| Kings Daughters Medical Specialities Physical Medicine And Rehab | |
|
1279 Old Abbott Mountain Rd Prestonsburg KY 41653-1889 | |
| (606) 886-1260 | |
| (606) 886-0892 |
| Full Name | Kings Daughters Medical Specialities Physical Medicine And Rehab |
|---|---|
| Speciality | Physical Medicine & Rehabilitation |
| Location | 1279 Old Abbott Mountain Rd, Prestonsburg, Kentucky |
| Authorized Official Name and Position | Sara Marks (CEO/PRESIDENT) |
| Authorized Official Contact | 6064084401 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kings Daughters Medical Specialities Physical Medicine And Rehab Po Box 2379 Ashland KY 41105-2379 Ph: (606) 408-6200 | Kings Daughters Medical Specialities Physical Medicine And Rehab 1279 Old Abbott Mountain Rd Prestonsburg KY 41653-1889 Ph: (606) 886-1260 |
| NPI Number | 1710215736 |
|---|---|
| Provider Enumeration Date | 12/02/2009 |
| Last Update Date | 08/28/2024 |
| Medicare PECOS PAC ID | 6103968029 |
|---|---|
| Medicare Enrollment ID | O20100217000538 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710215736 | NPI | - | NPPES |
| 7100103220 | Medicaid | KY |
| Provider Name | Montie W Baylor |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962471896 PECOS PAC ID: 7517862840 Enrollment ID: I20031201000418 |
| Provider Name | Cheryl Adams |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801861729 PECOS PAC ID: 0244135465 Enrollment ID: I20031202000010 |
| Provider Name | Kelsey James |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720145063 PECOS PAC ID: 3173428620 Enrollment ID: I20031215000142 |
| Provider Name | Chaker M Dahan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003803412 PECOS PAC ID: 0840190823 Enrollment ID: I20040113000708 |
| Provider Name | Brian E Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932198124 PECOS PAC ID: 5890696561 Enrollment ID: I20040115000925 |
| Provider Name | James B Lemons |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205801198 PECOS PAC ID: 2668373002 Enrollment ID: I20040119000055 |
| Provider Name | Souhel Zeidan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1679681530 PECOS PAC ID: 3678466760 Enrollment ID: I20040203000896 |
| Provider Name | Paul W Lewis |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1780754028 PECOS PAC ID: 1759373533 Enrollment ID: I20040401000241 |
| Provider Name | Worawute Supaongprapa |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1205913951 PECOS PAC ID: 4385638386 Enrollment ID: I20040413000419 |
| Provider Name | Michele A Friday |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750359857 PECOS PAC ID: 1254320443 Enrollment ID: I20040512000034 |
| Provider Name | Katrina Brown Briggs |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1457347791 PECOS PAC ID: 2668463191 Enrollment ID: I20040521001346 |
| Provider Name | Yogendra Prasad |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366447286 PECOS PAC ID: 8729065545 Enrollment ID: I20040630000549 |
| Provider Name | Arthur A Gaing |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1992813992 PECOS PAC ID: 1456330398 Enrollment ID: I20040715000404 |
| Provider Name | Ladawn C Reid |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770560906 PECOS PAC ID: 6103897418 Enrollment ID: I20040802000854 |
| Provider Name | Richard O Hardy |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356316384 PECOS PAC ID: 4486625613 Enrollment ID: I20040803000181 |
| Provider Name | Andrew J Whaley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639144652 PECOS PAC ID: 5890766042 Enrollment ID: I20040803000389 |
| Provider Name | Arno C Keyes |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871568857 PECOS PAC ID: 8527032952 Enrollment ID: I20040823000551 |
| Provider Name | Gary L Eddy |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508825324 PECOS PAC ID: 1951384544 Enrollment ID: I20040901000691 |
| Provider Name | Christopher P Epling |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1649269101 PECOS PAC ID: 9537135397 Enrollment ID: I20040903000102 |
| Provider Name | Gregory L Baker |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1205929155 PECOS PAC ID: 5395711592 Enrollment ID: I20040909000044 |
| Provider Name | Maya Devi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063545879 PECOS PAC ID: 8224004346 Enrollment ID: I20040909000281 |
| Provider Name | Steven R Turner |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1235187378 PECOS PAC ID: 4587631759 Enrollment ID: I20040916000159 |
| Provider Name | Philip S Koerper |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1154317725 PECOS PAC ID: 9436128766 Enrollment ID: I20041001000960 |
| Provider Name | Gamani K Thu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891700662 PECOS PAC ID: 0840259156 Enrollment ID: I20041004000432 |
| Provider Name | Scott R Nelson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1760589279 PECOS PAC ID: 1759340086 Enrollment ID: I20041004000507 |
| Provider Name | Cheryl L Bascom |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1619073319 PECOS PAC ID: 2567422926 Enrollment ID: I20041012000369 |
| Provider Name | Emilio A Punzal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457387292 PECOS PAC ID: 4486617008 Enrollment ID: I20041104001092 |
| Provider Name | James Milton Jones |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700974177 PECOS PAC ID: 2466415872 Enrollment ID: I20041108000066 |
| Provider Name | Amy B Sieweke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104866276 PECOS PAC ID: 5395708739 Enrollment ID: I20041108000354 |
| Provider Name | Buddy L Hurt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366479248 PECOS PAC ID: 5991768855 Enrollment ID: I20041111000043 |
| Provider Name | Anjanette M Williamson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295835460 PECOS PAC ID: 3274590237 Enrollment ID: I20041213000101 |
| Provider Name | Anna M Bayes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548379175 PECOS PAC ID: 8628027695 Enrollment ID: I20050117000351 |
| Provider Name | Keith A Burberry |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1528175288 PECOS PAC ID: 2365493590 Enrollment ID: I20050204000716 |
| Provider Name | Virgil Hoback |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609964832 PECOS PAC ID: 3870540008 Enrollment ID: I20050331000364 |
| Provider Name | Manish Parikh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457390791 PECOS PAC ID: 8123017407 Enrollment ID: I20050627000014 |
| Provider Name | Kishin K Dodwani |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1265482988 PECOS PAC ID: 3870529225 Enrollment ID: I20050718000023 |
| Provider Name | Sriram K Iyer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1689722100 PECOS PAC ID: 3173420601 Enrollment ID: I20050721000233 |
| Provider Name | William H Boykin |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1922077460 PECOS PAC ID: 9830127737 Enrollment ID: I20050803000299 |
| Provider Name | Timothy K Dixon |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1225026438 PECOS PAC ID: 1658309554 Enrollment ID: I20050803000323 |
| Provider Name | James Brian Frederick |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184656381 PECOS PAC ID: 5395774236 Enrollment ID: I20050810000951 |
| Provider Name | Hazel Yang |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1831196807 PECOS PAC ID: 1951200245 Enrollment ID: I20050831000743 |
| Provider Name | Kevin J Willis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700919776 PECOS PAC ID: 2567494370 Enrollment ID: I20050901000033 |
| Provider Name | Jie Zhou |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1316994684 PECOS PAC ID: 0042119281 Enrollment ID: I20050913000163 |
| Provider Name | Cecilia Gaynor |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1699732040 PECOS PAC ID: 9931132693 Enrollment ID: I20050921000016 |
| Provider Name | William E Nichols |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1245358258 PECOS PAC ID: 2365466448 Enrollment ID: I20060117000046 |
| Provider Name | Omran Abul-khoudoud |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1083664254 PECOS PAC ID: 6305885302 Enrollment ID: I20060118000829 |
| Provider Name | David Alan Ciochetty |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982666830 PECOS PAC ID: 2163318874 Enrollment ID: I20060314000379 |
| Provider Name | George Carl Borst |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1144273350 PECOS PAC ID: 0345235602 Enrollment ID: I20060608000013 |
| Provider Name | Moussa Alhaj |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1629029368 PECOS PAC ID: 7810909942 Enrollment ID: I20060608000026 |
| Provider Name | Chad A Mccreary |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083669758 PECOS PAC ID: 8224040191 Enrollment ID: I20060613000267 |
| Provider Name | Charles Milton Rhodes |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1063425882 PECOS PAC ID: 8729082151 Enrollment ID: I20060828000026 |
