| Kadlec Regional Medical Center | |
|
888 Swift Blvd Richland WA 99352 | |
| (509) 946-4611 | |
| Not Available |
| Full Name | Kadlec Regional Medical Center |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 888 Swift Blvd, Richland, Washington |
| Authorized Official Name and Position | Donald Wayne Anderson (DIRECTOR REIMB REGULATORY STRATEGY) |
| Authorized Official Contact | 4255255392 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kadlec Regional Medical Center 888 Swift Blvd Richland WA 99352-3514 Ph: (509) 946-4611 | Kadlec Regional Medical Center 888 Swift Blvd Richland WA 99352 Ph: (509) 946-4611 |
| NPI Number | 1972507580 |
|---|---|
| Provider Enumeration Date | 06/10/2005 |
| Last Update Date | 12/09/2021 |
| Medicare PECOS PAC ID | 9739098617 |
|---|---|
| Medicare Enrollment ID | O20031104000035 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972507580 | NPI | - | NPPES |
| Provider Name | Tomas A Hernandez Mejia |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306825021 PECOS PAC ID: 5193638823 Enrollment ID: I20031215000517 |
| Provider Name | Michael M Gawlik |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790894400 PECOS PAC ID: 0244123313 Enrollment ID: I20040203000776 |
| Provider Name | Dennis D Nichols |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1245205848 PECOS PAC ID: 9537056775 Enrollment ID: I20040302000690 |
| Provider Name | Charles Nussbaum |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1144233966 PECOS PAC ID: 5799676102 Enrollment ID: I20040324000349 |
| Provider Name | Hui-juan Zhang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689625014 PECOS PAC ID: 3870482821 Enrollment ID: I20040329000563 |
| Provider Name | Suresh K Piryani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770683518 PECOS PAC ID: 2365425576 Enrollment ID: I20040610000066 |
| Provider Name | Rodney A Graves |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1033169925 PECOS PAC ID: 8820073794 Enrollment ID: I20040623001154 |
| Provider Name | Barbara L Atwood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396852760 PECOS PAC ID: 2567448434 Enrollment ID: I20040630000006 |
| Provider Name | Francesco Vinci |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962456368 PECOS PAC ID: 0840250551 Enrollment ID: I20041018000312 |
| Provider Name | Maylin J Padayatty |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811932924 PECOS PAC ID: 8325004575 Enrollment ID: I20041208001167 |
| Provider Name | Thomas K Westhusing |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164539425 PECOS PAC ID: 0042207375 Enrollment ID: I20050126000262 |
| Provider Name | Wassim A Khawandi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1467420174 PECOS PAC ID: 7719937655 Enrollment ID: I20050127000761 |
| Provider Name | Fareed A Arif |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1073616611 PECOS PAC ID: 2062491160 Enrollment ID: I20050210000875 |
| Provider Name | Charles E Batayola |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447223904 PECOS PAC ID: 3072567304 Enrollment ID: I20050309000438 |
| Provider Name | Neil Worrall |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1619975653 PECOS PAC ID: 5193713188 Enrollment ID: I20050621000925 |
| Provider Name | Steven J Nisco |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1093713943 PECOS PAC ID: 1052309044 Enrollment ID: I20050621000969 |
| Provider Name | Jon Randall Farrar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1689769085 PECOS PAC ID: 1658317599 Enrollment ID: I20050630001051 |
| Provider Name | Byron L Burrup |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598751729 PECOS PAC ID: 7012953847 Enrollment ID: I20050701000658 |
| Provider Name | Jacintha L Raj |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942394275 PECOS PAC ID: 2668402827 Enrollment ID: I20050817000398 |
| Provider Name | John T Droesch |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528098928 PECOS PAC ID: 9032144076 Enrollment ID: I20050928001347 |
| Provider Name | Kenton L Sizemore |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104839760 PECOS PAC ID: 8325063654 Enrollment ID: I20051006000087 |
| Provider Name | Peter D Maher |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1689857310 PECOS PAC ID: 8325063399 Enrollment ID: I20051012000514 |
| Provider Name | Diana J Woollum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386708089 PECOS PAC ID: 2769400290 Enrollment ID: I20051103000459 |
| Provider Name | Dennis R Hunt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821184029 PECOS PAC ID: 3375565260 Enrollment ID: I20051220000377 |
| Provider Name | Elizabeth A Sweeney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780631952 PECOS PAC ID: 7315969995 Enrollment ID: I20051222000754 |
| Provider Name | Yolanda S Lara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902917826 PECOS PAC ID: 6800819483 Enrollment ID: I20060110000384 |
| Provider Name | Daniel Bahnmiller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801988878 PECOS PAC ID: 4284620188 Enrollment ID: I20060112000680 |
| Provider Name | Kelli A Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639113616 PECOS PAC ID: 9032132337 Enrollment ID: I20060112000859 |
| Provider Name | Elhami Hannan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1093803884 PECOS PAC ID: 9638124100 Enrollment ID: I20060321000259 |
| Provider Name | Sean C Koskinen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407821853 PECOS PAC ID: 4284646308 Enrollment ID: I20060607000267 |
| Provider Name | David W Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912953860 PECOS PAC ID: 0143232140 Enrollment ID: I20060612000018 |
| Provider Name | Edward M Iuliano |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154359156 PECOS PAC ID: 2860405925 Enrollment ID: I20060713000320 |
| Provider Name | Shawn R Jones |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285661637 PECOS PAC ID: 5496653164 Enrollment ID: I20060713000329 |
| Provider Name | Ellen Mijung Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124024229 PECOS PAC ID: 5597666818 Enrollment ID: I20060906000099 |
| Provider Name | Laura Hollister Meadows |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477534972 PECOS PAC ID: 2860496858 Enrollment ID: I20060906000118 |
| Provider Name | Desiree G Ang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780667568 PECOS PAC ID: 1456355320 Enrollment ID: I20060907000156 |
| Provider Name | Asif U Malik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265441646 PECOS PAC ID: 9638175912 Enrollment ID: I20061010000177 |
| Provider Name | Larry D Smith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710954375 PECOS PAC ID: 7113919499 Enrollment ID: I20061018000314 |
| Provider Name | Richard Meadows |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972554525 PECOS PAC ID: 4284690793 Enrollment ID: I20061030000096 |
| Provider Name | William David Kalichman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679676258 PECOS PAC ID: 1759396419 Enrollment ID: I20061107000165 |
| Provider Name | Jason S Glade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083634620 PECOS PAC ID: 6204887946 Enrollment ID: I20070113000129 |
| Provider Name | Terri D Davari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699717009 PECOS PAC ID: 4880696574 Enrollment ID: I20070208000678 |
| Provider Name | Mark E Mulholland |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376556928 PECOS PAC ID: 8527160498 Enrollment ID: I20070223000055 |
| Provider Name | Kalavati Paila |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003901810 PECOS PAC ID: 8224134176 Enrollment ID: I20070509000500 |
| Provider Name | Bevan W Briggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841277340 PECOS PAC ID: 2567562259 Enrollment ID: I20070710000890 |
| Provider Name | Melvin M Wahl |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1750399275 PECOS PAC ID: 9830198050 Enrollment ID: I20070802000609 |
