| Lahey Clinic | |
|
41 Mall Rd Lahey Clinic Burlington MA 01805-0001 | |
| (781) 744-8000 | |
| Not Available |
| Full Name | Lahey Clinic |
|---|---|
| Speciality | Internal Medicine |
| Location | 41 Mall Rd, Burlington, Massachusetts |
| Authorized Official Name and Position | David L Longworth (CEO) |
| Authorized Official Contact | 7817448907 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lahey Clinic 41 Mall Rd Burlington MA 01805-0001 Ph: (781) 744-8085 | Lahey Clinic 41 Mall Rd Lahey Clinic Burlington MA 01805-0001 Ph: (781) 744-8000 |
| NPI Number | 1538194980 |
|---|---|
| Provider Enumeration Date | 07/12/2006 |
| Last Update Date | 03/04/2021 |
| Medicare PECOS PAC ID | 2264336528 |
|---|---|
| Medicare Enrollment ID | O20031120000097 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538194980 | NPI | - | NPPES |
| 148770000 | Medicaid | ME | |
| 9729097 | Medicaid | MA | |
| CA5075 | Other | RAILROAD MEDICARE | |
| 9770585 | Medicaid | MA | |
| 0009189 | Medicaid | VT | |
| CK1555 | Other | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 2778 (Massachusetts) | Primary |
| Provider Name | Kathleen M Fischer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477572907 PECOS PAC ID: 0840104535 Enrollment ID: I20031117000777 |
| Provider Name | Steven Nezhad |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1093807323 PECOS PAC ID: 6204740830 Enrollment ID: I20031118000057 |
| Provider Name | Pamela Obrien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225129463 PECOS PAC ID: 1355245945 Enrollment ID: I20031125000361 |
| Provider Name | John Thomas Dooley |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1386625895 PECOS PAC ID: 5597660688 Enrollment ID: I20031203000058 |
| Provider Name | Jessica Guaragna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326055492 PECOS PAC ID: 0042115966 Enrollment ID: I20031204000277 |
| Provider Name | Puay Eng Tan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1235196460 PECOS PAC ID: 8022914514 Enrollment ID: I20031208000213 |
| Provider Name | Kimberly A Markuns |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689632507 PECOS PAC ID: 1254238777 Enrollment ID: I20031215000123 |
| Provider Name | Gina C Kolak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871690958 PECOS PAC ID: 5395642599 Enrollment ID: I20031216000606 |
| Provider Name | Heideh Ahari |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972600419 PECOS PAC ID: 5698672400 Enrollment ID: I20031218000224 |
| Provider Name | Martha Koutsos |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932121985 PECOS PAC ID: 0042117863 Enrollment ID: I20031218000323 |
| Provider Name | Wayne S Saltsman |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1912948761 PECOS PAC ID: 6406758648 Enrollment ID: I20040127000270 |
| Provider Name | Winnie W Ooi |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1174530893 PECOS PAC ID: 2860395670 Enrollment ID: I20040129000549 |
| Provider Name | Inna E. Goldberg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780775403 PECOS PAC ID: 1658274915 Enrollment ID: I20040202000743 |
| Provider Name | Richard H Ma |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013995398 PECOS PAC ID: 0547153611 Enrollment ID: I20040203000820 |
| Provider Name | Linda E Shepard |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487643938 PECOS PAC ID: 1355238874 Enrollment ID: I20040301000576 |
| Provider Name | Subu N Magge |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1497706402 PECOS PAC ID: 2466349915 Enrollment ID: I20040301000754 |
| Provider Name | Timothy Skelton |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1114027257 PECOS PAC ID: 1850281098 Enrollment ID: I20040319000358 |
| Provider Name | Brian Davison |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891767018 PECOS PAC ID: 8022909506 Enrollment ID: I20040323001525 |
| Provider Name | Monica Cotet |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1689609919 PECOS PAC ID: 0648161059 Enrollment ID: I20040324000382 |
| Provider Name | Prem S Shekar |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1760448955 PECOS PAC ID: 0648162453 Enrollment ID: I20040326000732 |
| Provider Name | Audrey Lebourdais |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720184203 PECOS PAC ID: 7911999370 Enrollment ID: I20040402001126 |
| Provider Name | Kristina M Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194875492 PECOS PAC ID: 0749274264 Enrollment ID: I20040408001007 |
| Provider Name | Leslie L Levitan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942211008 PECOS PAC ID: 5395739577 Enrollment ID: I20040412000577 |
| Provider Name | Jay Jahanmir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407837347 PECOS PAC ID: 2163417619 Enrollment ID: I20040415000798 |
| Provider Name | Francois Noutcha Toka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629022850 PECOS PAC ID: 5698761443 Enrollment ID: I20040426000489 |
| Provider Name | Eric Tolo |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1821198466 PECOS PAC ID: 1355338211 Enrollment ID: I20040430000713 |
| Provider Name | Juwen Lin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811969249 PECOS PAC ID: 6507855434 Enrollment ID: I20040507000021 |
| Provider Name | Marisa M Bochman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366495749 PECOS PAC ID: 3870582463 Enrollment ID: I20040510000270 |
| Provider Name | Deepa Jhaveri |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1477549350 PECOS PAC ID: 2769471259 Enrollment ID: I20040510001065 |
| Provider Name | Cherylyn Black |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689697245 PECOS PAC ID: 4981694072 Enrollment ID: I20040512000870 |
| Provider Name | Dawn Anderson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952372088 PECOS PAC ID: 6800886367 Enrollment ID: I20040517000091 |
| Provider Name | Philip Moncreiff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689107609 PECOS PAC ID: 2961493945 Enrollment ID: I20040519000742 |
| Provider Name | Dinamarie C Garcia Banigan |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1871502070 PECOS PAC ID: 4082605936 Enrollment ID: I20040520000413 |
| Provider Name | Anita Uppin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447238241 PECOS PAC ID: 1759372501 Enrollment ID: I20040520000457 |
| Provider Name | Dmitry Elentuck |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336248038 PECOS PAC ID: 7618968470 Enrollment ID: I20040520000502 |
| Provider Name | Carrie A Dodge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851441182 PECOS PAC ID: 1355332156 Enrollment ID: I20040520000832 |
| Provider Name | Adam J Vernadakis |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1134188659 PECOS PAC ID: 4082605811 Enrollment ID: I20040520001063 |
| Provider Name | Edward D. Walshe |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1073688099 PECOS PAC ID: 7911988571 Enrollment ID: I20040528000372 |
| Provider Name | Eric Goldberg |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1245323112 PECOS PAC ID: 2961483482 Enrollment ID: I20040528000955 |
| Provider Name | Sherif B. Labib |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1639275316 PECOS PAC ID: 1850372327 Enrollment ID: I20040528001209 |
| Provider Name | Gary W Cushing |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1578661583 PECOS PAC ID: 6800877242 Enrollment ID: I20040601000325 |
| Provider Name | Nava Dana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366540361 PECOS PAC ID: 9931180395 Enrollment ID: I20040601000446 |
| Provider Name | Albert B. Levin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1306996640 PECOS PAC ID: 7911988381 Enrollment ID: I20040601000534 |
| Provider Name | Diane Mcnamara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861549024 PECOS PAC ID: 9436131430 Enrollment ID: I20040603000649 |
| Provider Name | David A Silver |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1275591786 PECOS PAC ID: 5890770358 Enrollment ID: I20040621000488 |
| Provider Name | Sami H Erbay |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306950290 PECOS PAC ID: 9436134400 Enrollment ID: I20040623000396 |
| Provider Name | Audrey L Hartman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639279607 PECOS PAC ID: 6002891017 Enrollment ID: I20040623000709 |
| Provider Name | Edward A Ryan |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1083613186 PECOS PAC ID: 6507761863 Enrollment ID: I20040623001065 |