| Provider Name | Jawaid Latif |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417904111 PECOS PAC ID: 0244203057 Enrollment ID: I20061113000292 |
| Provider Name | Jon A Brinkman |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1497785737 PECOS PAC ID: 6901823343 Enrollment ID: I20070103000469 |
| Provider Name | Rhonda Crawford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467468397 PECOS PAC ID: 2365444114 Enrollment ID: I20070207000167 |
| Provider Name | Roger J Klein |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205947868 PECOS PAC ID: 7315041035 Enrollment ID: I20070404000584 |
| Provider Name | James Mark Detherage |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881608867 PECOS PAC ID: 3274535927 Enrollment ID: I20070702000529 |
| Provider Name | Aaron Medley |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1215136403 PECOS PAC ID: 1153414636 Enrollment ID: I20070830000018 |
| Provider Name | Jamie K Waselenko |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1710911847 PECOS PAC ID: 4385687623 Enrollment ID: I20071107000007 |
| Provider Name | Sriharsha Velury |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093821027 PECOS PAC ID: 1456258367 Enrollment ID: I20071109000164 |
| Provider Name | Joseph M Dressel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417143546 PECOS PAC ID: 7719067685 Enrollment ID: I20080104000088 |
| Provider Name | Tony W Dotson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396728499 PECOS PAC ID: 2466537527 Enrollment ID: I20080806000716 |
| Provider Name | Jon Barry Bowen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1306068879 PECOS PAC ID: 8426149832 Enrollment ID: I20080924000642 |
| Provider Name | Mihaela Cornea |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1023214699 PECOS PAC ID: 4688741135 Enrollment ID: I20080924000683 |
| Provider Name | Pho M Nguyen |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1447217328 PECOS PAC ID: 2062415201 Enrollment ID: I20080927000282 |
| Provider Name | Jerod P Darnell |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1083874788 PECOS PAC ID: 8729146998 Enrollment ID: I20081017000266 |
| Provider Name | Phillip Lackey |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1902929219 PECOS PAC ID: 2769541788 Enrollment ID: I20081105000885 |
| Provider Name | Traci A Sanchez Vanhoose |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1952564312 PECOS PAC ID: 1355401266 Enrollment ID: I20081122000112 |
| Provider Name | Jenawik C Marcum |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1396956322 PECOS PAC ID: 9931260452 Enrollment ID: I20081202000828 |
| Provider Name | Zane A Darnell |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1356330732 PECOS PAC ID: 2567554330 Enrollment ID: I20081204000368 |
| Provider Name | Richard F Ford |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215969423 PECOS PAC ID: 0941233969 Enrollment ID: I20081231000044 |
| Provider Name | John M Vanderen |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1811986094 PECOS PAC ID: 4082636469 Enrollment ID: I20090211000023 |
| Provider Name | Rae Ellen Virgin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467631358 PECOS PAC ID: 8224194097 Enrollment ID: I20090303000139 |
| Provider Name | Christopher R Scott |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114164035 PECOS PAC ID: 4486710084 Enrollment ID: I20090305000745 |
| Provider Name | Aaron S Kendrick |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1558551218 PECOS PAC ID: 0244397750 Enrollment ID: I20090327000532 |
| Provider Name | Carol H Cooper |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1154346369 PECOS PAC ID: 4688722150 Enrollment ID: I20090511000561 |
| Provider Name | Dale Santrock |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1053533414 PECOS PAC ID: 3173696069 Enrollment ID: I20090723000804 |
| Provider Name | William J Vanbeneden |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1518172014 PECOS PAC ID: 5799838561 Enrollment ID: I20090728000217 |
| Provider Name | Stacy R Caudill Warnock |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841369774 PECOS PAC ID: 9537232061 Enrollment ID: I20090815000079 |
| Provider Name | Robert T Fried |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1710989751 PECOS PAC ID: 1355496498 Enrollment ID: I20090826000199 |
| Provider Name | Ryann A Pangan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1013126564 PECOS PAC ID: 5698821965 Enrollment ID: I20090929000210 |
| Provider Name | Maria Domingo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780894279 PECOS PAC ID: 5092851220 Enrollment ID: I20091001000439 |
| Provider Name | Donna L Herndon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144373697 PECOS PAC ID: 9032256748 Enrollment ID: I20091029000432 |
| Provider Name | Michael A Shilot |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255664629 PECOS PAC ID: 9537207808 Enrollment ID: I20091105000540 |
| Provider Name | William C Thorndyke |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1477550416 PECOS PAC ID: 6305984253 Enrollment ID: I20091112000631 |
| Provider Name | Julia A Gilbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306171624 PECOS PAC ID: 5395882104 Enrollment ID: I20091114000000 |
| Provider Name | David K Bush |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1356354187 PECOS PAC ID: 5193863918 Enrollment ID: I20091114000044 |
| Provider Name | Phillip R Dowdy |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1255538500 PECOS PAC ID: 8426197757 Enrollment ID: I20091130000417 |
| Provider Name | Kristy D Turley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285864116 PECOS PAC ID: 3375683030 Enrollment ID: I20091211000013 |
| Provider Name | Vinay Vermani |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1245264449 PECOS PAC ID: 1850371568 Enrollment ID: I20091211000100 |
| Provider Name | Gregory P Stark |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1962500967 PECOS PAC ID: 0446390223 Enrollment ID: I20091230000174 |
| Provider Name | Bjorn Thorarinsson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1932206141 PECOS PAC ID: 2567411531 Enrollment ID: I20091230000205 |
| Provider Name | Roderick J Tompkins |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1306892559 PECOS PAC ID: 4183669625 Enrollment ID: I20091231000304 |
| Provider Name | Shirley A Lambert |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457583916 PECOS PAC ID: 1850432238 Enrollment ID: I20100107000289 |
| Provider Name | Dana L Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366777013 PECOS PAC ID: 4789725615 Enrollment ID: I20100113000964 |
| Provider Name | Donald Hammonds |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1235123621 PECOS PAC ID: 8921916743 Enrollment ID: I20100208000778 |
| Provider Name | James W Egel |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1750375135 PECOS PAC ID: 1153464490 Enrollment ID: I20100208000812 |
| Provider Name | John Michael Kasey |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1831371368 PECOS PAC ID: 5294870820 Enrollment ID: I20100306000037 |
| Provider Name | Janan J Ghazala |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1801874391 PECOS PAC ID: 8921083684 Enrollment ID: I20100309000558 |
| Provider Name | Shah M Nadeem |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174706253 PECOS PAC ID: 5395871461 Enrollment ID: I20100327000528 |
| Provider Name | Melissa L Leuenberger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861433187 PECOS PAC ID: 1052448248 Enrollment ID: I20100420000523 |
| Provider Name | George K Aitken |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1053322321 PECOS PAC ID: 7719016377 Enrollment ID: I20100520000582 |
| Provider Name | Beverly Jane Novak |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225359748 PECOS PAC ID: 0547393936 Enrollment ID: I20100805000699 |
| Provider Name | Evie S Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760510309 PECOS PAC ID: 6002940392 Enrollment ID: I20100823000918 |
| Provider Name | Hassan R Abul Khoudoud |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033255112 PECOS PAC ID: 3274678461 Enrollment ID: I20100827000500 |
| Provider Name | Vivekananda V Datla |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154524148 PECOS PAC ID: 5597880633 Enrollment ID: I20100914000283 |
| Provider Name | Ronald L Newman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1265528269 PECOS PAC ID: 9032302088 Enrollment ID: I20101022000002 |
| Provider Name | Tracy L Hunter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366542474 PECOS PAC ID: 0840483806 Enrollment ID: I20101022000168 |
| Provider Name | Ayobola A Oloworaran |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578879425 PECOS PAC ID: 1254525777 Enrollment ID: I20101028001249 |
| Provider Name | David Goebel |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1306845474 PECOS PAC ID: 2961415955 Enrollment ID: I20101109001586 |