| Provider Name | Jeffrey J Anderson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043223696 PECOS PAC ID: 7719078369 Enrollment ID: I20070810000354 |
| Provider Name | Brandon T Thomas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750308359 PECOS PAC ID: 4082647417 Enrollment ID: I20070814000175 |
| Provider Name | Tania M Matta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922027168 PECOS PAC ID: 4082648332 Enrollment ID: I20070908000042 |
| Provider Name | Jason Todd Paslean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629269592 PECOS PAC ID: 3072606839 Enrollment ID: I20070910000825 |
| Provider Name | Ross M Craig |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568655538 PECOS PAC ID: 8921192949 Enrollment ID: I20071018000129 |
| Provider Name | Juan A Cordero |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1669474151 PECOS PAC ID: 9436124351 Enrollment ID: I20071210000058 |
| Provider Name | Timothy E Baldwin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1437126794 PECOS PAC ID: 1355232919 Enrollment ID: I20080115000665 |
| Provider Name | Francis X Fleming |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1780766709 PECOS PAC ID: 4789767542 Enrollment ID: I20080218000044 |
| Provider Name | Arnulfo T Deray |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063470037 PECOS PAC ID: 2860495462 Enrollment ID: I20080404000041 |
| Provider Name | Kevin Sampson |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1508800996 PECOS PAC ID: 5092718098 Enrollment ID: I20080513000708 |
| Provider Name | Felix G Vladimir |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1962472993 PECOS PAC ID: 6406823483 Enrollment ID: I20080602000551 |
| Provider Name | Brian J York |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1285709568 PECOS PAC ID: 1052492253 Enrollment ID: I20080709000554 |
| Provider Name | Debbierey Bongar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801072137 PECOS PAC ID: 8527131291 Enrollment ID: I20080715000195 |
| Provider Name | Kyawt K Ayee |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1558316372 PECOS PAC ID: 1951304955 Enrollment ID: I20080723000197 |
| Provider Name | Allen D Rubin |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1942422977 PECOS PAC ID: 1850315763 Enrollment ID: I20080801000393 |
| Provider Name | Cristobal Sanchez Metz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528226040 PECOS PAC ID: 8224103106 Enrollment ID: I20080813000142 |
| Provider Name | Nicole W Mulkey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932242088 PECOS PAC ID: 7719052125 Enrollment ID: I20080820000220 |
| Provider Name | Fadi H Akoum |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1952577231 PECOS PAC ID: 6204903149 Enrollment ID: I20080918000589 |
| Provider Name | Ramon Anel |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1467547711 PECOS PAC ID: 2769377423 Enrollment ID: I20081009000781 |
| Provider Name | Kerri Leslie Kremer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265403588 PECOS PAC ID: 2264591593 Enrollment ID: I20081031000402 |
| Provider Name | Norma Jean Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881842839 PECOS PAC ID: 7315007358 Enrollment ID: I20081120000055 |
| Provider Name | Dany E Ghannam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114114014 PECOS PAC ID: 7517020316 Enrollment ID: I20090105000488 |
| Provider Name | Christopher K Ravage |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1588691406 PECOS PAC ID: 0941364624 Enrollment ID: I20090123000494 |
| Provider Name | Shannon L Phipps |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386693414 PECOS PAC ID: 3577575950 Enrollment ID: I20090206000598 |
| Provider Name | Robert A Pleyo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861631384 PECOS PAC ID: 0244387751 Enrollment ID: I20090420000289 |
| Provider Name | Grace Hercl |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376640011 PECOS PAC ID: 1850397506 Enrollment ID: I20090423000349 |
| Provider Name | Marie L Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568475119 PECOS PAC ID: 0749338127 Enrollment ID: I20090423000749 |
| Provider Name | Basir Ul Haque |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1912131723 PECOS PAC ID: 5092865287 Enrollment ID: I20090609000679 |
| Provider Name | David J Gibbons |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1407934896 PECOS PAC ID: 8729152152 Enrollment ID: I20090723000034 |
| Provider Name | Chet R Hunter |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235310269 PECOS PAC ID: 4789755984 Enrollment ID: I20090724000684 |
| Provider Name | Jennifer B Aquino |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184746067 PECOS PAC ID: 9931253812 Enrollment ID: I20090811000604 |
| Provider Name | Evelyn A Rubin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407041155 PECOS PAC ID: 9739233289 Enrollment ID: I20090818000325 |
| Provider Name | Hipolito M Custodio |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225244379 PECOS PAC ID: 0345394805 Enrollment ID: I20090818000363 |
| Provider Name | Kathleen S Paranada |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1750330601 PECOS PAC ID: 3375556012 Enrollment ID: I20090911000440 |
| Provider Name | Marlene J Sanfilippo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447482765 PECOS PAC ID: 7911044466 Enrollment ID: I20091102000437 |
| Provider Name | Michael Andrew Benedict |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639134943 PECOS PAC ID: 5193708212 Enrollment ID: I20091111000472 |
| Provider Name | Natalia A Luera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457527483 PECOS PAC ID: 1153461868 Enrollment ID: I20091210000339 |
| Provider Name | Lisa M Galbraith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528214020 PECOS PAC ID: 0840331351 Enrollment ID: I20100106000354 |
| Provider Name | Ronald E Schwartz |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1902876402 PECOS PAC ID: 6305988791 Enrollment ID: I20100122000658 |
| Provider Name | Philip G Smith |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1508966581 PECOS PAC ID: 1658445671 Enrollment ID: I20100226000869 |
| Provider Name | Stephanie M Charron |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275731937 PECOS PAC ID: 4981739372 Enrollment ID: I20100324000643 |
| Provider Name | Abir F Abdel-kader |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649407081 PECOS PAC ID: 3072643600 Enrollment ID: I20100609000094 |
| Provider Name | Jennifer L Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134344286 PECOS PAC ID: 9436244167 Enrollment ID: I20100629000477 |
| Provider Name | Jeffrey K Kiki |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003874017 PECOS PAC ID: 0244361376 Enrollment ID: I20100706000290 |
| Provider Name | Puneet Tandon |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1760443832 PECOS PAC ID: 4385662998 Enrollment ID: I20100727000477 |
| Provider Name | Bonnie E Sarkinen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366769366 PECOS PAC ID: 5092848804 Enrollment ID: I20100730000509 |
| Provider Name | Debra L Steele |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1538147517 PECOS PAC ID: 9537184346 Enrollment ID: I20100819000610 |
| Provider Name | Russell G Maier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215936232 PECOS PAC ID: 0143344267 Enrollment ID: I20100826000480 |
| Provider Name | Stephen N Ewer |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457395071 PECOS PAC ID: 7911807573 Enrollment ID: I20100831000766 |
| Provider Name | Sandeep Joshi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790951531 PECOS PAC ID: 1658495106 Enrollment ID: I20100903000953 |
| Provider Name | James T Buratto |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467438044 PECOS PAC ID: 3971687823 Enrollment ID: I20100916000102 |
| Provider Name | Brandon B Bunnage |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1952572174 PECOS PAC ID: 7810013257 Enrollment ID: I20100923000296 |