| Provider Name | Christoph Wald |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487754370 PECOS PAC ID: 1557346442 Enrollment ID: I20040623001332 |
| Provider Name | Brian John Jolley |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1033274832 PECOS PAC ID: 0143206276 Enrollment ID: I20040628001546 |
| Provider Name | Grace Lee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073613097 PECOS PAC ID: 3971580515 Enrollment ID: I20040701001097 |
| Provider Name | Karen P Orino |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578562674 PECOS PAC ID: 7214914514 Enrollment ID: I20040706000269 |
| Provider Name | Irina V Dubinchik |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1013984152 PECOS PAC ID: 9931187804 Enrollment ID: I20040708001018 |
| Provider Name | David A Shaff |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1063518504 PECOS PAC ID: 1153309547 Enrollment ID: I20040712001072 |
| Provider Name | Sapna Aggarwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710054366 PECOS PAC ID: 3971581133 Enrollment ID: I20040713000821 |
| Provider Name | Gregory R Blaha |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1902998776 PECOS PAC ID: 3072592849 Enrollment ID: I20040715000663 |
| Provider Name | Maryjane O'neill |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043291875 PECOS PAC ID: 8224017801 Enrollment ID: I20040716000815 |
| Provider Name | Mary Hodge |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1447357272 PECOS PAC ID: 8123008273 Enrollment ID: I20040721000375 |
| Provider Name | Jonathan Stuart Silver |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1033153176 PECOS PAC ID: 5799755948 Enrollment ID: I20040727000806 |
| Provider Name | Fina Barouch |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1386628501 PECOS PAC ID: 2769452887 Enrollment ID: I20040727001327 |
| Provider Name | Matthew Tilem |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033202353 PECOS PAC ID: 2567432289 Enrollment ID: I20040729001057 |
| Provider Name | Richard Thomas |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1326115080 PECOS PAC ID: 4385614965 Enrollment ID: I20040729001549 |
| Provider Name | Robert L Dickman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437198421 PECOS PAC ID: 7315917820 Enrollment ID: I20040730000231 |
| Provider Name | Stephanie L Lenzi |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1245339662 PECOS PAC ID: 4587634001 Enrollment ID: I20040730000313 |
| Provider Name | Paul Macdonald |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083716963 PECOS PAC ID: 4981675204 Enrollment ID: I20040802000964 |
| Provider Name | Michael Minor |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1316094410 PECOS PAC ID: 1052382900 Enrollment ID: I20040804000228 |
| Provider Name | Yana V Levin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1942306428 PECOS PAC ID: 3173594959 Enrollment ID: I20040804001236 |
| Provider Name | David M Brams |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1831254515 PECOS PAC ID: 6709858111 Enrollment ID: I20040806000912 |
| Provider Name | Erica L Frank |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487682944 PECOS PAC ID: 3678545613 Enrollment ID: I20040810000679 |
| Provider Name | Richard G Lyons |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154463867 PECOS PAC ID: 9133191182 Enrollment ID: I20040810000765 |
| Provider Name | Tina J Elias Todd |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1841222387 PECOS PAC ID: 6507838596 Enrollment ID: I20040810001084 |
| Provider Name | Wael F Al-husami |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1477549988 PECOS PAC ID: 2163494741 Enrollment ID: I20040812001088 |
| Provider Name | Alis Gabriel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356397137 PECOS PAC ID: 9436122041 Enrollment ID: I20040812001325 |
| Provider Name | John K Durfee |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1528041969 PECOS PAC ID: 9032182563 Enrollment ID: I20040813000664 |
| Provider Name | Grazyna Pomorska |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982620837 PECOS PAC ID: 7012980345 Enrollment ID: I20040816000822 |
| Provider Name | Kameel H Garas |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1700843901 PECOS PAC ID: 0749253912 Enrollment ID: I20040816001221 |
| Provider Name | Darryl D. Esakof |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750376380 PECOS PAC ID: 7214900372 Enrollment ID: I20040817000483 |
| Provider Name | Veronica A Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588744601 PECOS PAC ID: 0345213237 Enrollment ID: I20040818000794 |
| Provider Name | Alyce A Getler |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851456404 PECOS PAC ID: 3072587724 Enrollment ID: I20040819001449 |
| Provider Name | Kalyani Murthy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619044377 PECOS PAC ID: 9436123676 Enrollment ID: I20040823001395 |
| Provider Name | Lawrence Specht |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1093805806 PECOS PAC ID: 2860466877 Enrollment ID: I20040825000364 |
| Provider Name | Christopher Scheirey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285734152 PECOS PAC ID: 8921073602 Enrollment ID: I20040826001052 |
| Provider Name | Maryann E Tremble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851483168 PECOS PAC ID: 1759356942 Enrollment ID: I20040831001112 |
| Provider Name | Mark J Lemos |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1326131129 PECOS PAC ID: 9234105644 Enrollment ID: I20040908000119 |
| Provider Name | Viktoria A Shvets |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164422259 PECOS PAC ID: 3678549888 Enrollment ID: I20040909000124 |
| Provider Name | Akmal Sarwar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1568568368 PECOS PAC ID: 4981671716 Enrollment ID: I20040913000344 |
| Provider Name | Danya Larissa Dinwoodey |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1699805127 PECOS PAC ID: 5991772477 Enrollment ID: I20040914000702 |
| Provider Name | John Hiebert |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1194821660 PECOS PAC ID: 8921075243 Enrollment ID: I20040915000454 |
| Provider Name | Cara J Foss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790750354 PECOS PAC ID: 6103894829 Enrollment ID: I20040921000569 |
| Provider Name | Savita Patil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174528954 PECOS PAC ID: 1759359003 Enrollment ID: I20040923000721 |
| Provider Name | Luis E Ortiz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063447415 PECOS PAC ID: 5395723613 Enrollment ID: I20040928000480 |
| Provider Name | Roger L Jenkins |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518947860 PECOS PAC ID: 8426017716 Enrollment ID: I20041004000198 |
| Provider Name | Veronica N Baptista |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1407827538 PECOS PAC ID: 5991764151 Enrollment ID: I20041005000450 |
| Provider Name | Blair Roberts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316933005 PECOS PAC ID: 8729047709 Enrollment ID: I20041006000046 |
| Provider Name | Bridget J Mello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639192925 PECOS PAC ID: 8325008261 Enrollment ID: I20041014000587 |
| Provider Name | Gouri Datta |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1528054889 PECOS PAC ID: 5395704522 Enrollment ID: I20041018000367 |
| Provider Name | Michelle A Lavery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194872127 PECOS PAC ID: 2961462437 Enrollment ID: I20041019000339 |
| Provider Name | Laurie Woods |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295796886 PECOS PAC ID: 8022079060 Enrollment ID: I20041022000364 |
| Provider Name | James Pomposelli |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457331738 PECOS PAC ID: 8426019035 Enrollment ID: I20041026000549 |
| Provider Name | Daniel A Lombardi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417008806 PECOS PAC ID: 1355303223 Enrollment ID: I20041102000997 |
| Provider Name | Emmanuel C Maduakor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861474744 PECOS PAC ID: 1456313261 Enrollment ID: I20041103000049 |
| Provider Name | Stephen Bertram Schloss |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1588662407 PECOS PAC ID: 3072576685 Enrollment ID: I20041104001073 |
| Provider Name | Anthony W Gray |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1194822841 PECOS PAC ID: 4587627591 Enrollment ID: I20041110000958 |