| Provider Name | William B Rogers |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1861580946 PECOS PAC ID: 9032304522 Enrollment ID: I20101110000400 |
| Provider Name | Sunana Sohi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1740449131 PECOS PAC ID: 7214122753 Enrollment ID: I20101110000926 |
| Provider Name | Jane Strader |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629272901 PECOS PAC ID: 2769677129 Enrollment ID: I20101110001301 |
| Provider Name | Jennifer Listerman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568519361 PECOS PAC ID: 5799866653 Enrollment ID: I20101111000809 |
| Provider Name | Carri Leone Hicks |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942517974 PECOS PAC ID: 6103014766 Enrollment ID: I20101223000153 |
| Provider Name | Leon B Briggs |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1255345955 PECOS PAC ID: 2365440211 Enrollment ID: I20101230000835 |
| Provider Name | Enawgaw B Mehari |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386608149 PECOS PAC ID: 6507045523 Enrollment ID: I20110124000611 |
| Provider Name | Jerald M Ford |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659485357 PECOS PAC ID: 5092995233 Enrollment ID: I20110205000069 |
| Provider Name | Eric L Herrell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235435017 PECOS PAC ID: 7911188370 Enrollment ID: I20110218000435 |
| Provider Name | Sarah I Lucas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619273885 PECOS PAC ID: 0840471769 Enrollment ID: I20110225000477 |
| Provider Name | Timothy M Wheeler |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1609822816 PECOS PAC ID: 7618880972 Enrollment ID: I20110228000452 |
| Provider Name | Jonathan A Kendall |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1548424773 PECOS PAC ID: 2769664515 Enrollment ID: I20110315000832 |
| Provider Name | Aijaz Yazdani |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1447222781 PECOS PAC ID: 2769407519 Enrollment ID: I20110317000285 |
| Provider Name | Matthew James Shaffer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649461625 PECOS PAC ID: 3375621055 Enrollment ID: I20110323000708 |
| Provider Name | Scott J Lance |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467462101 PECOS PAC ID: 7416131651 Enrollment ID: I20110412000698 |
| Provider Name | Chanin C Flynn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184934689 PECOS PAC ID: 2961680475 Enrollment ID: I20110706000160 |
| Provider Name | Charbel A Salem |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1881851087 PECOS PAC ID: 1759569015 Enrollment ID: I20110711000248 |
| Provider Name | Eric Bronstein |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1265401566 PECOS PAC ID: 4082687900 Enrollment ID: I20110720000826 |
| Provider Name | Ondrej Choutka |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1265651566 PECOS PAC ID: 4688843824 Enrollment ID: I20110804000582 |
| Provider Name | Jonathan R Maynard |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992970115 PECOS PAC ID: 7911176607 Enrollment ID: I20110815000604 |
| Provider Name | Arash Seratnahaei |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1235376302 PECOS PAC ID: 9830369933 Enrollment ID: I20110829000288 |
| Provider Name | Charles A Gilliland |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1366646192 PECOS PAC ID: 5799955324 Enrollment ID: I20110908002112 |
| Provider Name | James Robert Hayes |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073774097 PECOS PAC ID: 7012104169 Enrollment ID: I20111003000028 |
| Provider Name | Allen Cochran |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952690711 PECOS PAC ID: 0648446765 Enrollment ID: I20111220000464 |
| Provider Name | Kimberly R Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245507425 PECOS PAC ID: 1759557358 Enrollment ID: I20120103000639 |
| Provider Name | Joshua D Campbell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1952681132 PECOS PAC ID: 0042479974 Enrollment ID: I20120312000659 |
| Provider Name | Christopher S Wheeler |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457637159 PECOS PAC ID: 1759541998 Enrollment ID: I20120327000335 |
| Provider Name | Oscar E Penate |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1174799977 PECOS PAC ID: 1557521333 Enrollment ID: I20120402000592 |
| Provider Name | Jay Shepherd |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1477731842 PECOS PAC ID: 6901066638 Enrollment ID: I20120404000357 |
| Provider Name | Terri L Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891074282 PECOS PAC ID: 4486815859 Enrollment ID: I20120411000438 |
| Provider Name | Matthew P Maze |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679848543 PECOS PAC ID: 4789845942 Enrollment ID: I20120416000067 |
| Provider Name | Marla Strait |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063770659 PECOS PAC ID: 2961665757 Enrollment ID: I20120514000689 |
| Provider Name | Steven Travis Carawan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1306903281 PECOS PAC ID: 3375443500 Enrollment ID: I20120717000154 |
| Provider Name | Garfield Alexander Grandison |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1598884041 PECOS PAC ID: 8224199633 Enrollment ID: I20120731000169 |
| Provider Name | Gabriel B Jacobs |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1063647477 PECOS PAC ID: 6507013083 Enrollment ID: I20120906000368 |
| Provider Name | Traci Lynn Boyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245594811 PECOS PAC ID: 6709034325 Enrollment ID: I20120924000258 |
| Provider Name | Patricia A Marshall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194073114 PECOS PAC ID: 6608024237 Enrollment ID: I20120924000409 |
| Provider Name | Bryan Michael Odell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902156300 PECOS PAC ID: 6103075031 Enrollment ID: I20121009000315 |
| Provider Name | Angela G Patton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902173321 PECOS PAC ID: 9133389729 Enrollment ID: I20121127000622 |
| Provider Name | Jessica Hicks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326308727 PECOS PAC ID: 9436302056 Enrollment ID: I20130110000352 |
| Provider Name | Tracy Lynn Williams |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417085150 PECOS PAC ID: 1951576156 Enrollment ID: I20130205000119 |
| Provider Name | Jessica Dawn Duncan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740525047 PECOS PAC ID: 0345495016 Enrollment ID: I20130301000418 |
| Provider Name | Debra Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760733349 PECOS PAC ID: 8022253061 Enrollment ID: I20130322000426 |
| Provider Name | Ashleigh Adkins |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225393143 PECOS PAC ID: 0840447710 Enrollment ID: I20130502000218 |
| Provider Name | David Gauze |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144572314 PECOS PAC ID: 0648418608 Enrollment ID: I20130603000371 |
| Provider Name | Justin K Dixon |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1013182443 PECOS PAC ID: 4587805692 Enrollment ID: I20130731000727 |
| Provider Name | Karen S Short |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104266022 PECOS PAC ID: 4688815616 Enrollment ID: I20130802000207 |
| Provider Name | Randy William Legault |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1396973012 PECOS PAC ID: 2163664830 Enrollment ID: I20130808000298 |
| Provider Name | Galena Salem |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1538334420 PECOS PAC ID: 1557404340 Enrollment ID: I20130917000342 |
| Provider Name | Jonathan David Estes |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710115233 PECOS PAC ID: 6608010442 Enrollment ID: I20130918000424 |
| Provider Name | Stacey Dixon |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083932552 PECOS PAC ID: 3476797101 Enrollment ID: I20130919000738 |
| Provider Name | Basel Edris |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1629381116 PECOS PAC ID: 9537393616 Enrollment ID: I20131002000611 |
| Provider Name | Iram Nawaz |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1992967269 PECOS PAC ID: 7012055502 Enrollment ID: I20131003000180 |
| Provider Name | Samantha J Melvin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700219102 PECOS PAC ID: 1153555792 Enrollment ID: I20131014001406 |
| Provider Name | Felix H Cheung |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1225252604 PECOS PAC ID: 8820181209 Enrollment ID: I20131114001139 |
| Provider Name | Corey Dean Frasier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184053563 PECOS PAC ID: 1658508510 Enrollment ID: I20131220001284 |
| Provider Name | Susan Aliff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013348556 PECOS PAC ID: 7214166594 Enrollment ID: I20140207000909 |
| Provider Name | John Kevin Miller |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063642205 PECOS PAC ID: 2062551237 Enrollment ID: I20140214000629 |