| Provider Name | Syed Farhan T Hashmi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992911945 PECOS PAC ID: 6800912866 Enrollment ID: I20100927001363 |
| Provider Name | Matthew C Lawrence |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255324109 PECOS PAC ID: 1557487543 Enrollment ID: I20100928000229 |
| Provider Name | Iyad Jamali |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1144256181 PECOS PAC ID: 6507882800 Enrollment ID: I20100928000866 |
| Provider Name | Saira S Tandon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427224575 PECOS PAC ID: 4284792532 Enrollment ID: I20101006001088 |
| Provider Name | Glen W Zuroske |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1891798211 PECOS PAC ID: 1052504651 Enrollment ID: I20101014001174 |
| Provider Name | Sarabjit Kaur Atwal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881928414 PECOS PAC ID: 4880888072 Enrollment ID: I20101102000188 |
| Provider Name | Julie A Raekes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326031220 PECOS PAC ID: 1850585878 Enrollment ID: I20101103000449 |
| Provider Name | Michael J Pattillo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992798805 PECOS PAC ID: 4082808019 Enrollment ID: I20101103000508 |
| Provider Name | Curtis A Woolf |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1871824656 PECOS PAC ID: 8729274840 Enrollment ID: I20101130001431 |
| Provider Name | Nitin V Sajnani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730285594 PECOS PAC ID: 3476608050 Enrollment ID: I20110328000892 |
| Provider Name | Fadi Alqaisi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1720297443 PECOS PAC ID: 7012186265 Enrollment ID: I20110804000704 |
| Provider Name | Aaron S Richardson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306019112 PECOS PAC ID: 6406025311 Enrollment ID: I20110810000619 |
| Provider Name | Douglas R Barber |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477520005 PECOS PAC ID: 7911066907 Enrollment ID: I20110810000629 |
| Provider Name | John A Hornell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780899799 PECOS PAC ID: 6204936198 Enrollment ID: I20110810000657 |
| Provider Name | Eric O Gamboa |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1396938536 PECOS PAC ID: 2961672639 Enrollment ID: I20110907001376 |
| Provider Name | Lisa M Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073821740 PECOS PAC ID: 4789854456 Enrollment ID: I20110907001378 |
| Provider Name | Jennifer C Charron |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619184025 PECOS PAC ID: 9335231778 Enrollment ID: I20110913000540 |
| Provider Name | Arwa Z Marji |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245495340 PECOS PAC ID: 1759553977 Enrollment ID: I20111012000775 |
| Provider Name | Todd A Brown |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841446366 PECOS PAC ID: 4385818673 Enrollment ID: I20111123000186 |
| Provider Name | Wei Hsung Lin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851379994 PECOS PAC ID: 6406744754 Enrollment ID: I20111130000870 |
| Provider Name | Amy S Martens |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609070929 PECOS PAC ID: 0244405892 Enrollment ID: I20111208000684 |
| Provider Name | David Roy M Evangelista |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689600165 PECOS PAC ID: 5698660413 Enrollment ID: I20120109000800 |
| Provider Name | Sunitha Suresh |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1780962431 PECOS PAC ID: 1456342328 Enrollment ID: I20120118000264 |
| Provider Name | Laura J Campos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649542838 PECOS PAC ID: 6709048879 Enrollment ID: I20120507000640 |
| Provider Name | Shelli Lynn Collingham |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760479273 PECOS PAC ID: 5991820185 Enrollment ID: I20120515000680 |
| Provider Name | Ying Zhuo |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1043491293 PECOS PAC ID: 2961665344 Enrollment ID: I20120522001196 |
| Provider Name | Katie A Karlson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962631796 PECOS PAC ID: 2163686213 Enrollment ID: I20120621000197 |
| Provider Name | Dae Young Lee |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1649491481 PECOS PAC ID: 2264578327 Enrollment ID: I20120622000619 |
| Provider Name | Colleen Strand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730441718 PECOS PAC ID: 9739335910 Enrollment ID: I20120802000648 |
| Provider Name | Matthew M Palmblad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790055077 PECOS PAC ID: 6901060433 Enrollment ID: I20120806000634 |
| Provider Name | Joshua G. Bales |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1639327364 PECOS PAC ID: 2567630601 Enrollment ID: I20120829000115 |
| Provider Name | Fei Pan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881884385 PECOS PAC ID: 2769634583 Enrollment ID: I20121130000279 |
| Provider Name | Brian K Barstad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871596346 PECOS PAC ID: 9739091018 Enrollment ID: I20121218000117 |
| Provider Name | Hassan Y Tehrani |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1770547572 PECOS PAC ID: 9931194370 Enrollment ID: I20130212000533 |
| Provider Name | Kris F Kobalter |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255302972 PECOS PAC ID: 1557347630 Enrollment ID: I20130220000218 |
| Provider Name | Helen S Tatunay |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891817227 PECOS PAC ID: 3072758168 Enrollment ID: I20130320000243 |
| Provider Name | Luay D Ailabouni |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1114186459 PECOS PAC ID: 8527207273 Enrollment ID: I20130610000725 |
| Provider Name | Matthew Forrester |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1386805539 PECOS PAC ID: 3476792201 Enrollment ID: I20130626000687 |
| Provider Name | Naveen Rawat |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1801137716 PECOS PAC ID: 4183864986 Enrollment ID: I20130627000597 |
| Provider Name | Katherine Therese S Cayetano |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1376741603 PECOS PAC ID: 3870625452 Enrollment ID: I20130627000869 |
| Provider Name | Christy M Chantharath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730406810 PECOS PAC ID: 5395985576 Enrollment ID: I20130711000451 |
| Provider Name | Anitha Raghunath |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659686509 PECOS PAC ID: 9739320763 Enrollment ID: I20130802000118 |
| Provider Name | Jose F Echaiz Arroyo |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1912155524 PECOS PAC ID: 9436391208 Enrollment ID: I20130806000934 |
| Provider Name | Gabor C Mezei |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841520731 PECOS PAC ID: 8325179914 Enrollment ID: I20130808000086 |
| Provider Name | Frederick Stephens |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1306005988 PECOS PAC ID: 9133397920 Enrollment ID: I20130820001110 |
| Provider Name | Kanpapha Baide |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154753879 PECOS PAC ID: 0941443170 Enrollment ID: I20130906000706 |
| Provider Name | Julie A Holgado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487096269 PECOS PAC ID: 7113161233 Enrollment ID: I20130911000417 |
| Provider Name | Michelle Renee Froh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922440379 PECOS PAC ID: 5294969325 Enrollment ID: I20131003000444 |
| Provider Name | Abdelazim O Hashim |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1144407503 PECOS PAC ID: 1759546237 Enrollment ID: I20131017000190 |
| Provider Name | Lisa C Rootvik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528371564 PECOS PAC ID: 1557548104 Enrollment ID: I20140102001544 |
| Provider Name | Theodore Koutlas |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1902898331 PECOS PAC ID: 2961537659 Enrollment ID: I20140206001298 |
| Provider Name | Michael Henry |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1558685198 PECOS PAC ID: 6406984632 Enrollment ID: I20140217000897 |