| Provider Name | Siew K Teoh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740270057 PECOS PAC ID: 6507835642 Enrollment ID: I20041112000516 |
| Provider Name | Hubert A Johnson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1689668477 PECOS PAC ID: 7911962865 Enrollment ID: I20041123001037 |
| Provider Name | Mark P Gilligan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1811922917 PECOS PAC ID: 5698739456 Enrollment ID: I20041201000901 |
| Provider Name | Michael N Singh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1801877931 PECOS PAC ID: 0840256921 Enrollment ID: I20041209000891 |
| Provider Name | Steven M Matloff |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1881707768 PECOS PAC ID: 9739137001 Enrollment ID: I20050104000715 |
| Provider Name | Christopher P Birdsall |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1770511586 PECOS PAC ID: 8820046097 Enrollment ID: I20050105000420 |
| Provider Name | Amy S Mcgaraghan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982675187 PECOS PAC ID: 2163470550 Enrollment ID: I20050112000571 |
| Provider Name | Thomas C Piemonte |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1225134067 PECOS PAC ID: 2365491040 Enrollment ID: I20050120000166 |
| Provider Name | Divakar Mandapati |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1144261942 PECOS PAC ID: 5395715437 Enrollment ID: I20050126000305 |
| Provider Name | Maura A Dwyer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083672174 PECOS PAC ID: 4688624430 Enrollment ID: I20050128000612 |
| Provider Name | Mary Beth Martella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164498408 PECOS PAC ID: 3678525235 Enrollment ID: I20050211000608 |
| Provider Name | Allanah M Bachman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891762498 PECOS PAC ID: 5395797831 Enrollment ID: I20050214000265 |
| Provider Name | George Hayao |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942278445 PECOS PAC ID: 8820041692 Enrollment ID: I20050222000550 |
| Provider Name | Khaled Sorour |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1508823717 PECOS PAC ID: 4284687864 Enrollment ID: I20050223000492 |
| Provider Name | Sujata R Maddineni |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891939062 PECOS PAC ID: 7719937044 Enrollment ID: I20050228000947 |
| Provider Name | Diana M Sinagra |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386753424 PECOS PAC ID: 3274587324 Enrollment ID: I20050310000905 |
| Provider Name | Loretta Givens |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1790767994 PECOS PAC ID: 0749260677 Enrollment ID: I20050317000793 |
| Provider Name | Jennifer E Griffin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366453631 PECOS PAC ID: 4284689662 Enrollment ID: I20050318000104 |
| Provider Name | Ram V Chavali |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558338194 PECOS PAC ID: 8123073285 Enrollment ID: I20050322000433 |
| Provider Name | Sameh A Mesallum |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952360414 PECOS PAC ID: 9830144914 Enrollment ID: I20050322000591 |
| Provider Name | Ronald P Criscitiello |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114027091 PECOS PAC ID: 4183670235 Enrollment ID: I20050322001131 |
| Provider Name | Philip A Thomason |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891740858 PECOS PAC ID: 6406802214 Enrollment ID: I20050324000740 |
| Provider Name | Peter K Speert |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1437240389 PECOS PAC ID: 7911953732 Enrollment ID: I20050324000778 |
| Provider Name | Paul J Hesketh |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1265427181 PECOS PAC ID: 8426004177 Enrollment ID: I20050324001066 |
| Provider Name | Bruce G Hook |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1366533028 PECOS PAC ID: 7214992759 Enrollment ID: I20050325000559 |
| Provider Name | Denis Lin |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1366437584 PECOS PAC ID: 2668376419 Enrollment ID: I20050328000498 |
| Provider Name | Christine E Winger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073616868 PECOS PAC ID: 4284680778 Enrollment ID: I20050328000999 |
| Provider Name | Bartholomew O. Woods |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1487750311 PECOS PAC ID: 3274589692 Enrollment ID: I20050329000251 |
| Provider Name | Malcolm A Creighton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114012499 PECOS PAC ID: 1456307826 Enrollment ID: I20050329000694 |
| Provider Name | Judith Melin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396857009 PECOS PAC ID: 0840246062 Enrollment ID: I20050330000625 |
| Provider Name | Kimball C Atwood |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1861423345 PECOS PAC ID: 6709832934 Enrollment ID: I20050330000680 |
| Provider Name | Daniel J Obrien |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1033144852 PECOS PAC ID: 6002801016 Enrollment ID: I20050331000440 |
| Provider Name | Elizabeth H Page |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1316027519 PECOS PAC ID: 1254388374 Enrollment ID: I20050331001057 |
| Provider Name | Robert J Rokowski |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1144275801 PECOS PAC ID: 2668429663 Enrollment ID: I20050401000434 |
| Provider Name | Cornelius J Oconnor |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1295831766 PECOS PAC ID: 8123075975 Enrollment ID: I20050404000641 |
| Provider Name | Joanne M Lebow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164454682 PECOS PAC ID: 3173570967 Enrollment ID: I20050404000971 |
| Provider Name | Michael Rosenblatt |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1588763098 PECOS PAC ID: 1153378948 Enrollment ID: I20050404000997 |
| Provider Name | Chris P Molgaard |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215035159 PECOS PAC ID: 7113974700 Enrollment ID: I20050406000093 |
| Provider Name | Sarkis H Soukiasian |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1790876092 PECOS PAC ID: 2365499969 Enrollment ID: I20050406000215 |
| Provider Name | Joseph Costagliola |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972507242 PECOS PAC ID: 9335194190 Enrollment ID: I20050406001049 |
| Provider Name | Ilham Deloomy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427156405 PECOS PAC ID: 4587611959 Enrollment ID: I20050407000396 |
| Provider Name | Teresa L Swango |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124183405 PECOS PAC ID: 1951358332 Enrollment ID: I20050407000470 |
| Provider Name | Donald R Chabot |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053422857 PECOS PAC ID: 8527015874 Enrollment ID: I20050407001134 |
| Provider Name | Daniel A Veno |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821038738 PECOS PAC ID: 4284671512 Enrollment ID: I20050408000421 |
| Provider Name | James A Russell |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427143353 PECOS PAC ID: 9739126863 Enrollment ID: I20050411000952 |
| Provider Name | Margaret Scott |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932290020 PECOS PAC ID: 2163469214 Enrollment ID: I20050411001153 |
| Provider Name | Laura P Meyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902905326 PECOS PAC ID: 6901843887 Enrollment ID: I20050412001008 |
| Provider Name | Daniel P Mcquillen |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1356362677 PECOS PAC ID: 6901843424 Enrollment ID: I20050414001314 |
| Provider Name | Maria Ann Rupnick |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518971001 PECOS PAC ID: 1557308079 Enrollment ID: I20050415000033 |
| Provider Name | Mark Itzkowitz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184663270 PECOS PAC ID: 1557309903 Enrollment ID: I20050418000731 |
| Provider Name | Arthur P Rabinowitz |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1043308570 PECOS PAC ID: 4183662554 Enrollment ID: I20050418000916 |
| Provider Name | Pritinder Saini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417933995 PECOS PAC ID: 0749228013 Enrollment ID: I20050419000404 |
| Provider Name | Peter K Dempsey |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1386735330 PECOS PAC ID: 4486692472 Enrollment ID: I20050420000737 |
| Provider Name | David Alexander Neumeyer |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1104926385 PECOS PAC ID: 2860430808 Enrollment ID: I20050420001097 |
| Provider Name | Anthony A Pikus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740364983 PECOS PAC ID: 8729026547 Enrollment ID: I20050421001365 |
