 Enrollment ID: I20200904000510 |
| Provider Name | Michael Arya Daneshvar |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1194103861 PECOS PAC ID: 5698011393 Enrollment ID: I20200909000750 |
| Provider Name | Afsheen Siddiqui |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205366911 PECOS PAC ID: 8729327606 Enrollment ID: I20200909001930 |
| Provider Name | Meghan Mcmahon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811350820 PECOS PAC ID: 4789971987 Enrollment ID: I20200910000141 |
| Provider Name | Maryann Garcia Phillip |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053739748 PECOS PAC ID: 8921370388 Enrollment ID: I20200910000965 |
| Provider Name | Christopher B Huang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770017691 PECOS PAC ID: 3678840345 Enrollment ID: I20200910001401 |
| Provider Name | Adetoun Faniyan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902244221 PECOS PAC ID: 7618261736 Enrollment ID: I20200910001466 |
| Provider Name | Navkiran Brar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598100190 PECOS PAC ID: 6406176031 Enrollment ID: I20200916002820 |
| Provider Name | Niana Gibson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215460365 PECOS PAC ID: 0345519294 Enrollment ID: I20200918000465 |
| Provider Name | Yuri Prykupenko |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003850900 PECOS PAC ID: 8123084985 Enrollment ID: I20200925001299 |
| Provider Name | Rishi Kumar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043638810 PECOS PAC ID: 1759689433 Enrollment ID: I20200929000831 |
| Provider Name | Chika Victoria Egbe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740715036 PECOS PAC ID: 4284053885 Enrollment ID: I20201001000508 |
| Provider Name | Sachin Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063731339 PECOS PAC ID: 0648422444 Enrollment ID: I20201005000321 |
| Provider Name | Lauren Wiafe-ababio |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164951109 PECOS PAC ID: 4385919273 Enrollment ID: I20201007003430 |
| Provider Name | Aminata Kamara |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104347079 PECOS PAC ID: 5496175127 Enrollment ID: I20201020000555 |
| Provider Name | Fheza Saleem |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730617986 PECOS PAC ID: 4587914379 Enrollment ID: I20201028002965 |
| Provider Name | Milay Luis Lam |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1205174430 PECOS PAC ID: 3870803836 Enrollment ID: I20201111000903 |
| Provider Name | Scot Niglio |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760828016 PECOS PAC ID: 7810232253 Enrollment ID: I20201116001109 |
| Provider Name | Deribe Aragaw |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083147516 PECOS PAC ID: 6002234515 Enrollment ID: I20201130000073 |
| Provider Name | Mark Baskerville |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1306801824 PECOS PAC ID: 1759316615 Enrollment ID: I20201208000186 |
| Provider Name | Deidre Hilliard |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033240049 PECOS PAC ID: 1759417991 Enrollment ID: I20201214001078 |
| Provider Name | Sharada Baharani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508210774 PECOS PAC ID: 9931493350 Enrollment ID: I20201216001165 |
| Provider Name | Chukwuma Umunakwe |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013276815 PECOS PAC ID: 6002120292 Enrollment ID: I20201216002278 |
| Provider Name | Mustafa Azimi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568064046 PECOS PAC ID: 0244642270 Enrollment ID: I20201216002410 |
| Provider Name | Jaskaran Singh |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1235525379 PECOS PAC ID: 6002112059 Enrollment ID: I20201223000108 |
| Provider Name | Eric Cho |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669725073 PECOS PAC ID: 8628309325 Enrollment ID: I20210105000012 |
| Provider Name | Michael Benjamin Booth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043818651 PECOS PAC ID: 8820401052 Enrollment ID: I20210108000014 |
| Provider Name | Ifedayo Kuye |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043669484 PECOS PAC ID: 9032480405 Enrollment ID: I20210114002861 |
| Provider Name | Melaku Tesfaye |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417390527 PECOS PAC ID: 2466742747 Enrollment ID: I20210119000294 |
| Provider Name | Yahya Shaikh |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1053609669 PECOS PAC ID: 8022328681 Enrollment ID: I20210128003198 |
| Provider Name | Aisha Chantal Jennings |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255566261 PECOS PAC ID: 6305096868 Enrollment ID: I20210129001494 |