| Provider Name | Charles S Hames |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1407823701 PECOS PAC ID: 1456535889 Enrollment ID: I20140228001537 |
| Provider Name | Stephanie Santos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134565260 PECOS PAC ID: 3870723224 Enrollment ID: I20140304000388 |
| Provider Name | Steven Douglas Kunkel |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1861602518 PECOS PAC ID: 8022134451 Enrollment ID: I20140329000420 |
| Provider Name | Lissette Ramirez Suero |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1851684914 PECOS PAC ID: 0941469118 Enrollment ID: I20140501001904 |
| Provider Name | Hannah Rhawn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821414640 PECOS PAC ID: 1052544368 Enrollment ID: I20140512000372 |
| Provider Name | Kristina Dominguez Gloria |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598955023 PECOS PAC ID: 0840413886 Enrollment ID: I20140521000440 |
| Provider Name | Vincent George Lerma Cunanan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1538368360 PECOS PAC ID: 6305069030 Enrollment ID: I20140527000234 |
| Provider Name | Rangaswamy Chintapatla |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1003131640 PECOS PAC ID: 0042334237 Enrollment ID: I20140604001585 |
| Provider Name | Jeffrey Mark Lehr |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1801889191 PECOS PAC ID: 8820160955 Enrollment ID: I20140613001158 |
| Provider Name | Kristen Marie Riegert |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1164658209 PECOS PAC ID: 6608091707 Enrollment ID: I20140703001279 |
| Provider Name | Randy Jay Geldmacher |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437348679 PECOS PAC ID: 8325283781 Enrollment ID: I20140723001685 |
| Provider Name | Patrick S Gavin |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1861620627 PECOS PAC ID: 8921240649 Enrollment ID: I20140723002077 |
| Provider Name | Doyle Joshua Miller |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1447423934 PECOS PAC ID: 3375780760 Enrollment ID: I20140808000071 |
| Provider Name | Adrian Roy P Crisostomo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750638763 PECOS PAC ID: 7416174529 Enrollment ID: I20140813002979 |
| Provider Name | Katherine Delancey Slettvet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164845137 PECOS PAC ID: 9234358672 Enrollment ID: I20140916002443 |
| Provider Name | Praveen C Korimerla |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1194929273 PECOS PAC ID: 7012006661 Enrollment ID: I20140929002814 |
| Provider Name | Eric Mosqueda |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720055619 PECOS PAC ID: 4486687993 Enrollment ID: I20141112000035 |
| Provider Name | Kiranmayi Korimerla |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174939805 PECOS PAC ID: 4385866805 Enrollment ID: I20141117000597 |
| Provider Name | Terry L Wigley |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1942202635 PECOS PAC ID: 2264449297 Enrollment ID: I20150212001872 |
| Provider Name | Laarni Gutierrez Darvin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396903944 PECOS PAC ID: 6103056601 Enrollment ID: I20150304001186 |
| Provider Name | Mamie Mitscha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386071264 PECOS PAC ID: 4688992472 Enrollment ID: I20150407000871 |
| Provider Name | Radhika Karthik Subramanian |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730202664 PECOS PAC ID: 2961561030 Enrollment ID: I20150521002545 |
| Provider Name | Delia Takagi |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1568751097 PECOS PAC ID: 1951622935 Enrollment ID: I20150602002306 |
| Provider Name | Luke Xiaoli Zhan |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1043524481 PECOS PAC ID: 1052632882 Enrollment ID: I20150605000457 |
| Provider Name | Anne Campbell Laucella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043534225 PECOS PAC ID: 2466773957 Enrollment ID: I20150609002558 |
| Provider Name | Perliveh Melendez Carrera |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1477865798 PECOS PAC ID: 4789823287 Enrollment ID: I20150611002773 |
| Provider Name | Jeffrey J Mcdannel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235575721 PECOS PAC ID: 3870805187 Enrollment ID: I20150629002898 |
| Provider Name | Reuben James Grothaus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992065460 PECOS PAC ID: 6507084092 Enrollment ID: I20150701002501 |
| Provider Name | Komal Piryani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134495542 PECOS PAC ID: 3971817008 Enrollment ID: I20150804003500 |
| Provider Name | John David Black |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1619105004 PECOS PAC ID: 3779708565 Enrollment ID: I20150807015572 |
| Provider Name | Cady Lynne Laws |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104116102 PECOS PAC ID: 3274771712 Enrollment ID: I20150826000855 |
| Provider Name | Mun Jye Poi |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1750574091 PECOS PAC ID: 9638306525 Enrollment ID: I20150922002031 |
| Provider Name | Timothy Seth Blanscett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831570191 PECOS PAC ID: 5890004600 Enrollment ID: I20151019000859 |
| Provider Name | Soma Ghosh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629336169 PECOS PAC ID: 7113176470 Enrollment ID: I20151105001953 |
| Provider Name | Shawna Jane Byrnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780052332 PECOS PAC ID: 1557671328 Enrollment ID: I20151106000117 |
| Provider Name | Julie Ann Schmidt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851782577 PECOS PAC ID: 7315257805 Enrollment ID: I20151112002961 |
| Provider Name | Tuhin Banerjee |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174752182 PECOS PAC ID: 6204085343 Enrollment ID: I20151116000711 |
| Provider Name | Zahid M Nawaz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548470354 PECOS PAC ID: 2062554983 Enrollment ID: I20151120000662 |
| Provider Name | Arash Motaghi |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1982847935 PECOS PAC ID: 2466686431 Enrollment ID: I20151120001590 |
| Provider Name | Stephen Andersen Hull |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639429798 PECOS PAC ID: 9436459021 Enrollment ID: I20151203003217 |
| Provider Name | Heather Jeanne Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699196139 PECOS PAC ID: 3678874054 Enrollment ID: I20151209002565 |
| Provider Name | Lisa M Garcia |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1073821740 PECOS PAC ID: 4789854456 Enrollment ID: I20151228001279 |
| Provider Name | Santhosh Theyyil Somashekar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356658959 PECOS PAC ID: 2860791670 Enrollment ID: I20160429000165 |
| Provider Name | April Lorraine Valdez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548622509 PECOS PAC ID: 0143529438 Enrollment ID: I20160509002121 |
| Provider Name | Nathaniel R Miller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336310945 PECOS PAC ID: 3870897176 Enrollment ID: I20160512001047 |
| Provider Name | Justin Reeves |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1720245905 PECOS PAC ID: 4183949589 Enrollment ID: I20160519000299 |
| Provider Name | Sean Brady |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417191420 PECOS PAC ID: 5092006122 Enrollment ID: I20160621002291 |
| Provider Name | Phani Chandra Kantamneni |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1518245497 PECOS PAC ID: 0547551400 Enrollment ID: I20160623001052 |
| Provider Name | Mershed Alsamara |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336372010 PECOS PAC ID: 8426366329 Enrollment ID: I20160624001057 |
| Provider Name | Constance Abigail Asiedu-ofei |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073890117 PECOS PAC ID: 8022241322 Enrollment ID: I20160720002912 |
| Provider Name | Si Feng |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851742415 PECOS PAC ID: 6709179823 Enrollment ID: I20160727001918 |