| Provider Name | Zachary S Spigelman |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1063470011 PECOS PAC ID: 6406838614 Enrollment ID: I20050421001372 |
| Provider Name | Richard H Lehrer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1194821090 PECOS PAC ID: 6204874795 Enrollment ID: I20050425000842 |
| Provider Name | Lawrence C Weinfeld |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1255437703 PECOS PAC ID: 4284673716 Enrollment ID: I20050425001194 |
| Provider Name | Andrew S Warner |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1447358114 PECOS PAC ID: 1557300969 Enrollment ID: I20050426000606 |
| Provider Name | Gerry Orfanos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205934064 PECOS PAC ID: 7517906969 Enrollment ID: I20050426000967 |
| Provider Name | Raffaele Bruno |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215091905 PECOS PAC ID: 0941249304 Enrollment ID: I20050426001002 |
| Provider Name | Harold J Welch |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1295882207 PECOS PAC ID: 7012956485 Enrollment ID: I20050426001114 |
| Provider Name | Marguerit M Ricciardone |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750487294 PECOS PAC ID: 0446299622 Enrollment ID: I20050427000646 |
| Provider Name | Marissa Baltus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942308796 PECOS PAC ID: 7517906738 Enrollment ID: I20050427001009 |
| Provider Name | Helen M Carter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710916036 PECOS PAC ID: 9133168222 Enrollment ID: I20050428000151 |
| Provider Name | Betsey L. Crawford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629174859 PECOS PAC ID: 3476592304 Enrollment ID: I20050429000029 |
| Provider Name | Sherry T Emery |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1598714883 PECOS PAC ID: 1355380254 Enrollment ID: I20050429000612 |
| Provider Name | Keith E Stuart |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1205867108 PECOS PAC ID: 5890734610 Enrollment ID: I20050429000785 |
| Provider Name | Paul D Teague |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1841396397 PECOS PAC ID: 9032158720 Enrollment ID: I20050502001213 |
| Provider Name | Luan M Nghiem |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1255439386 PECOS PAC ID: 3971542671 Enrollment ID: I20050502001275 |
| Provider Name | Robert A Duncan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1336162635 PECOS PAC ID: 7416996012 Enrollment ID: I20050503000016 |
| Provider Name | Paul R Cotran |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1043302862 PECOS PAC ID: 2961441563 Enrollment ID: I20050503000025 |
| Provider Name | Sidney Alexander |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1508965351 PECOS PAC ID: 9436198090 Enrollment ID: I20050503000529 |
| Provider Name | Paul F Boffetti |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1548208846 PECOS PAC ID: 1951296904 Enrollment ID: I20050503001110 |
| Provider Name | Pierre H Chahraban |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1508851866 PECOS PAC ID: 2264472802 Enrollment ID: I20050503001213 |
| Provider Name | Richard M Wilk |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1598864449 PECOS PAC ID: 6002856598 Enrollment ID: I20050504000362 |
| Provider Name | John A Libertino |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1043367097 PECOS PAC ID: 4486694718 Enrollment ID: I20050505001139 |
| Provider Name | Dmitry Nepomnayshy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891878401 PECOS PAC ID: 8921099946 Enrollment ID: I20050506000095 |
| Provider Name | Farouk A Pirzada |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518949296 PECOS PAC ID: 0840230967 Enrollment ID: I20050509000606 |
| Provider Name | Guy Thomas Napolitana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609974492 PECOS PAC ID: 4981644929 Enrollment ID: I20050509000861 |
| Provider Name | Andrea L Seek |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982627139 PECOS PAC ID: 2567402431 Enrollment ID: I20050510000750 |
| Provider Name | Judith B Feldman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356449193 PECOS PAC ID: 9931140308 Enrollment ID: I20050516000770 |
| Provider Name | Elizabeth Marie Breen |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1649221458 PECOS PAC ID: 1355382771 Enrollment ID: I20050517000070 |
| Provider Name | Ruth Ross Mccormack |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295835833 PECOS PAC ID: 0749221174 Enrollment ID: I20050517000131 |
| Provider Name | Maurizio Diaco |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1912098013 PECOS PAC ID: 2466493234 Enrollment ID: I20050523000165 |
| Provider Name | Richard S Dagostino |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1902995897 PECOS PAC ID: 4183666886 Enrollment ID: I20050524000053 |
| Provider Name | Ayca D Ozel |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1730212895 PECOS PAC ID: 3476595133 Enrollment ID: I20050524000500 |
| Provider Name | Helen D Tramposch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871691865 PECOS PAC ID: 9335181528 Enrollment ID: I20050527000242 |
| Provider Name | Lance A Larsen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1144240789 PECOS PAC ID: 7810939790 Enrollment ID: I20050601000953 |
| Provider Name | Thomas P Russo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1730285271 PECOS PAC ID: 8527001254 Enrollment ID: I20050603000715 |
| Provider Name | Mariellen T Rodman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912996513 PECOS PAC ID: 7911940663 Enrollment ID: I20050603000869 |
| Provider Name | Kevin B Raftery |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1548325046 PECOS PAC ID: 3476596982 Enrollment ID: I20050606000995 |
| Provider Name | David L Burns |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1881791820 PECOS PAC ID: 9739122730 Enrollment ID: I20050609000656 |
| Provider Name | Stephen C Fabry |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1891893178 PECOS PAC ID: 8022051036 Enrollment ID: I20050609000735 |
| Provider Name | Matthew Axelrod |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1932385002 PECOS PAC ID: 3375586316 Enrollment ID: I20050609000930 |
| Provider Name | Paula M Kinnunen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1487750386 PECOS PAC ID: 3678517364 Enrollment ID: I20050614000509 |
| Provider Name | Barbara A Hum |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699709618 PECOS PAC ID: 6709820376 Enrollment ID: I20050614001223 |
| Provider Name | Julie L. Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568455350 PECOS PAC ID: 7618911074 Enrollment ID: I20050616000152 |
| Provider Name | Smita K Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619913894 PECOS PAC ID: 4183668932 Enrollment ID: I20050616000182 |
| Provider Name | Eleana M Rogan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124211719 PECOS PAC ID: 0941245856 Enrollment ID: I20050622000175 |
| Provider Name | In S Choi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417012360 PECOS PAC ID: 9436194149 Enrollment ID: I20050623000112 |
| Provider Name | Monica S Dube |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417058801 PECOS PAC ID: 2062457427 Enrollment ID: I20050627000144 |
| Provider Name | Ghulam Chaudhry |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1932196938 PECOS PAC ID: 2961447289 Enrollment ID: I20050627000726 |
| Provider Name | Nancy Cibotti Granof |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336120815 PECOS PAC ID: 8527004746 Enrollment ID: I20050628001069 |
| Provider Name | Tracey L Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548274087 PECOS PAC ID: 4688610819 Enrollment ID: I20050628001172 |
| Provider Name | Lisa M. Krikorian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093865396 PECOS PAC ID: 9436195526 Enrollment ID: I20050629000236 |
| Provider Name | Calvin Brown |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235129461 PECOS PAC ID: 4688610769 Enrollment ID: I20050629000331 |
| Provider Name | Charles M Wicks |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295827327 PECOS PAC ID: 6305882283 Enrollment ID: I20050630000537 |
| Provider Name | Kenneth L Zinn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700890241 PECOS PAC ID: 4183660079 Enrollment ID: I20050630000584 |
| Provider Name | Suzanne M Cappella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699867259 PECOS PAC ID: 7113963026 Enrollment ID: I20050630000754 |