| Provider Name | Guraman Singh Bhullar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386957579 PECOS PAC ID: 3678762978 Enrollment ID: I20210203000085 |
| Provider Name | Christine O Diffenderffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831754563 PECOS PAC ID: 4981019676 Enrollment ID: I20210210000646 |
| Provider Name | Judy Tran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457863151 PECOS PAC ID: 0941558514 Enrollment ID: I20210215000326 |
| Provider Name | Hillary Carrier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902168909 PECOS PAC ID: 1456627678 Enrollment ID: I20210226000861 |
| Provider Name | Mustafa Khaliqi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629488994 PECOS PAC ID: 3274808936 Enrollment ID: I20210305001956 |
| Provider Name | Dace Person |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578057592 PECOS PAC ID: 8022351428 Enrollment ID: I20210311000233 |
| Provider Name | Savannah Adrian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609468271 PECOS PAC ID: 3870901432 Enrollment ID: I20210420001135 |
| Provider Name | Amber Phelps |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639760382 PECOS PAC ID: 9436567666 Enrollment ID: I20210428000058 |
| Provider Name | Robb Rowley |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780666057 PECOS PAC ID: 4183645278 Enrollment ID: I20210428002108 |
| Provider Name | Umesh Kc |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245439439 PECOS PAC ID: 6608921424 Enrollment ID: I20210503001074 |
| Provider Name | Janet Noel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205039625 PECOS PAC ID: 2961465257 Enrollment ID: I20210706003615 |
| Provider Name | Kiah Bond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306410295 PECOS PAC ID: 0941603450 Enrollment ID: I20210721002802 |
| Provider Name | Laura S Macdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952980484 PECOS PAC ID: 4183027600 Enrollment ID: I20210721002994 |
| Provider Name | Isaac Naggar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548649700 PECOS PAC ID: 9739582263 Enrollment ID: I20210721003447 |
| Provider Name | Peter Keszler |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063944924 PECOS PAC ID: 2365712262 Enrollment ID: I20210721003964 |
| Provider Name | Alexander Ta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891378121 PECOS PAC ID: 1153724539 Enrollment ID: I20210722001494 |
| Provider Name | Zhou Meng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023507076 PECOS PAC ID: 7113270760 Enrollment ID: I20210722002425 |
| Provider Name | Zachary Kozel |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1568825602 PECOS PAC ID: 5799029666 Enrollment ID: I20210729000364 |
| Provider Name | Erin Mcmahon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598261232 PECOS PAC ID: 5496003766 Enrollment ID: I20210729000431 |
| Provider Name | Jesmin S Chowdhury |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467987198 PECOS PAC ID: 0345668067 Enrollment ID: I20210729001010 |
| Provider Name | Raycor Faderugao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417323445 PECOS PAC ID: 3173831161 Enrollment ID: I20210729001354 |
| Provider Name | Jason Redman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215370069 PECOS PAC ID: 0840587994 Enrollment ID: I20210729002639 |
| Provider Name | Zaid Hamarsha |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891229365 PECOS PAC ID: 2365787066 Enrollment ID: I20210730000245 |
| Provider Name | Cecelia Mendiola |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871959866 PECOS PAC ID: 6103174453 Enrollment ID: I20210802000803 |
| Provider Name | Jason Rosner |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396241501 PECOS PAC ID: 0941605802 Enrollment ID: I20210816003817 |
| Provider Name | Malgorzata Lukomska |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659828721 PECOS PAC ID: 4587934906 Enrollment ID: I20210818001472 |
| Provider Name | Jeffrey C Roeser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023506763 PECOS PAC ID: 9638575533 Enrollment ID: I20210901000079 |
| Provider Name | Sarah T Woo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043885742 PECOS PAC ID: 5092111906 Enrollment ID: I20210901000505 |
| Provider Name | Aliya Mosby Carillo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649704529 PECOS PAC ID: 6901175249 Enrollment ID: I20210901002891 |
| Provider Name | Alexander Wu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831584879 PECOS PAC ID: 0547563868 Enrollment ID: I20210902000406 |