| Provider Name | Diane M Settles |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1356462154 PECOS PAC ID: 5799883203 Enrollment ID: I20140310000937 |
| Provider Name | Frank E Caines |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659619922 PECOS PAC ID: 4587801972 Enrollment ID: I20140319002261 |
| Provider Name | Wilson Christian |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932528296 PECOS PAC ID: 8022241157 Enrollment ID: I20140425000792 |
| Provider Name | Vipul Parekh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831416304 PECOS PAC ID: 0547452898 Enrollment ID: I20140624000246 |
| Provider Name | Sabrina Roberts |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1841475100 PECOS PAC ID: 5991921967 Enrollment ID: I20140728002002 |
| Provider Name | Ramon Ymalay |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881711216 PECOS PAC ID: 7618110685 Enrollment ID: I20140905000172 |
| Provider Name | Chad J Tarabolous |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1023271913 PECOS PAC ID: 6608050224 Enrollment ID: I20140923001464 |
| Provider Name | Patrick Villafuerte |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1114295722 PECOS PAC ID: 5597985333 Enrollment ID: I20140930001182 |
| Provider Name | Brooke E Vass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346680626 PECOS PAC ID: 9830333939 Enrollment ID: I20141017000896 |
| Provider Name | Stephen T Anderson |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1467613034 PECOS PAC ID: 7911129671 Enrollment ID: I20141112001920 |
| Provider Name | Megan Rudinsky |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992037527 PECOS PAC ID: 2466674155 Enrollment ID: I20141113000594 |
| Provider Name | Patrick Gerard Keeley |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1609988989 PECOS PAC ID: 5092602870 Enrollment ID: I20141217000614 |
| Provider Name | Abigail Beck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306245360 PECOS PAC ID: 7719200195 Enrollment ID: I20141217000689 |
| Provider Name | Christina Michelle Parsons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679973804 PECOS PAC ID: 0648594390 Enrollment ID: I20150128001854 |
| Provider Name | Francisco Fernandez-gonzalez |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1023209400 PECOS PAC ID: 5991026478 Enrollment ID: I20150609002297 |
| Provider Name | Michael R Smutko |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982963773 PECOS PAC ID: 2961723226 Enrollment ID: I20150611002457 |
| Provider Name | Evan Patrick Seagraves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265827844 PECOS PAC ID: 8628389004 Enrollment ID: I20150626000222 |
| Provider Name | Matthew Mckinley Ellsworth |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1124387618 PECOS PAC ID: 2163653528 Enrollment ID: I20150707002737 |
| Provider Name | Cory Burcham |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235522368 PECOS PAC ID: 8527371277 Enrollment ID: I20150723008644 |
| Provider Name | Thomas L Mahoney |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659397404 PECOS PAC ID: 9234163841 Enrollment ID: I20150828002071 |
| Provider Name | Lesly A Hollon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912392432 PECOS PAC ID: 6406162502 Enrollment ID: I20150903002982 |
| Provider Name | Michael James Chambers |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1568690915 PECOS PAC ID: 2860634912 Enrollment ID: I20150917000404 |
| Provider Name | Tara Delynne Crank |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487082301 PECOS PAC ID: 4880903590 Enrollment ID: I20151020002848 |
| Provider Name | Eva Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346614898 PECOS PAC ID: 9931400108 Enrollment ID: I20151211000953 |
| Provider Name | Jamie Bennett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346615473 PECOS PAC ID: 1254632235 Enrollment ID: I20151216001215 |
| Provider Name | Casey Burke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649668476 PECOS PAC ID: 3173826195 Enrollment ID: I20160126001757 |
| Provider Name | Lisa Ellen Spencer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003272204 PECOS PAC ID: 2264736610 Enrollment ID: I20160205001263 |
| Provider Name | Tina Marie England |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760728679 PECOS PAC ID: 5991940298 Enrollment ID: I20160211002440 |
| Provider Name | Michelle Sorrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376902247 PECOS PAC ID: 0547567281 Enrollment ID: I20160324000834 |
| Provider Name | Katie L Bazell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740649557 PECOS PAC ID: 5890092480 Enrollment ID: I20160325000492 |
| Provider Name | Tammy L Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144639519 PECOS PAC ID: 6901120583 Enrollment ID: I20160420002667 |
| Provider Name | Omar Elghawanmeh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386873073 PECOS PAC ID: 0244522738 Enrollment ID: I20160630002362 |
| Provider Name | Faisal Hayat |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1336354653 PECOS PAC ID: 3476685520 Enrollment ID: I20160809002409 |
| Provider Name | Kayla Diann Bailey |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184069734 PECOS PAC ID: 9931338712 Enrollment ID: I20160810000872 |
| Provider Name | Tanya Catherine Warwick |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1083648307 PECOS PAC ID: 3870567274 Enrollment ID: I20160811002098 |
| Provider Name | John Blackburn |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1841511037 PECOS PAC ID: 8426370263 Enrollment ID: I20160811002599 |
| Provider Name | Heather Renae Roth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821542747 PECOS PAC ID: 3870713993 Enrollment ID: I20160901001388 |
| Provider Name | Curtis J Koons |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1588923239 PECOS PAC ID: 9032437702 Enrollment ID: I20160913002085 |
| Provider Name | Tobun Cheung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508895509 PECOS PAC ID: 1557339108 Enrollment ID: I20160920001224 |
| Provider Name | Gerardo D Trinidad |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1487722377 PECOS PAC ID: 9234198524 Enrollment ID: I20161003002127 |
| Provider Name | Wanda Marie Poplin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346797982 PECOS PAC ID: 4183912116 Enrollment ID: I20161006002524 |
| Provider Name | Julie Ann Estep |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366890626 PECOS PAC ID: 0345538872 Enrollment ID: I20161014001980 |
| Provider Name | Curtis Jamison |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598055790 PECOS PAC ID: 6103041603 Enrollment ID: I20161206001545 |
| Provider Name | Shadi Abu Halimah |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1144415290 PECOS PAC ID: 1153595095 Enrollment ID: I20161214002065 |
| Provider Name | Ashli Bowling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710429113 PECOS PAC ID: 3870873540 Enrollment ID: I20161215001136 |
| Provider Name | Robert Wyatt Love |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396992137 PECOS PAC ID: 8123285491 Enrollment ID: I20170220002079 |
| Provider Name | James Christopher Goetz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700827714 PECOS PAC ID: 4981696093 Enrollment ID: I20170309002640 |
| Provider Name | Khurram Shahzad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730446931 PECOS PAC ID: 8022327923 Enrollment ID: I20170322001321 |
| Provider Name | Mohammad Chouthry |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1639140734 PECOS PAC ID: 7517998495 Enrollment ID: I20170404001365 |
| Provider Name | Ashlee Ann Eichenlaub |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376083857 PECOS PAC ID: 4486930278 Enrollment ID: I20170410001990 |
| Provider Name | Motaz Baibars |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104121193 PECOS PAC ID: 7315105814 Enrollment ID: I20170425001054 |
| Provider Name | Benjamin M Lerner |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1629167622 PECOS PAC ID: 4284828740 Enrollment ID: I20170501001601 |
| Provider Name | Jaskirat Singh Randhawa |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1427336585 PECOS PAC ID: 8224256136 Enrollment ID: I20170525002514 |
| Provider Name | Michael A Banks |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083024616 PECOS PAC ID: 1759508641 Enrollment ID: I20170607000484 |
| Provider Name | George Linsenmeyer |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1003842246 PECOS PAC ID: 4880616309 Enrollment ID: I20170615001756 |
| Provider Name | Isaac N. Mccullough |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649791658 PECOS PAC ID: 0244500635 Enrollment ID: I20170719000381 |
| Provider Name | Trisha K. Eaches |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467973370 PECOS PAC ID: 2365712296 Enrollment ID: I20170725002626 |