| Provider Name | Sharon B Richard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821148479 PECOS PAC ID: 4880630656 Enrollment ID: I20050701000152 |
| Provider Name | Alexander S Brough |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396752424 PECOS PAC ID: 2668418476 Enrollment ID: I20050701000486 |
| Provider Name | Fredric D Gordon |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1891892691 PECOS PAC ID: 7113963554 Enrollment ID: I20050707000307 |
| Provider Name | Elizabeth H Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386750214 PECOS PAC ID: 9133165517 Enrollment ID: I20050707000571 |
| Provider Name | Mary Lee Mattei |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235105792 PECOS PAC ID: 5799711099 Enrollment ID: I20050708000467 |
| Provider Name | Atoussa Goldar-najafi |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1558424655 PECOS PAC ID: 1355377391 Enrollment ID: I20050712000415 |
| Provider Name | Michael K Tibbles |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801878699 PECOS PAC ID: 2668408527 Enrollment ID: I20050712000661 |
| Provider Name | Lisl Warren |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336106533 PECOS PAC ID: 1355377284 Enrollment ID: I20050712001191 |
| Provider Name | Joseph E Kelleher |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1235224353 PECOS PAC ID: 2567498025 Enrollment ID: I20050715000336 |
| Provider Name | Davor B Kvaternik |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1548255342 PECOS PAC ID: 1557304169 Enrollment ID: I20050715000454 |
| Provider Name | Lori J Leblanc |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487745071 PECOS PAC ID: 8527094002 Enrollment ID: I20050715000607 |
| Provider Name | Shakeeb Yunus |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1801883673 PECOS PAC ID: 5496782773 Enrollment ID: I20050719000239 |
| Provider Name | Kenneth M Gabriel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1184720641 PECOS PAC ID: 8123055753 Enrollment ID: I20050725001224 |
| Provider Name | Anthony Straceski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891780607 PECOS PAC ID: 6002859618 Enrollment ID: I20050726000388 |
| Provider Name | Mario S Grasso |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1174639025 PECOS PAC ID: 0749218006 Enrollment ID: I20050728001075 |
| Provider Name | Anthony C Campagna |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1124128988 PECOS PAC ID: 1658309596 Enrollment ID: I20050801001027 |
| Provider Name | Sandra G Benson |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1437173473 PECOS PAC ID: 0749218428 Enrollment ID: I20050803000302 |
| Provider Name | Robert W Dolan |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1992801195 PECOS PAC ID: 0345278982 Enrollment ID: I20050803000887 |
| Provider Name | Amir A. Qamar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1629054820 PECOS PAC ID: 4486684180 Enrollment ID: I20050812000463 |
| Provider Name | Patrick M Donohue |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235184342 PECOS PAC ID: 5698759736 Enrollment ID: I20050812000814 |
| Provider Name | Jacob Kim |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710993324 PECOS PAC ID: 9335179829 Enrollment ID: I20050815000649 |
| Provider Name | Elias F Massoud |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396732608 PECOS PAC ID: 1658303359 Enrollment ID: I20050901000844 |
| Provider Name | Desmond H Birkett |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467514166 PECOS PAC ID: 8729010186 Enrollment ID: I20050907000141 |
| Provider Name | Gregory R Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427045632 PECOS PAC ID: 8527090547 Enrollment ID: I20050909000705 |
| Provider Name | Richard H Blair |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225075914 PECOS PAC ID: 1951334184 Enrollment ID: I20050916000840 |
| Provider Name | Brian J Maxfield |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538106547 PECOS PAC ID: 8224061494 Enrollment ID: I20050917000043 |
| Provider Name | Lisa G Serra |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1053475509 PECOS PAC ID: 8325033996 Enrollment ID: I20050921000238 |
| Provider Name | Alain Pollak |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467552398 PECOS PAC ID: 2769416452 Enrollment ID: I20050922000175 |
| Provider Name | Francis J Scholz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508966482 PECOS PAC ID: 3971537689 Enrollment ID: I20050922000325 |
| Provider Name | Andrew G Villanueva |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679670244 PECOS PAC ID: 8426082751 Enrollment ID: I20050926000407 |
| Provider Name | Monika Pilichowska-roehling |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1790899698 PECOS PAC ID: 0446284608 Enrollment ID: I20050927000264 |
| Provider Name | Kimberly Holroyd |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730102096 PECOS PAC ID: 3274568282 Enrollment ID: I20050928001058 |
| Provider Name | Valena J Wright |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144387432 PECOS PAC ID: 6002868692 Enrollment ID: I20051003000838 |
| Provider Name | Tammam M Farhat |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1285680983 PECOS PAC ID: 5597720789 Enrollment ID: I20051006000790 |
| Provider Name | Arun Mukherjee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205817806 PECOS PAC ID: 4880619048 Enrollment ID: I20051007000116 |
| Provider Name | Essam Ansari |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1992812572 PECOS PAC ID: 6901821362 Enrollment ID: I20051014000042 |
| Provider Name | Timothy P Mcgrath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134274251 PECOS PAC ID: 7517983919 Enrollment ID: I20051014000495 |
| Provider Name | Barbara E Frame |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790706133 PECOS PAC ID: 5698791945 Enrollment ID: I20051017000687 |
| Provider Name | Erin Malone |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093812828 PECOS PAC ID: 9436175544 Enrollment ID: I20051018001042 |
| Provider Name | Timothy R Wu |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1598855223 PECOS PAC ID: 0941226526 Enrollment ID: I20051022000187 |
| Provider Name | David C Dobson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295833804 PECOS PAC ID: 6901823491 Enrollment ID: I20051024000947 |
| Provider Name | Mary E Nolen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073693867 PECOS PAC ID: 3577581974 Enrollment ID: I20051103001077 |
| Provider Name | Paul M Smiley |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1417057043 PECOS PAC ID: 7214955566 Enrollment ID: I20051105000139 |
| Provider Name | Artur Zembowicz |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1285610014 PECOS PAC ID: 9931127883 Enrollment ID: I20051109000346 |
| Provider Name | Corrine Zarwan |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1790724409 PECOS PAC ID: 4183643786 Enrollment ID: I20051114000159 |
| Provider Name | Henri Balaguera |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922069020 PECOS PAC ID: 9335168798 Enrollment ID: I20051115000319 |
| Provider Name | Martin S Maron |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1225146905 PECOS PAC ID: 7315964558 Enrollment ID: I20051115000395 |
| Provider Name | Avignat S Patel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1124133921 PECOS PAC ID: 7517986318 Enrollment ID: I20051121000848 |
| Provider Name | Susan M Hurley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689634800 PECOS PAC ID: 1557381027 Enrollment ID: I20051129000574 |
| Provider Name | Nancy A Todd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457415028 PECOS PAC ID: 8123048451 Enrollment ID: I20051201000736 |
| Provider Name | Hande H Tuncer |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1265446603 PECOS PAC ID: 8628098951 Enrollment ID: I20051201000788 |
| Provider Name | Lori B. Sheehan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1134143597 PECOS PAC ID: 5294705786 Enrollment ID: I20051207000526 |
| Provider Name | Lisa S Zaeder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861583320 PECOS PAC ID: 4981625753 Enrollment ID: I20051208000760 |
| Provider Name | Nancy G Funaro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871528414 PECOS PAC ID: 0648291104 Enrollment ID: I20051212000714 |
| Provider Name | Victor M Pinto-plata |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1134114085 PECOS PAC ID: 0547281933 Enrollment ID: I20051213000625 |