| Provider Name | Virginia Colliver |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1265437545 PECOS PAC ID: 9739159823 Enrollment ID: I20210907000434 |
| Provider Name | Daniel Fernicola |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1033171442 PECOS PAC ID: 4587714357 Enrollment ID: I20210907000859 |
| Provider Name | Aaron Kenigsberg |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1902901747 PECOS PAC ID: 8325106354 Enrollment ID: I20210907001129 |
| Provider Name | Edward Healy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700881927 PECOS PAC ID: 7911973805 Enrollment ID: I20210907001352 |
| Provider Name | Julie Krivy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1831295286 PECOS PAC ID: 6901792993 Enrollment ID: I20210907001638 |
| Provider Name | Edward Bodurian |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1922042241 PECOS PAC ID: 5193795946 Enrollment ID: I20210907001696 |
| Provider Name | Yuri Deychak |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1063417277 PECOS PAC ID: 6103806641 Enrollment ID: I20210907002106 |
| Provider Name | Daniel Schwartz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1053452052 PECOS PAC ID: 0446203285 Enrollment ID: I20210907002244 |
| Provider Name | Tung Dao |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1003811225 PECOS PAC ID: 3375526080 Enrollment ID: I20210907003276 |
| Provider Name | Mark Milner |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093710360 PECOS PAC ID: 6901920511 Enrollment ID: I20210908001113 |
| Provider Name | Eric Lieberman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750333522 PECOS PAC ID: 8820088214 Enrollment ID: I20210908002389 |
| Provider Name | Harry Bigham |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1346245628 PECOS PAC ID: 0941280648 Enrollment ID: I20210916000117 |
| Provider Name | Megan Laurel Rambob |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225469521 PECOS PAC ID: 9335372218 Enrollment ID: I20210917002553 |
| Provider Name | Alan Schneider |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1073692885 PECOS PAC ID: 0244307619 Enrollment ID: I20210920000013 |
| Provider Name | Aleeza Michael-tabrizi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972047207 PECOS PAC ID: 5496152191 Enrollment ID: I20210922003570 |
| Provider Name | Jill C Troilo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831358431 PECOS PAC ID: 4981740248 Enrollment ID: I20210923000058 |
| Provider Name | Kathleen Mary Hawkins |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932127479 PECOS PAC ID: 4981001526 Enrollment ID: I20210923001755 |
| Provider Name | Nicole Woodard Uliassi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144596891 PECOS PAC ID: 4880091321 Enrollment ID: I20210924002831 |
| Provider Name | Bridget Conger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285946616 PECOS PAC ID: 5890192173 Enrollment ID: I20210929002424 |
| Provider Name | Mallory Lostumbo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073923132 PECOS PAC ID: 5294015517 Enrollment ID: I20210930000956 |
| Provider Name | Maureen Fennell |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750343075 PECOS PAC ID: 7719871847 Enrollment ID: I20211007000080 |
| Provider Name | Kristen Bennett Cantor |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275794273 PECOS PAC ID: 4880092782 Enrollment ID: I20211007000493 |
| Provider Name | Karen Laurie Kaufman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861616245 PECOS PAC ID: 8224436985 Enrollment ID: I20211011000621 |
| Provider Name | Robert J Mills |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083027056 PECOS PAC ID: 6608141635 Enrollment ID: I20211021001696 |
| Provider Name | Olivier De Raet |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780870063 PECOS PAC ID: 5395929541 Enrollment ID: I20211103000053 |
| Provider Name | Ifeanyichukwu Chukwuma |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356602429 PECOS PAC ID: 4284888918 Enrollment ID: I20211118002396 |
| Provider Name | Jeffrey Mikita |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1912009564 PECOS PAC ID: 9032392212 Enrollment ID: I20211119000085 |
| Provider Name | Christine Denise Diblasi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942979133 PECOS PAC ID: 8729478714 Enrollment ID: I20211206002877 |
| Provider Name | Irmela Grace Macewen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588965198 PECOS PAC ID: 7618368101 Enrollment ID: I20211216001238 |
| Provider Name | Matthew T Alario |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871956284 PECOS PAC ID: 5991004269 Enrollment ID: I20220119000937 |