| Provider Name | Jeremy Ryan Bonzo |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1447511332 PECOS PAC ID: 9234438912 Enrollment ID: I20170727000717 |
| Provider Name | Arvind Gopal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1346382082 PECOS PAC ID: 7416134937 Enrollment ID: I20170815004143 |
| Provider Name | Mary Katherine Hughes |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1326339573 PECOS PAC ID: 2163794785 Enrollment ID: I20170816004433 |
| Provider Name | Sara Anne Davis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114338225 PECOS PAC ID: 1557589900 Enrollment ID: I20170821003509 |
| Provider Name | Sinan Emre Ozgur |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1437442704 PECOS PAC ID: 0648419002 Enrollment ID: I20170823002257 |
| Provider Name | Sony Sebastian |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396165866 PECOS PAC ID: 0749402758 Enrollment ID: I20170829004464 |
| Provider Name | Courtney E De Jesso |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427194232 PECOS PAC ID: 3870712839 Enrollment ID: I20170919004369 |
| Provider Name | Shannon Willis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487971263 PECOS PAC ID: 6709027436 Enrollment ID: I20170920003232 |
| Provider Name | David Biobaku |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821409855 PECOS PAC ID: 4486929072 Enrollment ID: I20171006003041 |
| Provider Name | Tiffany Leeann Curnutte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184148777 PECOS PAC ID: 9537435326 Enrollment ID: I20171023002152 |
| Provider Name | Vada Stanley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649780917 PECOS PAC ID: 2365718160 Enrollment ID: I20171023002650 |
| Provider Name | Beth A Anderson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427205301 PECOS PAC ID: 3971667395 Enrollment ID: I20171128003080 |
| Provider Name | Candice Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164976379 PECOS PAC ID: 3072872514 Enrollment ID: I20180109001573 |
| Provider Name | Carolyn M Marshall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427404029 PECOS PAC ID: 9133489222 Enrollment ID: I20180209002017 |
| Provider Name | Cody L. Plank |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184132607 PECOS PAC ID: 7214297225 Enrollment ID: I20180213002214 |
| Provider Name | Shannon Amber Runnels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295101186 PECOS PAC ID: 4183985617 Enrollment ID: I20180226001974 |
| Provider Name | Michael Alan Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376089557 PECOS PAC ID: 3072874528 Enrollment ID: I20180226002743 |
| Provider Name | Martina Renate Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053782417 PECOS PAC ID: 2163789587 Enrollment ID: I20180316001915 |
| Provider Name | Joshua Bryant |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336522846 PECOS PAC ID: 6002162294 Enrollment ID: I20180629002287 |
| Provider Name | Kimberly Jaudon Kiser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841716636 PECOS PAC ID: 8628325669 Enrollment ID: I20180720002075 |
| Provider Name | Jodie L Workman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073099768 PECOS PAC ID: 2062760614 Enrollment ID: I20180730003226 |
| Provider Name | Michel Bidros |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1609036227 PECOS PAC ID: 1759459969 Enrollment ID: I20180801000333 |
| Provider Name | Jeannie Lee Ann Music |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639665425 PECOS PAC ID: 8325396674 Enrollment ID: I20180802003778 |
| Provider Name | James Mitchell Martin |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1912953092 PECOS PAC ID: 8729990437 Enrollment ID: I20180814002949 |
| Provider Name | Curtis Austin Knuckles |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1275010282 PECOS PAC ID: 8729337340 Enrollment ID: I20180815001498 |
| Provider Name | Michael David Cranney |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1912303553 PECOS PAC ID: 4981910510 Enrollment ID: I20180820000782 |
| Provider Name | David William Dockray |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1538455399 PECOS PAC ID: 8123277662 Enrollment ID: I20180824001907 |
| Provider Name | Karey Mariah Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659850154 PECOS PAC ID: 0345591954 Enrollment ID: I20180920002437 |
| Provider Name | Mary Carolyn House |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346627726 PECOS PAC ID: 6608127824 Enrollment ID: I20180926002288 |
| Provider Name | William Joshua Hensley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740761147 PECOS PAC ID: 3274885009 Enrollment ID: I20181005002219 |
| Provider Name | Erika Isaacs |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457733750 PECOS PAC ID: 3577877091 Enrollment ID: I20181029002885 |
| Provider Name | Todd Hellmich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841713922 PECOS PAC ID: 3577827468 Enrollment ID: I20181030001287 |
| Provider Name | Amanda J Ison |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790250371 PECOS PAC ID: 8820341100 Enrollment ID: I20181102002338 |
| Provider Name | Timothy James Caudill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316421662 PECOS PAC ID: 5395099410 Enrollment ID: I20181108000539 |
| Provider Name | Charles Mccormick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710462395 PECOS PAC ID: 5597009837 Enrollment ID: I20181128000162 |
| Provider Name | Kelsey Lauren Gee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962978544 PECOS PAC ID: 5698019552 Enrollment ID: I20181203003493 |
| Provider Name | Tracy L. Barnitz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598785289 PECOS PAC ID: 2860593597 Enrollment ID: I20181226001983 |
| Provider Name | Stephen Forrest Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841769700 PECOS PAC ID: 9335485382 Enrollment ID: I20190111000578 |
| Provider Name | Cory G Yoder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770931628 PECOS PAC ID: 0648519264 Enrollment ID: I20190226002459 |
| Provider Name | Amber Raeanne Kirk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447752209 PECOS PAC ID: 8628331451 Enrollment ID: I20190311001594 |
| Provider Name | Sonya Renee Massie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427513977 PECOS PAC ID: 6305186891 Enrollment ID: I20190320000870 |
| Provider Name | Melissa Faye Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255896338 PECOS PAC ID: 0941540454 Enrollment ID: I20190320001285 |
| Provider Name | Ashley Goble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508323163 PECOS PAC ID: 7113267485 Enrollment ID: I20190322001905 |
| Provider Name | Jessica A Bryant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689134165 PECOS PAC ID: 4880936509 Enrollment ID: I20190430000894 |
| Provider Name | Gabriel Lynn Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396206470 PECOS PAC ID: 4789926239 Enrollment ID: I20190502000600 |
| Provider Name | Mary S Wehner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235125923 PECOS PAC ID: 6305803339 Enrollment ID: I20190605000272 |
| Provider Name | Jeffrey T Jenkins |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1396189437 PECOS PAC ID: 9133433188 Enrollment ID: I20190717003115 |
| Provider Name | Carol L. Patterson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881664126 PECOS PAC ID: 7517998321 Enrollment ID: I20190725003398 |
| Provider Name | Tyler Grant |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1902221823 PECOS PAC ID: 0547526659 Enrollment ID: I20190812001425 |
| Provider Name | Kenneth W Leung |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1518306471 PECOS PAC ID: 8224328828 Enrollment ID: I20190819004017 |
| Provider Name | Chelsey Nicole White |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1073938874 PECOS PAC ID: 4981979820 Enrollment ID: I20190913001916 |
| Provider Name | Kimberly Dawn Carey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609351519 PECOS PAC ID: 5496086175 Enrollment ID: I20191010001279 |
| Provider Name | Elisha Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356516587 PECOS PAC ID: 5496087819 Enrollment ID: I20191104001832 |
| Provider Name | Matthew P Liakos |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1194004291 PECOS PAC ID: 2365797727 Enrollment ID: I20191211002970 |
| Provider Name | Luke Lester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629475397 PECOS PAC ID: 9335465913 Enrollment ID: I20191219002991 |
| Provider Name | Misty Lynn Spradlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134673015 PECOS PAC ID: 6709164411 Enrollment ID: I20200103000712 |
| Provider Name | Ghaith M Nahlawi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457380800 PECOS PAC ID: 4284638610 Enrollment ID: I20200106002037 |
| Provider Name | Nathalie Kara Spencer Sweeney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437701141 PECOS PAC ID: 5294169801 Enrollment ID: I20200107000684 |