| Provider Name | Karen E Wiberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992751192 PECOS PAC ID: 8022039379 Enrollment ID: I20051214000378 |
| Provider Name | Ann Marie Joyce |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1447248042 PECOS PAC ID: 9830173665 Enrollment ID: I20051219000005 |
| Provider Name | Timothy N Liesching |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1730136433 PECOS PAC ID: 3870514805 Enrollment ID: I20051219000007 |
| Provider Name | Bruce S Tronic |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1417967761 PECOS PAC ID: 5092738054 Enrollment ID: I20060105000573 |
| Provider Name | Caitlin E Macaulay |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437256492 PECOS PAC ID: 3779540653 Enrollment ID: I20060117000678 |
| Provider Name | Kristin J. Benting |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194818047 PECOS PAC ID: 0446274518 Enrollment ID: I20060117000814 |
| Provider Name | Shirley A Gove Vlahos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306944038 PECOS PAC ID: 7214951037 Enrollment ID: I20060119000752 |
| Provider Name | Rachel M Richards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629143532 PECOS PAC ID: 1850315474 Enrollment ID: I20060123000646 |
| Provider Name | Gail C Spellman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386742138 PECOS PAC ID: 7214951672 Enrollment ID: I20060124000852 |
| Provider Name | Kristen M Bilodeau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194861419 PECOS PAC ID: 6002820933 Enrollment ID: I20060131000482 |
| Provider Name | Sharon C Katz |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1144311226 PECOS PAC ID: 9436164720 Enrollment ID: I20060207000941 |
| Provider Name | Shiyoung Roh |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1871684795 PECOS PAC ID: 0244245496 Enrollment ID: I20060209000456 |
| Provider Name | William L Tanzer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1649379082 PECOS PAC ID: 1951316108 Enrollment ID: I20060209000479 |
| Provider Name | Ewan M Cameron |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1053417592 PECOS PAC ID: 5890701833 Enrollment ID: I20060228000289 |
| Provider Name | Nichole A Dacosta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821195611 PECOS PAC ID: 1254348758 Enrollment ID: I20060308000340 |
| Provider Name | Audrey L Long |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1194821678 PECOS PAC ID: 9133136161 Enrollment ID: I20060315000468 |
| Provider Name | Krista J Klopfenstein |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689642423 PECOS PAC ID: 5193732816 Enrollment ID: I20060321000222 |
| Provider Name | Christopher T Pyne |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1275569972 PECOS PAC ID: 0840206918 Enrollment ID: I20060330000155 |
| Provider Name | Steven L Schwartz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609805605 PECOS PAC ID: 5799707279 Enrollment ID: I20060330000640 |
| Provider Name | Steve G Massaquoi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1811934813 PECOS PAC ID: 9436168143 Enrollment ID: I20060407000188 |
| Provider Name | Eric J Burks |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1225000623 PECOS PAC ID: 1557370970 Enrollment ID: I20060413000063 |
| Provider Name | Karen L Reuter |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679673537 PECOS PAC ID: 9537179429 Enrollment ID: I20060421000014 |
| Provider Name | Paul T Gross |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063510048 PECOS PAC ID: 2769492313 Enrollment ID: I20060427000292 |
| Provider Name | Janet W Zani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467460659 PECOS PAC ID: 8123038353 Enrollment ID: I20060502000511 |
| Provider Name | Adam M Segal |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1164480810 PECOS PAC ID: 6406869437 Enrollment ID: I20060717000137 |
| Provider Name | Taranga Ghosh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639137136 PECOS PAC ID: 0749293421 Enrollment ID: I20060725000116 |
| Provider Name | Arthur P Mourtzinos |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1649238577 PECOS PAC ID: 6901822592 Enrollment ID: I20060727000139 |
| Provider Name | Lawrence M Franowicz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1477527919 PECOS PAC ID: 0345277117 Enrollment ID: I20060727000333 |
| Provider Name | Andrew Popelka |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669403523 PECOS PAC ID: 2264445774 Enrollment ID: I20060731000433 |
| Provider Name | Michael D Kaufman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1891785150 PECOS PAC ID: 8325051733 Enrollment ID: I20060731000460 |
| Provider Name | Jason F Hall |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1912987413 PECOS PAC ID: 4486667847 Enrollment ID: I20060801000332 |
| Provider Name | David Huei-liang Tsai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386673713 PECOS PAC ID: 7416960778 Enrollment ID: I20060803000340 |
| Provider Name | Shaolay X Jiang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588699516 PECOS PAC ID: 7315940442 Enrollment ID: I20060810000344 |
| Provider Name | Emily R Gorman-melo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285654996 PECOS PAC ID: 4981669983 Enrollment ID: I20060822000507 |
| Provider Name | Julie R Leegwater Kim |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093761587 PECOS PAC ID: 9638172182 Enrollment ID: I20060823000084 |
| Provider Name | Bridgette L Jonas |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427061779 PECOS PAC ID: 0143223693 Enrollment ID: I20060823000118 |
| Provider Name | Mohender Singh Maan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053379008 PECOS PAC ID: 8325042542 Enrollment ID: I20060831000056 |
| Provider Name | Kenneth M Wener |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1801843131 PECOS PAC ID: 6507860434 Enrollment ID: I20060908000045 |
| Provider Name | William A Bohnert |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1942264809 PECOS PAC ID: 7810991650 Enrollment ID: I20060908000211 |
| Provider Name | Maher K Tabba |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1700812310 PECOS PAC ID: 1355345109 Enrollment ID: I20060908000319 |
| Provider Name | Sandra Ann Mcmath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669414561 PECOS PAC ID: 4486658069 Enrollment ID: I20060913000343 |
| Provider Name | Lee Gazourian |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1598774291 PECOS PAC ID: 1254336043 Enrollment ID: I20060929000344 |
| Provider Name | Rositsa D Petrova |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497793954 PECOS PAC ID: 9739184482 Enrollment ID: I20061002000307 |
| Provider Name | Marla L Rosenfield-darling |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548288095 PECOS PAC ID: 9032114707 Enrollment ID: I20061002000497 |
| Provider Name | Reem I Shafeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487689717 PECOS PAC ID: 2264437896 Enrollment ID: I20061003000421 |
| Provider Name | Tina M Scarlata |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699789776 PECOS PAC ID: 5395741227 Enrollment ID: I20061016000533 |
| Provider Name | Andres J Solorza |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164478368 PECOS PAC ID: 7719984145 Enrollment ID: I20061027000363 |
| Provider Name | Tamar Michelle Finan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508972449 PECOS PAC ID: 7517924699 Enrollment ID: I20061031000514 |
| Provider Name | Praveen K Ponnamreddy |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1295752160 PECOS PAC ID: 8426055575 Enrollment ID: I20061102000133 |
| Provider Name | Lifei Guo |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1275573297 PECOS PAC ID: 3870591365 Enrollment ID: I20061116000373 |
| Provider Name | Yevgeniy Arshanskiy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649225046 PECOS PAC ID: 3072511591 Enrollment ID: I20061117000075 |
| Provider Name | Martha Powers Dimilla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831284199 PECOS PAC ID: 0345248571 Enrollment ID: I20061121000659 |
| Provider Name | Carolyn R Chungu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922027499 PECOS PAC ID: 6800894056 Enrollment ID: I20061122000067 |
| Provider Name | Leslie J Rigali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609860857 PECOS PAC ID: 7214936053 Enrollment ID: I20061205000557 |
| Provider Name | Khalid F Yacoub |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235117896 PECOS PAC ID: 0143220152 Enrollment ID: I20061221000410 |