| Provider Name | Kevin Klembczyk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063943983 PECOS PAC ID: 9931477338 Enrollment ID: I20220120000309 |
| Provider Name | Shaista Noormohammad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669963807 PECOS PAC ID: 9931591153 Enrollment ID: I20220120002792 |
| Provider Name | Rita E Meadows |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093928756 PECOS PAC ID: 3971537218 Enrollment ID: I20220201000515 |
| Provider Name | Christina Anyikwa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871942755 PECOS PAC ID: 6406142991 Enrollment ID: I20220202000065 |
| Provider Name | Arman S Majumder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558929356 PECOS PAC ID: 4486044609 Enrollment ID: I20220215001728 |
| Provider Name | Cristin Mount |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1477527125 PECOS PAC ID: 8426230491 Enrollment ID: I20220222001194 |
| Provider Name | Jacob Quinton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073969002 PECOS PAC ID: 6709166523 Enrollment ID: I20220228000213 |
| Provider Name | Supo Folaranmi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710321724 PECOS PAC ID: 3779853478 Enrollment ID: I20220309002451 |
| Provider Name | Dawn Jannette Heinbaugh |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1679237572 PECOS PAC ID: 1153716717 Enrollment ID: I20220317000083 |
| Provider Name | Nabha Tokekar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366102964 PECOS PAC ID: 2365837879 Enrollment ID: I20220321000938 |
| Provider Name | Hajafatmata Binta Bah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457989949 PECOS PAC ID: 4284029620 Enrollment ID: I20220321002627 |
| Provider Name | Julio Huapaya-carrera |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1912351743 PECOS PAC ID: 4284053620 Enrollment ID: I20220328002139 |
| Provider Name | Chioma Anyikwa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447710884 PECOS PAC ID: 8527390731 Enrollment ID: I20220404000016 |
| Provider Name | Sanaz Gidfar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588023469 PECOS PAC ID: 2365868536 Enrollment ID: I20220408000074 |
| Provider Name | Katrina Cork |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437578770 PECOS PAC ID: 5496004251 Enrollment ID: I20220411001898 |
| Provider Name | Ifunanya Kalu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932606753 PECOS PAC ID: 9830595313 Enrollment ID: I20220518000419 |
| Provider Name | Lisbi Rivas Ramirez |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972946549 PECOS PAC ID: 8729496526 Enrollment ID: I20220602001402 |
| Provider Name | Azam Ghafoor |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811239759 PECOS PAC ID: 9638302425 Enrollment ID: I20220608003318 |
| Provider Name | Andre Bojan Gvozden |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912960501 PECOS PAC ID: 3072991512 Enrollment ID: I20220613000142 |
| Provider Name | Vaishali B Popat |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1699960112 PECOS PAC ID: 5698155950 Enrollment ID: I20220704000018 |
| Provider Name | Ashly Anna Ninan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548903537 PECOS PAC ID: 8224418587 Enrollment ID: I20220704000028 |
| Provider Name | Atiyatul Malik |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992159321 PECOS PAC ID: 9133417058 Enrollment ID: I20220704000161 |
| Provider Name | Muhammad Hamza Bukhari |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205397254 PECOS PAC ID: 5496135808 Enrollment ID: I20220706003722 |
| Provider Name | Melaku Tesfaye |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245659028 PECOS PAC ID: 3375834450 Enrollment ID: I20220712002378 |
| Provider Name | Nikhil Gopal |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1629422563 PECOS PAC ID: 0143601799 Enrollment ID: I20220714000283 |
| Provider Name | Aseem S Balhara |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811374713 PECOS PAC ID: 2567754385 Enrollment ID: I20220722000584 |
| Provider Name | Mark Nau |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1033579479 PECOS PAC ID: 7810259132 Enrollment ID: I20220728002615 |
| Provider Name | Abhimanyu Chandel |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1730542630 PECOS PAC ID: 6800226689 Enrollment ID: I20220810000834 |
| Provider Name | Angelica Simmons Commiskey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316437023 PECOS PAC ID: 0042566473 Enrollment ID: I20220810003785 |
| Provider Name | Joshua Cohen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063919330 PECOS PAC ID: 1658754452 Enrollment ID: I20220811001088 |