| Provider Name | Jesse B. Sergent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215573647 PECOS PAC ID: 8022443480 Enrollment ID: I20200114001263 |
| Provider Name | Gary Frank Roberts |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1689636599 PECOS PAC ID: 4880670850 Enrollment ID: I20200115002905 |
| Provider Name | Tracy Ricewick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013365279 PECOS PAC ID: 0547549982 Enrollment ID: I20200124002530 |
| Provider Name | Karri Berlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619521606 PECOS PAC ID: 5799110599 Enrollment ID: I20200124002616 |
| Provider Name | Darren Barker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033755145 PECOS PAC ID: 4082049747 Enrollment ID: I20200127002426 |
| Provider Name | Sandeep Krishnan |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1922325687 PECOS PAC ID: 6507180643 Enrollment ID: I20200130003190 |
| Provider Name | Bobby L Marcum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013069046 PECOS PAC ID: 4789719600 Enrollment ID: I20200206001147 |
| Provider Name | Francis Le |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1134236508 PECOS PAC ID: 3476596925 Enrollment ID: I20200217001089 |
| Provider Name | Ronald Edward Richardson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356971725 PECOS PAC ID: 5496183311 Enrollment ID: I20200306002068 |
| Provider Name | Kamal M Ibrahim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205862067 PECOS PAC ID: 6305890260 Enrollment ID: I20200415003261 |
| Provider Name | Tammy D Woodburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447897343 PECOS PAC ID: 9537599014 Enrollment ID: I20200423003384 |
| Provider Name | Jessica Runyon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528691367 PECOS PAC ID: 4981035599 Enrollment ID: I20200515000774 |
| Provider Name | Angela Geary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245884089 PECOS PAC ID: 9931530284 Enrollment ID: I20200520002956 |
| Provider Name | Catherine Daniels |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639792351 PECOS PAC ID: 2365865821 Enrollment ID: I20200701000884 |
| Provider Name | Derek S. Hartman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1144846098 PECOS PAC ID: 1355764713 Enrollment ID: I20200702001155 |
| Provider Name | Brandi L. Sperry |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083239198 PECOS PAC ID: 1456774785 Enrollment ID: I20200706001191 |
| Provider Name | Timothy J Young |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932722659 PECOS PAC ID: 6103249362 Enrollment ID: I20200706002965 |
| Provider Name | Hannah Fairchild |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710529276 PECOS PAC ID: 0648693689 Enrollment ID: I20200708003581 |
| Provider Name | Joshua Wells |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043833759 PECOS PAC ID: 6305269192 Enrollment ID: I20200713002051 |
| Provider Name | Jerry White |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1245655968 PECOS PAC ID: 0749531499 Enrollment ID: I20200722000118 |
| Provider Name | Sean Patrick Ryan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1780904706 PECOS PAC ID: 7012331945 Enrollment ID: I20200723003203 |
| Provider Name | Renee S Gibbs |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346859626 PECOS PAC ID: 5991129686 Enrollment ID: I20200728003054 |
| Provider Name | Pratap Singh |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1417203001 PECOS PAC ID: 5193052439 Enrollment ID: I20200810002446 |
| Provider Name | Brock A Johnson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1770993206 PECOS PAC ID: 9335566751 Enrollment ID: I20200831003285 |
| Provider Name | Mohammed Hasan Hasan Khan |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1063844959 PECOS PAC ID: 8628496437 Enrollment ID: I20200910002259 |
| Provider Name | Liege Diaz Urrutia |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1023456043 PECOS PAC ID: 8022436864 Enrollment ID: I20200910003389 |
| Provider Name | Gabie K Ong |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1225470479 PECOS PAC ID: 9234372913 Enrollment ID: I20200929002707 |
| Provider Name | Surabhi Pathak |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1285999284 PECOS PAC ID: 0345545380 Enrollment ID: I20201001002200 |
| Provider Name | Daniel R Jones |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1194385443 PECOS PAC ID: 5991037772 Enrollment ID: I20201001002669 |
| Provider Name | Annette Zacur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669086203 PECOS PAC ID: 1355761016 Enrollment ID: I20201019000880 |
| Provider Name | Miranda Pinkerton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558978692 PECOS PAC ID: 1951721596 Enrollment ID: I20201020001295 |
| Provider Name | Mohamed Mohamed |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1861742751 PECOS PAC ID: 6406078161 Enrollment ID: I20201208003218 |
| Provider Name | Jeffrey Siegel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952332132 PECOS PAC ID: 8921077090 Enrollment ID: I20201216003253 |
| Provider Name | Mushtaq Ahmad |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1508822446 PECOS PAC ID: 1254302896 Enrollment ID: I20201221000898 |
| Provider Name | James A. Jernigan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1255642948 PECOS PAC ID: 8527340389 Enrollment ID: I20201230002819 |
| Provider Name | Brett Anthony Yoder |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518478668 PECOS PAC ID: 3375956758 Enrollment ID: I20201231001595 |
| Provider Name | Amanda S Rowsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073104626 PECOS PAC ID: 5294140893 Enrollment ID: I20210211003023 |
| Provider Name | Tabitha Spence |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609494269 PECOS PAC ID: 6305257247 Enrollment ID: I20210215001027 |
| Provider Name | Vivian Hunt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073109948 PECOS PAC ID: 4880009331 Enrollment ID: I20210216002078 |
| Provider Name | Ashley Ledson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902465271 PECOS PAC ID: 9436585940 Enrollment ID: I20210326001917 |
| Provider Name | Ammar Alimam |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1770542946 PECOS PAC ID: 5193888915 Enrollment ID: I20210329002581 |
| Provider Name | Brittany Linn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356936082 PECOS PAC ID: 3971910449 Enrollment ID: I20210329002591 |
| Provider Name | Ashley Malone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134766991 PECOS PAC ID: 0941617351 Enrollment ID: I20210401000208 |
| Provider Name | Jessica Clarkson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326551029 PECOS PAC ID: 3870992043 Enrollment ID: I20210520002904 |
| Provider Name | Ernest Jay Gross |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043640840 PECOS PAC ID: 5395097539 Enrollment ID: I20210708002724 |
| Provider Name | Hassaan R Jafri |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1881076263 PECOS PAC ID: 0345556056 Enrollment ID: I20210730000969 |
| Provider Name | Roberto Kenji Mitsui Akagi |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1992150403 PECOS PAC ID: 4082974472 Enrollment ID: I20210813003171 |
| Provider Name | Alexandr Karimov |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265882195 PECOS PAC ID: 3173927035 Enrollment ID: I20210813003190 |
| Provider Name | Debra J Wilks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801429451 PECOS PAC ID: 0244635340 Enrollment ID: I20210827002107 |
| Provider Name | Otto Villa |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1669461414 PECOS PAC ID: 8527151497 Enrollment ID: I20210909001839 |
| Provider Name | Tejas Shah |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1821442849 PECOS PAC ID: 7214333574 Enrollment ID: I20210913000254 |
| Provider Name | Ekatherine Rivera Markelova |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1780034850 PECOS PAC ID: 5698003093 Enrollment ID: I20210922000516 |
| Provider Name | Carisa Geyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972173714 PECOS PAC ID: 2567867799 Enrollment ID: I20210924000986 |
| Provider Name | Chidozie Odigwe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447611579 PECOS PAC ID: 6507157856 Enrollment ID: I20210928000827 |
| Provider Name | Sarah Mills |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528621497 PECOS PAC ID: 5395142780 Enrollment ID: I20210928001938 |
| Provider Name | Kirsten R Mootz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912674367 PECOS PAC ID: 8224435532 Enrollment ID: I20210928003338 |
| Provider Name | Karen Huff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881292902 PECOS PAC ID: 2163820358 Enrollment ID: I20211001000310 |
| Provider Name | Michael P Lewko |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1730121799 PECOS PAC ID: 8628065398 Enrollment ID: I20211004001155 |
| Provider Name | Ayodele Osasona |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1992143382 PECOS PAC ID: 2668718321 Enrollment ID: I20211007001605 |