| Provider Name | Daryl J Battin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225045073 PECOS PAC ID: 3678573656 Enrollment ID: I20061226000112 |
| Provider Name | Lukas R Kolm |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548207558 PECOS PAC ID: 8022087097 Enrollment ID: I20070115000044 |
| Provider Name | David B Melzack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447325139 PECOS PAC ID: 0749280816 Enrollment ID: I20070115000143 |
| Provider Name | Noah Finkel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831133008 PECOS PAC ID: 4183625296 Enrollment ID: I20070116000232 |
| Provider Name | Victoria R Garcia Albea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770632036 PECOS PAC ID: 6507867264 Enrollment ID: I20070123000381 |
| Provider Name | Karen A Ganz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851464093 PECOS PAC ID: 7810998267 Enrollment ID: I20070126000572 |
| Provider Name | Andrea Kopasz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770698573 PECOS PAC ID: 7214939404 Enrollment ID: I20070131000482 |
| Provider Name | Jeffrey O Clayman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477509206 PECOS PAC ID: 0749282739 Enrollment ID: I20070205000083 |
| Provider Name | Caroline E Snooks |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790879203 PECOS PAC ID: 7719989474 Enrollment ID: I20070208000385 |
| Provider Name | Don F Mcneel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609860394 PECOS PAC ID: 2769405711 Enrollment ID: I20070215000083 |
| Provider Name | Heather A Renick Miller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417094350 PECOS PAC ID: 2860494184 Enrollment ID: I20070215000151 |
| Provider Name | Marybeth Singh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134271588 PECOS PAC ID: 2264534304 Enrollment ID: I20070221000106 |
| Provider Name | Richard A Wold |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588757108 PECOS PAC ID: 6901909688 Enrollment ID: I20070319000168 |
| Provider Name | Bernard M Bettencourt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790743532 PECOS PAC ID: 0244226611 Enrollment ID: I20070414000078 |
| Provider Name | Julie A Ouellette |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023117041 PECOS PAC ID: 5890891550 Enrollment ID: I20070426000509 |
| Provider Name | Stacey R Kohler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104987155 PECOS PAC ID: 9032215298 Enrollment ID: I20070503000631 |
| Provider Name | Oana Lungu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295820876 PECOS PAC ID: 8628175031 Enrollment ID: I20070521000013 |
| Provider Name | Jennifer L Ricciardi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043226186 PECOS PAC ID: 3678670965 Enrollment ID: I20070522000088 |
| Provider Name | Walter J Grabowski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518061043 PECOS PAC ID: 9032215835 Enrollment ID: I20070615000092 |
| Provider Name | Juan E Small |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467528950 PECOS PAC ID: 8022117969 Enrollment ID: I20070619000176 |
| Provider Name | Jeremy Loyd |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235359035 PECOS PAC ID: 3971602582 Enrollment ID: I20070622000295 |
| Provider Name | Fares G Mouchantaf |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1255476198 PECOS PAC ID: 0143320549 Enrollment ID: I20070714000018 |
| Provider Name | Thanh Nguyen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922162221 PECOS PAC ID: 4183725179 Enrollment ID: I20070720000236 |
| Provider Name | Laura T Safar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932155660 PECOS PAC ID: 5698876258 Enrollment ID: I20070726000223 |
| Provider Name | Stefan Kim |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1952500191 PECOS PAC ID: 0345331435 Enrollment ID: I20070803000065 |
| Provider Name | Caroline Bevona |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1245225044 PECOS PAC ID: 8022109115 Enrollment ID: I20070803000107 |
| Provider Name | Cathleen M Kim |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699731059 PECOS PAC ID: 4183664287 Enrollment ID: I20070806000067 |
| Provider Name | Louis Liou |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1346212404 PECOS PAC ID: 5799671467 Enrollment ID: I20070822001210 |
| Provider Name | Jeffrey T Klenz |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1376527630 PECOS PAC ID: 8022100908 Enrollment ID: I20070823000142 |
| Provider Name | Andrew J Marcantonio |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1154511293 PECOS PAC ID: 7618069501 Enrollment ID: I20070823000298 |
| Provider Name | Heather L Elias |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1023208162 PECOS PAC ID: 8527150325 Enrollment ID: I20070824000379 |
| Provider Name | Meghan Mcgrath |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689883134 PECOS PAC ID: 9638261241 Enrollment ID: I20070827000547 |
| Provider Name | Margaret J Lobo |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1427248566 PECOS PAC ID: 9638261233 Enrollment ID: I20070828000436 |
| Provider Name | Margaret R Seaver |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1740213735 PECOS PAC ID: 3072606466 Enrollment ID: I20070830000199 |
| Provider Name | Mohamed Elhassan Akoad |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295751949 PECOS PAC ID: 5294831723 Enrollment ID: I20070830000222 |
| Provider Name | Ram Anand Narasimhan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1952460206 PECOS PAC ID: 5395838569 Enrollment ID: I20070904000373 |
| Provider Name | Ann M Pianka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720294820 PECOS PAC ID: 7012000284 Enrollment ID: I20070904000387 |
| Provider Name | Carolyn M Collins |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598987968 PECOS PAC ID: 8628161791 Enrollment ID: I20070905000549 |
| Provider Name | Angela M Restrepo |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1033166780 PECOS PAC ID: 6204929326 Enrollment ID: I20070906000233 |
| Provider Name | Alireza Moinzadeh |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1174535918 PECOS PAC ID: 1153301080 Enrollment ID: I20070914000538 |
| Provider Name | Martin Ruzek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265411268 PECOS PAC ID: 6406940816 Enrollment ID: I20070917000188 |
| Provider Name | Gretchen A Gignac |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1821288960 PECOS PAC ID: 3779677968 Enrollment ID: I20070919000312 |
| Provider Name | Adriano Piris |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1831293703 PECOS PAC ID: 0941394092 Enrollment ID: I20070919000880 |
| Provider Name | Charlene M Weigel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912115387 PECOS PAC ID: 9133213044 Enrollment ID: I20070924000199 |
| Provider Name | Francis Nugent |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1033106695 PECOS PAC ID: 6901797885 Enrollment ID: I20071001000523 |
| Provider Name | Christopher C Robinson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1427266584 PECOS PAC ID: 7315032653 Enrollment ID: I20071002000659 |
| Provider Name | John M. O Loughlin |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1477648582 PECOS PAC ID: 2163517301 Enrollment ID: I20071002000730 |
| Provider Name | Lars E Reinhold |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578754578 PECOS PAC ID: 5698860419 Enrollment ID: I20071009000051 |
| Provider Name | Eric J Mahoney |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1568681328 PECOS PAC ID: 6002902400 Enrollment ID: I20071017000181 |
| Provider Name | Dilip Nataraj |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1881676096 PECOS PAC ID: 8123114543 Enrollment ID: I20071017000338 |
| Provider Name | Lori A Petersen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407906704 PECOS PAC ID: 8325135148 Enrollment ID: I20071025000675 |
| Provider Name | Peter H Lee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205846151 PECOS PAC ID: 7719074574 Enrollment ID: I20071026000346 |
| Provider Name | Mark E Bracken |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457325532 PECOS PAC ID: 1456448034 Enrollment ID: I20071029000569 |
| Provider Name | Shobha A Chacko |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912193285 PECOS PAC ID: 5698862282 Enrollment ID: I20071029000693 |
| Provider Name | Dawn M Otoole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568654598 PECOS PAC ID: 2163519588 Enrollment ID: I20071101000568 |