| Provider Name | Valerie Streeb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689313884 PECOS PAC ID: 5294118923 Enrollment ID: I20220812002988 |
| Provider Name | Rana Alqusairi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306306469 PECOS PAC ID: 2961738307 Enrollment ID: I20220815001849 |
| Provider Name | Aaron Holley |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1750485439 PECOS PAC ID: 0547459026 Enrollment ID: I20220815003487 |
| Provider Name | Rabiya Noor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154985042 PECOS PAC ID: 3072848951 Enrollment ID: I20220817003349 |
| Provider Name | Rabia Basir |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033775564 PECOS PAC ID: 6608250436 Enrollment ID: I20220829001722 |
| Provider Name | Rachel Purser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982333233 PECOS PAC ID: 5294119988 Enrollment ID: I20220830000450 |
| Provider Name | Mack Bell |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801359930 PECOS PAC ID: 1052643392 Enrollment ID: I20220902000440 |
| Provider Name | David A Perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548908981 PECOS PAC ID: 3870979933 Enrollment ID: I20220928000238 |
| Provider Name | Neil Mendhiratta |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1023472248 PECOS PAC ID: 8426301029 Enrollment ID: I20221005001638 |
| Provider Name | Katherine Deguzman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477893600 PECOS PAC ID: 0840423513 Enrollment ID: I20221006000056 |
| Provider Name | Michelle Punzal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558821710 PECOS PAC ID: 0941686349 Enrollment ID: I20221010000681 |
| Provider Name | Daniel Nethala |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1104359272 PECOS PAC ID: 7517201080 Enrollment ID: I20221011000021 |
| Provider Name | Paul Cusmano |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1477900942 PECOS PAC ID: 0648531061 Enrollment ID: I20221019001981 |
| Provider Name | John Ellis |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1104273275 PECOS PAC ID: 6608108790 Enrollment ID: I20221020000492 |
| Provider Name | Shahzad Ahmad |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1730110123 PECOS PAC ID: 3274719513 Enrollment ID: I20221026000390 |
| Provider Name | Alexander Kenigsberg |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1679006803 PECOS PAC ID: 3476921933 Enrollment ID: I20221115001771 |
| Provider Name | Sarah C Peet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851010342 PECOS PAC ID: 7618346701 Enrollment ID: I20221213000026 |
| Provider Name | Rouzbeh Shams |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437458981 PECOS PAC ID: 8325265671 Enrollment ID: I20221214000044 |
| Provider Name | Linda Shasti |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558627216 PECOS PAC ID: 0042529745 Enrollment ID: I20221215001750 |
| Provider Name | Stephen Fakoyejo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376109587 PECOS PAC ID: 4587998315 Enrollment ID: I20221219001258 |
| Provider Name | Teadra Pennycooke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649746249 PECOS PAC ID: 5991041741 Enrollment ID: I20221224000205 |
| Provider Name | Cindy Bowen |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1669646121 PECOS PAC ID: 2264690775 Enrollment ID: I20221229001277 |
| Provider Name | Peter Ma |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811316359 PECOS PAC ID: 3779873211 Enrollment ID: I20230103001490 |
| Provider Name | Dorothea Olszewski Dickens |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1902516248 PECOS PAC ID: 8820468903 Enrollment ID: I20230105003212 |
| Provider Name | Melat Aberra Gebremichael |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003376740 PECOS PAC ID: 1658741665 Enrollment ID: I20230110000093 |
| Provider Name | Daliah Walid Halboni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013638741 PECOS PAC ID: 7012387905 Enrollment ID: I20230111000673 |
| Provider Name | Mohamed Ali M Abdelrahman Ali |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1619135142 PECOS PAC ID: 1052583754 Enrollment ID: I20230214000410 |
| Provider Name | Mary Dandulakis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124522826 PECOS PAC ID: 1355686304 Enrollment ID: I20230303002390 |
| Provider Name | Samantha Swords |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013327923 PECOS PAC ID: 5890088850 Enrollment ID: I20230307003339 |
| Provider Name | Jonathan Caldera Colon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346641438 PECOS PAC ID: 9537402375 Enrollment ID: I20230316002808 |