| Provider Name | Emily Vanbibber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356018451 PECOS PAC ID: 0345648051 Enrollment ID: I20211011002905 |
| Provider Name | Richard Misischia |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1194810150 PECOS PAC ID: 6406897446 Enrollment ID: I20211110002863 |
| Provider Name | Oganes Hovik Shilgevorkyan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033552161 PECOS PAC ID: 9537447503 Enrollment ID: I20211111001719 |
| Provider Name | Savannah D Barnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013679547 PECOS PAC ID: 6507255353 Enrollment ID: I20211116002380 |
| Provider Name | Megan Cantley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457969040 PECOS PAC ID: 1658761887 Enrollment ID: I20211202001685 |
| Provider Name | Jabulani Sidile |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164650743 PECOS PAC ID: 9830312842 Enrollment ID: I20211221002570 |
| Provider Name | Stephanie Nicole Adkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588326334 PECOS PAC ID: 2062803380 Enrollment ID: I20211221002691 |
| Provider Name | Amie Lynn Fannin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467635391 PECOS PAC ID: 8921499757 Enrollment ID: I20220105000386 |
| Provider Name | James E Guzan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104297332 PECOS PAC ID: 8921078510 Enrollment ID: I20220128001796 |
| Provider Name | Halie B Nichols |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568135200 PECOS PAC ID: 0446648752 Enrollment ID: I20220201002634 |
| Provider Name | Charles F Knapper |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366443285 PECOS PAC ID: 3678636867 Enrollment ID: I20220214001052 |
| Provider Name | Sheri S Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710115076 PECOS PAC ID: 1557511185 Enrollment ID: I20220217002912 |
| Provider Name | Crystal Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912658600 PECOS PAC ID: 7315331030 Enrollment ID: I20220223001362 |
| Provider Name | Brittany Short |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093476814 PECOS PAC ID: 2961896550 Enrollment ID: I20220224001440 |
| Provider Name | Beenu Singh |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1376817775 PECOS PAC ID: 9436373248 Enrollment ID: I20220309001291 |
| Provider Name | Natali V Rolfe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275524654 PECOS PAC ID: 9830141787 Enrollment ID: I20220311001272 |
| Provider Name | Debra N Taylor |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750327508 PECOS PAC ID: 4385657485 Enrollment ID: I20220329001862 |
| Provider Name | Amber Dawn Sperry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366086258 PECOS PAC ID: 1052748092 Enrollment ID: I20220406003117 |
| Provider Name | Tommi K. Hopper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962157180 PECOS PAC ID: 6002202579 Enrollment ID: I20220408002190 |
| Provider Name | Adrianne Otworth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790317048 PECOS PAC ID: 2163819202 Enrollment ID: I20220420001376 |
| Provider Name | Marc Csete |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1861496515 PECOS PAC ID: 1951313923 Enrollment ID: I20220504001024 |
| Provider Name | Isna Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316432529 PECOS PAC ID: 1153674262 Enrollment ID: I20220504002142 |
| Provider Name | Kylie Shea Rice |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972130540 PECOS PAC ID: 6103204177 Enrollment ID: I20220602002592 |
| Provider Name | Roger Dustin Rigsby |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376283838 PECOS PAC ID: 3173902624 Enrollment ID: I20220614001520 |
| Provider Name | Janet Roe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396216560 PECOS PAC ID: 5698015808 Enrollment ID: I20220615001798 |
| Provider Name | Wendi Hanna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346758257 PECOS PAC ID: 9335401611 Enrollment ID: I20220616001190 |
| Provider Name | Chan M Ma |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1487642120 PECOS PAC ID: 8325026917 Enrollment ID: I20220701002373 |
| Provider Name | Ann Vachaparambil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154815819 PECOS PAC ID: 7012305899 Enrollment ID: I20220706000789 |
| Provider Name | Anthony Alberico |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1174581409 PECOS PAC ID: 6507955242 Enrollment ID: I20220715000401 |
| Provider Name | Brittany Richardson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134626583 PECOS PAC ID: 7618306630 Enrollment ID: I20220721002373 |
| Provider Name | Sajeel Rehmat Khan |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1023337961 PECOS PAC ID: 5092015032 Enrollment ID: I20220802003593 |
| Provider Name | Mackenzie Brae Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699407957 PECOS PAC ID: 2860874914 Enrollment ID: I20220805000971 |
| Provider Name | Amarbir Bhullar |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1790199453 PECOS PAC ID: 2466834445 Enrollment ID: I20220808002345 |
| Provider Name | Brittany Nicole Gilbert |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477119220 PECOS PAC ID: 5193107175 Enrollment ID: I20220808002365 |
| Provider Name | Andrew Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801385083 PECOS PAC ID: 0042561334 Enrollment ID: I20220808003134 |
| Provider Name | Trey N Stai |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1952806820 PECOS PAC ID: 6608123013 Enrollment ID: I20220810001456 |
| Provider Name | Mena Shehata |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1609227255 PECOS PAC ID: 9537448212 Enrollment ID: I20220811000956 |
| Provider Name | Chathura Wijewardena |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1659807097 PECOS PAC ID: 7315284726 Enrollment ID: I20220811001631 |
| Provider Name | William Gilbert |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942866892 PECOS PAC ID: 9537490420 Enrollment ID: I20220811001685 |
| Provider Name | Ashley Morgan Wright |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548752736 PECOS PAC ID: 1355724972 Enrollment ID: I20220815002933 |
| Provider Name | Zachary Dallas Runyon |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265097125 PECOS PAC ID: 3375878176 Enrollment ID: I20220817001361 |
| Provider Name | Heather Nicole Pinckard Dover |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1578906533 PECOS PAC ID: 1153648902 Enrollment ID: I20220826000885 |
| Provider Name | Tyrone Coyle |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1992237341 PECOS PAC ID: 5496139248 Enrollment ID: I20220829002384 |
| Provider Name | Mark A Byard |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1043205164 PECOS PAC ID: 3274597794 Enrollment ID: I20220830004262 |
| Provider Name | Andrew Keith Matthies |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013087873 PECOS PAC ID: 0941568372 Enrollment ID: I20220831001296 |
| Provider Name | Sana Ghalib |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1023460441 PECOS PAC ID: 7517236839 Enrollment ID: I20220906003261 |
| Provider Name | Anand Parikh |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1619355906 PECOS PAC ID: 9032401856 Enrollment ID: I20220913002751 |
| Provider Name | Jemin Jose |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487216990 PECOS PAC ID: 7517295322 Enrollment ID: I20220915001853 |
| Provider Name | Avneet Kaur |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1356908602 PECOS PAC ID: 8022494889 Enrollment ID: I20220930001919 |
| Provider Name | Jessica Sue Mendelsohn |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861615676 PECOS PAC ID: 0446226252 Enrollment ID: I20221004000572 |
| Provider Name | Joel F Klepach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821441536 PECOS PAC ID: 6901187699 Enrollment ID: I20221007001221 |
| Provider Name | Sheri E Templar |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1235417270 PECOS PAC ID: 1456669266 Enrollment ID: I20221014001658 |
| Provider Name | Stacie Nicole Litteral |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235852005 PECOS PAC ID: 0749656221 Enrollment ID: I20221025002184 |
| Provider Name | David Monroe Ruffin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609066349 PECOS PAC ID: 6901968601 Enrollment ID: I20221101001379 |
| Provider Name | Alicia R Mccampbell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003134966 PECOS PAC ID: 1254502271 Enrollment ID: I20221114001833 |
| Provider Name | April M Melvin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770214934 PECOS PAC ID: 9537539101 Enrollment ID: I20221227000194 |
| Provider Name | Tara L Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871259028 PECOS PAC ID: 4688045172 Enrollment ID: I20230119002985 |
| Provider Name | Hala Alshayeb |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1942400452 PECOS PAC ID: 0941431241 Enrollment ID: I20230125000734 |