| Provider Name | Jessica Lynne Almaguer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588010532 PECOS PAC ID: 5496041436 Enrollment ID: I20160831000634 |
| Provider Name | Christina Marie Durocher |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1801244314 PECOS PAC ID: 7618263211 Enrollment ID: I20160908000501 |
| Provider Name | Ken Lewis Curry |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1902898661 PECOS PAC ID: 7315833241 Enrollment ID: I20160913002755 |
| Provider Name | Jacob M. Stanfield |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1164740403 PECOS PAC ID: 2769700798 Enrollment ID: I20160921000987 |
| Provider Name | Kelsey Keaton Solano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366806267 PECOS PAC ID: 4587951314 Enrollment ID: I20160922001138 |
| Provider Name | Biggya L Sapkota |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306006135 PECOS PAC ID: 0244405272 Enrollment ID: I20161020001617 |
| Provider Name | Brie F Altenau |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487946489 PECOS PAC ID: 8628356672 Enrollment ID: I20161026003011 |
| Provider Name | Karen Michelle Dubois |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124571799 PECOS PAC ID: 3577842756 Enrollment ID: I20161110001102 |
| Provider Name | Elizabeth Summers Zemel |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1619326899 PECOS PAC ID: 5597044255 Enrollment ID: I20161121001076 |
| Provider Name | Joy Marie Mckinnis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427500206 PECOS PAC ID: 2769761352 Enrollment ID: I20161123000725 |
| Provider Name | Mary-elizabeth Carnaghan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811250764 PECOS PAC ID: 4688820152 Enrollment ID: I20161230001317 |
| Provider Name | Philip Ondara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639611957 PECOS PAC ID: 5193006229 Enrollment ID: I20170104002111 |
| Provider Name | Seth Brian Gillham |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588944847 PECOS PAC ID: 9032417589 Enrollment ID: I20170110002677 |
| Provider Name | Jennifer Ilene Bramhall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871042689 PECOS PAC ID: 6305128141 Enrollment ID: I20170131001396 |
| Provider Name | Jessica M Togiai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811357031 PECOS PAC ID: 1153604350 Enrollment ID: I20170214001813 |
| Provider Name | Joshua Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336689421 PECOS PAC ID: 0941586085 Enrollment ID: I20170404001303 |
| Provider Name | Anderson Dare Mcgilliard |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093247355 PECOS PAC ID: 2668758129 Enrollment ID: I20170418000162 |
| Provider Name | Daniel Mccook |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881125946 PECOS PAC ID: 0941587893 Enrollment ID: I20170503000820 |
| Provider Name | Nicole D Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982147641 PECOS PAC ID: 8426325903 Enrollment ID: I20170605002335 |
| Provider Name | Andrew Bieber |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1912169350 PECOS PAC ID: 2769607233 Enrollment ID: I20170612000838 |
| Provider Name | Kellen Stromberg |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1194089987 PECOS PAC ID: 4789987900 Enrollment ID: I20170621001612 |
| Provider Name | Wesley Ablemona |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881004521 PECOS PAC ID: 7618246851 Enrollment ID: I20170703001851 |
| Provider Name | Scott Lee Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508394180 PECOS PAC ID: 2264701986 Enrollment ID: I20170711003027 |
| Provider Name | Farhan Qureshi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679987135 PECOS PAC ID: 2264723857 Enrollment ID: I20170728002246 |
| Provider Name | Robert J Waite |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093044695 PECOS PAC ID: 0244375962 Enrollment ID: I20170828001728 |
| Provider Name | William Ruzicka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851826986 PECOS PAC ID: 8022374396 Enrollment ID: I20171102002767 |
| Provider Name | Jennifer Jalad Tan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912285172 PECOS PAC ID: 2860649761 Enrollment ID: I20171208002507 |
| Provider Name | Brittany Linh Lindsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871954958 PECOS PAC ID: 3375833452 Enrollment ID: I20171211002327 |
| Provider Name | Caleb R Haws |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053772798 PECOS PAC ID: 5890053524 Enrollment ID: I20171229000328 |
| Provider Name | Usha K Reddi |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1700998747 PECOS PAC ID: 5294724506 Enrollment ID: I20180110002348 |
| Provider Name | Eric Nash |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144743501 PECOS PAC ID: 2769743426 Enrollment ID: I20180221001701 |
| Provider Name | Alexis M. Firman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124529565 PECOS PAC ID: 8022372069 Enrollment ID: I20180427002301 |
| Provider Name | Md Shahaduzzaman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356850861 PECOS PAC ID: 8022376094 Enrollment ID: I20180503002181 |
| Provider Name | Anusha Mannava |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972920049 PECOS PAC ID: 2062738776 Enrollment ID: I20180524000716 |
| Provider Name | Yvonne Teresa Sands-sako |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326302647 PECOS PAC ID: 0446409544 Enrollment ID: I20180614003117 |
| Provider Name | Mary E Swihart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033139068 PECOS PAC ID: 7810995628 Enrollment ID: I20180621001208 |
| Provider Name | Matthew L Mesick |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528327988 PECOS PAC ID: 4082843644 Enrollment ID: I20180703002726 |
| Provider Name | Christopher K. Cheng |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1700175312 PECOS PAC ID: 8426320755 Enrollment ID: I20180720000866 |
| Provider Name | Tiffany N Bautista |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598259194 PECOS PAC ID: 7214284892 Enrollment ID: I20180727002707 |
| Provider Name | David C Livingston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194118208 PECOS PAC ID: 5890007223 Enrollment ID: I20180914000786 |
| Provider Name | Jason Ryan Dutton |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1225327364 PECOS PAC ID: 3678869609 Enrollment ID: I20180919000954 |
| Provider Name | Hollyn Sue Johanna Crowe |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033470042 PECOS PAC ID: 5496008435 Enrollment ID: I20181022001777 |
| Provider Name | Allison L Spencer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659768489 PECOS PAC ID: 1254684103 Enrollment ID: I20181023003746 |
| Provider Name | Lindsay Elizabeth Frye |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477949063 PECOS PAC ID: 1153675673 Enrollment ID: I20181119001859 |
| Provider Name | Nickole Michelle Perry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336629914 PECOS PAC ID: 0547504979 Enrollment ID: I20181211003392 |
| Provider Name | Andrea L Mueller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619119351 PECOS PAC ID: 5092973941 Enrollment ID: I20181219001876 |
| Provider Name | Charlotte Pyles-reiten |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619458494 PECOS PAC ID: 7719223254 Enrollment ID: I20190104000404 |
| Provider Name | Jeff Zhang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578950093 PECOS PAC ID: 6507162245 Enrollment ID: I20190208001743 |
| Provider Name | Paul A Shoemaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053654913 PECOS PAC ID: 5496094146 Enrollment ID: I20190225002398 |
| Provider Name | Loren M. Malone |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467779876 PECOS PAC ID: 5193016756 Enrollment ID: I20190305002190 |
| Provider Name | David A Thayer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871936419 PECOS PAC ID: 0941421911 Enrollment ID: I20190311002053 |