| Provider Name | Vikram Shenoy |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1710397906 PECOS PAC ID: 5991002909 Enrollment ID: I20230321001905 |
| Provider Name | Kamil Rechache |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023491719 PECOS PAC ID: 7810224474 Enrollment ID: I20230321003004 |
| Provider Name | Tanya Steinman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316577547 PECOS PAC ID: 5193154714 Enrollment ID: I20230328003116 |
| Provider Name | Jihyun Moon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578274718 PECOS PAC ID: 3577937721 Enrollment ID: I20230329003494 |
| Provider Name | Susan Marie Barratt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558086157 PECOS PAC ID: 7911362173 Enrollment ID: I20230424001647 |
| Provider Name | Omeed Sizar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295268258 PECOS PAC ID: 8224465877 Enrollment ID: I20230502001211 |
| Provider Name | Shani Smith |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1659674240 PECOS PAC ID: 3577790906 Enrollment ID: I20230616003340 |
| Provider Name | Svetlana Bautista |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1700575743 PECOS PAC ID: 7618336124 Enrollment ID: I20230630001998 |
| Provider Name | Christopher Koller |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1760987689 PECOS PAC ID: 5092174268 Enrollment ID: I20230706001156 |
| Provider Name | Jo Greenberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831595768 PECOS PAC ID: 9335453125 Enrollment ID: I20230711000069 |
| Provider Name | Ogechukwu Chika-nwosuh |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1801327515 PECOS PAC ID: 3274993191 Enrollment ID: I20230724001586 |
| Provider Name | Zulfiya Manning |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285196626 PECOS PAC ID: 2567847734 Enrollment ID: I20230726001404 |
| Provider Name | Tracey Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013545656 PECOS PAC ID: 3870914716 Enrollment ID: I20230726001492 |
| Provider Name | Clark Stallings |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477176303 PECOS PAC ID: 6901227669 Enrollment ID: I20230726002879 |
| Provider Name | Shreedip Dilipbhai Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588124663 PECOS PAC ID: 7810226453 Enrollment ID: I20230727002488 |
| Provider Name | Jessica Park |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184244113 PECOS PAC ID: 5698191732 Enrollment ID: I20230730000136 |
| Provider Name | Shalini Balram |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396431870 PECOS PAC ID: 3476914953 Enrollment ID: I20230731003174 |
| Provider Name | Gail Jacoby |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972558245 PECOS PAC ID: 9830103910 Enrollment ID: I20230802002050 |
| Provider Name | Michael Pope |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497318430 PECOS PAC ID: 1658606553 Enrollment ID: I20230803004331 |
| Provider Name | Huai En Chang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972130524 PECOS PAC ID: 0042633356 Enrollment ID: I20230808001786 |
| Provider Name | Geetika Gupta |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1669801619 PECOS PAC ID: 4385939560 Enrollment ID: I20230810000376 |
| Provider Name | Vidhyalakshmy Vivek |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578851721 PECOS PAC ID: 8224252440 Enrollment ID: I20230810004451 |
| Provider Name | Fatima Ahmed |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1477935575 PECOS PAC ID: 8729382759 Enrollment ID: I20230811000066 |
| Provider Name | Ethan Elias Witt |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881221851 PECOS PAC ID: 6800211996 Enrollment ID: I20230811000214 |
| Provider Name | Zaid Safiullah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912526377 PECOS PAC ID: 7416388913 Enrollment ID: I20230814002160 |
| Provider Name | Sophie Presny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316544588 PECOS PAC ID: 2769897065 Enrollment ID: I20230818002540 |
| Provider Name | Jasmine Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912535642 PECOS PAC ID: 1658781158 Enrollment ID: I20230830002197 |
| Provider Name | Syed Aleem |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1104359264 PECOS PAC ID: 7517234453 Enrollment ID: I20230831000021 |
| Provider Name | Ashrithpal Police Reddy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649807256 PECOS PAC ID: 5597128009 Enrollment ID: I20230831001852 |
| Provider Name | Gyan Das |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1841738150 PECOS PAC ID: 1557734076 Enrollment ID: I20230908000889 |
| Provider Name | Laura Wioletta Migasiuk |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811519382 PECOS PAC ID: 7911361829 Enrollment ID: I20230911004222 |