| Provider Name | Sonja Lichtenstein Zayneh |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821175274 PECOS PAC ID: 7618873241 Enrollment ID: I20230209000520 |
| Provider Name | James Rosier |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689229288 PECOS PAC ID: 9436581956 Enrollment ID: I20230321001757 |
| Provider Name | Sarah Eplion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427529130 PECOS PAC ID: 0042556136 Enrollment ID: I20230325000131 |
| Provider Name | Frances E Jones |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366488140 PECOS PAC ID: 7618026188 Enrollment ID: I20230405002130 |
| Provider Name | Shauna Lorenzo-rivero |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1336169804 PECOS PAC ID: 1254361587 Enrollment ID: I20230424002685 |
| Provider Name | Edwin Gavarrete |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073195178 PECOS PAC ID: 8224438833 Enrollment ID: I20230519001458 |
| Provider Name | Michelle Dillow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871013995 PECOS PAC ID: 9638440340 Enrollment ID: I20230613002630 |
| Provider Name | Amber Steele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386341972 PECOS PAC ID: 0446618805 Enrollment ID: I20230617000127 |
| Provider Name | Angela Bostic |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659017853 PECOS PAC ID: 2163806670 Enrollment ID: I20230630000696 |
| Provider Name | Joshua Webster |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1952715765 PECOS PAC ID: 0547488827 Enrollment ID: I20230706000921 |
| Provider Name | Justin William Boyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336841626 PECOS PAC ID: 4688033749 Enrollment ID: I20230707000575 |
| Provider Name | Jamie Richardson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255740411 PECOS PAC ID: 5890916399 Enrollment ID: I20230710000318 |
| Provider Name | Mallory Noelle Luckey |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770932170 PECOS PAC ID: 4183902356 Enrollment ID: I20230717001378 |
| Provider Name | Muhammad Salick |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1952823254 PECOS PAC ID: 2163768573 Enrollment ID: I20230804002472 |
| Provider Name | Jeffrey Buffinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326751652 PECOS PAC ID: 4587025648 Enrollment ID: I20230804002809 |
| Provider Name | Hisham Hirzallah |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518318476 PECOS PAC ID: 6709164643 Enrollment ID: I20230810000783 |
| Provider Name | William Dressel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417354499 PECOS PAC ID: 0648596445 Enrollment ID: I20230810002121 |
| Provider Name | Sharon Kraitman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962961888 PECOS PAC ID: 5698185262 Enrollment ID: I20230814003370 |
| Provider Name | Justine Kay Craft |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720772601 PECOS PAC ID: 5395107825 Enrollment ID: I20230816001454 |
| Provider Name | Amber Wireman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013572825 PECOS PAC ID: 7911369004 Enrollment ID: I20230822002400 |
| Provider Name | Julie Mallin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376042499 PECOS PAC ID: 3072925338 Enrollment ID: I20230824000537 |
| Provider Name | David Bickett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215613195 PECOS PAC ID: 4688037575 Enrollment ID: I20230824003174 |
| Provider Name | Rachelle Webb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114165065 PECOS PAC ID: 2769853175 Enrollment ID: I20230901001384 |
| Provider Name | Nicolas Phan |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1437328192 PECOS PAC ID: 5890854566 Enrollment ID: I20230908001438 |
| Provider Name | Melinda Crisp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558640862 PECOS PAC ID: 9931563780 Enrollment ID: I20230912001934 |
| Provider Name | Fritz Gerald Charles |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1972007763 PECOS PAC ID: 7911255823 Enrollment ID: I20230912003353 |
| Provider Name | Amit Karmur |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1700134830 PECOS PAC ID: 0547667735 Enrollment ID: I20230915002999 |
| Provider Name | Caitlin Arthur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407360589 PECOS PAC ID: 2466790969 Enrollment ID: I20230925002823 |
| Provider Name | Christopher James Cuic |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659726719 PECOS PAC ID: 2860783560 Enrollment ID: I20230928002581 |
| Provider Name | Gabriel Bietz |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1194988642 PECOS PAC ID: 8527209758 Enrollment ID: I20231003002404 |
| Provider Name | Amr Idris |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1003260852 PECOS PAC ID: 2860727799 Enrollment ID: I20231006001097 |
| Provider Name | Natalie Jane Martin |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1275214058 PECOS PAC ID: 6305291550 Enrollment ID: I20231009002387 |
| Provider Name | Matthew Rendo |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1700246394 PECOS PAC ID: 5193088003 Enrollment ID: I20231019000870 |
| Provider Name | Hani Habal |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1912101684 PECOS PAC ID: 4880835032 Enrollment ID: I20231028000331 |
| Provider Name | Chao Guo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043606486 PECOS PAC ID: 8628328960 Enrollment ID: I20231031001392 |
| Provider Name | Adhara A Guzman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922769009 PECOS PAC ID: 4183019730 Enrollment ID: I20231130000248 |
| Provider Name | Poorvi K Desai |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1144614207 PECOS PAC ID: 0244648020 Enrollment ID: I20231201001331 |
| Provider Name | Thomas G Armstrong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861267957 PECOS PAC ID: 5092164384 Enrollment ID: I20231212002518 |
| Provider Name | Brittany Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174211783 PECOS PAC ID: 2860853090 Enrollment ID: I20240105001826 |
| Provider Name | Jasyn Blankenship |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1659810208 PECOS PAC ID: 4082985528 Enrollment ID: I20240126002904 |
| Provider Name | Eric Kutcher |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902209067 PECOS PAC ID: 6901121250 Enrollment ID: I20240206002964 |
| Provider Name | Karen Arthur |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1194099325 PECOS PAC ID: 9739349648 Enrollment ID: I20240213001913 |
| Provider Name | Aaron Maxwell Butler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114581139 PECOS PAC ID: 4183952476 Enrollment ID: I20240213003458 |
| Provider Name | Borislav Mravkov |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1376680660 PECOS PAC ID: 4385711316 Enrollment ID: I20240215000942 |
| Provider Name | Marilyn Alleman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861630246 PECOS PAC ID: 8325197221 Enrollment ID: I20240228004041 |
| Provider Name | Megan Veach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215707112 PECOS PAC ID: 7517306459 Enrollment ID: I20240411003787 |
| Provider Name | Thressa Pemberton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083176424 PECOS PAC ID: 4082943782 Enrollment ID: I20240415003781 |
| Provider Name | Julia Burchett |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679008536 PECOS PAC ID: 5597037713 Enrollment ID: I20240502000564 |
| Provider Name | Holly M Bastian |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1588619043 PECOS PAC ID: 1850436007 Enrollment ID: I20240502002387 |
| Provider Name | Amy Mcgarey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194589077 PECOS PAC ID: 0547600744 Enrollment ID: I20240506001293 |
| Provider Name | Daniel Soroff |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1104806314 PECOS PAC ID: 7810945847 Enrollment ID: I20240521004068 |
Homeplace Clinic Prestonsburg Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 104 S Front Ave, Prestonsburg, KY 41653 Phone: 606-886-8572 Fax: 606-886-4433 | |
Prestonsburg Health Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 113 Regency Park, Prestonsburg, KY 41653 Phone: 606-886-3077 Fax: 606-886-3078 | |
Ayesha M Sikder Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5230 Ky Route 321, Suite # 4, Prestonsburg, KY 41653 Phone: 606-886-8880 Fax: 606-886-8628 | |
Blake R Burchett Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 535 N Lake Dr, Prestonsburg, KY 41653 Phone: 606-886-8466 Fax: 606-886-0250 | |
Highlands Regional Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5000 Ky Route 321, Prestonsburg, KY 41653 Phone: 606-886-7600 Fax: 606-886-2218 | |
Arh Medical And Specialty Associates - Prestonsburg Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4851 Kentucky Highway 321, Prestonsburg, KY 41653 Phone: 606-886-3831 Fax: 606-886-3440 | |
Compassion Adult Medical Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 535 N Lake Dr, Prestonsburg, KY 41653 Phone: 606-886-8466 |