| Provider Name | Smita Sikhrakar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124596762 PECOS PAC ID: 0648511089 Enrollment ID: I20190411001254 |
| Provider Name | Janelle Shannon Hyatt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831660893 PECOS PAC ID: 3274874508 Enrollment ID: I20190412002104 |
| Provider Name | Oskar Rene Rojas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104383298 PECOS PAC ID: 2567704133 Enrollment ID: I20190430003011 |
| Provider Name | Katherine A Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104395904 PECOS PAC ID: 2466785704 Enrollment ID: I20190531001117 |
| Provider Name | Nattamol Hosiriluck |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1831530799 PECOS PAC ID: 7719286954 Enrollment ID: I20190703002787 |
| Provider Name | Rachel Logan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1255758595 PECOS PAC ID: 5395070049 Enrollment ID: I20190717002038 |
| Provider Name | Alece Michelle Mcferran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831753144 PECOS PAC ID: 8820323405 Enrollment ID: I20190718002747 |
| Provider Name | Prem Rabindranauth |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1538161724 PECOS PAC ID: 1052506870 Enrollment ID: I20190819002365 |
| Provider Name | Chad Williams |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1366797037 PECOS PAC ID: 3870721228 Enrollment ID: I20190820004269 |
| Provider Name | Bethany Ann Mulder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093176398 PECOS PAC ID: 3476846486 Enrollment ID: I20190822003209 |
| Provider Name | Sherry S Zhao |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1841603479 PECOS PAC ID: 6406162296 Enrollment ID: I20190824000703 |
| Provider Name | Mark A Halvorson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063852911 PECOS PAC ID: 8426364746 Enrollment ID: I20190829004412 |
| Provider Name | Kashish Mehra |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699114553 PECOS PAC ID: 7810226339 Enrollment ID: I20190909004026 |
| Provider Name | Sonika Loona |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194195412 PECOS PAC ID: 0042540916 Enrollment ID: I20190919002974 |
| Provider Name | Michael John Kohlman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659309797 PECOS PAC ID: 6507997053 Enrollment ID: I20190923003208 |
| Provider Name | Ruben L Burbank |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467713867 PECOS PAC ID: 4082917448 Enrollment ID: I20190925001155 |
| Provider Name | Adrian Perez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356704035 PECOS PAC ID: 4183954654 Enrollment ID: I20190925003423 |
| Provider Name | Bradley James Petty |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1790103976 PECOS PAC ID: 1557589819 Enrollment ID: I20190926000689 |
| Provider Name | Dale G Wilson |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1891051314 PECOS PAC ID: 7719122480 Enrollment ID: I20191009003195 |
| Provider Name | Kacey Helena Provenzano |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1740523158 PECOS PAC ID: 0840416707 Enrollment ID: I20191010002227 |
| Provider Name | David Fernando Frugone Larrea |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1902037377 PECOS PAC ID: 2264664820 Enrollment ID: I20191013000040 |
| Provider Name | Sourabh Kubawat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285939918 PECOS PAC ID: 8426227521 Enrollment ID: I20191018001736 |
| Provider Name | Daniel J Coughlin |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1629363213 PECOS PAC ID: 5294967014 Enrollment ID: I20191120003165 |
| Provider Name | Richard F Cook |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1588000483 PECOS PAC ID: 6103116181 Enrollment ID: I20191121002281 |
| Provider Name | Douglas Edward Griffith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477195196 PECOS PAC ID: 1052746518 Enrollment ID: I20200110002415 |
| Provider Name | David H Villarreal |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1861417552 PECOS PAC ID: 2466587357 Enrollment ID: I20200131002208 |
| Provider Name | Heather L Aldridge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134763428 PECOS PAC ID: 3274969670 Enrollment ID: I20200203002168 |
| Provider Name | Amanda Kae Nore Mclean |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417423112 PECOS PAC ID: 4082040357 Enrollment ID: I20200204002591 |
| Provider Name | Richard F Kennard |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1083876353 PECOS PAC ID: 7113211954 Enrollment ID: I20200217001158 |
| Provider Name | William Brian Kuhn |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1548451040 PECOS PAC ID: 6507848025 Enrollment ID: I20200218002105 |
| Provider Name | Shaun C Knox |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932237286 PECOS PAC ID: 8325243397 Enrollment ID: I20200311002615 |
| Provider Name | Vi-thao Huynh Le |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801428818 PECOS PAC ID: 2264862135 Enrollment ID: I20200416000173 |
| Provider Name | Megan Suzanne Schwaiger |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1215556485 PECOS PAC ID: 8022448315 Enrollment ID: I20200429001828 |
| Provider Name | Megan Suzanne Schwaiger |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215556485 PECOS PAC ID: 8022448315 Enrollment ID: I20200608002271 |
| Provider Name | Julio Slongo |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1952797763 PECOS PAC ID: 0345663860 Enrollment ID: I20200630003254 |
| Provider Name | Braghadheeswar Thyagarajan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1023423704 PECOS PAC ID: 1951673375 Enrollment ID: I20200710002323 |
| Provider Name | Jaspreet Kaur Kaler |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1558745083 PECOS PAC ID: 6204170657 Enrollment ID: I20200715000372 |
| Provider Name | Navdeep Gill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255783494 PECOS PAC ID: 4981028073 Enrollment ID: I20200722001869 |
| Provider Name | William Haws West |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073961439 PECOS PAC ID: 6800182304 Enrollment ID: I20200805001541 |
| Provider Name | Joshua David Lum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568895175 PECOS PAC ID: 3971872474 Enrollment ID: I20200811003159 |
| Provider Name | Michael V Parmley |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245674043 PECOS PAC ID: 3072740893 Enrollment ID: I20200812000316 |
| Provider Name | Tiffany Rochelle Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558788364 PECOS PAC ID: 2567888274 Enrollment ID: I20200812001278 |
| Provider Name | Ameet Kumar Piryani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609306083 PECOS PAC ID: 2769808229 Enrollment ID: I20200813003046 |
| Provider Name | Tao Wang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316472707 PECOS PAC ID: 7416298534 Enrollment ID: I20200817002502 |
| Provider Name | Eric Salvador Geil |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1730573106 PECOS PAC ID: 4183041650 Enrollment ID: I20200828000967 |
| Provider Name | Thomas Carl Sorensen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609304559 PECOS PAC ID: 3678842531 Enrollment ID: I20200917001235 |
| Provider Name | Wendy R Radillo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922611656 PECOS PAC ID: 8527486745 Enrollment ID: I20200918002132 |
| Provider Name | Hyon-he Garza |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1720340276 PECOS PAC ID: 8628384260 Enrollment ID: I20201005001839 |
| Provider Name | Christina Adele Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053850040 PECOS PAC ID: 0648557850 Enrollment ID: I20201123002669 |
| Provider Name | Christina Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780285049 PECOS PAC ID: 5991118697 Enrollment ID: I20210118000698 |
| Provider Name | Brandon Bergquist |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1174144992 PECOS PAC ID: 0345654075 Enrollment ID: I20210120002868 |