| Provider Name | Justin Hahn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609404458 PECOS PAC ID: 2769846542 Enrollment ID: I20230912003452 |
| Provider Name | Taylor Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851092613 PECOS PAC ID: 3476917261 Enrollment ID: I20230912003652 |
| Provider Name | Gisela Delgado Rosado |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154812014 PECOS PAC ID: 8325446388 Enrollment ID: I20230913000804 |
| Provider Name | Jennifer Inzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992970057 PECOS PAC ID: 8022186600 Enrollment ID: I20230913001398 |
| Provider Name | Tracy Dodd |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639798747 PECOS PAC ID: 7416387378 Enrollment ID: I20230913003234 |
| Provider Name | Noore-sabah Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093222937 PECOS PAC ID: 5799149357 Enrollment ID: I20230914002945 |
| Provider Name | Christopher Larrimore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518595735 PECOS PAC ID: 0941621734 Enrollment ID: I20230914004125 |
| Provider Name | Scott Merrill |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730640756 PECOS PAC ID: 2264767797 Enrollment ID: I20230915002962 |
| Provider Name | Shannon Leigh Dummer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588359210 PECOS PAC ID: 5597129072 Enrollment ID: I20230918000351 |
| Provider Name | Rachel Meltzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851089007 PECOS PAC ID: 3476917782 Enrollment ID: I20230919003079 |
| Provider Name | Jordan E Laird |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861195562 PECOS PAC ID: 3375907645 Enrollment ID: I20230920000056 |
| Provider Name | Wardah Athar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790305480 PECOS PAC ID: 6709216989 Enrollment ID: I20230926004315 |
| Provider Name | Seema Patel |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1164665113 PECOS PAC ID: 8628297314 Enrollment ID: I20230927001359 |
| Provider Name | Ashwini Javlekar |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992264014 PECOS PAC ID: 3274876016 Enrollment ID: I20230927001729 |
| Provider Name | Katherine L Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720787658 PECOS PAC ID: 1254785066 Enrollment ID: I20230928000124 |
| Provider Name | Katherine Corinne Gill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659074391 PECOS PAC ID: 2062866767 Enrollment ID: I20230929000266 |
| Provider Name | Tina Jacob |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851914675 PECOS PAC ID: 0840614814 Enrollment ID: I20231005000214 |
| Provider Name | Laura A Shaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184322653 PECOS PAC ID: 2668827924 Enrollment ID: I20231006002127 |
| Provider Name | Kathryn Reid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528641800 PECOS PAC ID: 0345640835 Enrollment ID: I20231010002000 |
| Provider Name | Rugiatu Jalloh-camara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376835231 PECOS PAC ID: 8325383094 Enrollment ID: I20231012002750 |
| Provider Name | Camellia Banerjee |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1134547441 PECOS PAC ID: 7517201064 Enrollment ID: I20231016000243 |
| Provider Name | Rebekah A Sawyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356024889 PECOS PAC ID: 1254786981 Enrollment ID: I20231016001136 |
| Provider Name | Lauren Larocca |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114489861 PECOS PAC ID: 4486986734 Enrollment ID: I20231020003158 |
| Provider Name | Margaret Ann Tuinstra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457045981 PECOS PAC ID: 9234585688 Enrollment ID: I20231021000664 |
| Provider Name | Anthony Keller |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1720059694 PECOS PAC ID: 0547490575 Enrollment ID: I20231023000697 |
| Provider Name | Mary Elizabeth Richert |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1184159535 PECOS PAC ID: 2365717105 Enrollment ID: I20231025000007 |
| Provider Name | Sai Sonia Savita Boodram |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578023255 PECOS PAC ID: 6800242942 Enrollment ID: I20231026001902 |
| Provider Name | Zaneta Franklin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992334791 PECOS PAC ID: 2365860541 Enrollment ID: I20231028000634 |
| Provider Name | Atinuke Osundina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518502244 PECOS PAC ID: 7113332784 Enrollment ID: I20231103000793 |
| Provider Name | Kayla Herne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023719705 PECOS PAC ID: 0941657522 Enrollment ID: I20231104000052 |
| Provider Name | Caitlin Sorci |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497455802 PECOS PAC ID: 6305293887 Enrollment ID: I20231104000573 |
| Provider Name | Sara Tariq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922668763 PECOS PAC ID: 1850749581 Enrollment ID: I20231119000082 |
| Provider Name | Pandora Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922623578 PECOS PAC ID: 4082034640 Enrollment ID: I20231207000269 |
| Provider Name | John Shumar |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1407389125 PECOS PAC ID: 1557787371 Enrollment ID: I20231220002650 |
| Provider Name | Sandeep Gurram |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1205270667 PECOS PAC ID: 4688050859 Enrollment ID: I20231228000122 |
| Provider Name | Misha Varma |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346701513 PECOS PAC ID: 7618206657 Enrollment ID: I20240107000024 |
| Provider Name | Lindsay Ryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730869884 PECOS PAC ID: 6103277769 Enrollment ID: I20240108004591 |
| Provider Name | Kala Kashla Davis |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1841408051 PECOS PAC ID: 7517059850 Enrollment ID: I20240131004337 |
| Provider Name | Marina Zeltser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912343708 PECOS PAC ID: 7012208127 Enrollment ID: I20240218000142 |
| Provider Name | Amber Morrow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821631631 PECOS PAC ID: 8527495589 Enrollment ID: I20240228000488 |
| Provider Name | Heranmaye Prasad |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1285155739 PECOS PAC ID: 2264768019 Enrollment ID: I20240325003082 |
| Provider Name | Prithvi Bhattarai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861844540 PECOS PAC ID: 0143518969 Enrollment ID: I20240326000732 |
| Provider Name | Joshua Tunnage |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1851754295 PECOS PAC ID: 2668801739 Enrollment ID: I20240422000076 |
| Provider Name | Marli Gabriel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174086367 PECOS PAC ID: 6800128273 Enrollment ID: I20240423000214 |
| Provider Name | Arul Vigg |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568751360 PECOS PAC ID: 7517130701 Enrollment ID: I20240425002303 |
| Provider Name | Dwaipayan Choudhury |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932513496 PECOS PAC ID: 7517188899 Enrollment ID: I20240509001924 |
| Provider Name | Marina Eryn Mizell Golden |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740866573 PECOS PAC ID: 1254772007 Enrollment ID: I20240510003414 |
| Provider Name | Afia Esther Ewoo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255113627 PECOS PAC ID: 8820430531 Enrollment ID: I20240528000703 |
| Provider Name | Patrick Moon |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1790198679 PECOS PAC ID: 7315355302 Enrollment ID: I20240529000101 |
| Provider Name | Maryam Movassaghian |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1659767358 PECOS PAC ID: 2062723828 Enrollment ID: I20240529000263 |
| Provider Name | Priya Alagappan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194139808 PECOS PAC ID: 6002033727 Enrollment ID: I20240531000023 |
| Provider Name | William Andrew Londeree |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1245525203 PECOS PAC ID: 9739305814 Enrollment ID: I20240611000147 |
| Provider Name | Hiba Malik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659867638 PECOS PAC ID: 0446507883 Enrollment ID: I20240613000865 |
Jeffrey C. Schultz, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8817 Belair Rd, Suite 111, Nottingham, MD 21236 Phone: 410-529-6440 Fax: 410-529-6793 | |
Port Recovery Physicians Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8615 Ridgelys Choice Dr Ste 205, Nottingham, MD 21236 Phone: 443-869-4909 Fax: 443-869-4928 | |
Ethos Health Maryland 1 Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4940 Campbell Blvd Ste 130, Nottingham, MD 21236 Phone: 410-870-6498 Fax: 410-870-6555 | |
Sofia Suriel Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8870 Belair Rd, Nottingham, MD 21236 Phone: 410-248-3124 Fax: 410-248-3125 | |
Lifegate Global Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5430 Campbell Blvd, Ste 208, Nottingham, MD 21236 Phone: 443-823-5066 | |
Maryland Medical Center, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8100 Sandpiper Cir Ste 100, Nottingham, MD 21236 Phone: 410-529-8334 | |
Breakthrough Integrative Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9712 Belair Rd Ste 301, Nottingham, MD 21236 Phone: 443-903-4874 Fax: 667-868-0931 |