| Provider Name | Sonia L Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386106516 PECOS PAC ID: 1557775665 Enrollment ID: I20210202000672 |
| Provider Name | Kelsey M Charles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427656669 PECOS PAC ID: 2860808672 Enrollment ID: I20210302002886 |
| Provider Name | Jerusha E Latteri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831795996 PECOS PAC ID: 8820404502 Enrollment ID: I20210303002576 |
| Provider Name | Angela R Klingensmith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962926485 PECOS PAC ID: 3072933654 Enrollment ID: I20210304002558 |
| Provider Name | Susanna C King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851989834 PECOS PAC ID: 9830505478 Enrollment ID: I20210308000309 |
| Provider Name | Darren M Hodgins |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1740486364 PECOS PAC ID: 7113104878 Enrollment ID: I20210415002620 |
| Provider Name | Todd R La Rock |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770563470 PECOS PAC ID: 1759510183 Enrollment ID: I20210527000479 |
| Provider Name | Khushpreet Kaur Saini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639533706 PECOS PAC ID: 2567861362 Enrollment ID: I20210527002081 |
| Provider Name | David Holt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942680830 PECOS PAC ID: 1355656877 Enrollment ID: I20210602003198 |
| Provider Name | Zaid Diken |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134569148 PECOS PAC ID: 8123307295 Enrollment ID: I20210712000587 |
| Provider Name | Taylor D Kraal |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275103301 PECOS PAC ID: 6305248121 Enrollment ID: I20210715001656 |
| Provider Name | Steven Christopher Liebing |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770010787 PECOS PAC ID: 1355694852 Enrollment ID: I20210719003227 |
| Provider Name | Sean M. Demars |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1841261492 PECOS PAC ID: 1254512973 Enrollment ID: I20210809003008 |
| Provider Name | Corey Scott Pickett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932620739 PECOS PAC ID: 6204259732 Enrollment ID: I20210810000811 |
| Provider Name | Alex M. Arnold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699449736 PECOS PAC ID: 9931503158 Enrollment ID: I20210811000284 |
| Provider Name | May Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497049217 PECOS PAC ID: 5698097673 Enrollment ID: I20210820003121 |
| Provider Name | Dionysios Klironomos |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1447438650 PECOS PAC ID: 1951487859 Enrollment ID: I20210903001854 |
| Provider Name | Sriteja Yarlagadda |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871029496 PECOS PAC ID: 7012281512 Enrollment ID: I20210909003201 |
| Provider Name | Thomas J. Cartolano |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1366688632 PECOS PAC ID: 9335452846 Enrollment ID: I20210923002797 |
| Provider Name | Jae Won Lee |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184967150 PECOS PAC ID: 4981914918 Enrollment ID: I20210928000106 |
| Provider Name | Hebatalla K Allam |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1033566336 PECOS PAC ID: 8325378508 Enrollment ID: I20211006003315 |
| Provider Name | Palak Dwarkesh Parikh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295909331 PECOS PAC ID: 2668629205 Enrollment ID: I20211011000705 |
| Provider Name | Christina Sparks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215601695 PECOS PAC ID: 4385042712 Enrollment ID: I20211014002708 |
| Provider Name | Rachel Ann Stevenson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306185459 PECOS PAC ID: 8729476536 Enrollment ID: I20211028000461 |
| Provider Name | Icel R Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770116436 PECOS PAC ID: 0345639266 Enrollment ID: I20211116000795 |
| Provider Name | Dewey Thoms |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1235557968 PECOS PAC ID: 5698066983 Enrollment ID: I20211118000536 |
| Provider Name | Ana Maria Isabel Robles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336800978 PECOS PAC ID: 8921492604 Enrollment ID: I20220222002515 |
| Provider Name | Stacie N Chance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770133506 PECOS PAC ID: 9032548193 Enrollment ID: I20220224002082 |
| Provider Name | Karen Lynn Jenkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740579788 PECOS PAC ID: 8022402387 Enrollment ID: I20220302001664 |
| Provider Name | Ahmad J. Khalifa |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1710947833 PECOS PAC ID: 8628003605 Enrollment ID: I20220302003139 |
| Provider Name | Brandon Bergquist |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174144992 PECOS PAC ID: 0345654075 Enrollment ID: I20220307001212 |
| Provider Name | Shawna L. Penny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154791135 PECOS PAC ID: 4183019110 Enrollment ID: I20220309002665 |
| Provider Name | Nathan V Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922588094 PECOS PAC ID: 2163819269 Enrollment ID: I20220419002836 |
| Provider Name | Christopher J Colombo |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1992814057 PECOS PAC ID: 9830240977 Enrollment ID: I20220422000864 |
| Provider Name | Laura Alley |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720630106 PECOS PAC ID: 5890182349 Enrollment ID: I20220502000435 |
| Provider Name | Alexa R Killin |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891435921 PECOS PAC ID: 7810384302 Enrollment ID: I20220502002094 |
| Provider Name | Grace M Rauh |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871269225 PECOS PAC ID: 1254728744 Enrollment ID: I20220502002181 |
| Provider Name | Marwan Qattan |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1326355314 PECOS PAC ID: 8123245578 Enrollment ID: I20220516000391 |
| Provider Name | Chrystie Osborne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669843652 PECOS PAC ID: 3173901600 Enrollment ID: I20220611000203 |
| Provider Name | Nathan J Spencer |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1376038109 PECOS PAC ID: 5395094841 Enrollment ID: I20220629001735 |
| Provider Name | Scott W Snedeker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679587372 PECOS PAC ID: 6709979271 Enrollment ID: I20220705001973 |
| Provider Name | Amin Hossein Rabiei |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770011090 PECOS PAC ID: 5698007177 Enrollment ID: I20220711001732 |
| Provider Name | Alisha Rye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790307957 PECOS PAC ID: 0345667358 Enrollment ID: I20220712003096 |
| Provider Name | Paul M Matiaco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285291047 PECOS PAC ID: 7416282793 Enrollment ID: I20220720001916 |
| Provider Name | Monisha P. Kumar |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1801318191 PECOS PAC ID: 6103198585 Enrollment ID: I20220727001475 |
| Provider Name | Shatabdi Shabnam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841854684 PECOS PAC ID: 5698157881 Enrollment ID: I20220804002046 |
| Provider Name | David A Bonner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356909071 PECOS PAC ID: 9335572031 Enrollment ID: I20220815002831 |
| Provider Name | Teresa A. Mendoza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801532460 PECOS PAC ID: 0941683395 Enrollment ID: I20220817001739 |
| Provider Name | Rubicelia Perez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093372658 PECOS PAC ID: 5496086530 Enrollment ID: I20220818000485 |
| Provider Name | Sarah E. Willis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679206031 PECOS PAC ID: 4981087277 Enrollment ID: I20220819000257 |
| Provider Name | Joshua B. Penrod |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396301701 PECOS PAC ID: 7810221306 Enrollment ID: I20220822000729 |
| Provider Name | Nagarjuna Reddy Gujjula |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316329139 PECOS PAC ID: 4385926849 Enrollment ID: I20220823000014 |
| Provider Name | Aveena Gurung |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1699296491 PECOS PAC ID: 6103200043 Enrollment ID: I20220826001237 |
| Provider Name | Jonathan D. Del Mundo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104484005 PECOS PAC ID: 7810371101 Enrollment ID: I20220908001153 |
| Provider Name | Jane Chiu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225478944 PECOS PAC ID: 8729370119 Enrollment ID: I20220908002293 |
| Provider Name | Stephanie R. Church |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922731504 PECOS PAC ID: 9436534211 Enrollment ID: I20220914002417 |
| Provider Name | Alexander James Zachary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437896248 PECOS PAC ID: 3779968425 Enrollment ID: I20220915001917 |
| Provider Name | Arash Razi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497312979 PECOS PAC ID: 3274864384 Enrollment ID: I20220921000849 |
| Provider Name | Munish Kumar Kannabhiran |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1073912655 PECOS PAC ID: 9032417365 Enrollment ID: I20221004002396 |
| Provider Name | Ian S Gallaher |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1801152160 PECOS PAC ID: 9931405073 Enrollment ID: I20221007002696 |
| Provider Name | Matthew P. Carlson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346561172 PECOS PAC ID: 4082641048 Enrollment ID: I20221024000505 |
| Provider Name | Rosa Margarita Casillas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831831262 PECOS PAC ID: 4981070471 Enrollment ID: I20221025002730 |
| Provider Name | Melissa A. Alleman |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861118614 PECOS PAC ID: 5597132894 Enrollment ID: I20221028002278 |
| Provider Name | Zunera Moeen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093375438 PECOS PAC ID: 5395072995 Enrollment ID: I20221102000818 |
| Provider Name | Sarah E. Husser |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1427765890 PECOS PAC ID: 8022488618 Enrollment ID: I20221222001367 |
| Provider Name | Jayme D Finch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447726237 PECOS PAC ID: 6800266230 Enrollment ID: I20221229002792 |
| Provider Name | Vikash Gurung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093112484 PECOS PAC ID: 5193091288 Enrollment ID: I20230123001271 |
| Provider Name | Cassie Oltman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477268977 PECOS PAC ID: 5698147031 Enrollment ID: I20230210000905 |
| Provider Name | Dyll Armamento Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760193007 PECOS PAC ID: 9830562941 Enrollment ID: I20230309002848 |
| Provider Name | Janet Lee |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1659569200 PECOS PAC ID: 3971743857 Enrollment ID: I20230522001633 |
| Provider Name | Nazar Hafiz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1053832352 PECOS PAC ID: 6901264209 Enrollment ID: I20230619001367 |
| Provider Name | Sami Nasrallah |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1255528600 PECOS PAC ID: 3577630201 Enrollment ID: I20230717002865 |
| Provider Name | Maria Elizabeth Mayorquin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740973387 PECOS PAC ID: 4880054931 Enrollment ID: I20230720002143 |
| Provider Name | Ryan Thomas Burk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063035699 PECOS PAC ID: 7012332562 Enrollment ID: I20230728000465 |
| Provider Name | Prem Chand |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275151375 PECOS PAC ID: 8325409972 Enrollment ID: I20230731001460 |
| Provider Name | Philip C Biggs |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1619471901 PECOS PAC ID: 0749697738 Enrollment ID: I20230731001773 |
| Provider Name | Andrew Thomas Roehrig |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1225526890 PECOS PAC ID: 7315308863 Enrollment ID: I20230731001981 |
| Provider Name | Mary Ameh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063881274 PECOS PAC ID: 5092010801 Enrollment ID: I20230801002946 |
| Provider Name | Seth L. Welborn |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1376907436 PECOS PAC ID: 0042611329 Enrollment ID: I20230804001322 |
| Provider Name | Brahmjot K Parhar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366060394 PECOS PAC ID: 5395155774 Enrollment ID: I20230811001504 |
| Provider Name | Mantavya Nmi Punj |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831759596 PECOS PAC ID: 8628303245 Enrollment ID: I20230818000799 |
| Provider Name | Dara Lynn Horn |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1629457593 PECOS PAC ID: 2567783020 Enrollment ID: I20230828001483 |
| Provider Name | Terryan Douglas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912418658 PECOS PAC ID: 6406194687 Enrollment ID: I20230828003303 |
| Provider Name | Anne C Russell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821775206 PECOS PAC ID: 6901269521 Enrollment ID: I20230830002296 |
| Provider Name | Kimberly D. Elmore |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1558049726 PECOS PAC ID: 8123482353 Enrollment ID: I20230906004183 |
| Provider Name | Howard Richter |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1659468106 PECOS PAC ID: 0840274221 Enrollment ID: I20230915003220 |
| Provider Name | Megan S. Graham |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700447778 PECOS PAC ID: 4385979715 Enrollment ID: I20231005001525 |
| Provider Name | Elizabeth A. O Neil |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1073961306 PECOS PAC ID: 4981996881 Enrollment ID: I20231018001238 |
| Provider Name | Trinity Mugo |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1194404988 PECOS PAC ID: 3072969450 Enrollment ID: I20231020000875 |
| Provider Name | Derek Lloyd Schwaiger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609429661 PECOS PAC ID: 3476900507 Enrollment ID: I20231113000568 |
| Provider Name | Ali Omranian |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1144514217 PECOS PAC ID: 7113211772 Enrollment ID: I20231121001671 |
| Provider Name | Steven J. Brown |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518736412 PECOS PAC ID: 8628411279 Enrollment ID: I20240209003798 |
| Provider Name | Jennifer Rachael Pryor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568239507 PECOS PAC ID: 3779921200 Enrollment ID: I20240403002307 |
| Provider Name | Katherine A Becerra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467908756 PECOS PAC ID: 1850679614 Enrollment ID: I20240430004398 |
| Provider Name | Ashley Fernandez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619598026 PECOS PAC ID: 9133547524 Enrollment ID: I20240502000805 |
| Provider Name | Lovelyne N. Sharma |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1285098020 PECOS PAC ID: 6103112636 Enrollment ID: I20240506001421 |
| Provider Name | Nawar Alkhamesi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1790531341 PECOS PAC ID: 1355783812 Enrollment ID: I20240529002799 |
Shriners Hospitals For Children Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 875 Swift Blvd Ste A, Richland, WA 99352 Phone: 509-942-2573 Fax: 509-943-5652 | |
Tri-cities Community Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 829 Goethals Dr, Richland, WA 99352 Phone: 509-547-2204 Fax: 509-946-0051 | |
Richland Family Medicine Ps Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1215 George Washington Way, Suite #1, Richland, WA 99352 Phone: 509-946-9664 | |
Kemunto Kakumba Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1446 Spaulding Park, Suite 101, Richland, WA 99352 Phone: 509-628-2843 Fax: 509-628-3843 | |
Robert L. Whitson Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 846 Stevens Dr, Richland, WA 99352 Phone: 509-946-5233 Fax: 509-946-5326 | |
William Kalichman Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 560 Gage Blvd, Suite 101, Richland, WA 99352 Phone: 509-628-2843 Fax: 509-628-3843 | |
Barbara L Atwood Md Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 953 Stevens Dr, Suite B, Richland, WA 99352 Phone: 509-946-0802 Fax: 509-946-0104 |