| Provider Name | Paul Dennis Jondro |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083818348 PECOS PAC ID: 9830286905 Enrollment ID: I20071106000641 |
| Provider Name | Sheida Sharifi |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1639133499 PECOS PAC ID: 3375631369 Enrollment ID: I20071108000211 |
| Provider Name | Jennifer L Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205022100 PECOS PAC ID: 7113015603 Enrollment ID: I20071116000333 |
| Provider Name | Nora M Laver |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1871601526 PECOS PAC ID: 7214025659 Enrollment ID: I20071119000055 |
| Provider Name | Stephanie C Rondeau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184813214 PECOS PAC ID: 0446348726 Enrollment ID: I20071120000535 |
| Provider Name | Colleen P Ergin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043499304 PECOS PAC ID: 9133217359 Enrollment ID: I20071121000197 |
| Provider Name | Christopher Kareores |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295795433 PECOS PAC ID: 7719075837 Enrollment ID: I20071126000532 |
| Provider Name | Tracy L Cagnina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265624233 PECOS PAC ID: 2062500135 Enrollment ID: I20071127000232 |
| Provider Name | Christopher G Tretter |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1083648133 PECOS PAC ID: 9739074048 Enrollment ID: I20071205000128 |
| Provider Name | Rajanigandha Dhokarh |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1144417130 PECOS PAC ID: 9335239409 Enrollment ID: I20071213000538 |
| Provider Name | Annie L Parker |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1144204066 PECOS PAC ID: 3072603729 Enrollment ID: I20071218000252 |
| Provider Name | Ellen J Dutta |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1588693139 PECOS PAC ID: 0648294686 Enrollment ID: I20080104000508 |
| Provider Name | Alpana Sinha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740485929 PECOS PAC ID: 1153404306 Enrollment ID: I20080211000487 |
| Provider Name | Jennifer M Collins |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1689787863 PECOS PAC ID: 0941277024 Enrollment ID: I20080226000172 |
| Provider Name | Sunil K Sarin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275591927 PECOS PAC ID: 1850475161 Enrollment ID: I20080226000285 |
| Provider Name | Aldo L Damiani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740299668 PECOS PAC ID: 9436185709 Enrollment ID: I20080226000497 |
| Provider Name | Madhavi Challagulla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023132800 PECOS PAC ID: 5890879134 Enrollment ID: I20080226000508 |
| Provider Name | Rajendran Vilvendhan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306053921 PECOS PAC ID: 8224112297 Enrollment ID: I20080229000015 |
| Provider Name | Marcia C.t Chatfield |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316048739 PECOS PAC ID: 1254315385 Enrollment ID: I20080229000381 |
| Provider Name | Daniel F Cohen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629190491 PECOS PAC ID: 6103901699 Enrollment ID: I20080307000325 |
| Provider Name | Meher A Ahmed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669661823 PECOS PAC ID: 5092891184 Enrollment ID: I20080331000144 |
| Provider Name | Chandra S Joshi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1346225877 PECOS PAC ID: 0244317204 Enrollment ID: I20080402000113 |
| Provider Name | Jessica A Flynn |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1235201435 PECOS PAC ID: 0042397333 Enrollment ID: I20080410000723 |
| Provider Name | Larry A Nathanson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740220276 PECOS PAC ID: 6103904073 Enrollment ID: I20080417000055 |
| Provider Name | Louis A. Giorgio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376533497 PECOS PAC ID: 0648358408 Enrollment ID: I20080418000213 |
| Provider Name | Manuel J Merino |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1205836582 PECOS PAC ID: 4981782539 Enrollment ID: I20080422000665 |
| Provider Name | Sohail K Mahboobi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1861535262 PECOS PAC ID: 1052490752 Enrollment ID: I20080507000056 |
| Provider Name | Beth A Bouthot |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1275600926 PECOS PAC ID: 7214016922 Enrollment ID: I20080507000083 |
| Provider Name | Tarun Kewalramani |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1538130570 PECOS PAC ID: 7012096431 Enrollment ID: I20080509000186 |
| Provider Name | Carrie G Cannon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346442936 PECOS PAC ID: 8426137720 Enrollment ID: I20080512000011 |
| Provider Name | Jonathan M Metcalf |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134142326 PECOS PAC ID: 4688743792 Enrollment ID: I20080515000331 |
| Provider Name | Aarti Kalra |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1730113499 PECOS PAC ID: 4880763929 Enrollment ID: I20080515000570 |
| Provider Name | Michael K Chung |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538107859 PECOS PAC ID: 2668541657 Enrollment ID: I20080516000304 |
| Provider Name | Maria Ratchkova |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164692943 PECOS PAC ID: 1951470566 Enrollment ID: I20080522000450 |
| Provider Name | Alexander Doumas |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1770619363 PECOS PAC ID: 7012087067 Enrollment ID: I20080602000896 |
| Provider Name | Kathleen G. Oleary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720250764 PECOS PAC ID: 4981774908 Enrollment ID: I20080603000540 |
| Provider Name | Jonathan Norman Adler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609851500 PECOS PAC ID: 2365512308 Enrollment ID: I20080603000720 |
| Provider Name | Dana L Penney |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649377631 PECOS PAC ID: 2567532195 Enrollment ID: I20080609000252 |
| Provider Name | Mara M Kunst |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952579393 PECOS PAC ID: 1850462276 Enrollment ID: I20080612000450 |
| Provider Name | Susan R Wilcox |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1679778104 PECOS PAC ID: 5890866040 Enrollment ID: I20080617000118 |
| Provider Name | Thomas M Ruenger |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1982695664 PECOS PAC ID: 0446321103 Enrollment ID: I20080624000403 |
| Provider Name | Marten H Wolckenhaar |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881651099 PECOS PAC ID: 2769554047 Enrollment ID: I20080701000492 |
| Provider Name | John H Romanow |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1295831626 PECOS PAC ID: 0042310708 Enrollment ID: I20080707000416 |
| Provider Name | Amy K. Chi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1528048261 PECOS PAC ID: 5991774382 Enrollment ID: I20080709000245 |
| Provider Name | David M Brabeck |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861661183 PECOS PAC ID: 5395818587 Enrollment ID: I20080722000083 |
| Provider Name | Joseph E Dubin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003090143 PECOS PAC ID: 1951475607 Enrollment ID: I20080730000150 |
| Provider Name | Jesse M Rideout |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548445281 PECOS PAC ID: 7214001817 Enrollment ID: I20080730000709 |
| Provider Name | Katherine Morse |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578735494 PECOS PAC ID: 7719051226 Enrollment ID: I20080801000056 |
| Provider Name | Gautam P Chhajed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326233727 PECOS PAC ID: 8022182542 Enrollment ID: I20080801000110 |
| Provider Name | Monica G Ghoshhajra |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1568632438 PECOS PAC ID: 6507930781 Enrollment ID: I20080806000357 |
| Provider Name | Erin Kathleen O Brien Donohue |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689770158 PECOS PAC ID: 5698746576 Enrollment ID: I20080807000537 |
| Provider Name | Randall Pellish |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1962629105 PECOS PAC ID: 2163596172 Enrollment ID: I20080808000075 |
| Provider Name | Janice M Patel |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1427238955 PECOS PAC ID: 6507930492 Enrollment ID: I20080812000054 |
| Provider Name | Yuhong Gong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619076833 PECOS PAC ID: 7315012234 Enrollment ID: I20080812000490 |
| Provider Name | Kevin F Dunbar |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497924716 PECOS PAC ID: 2163597030 Enrollment ID: I20080813000103 |
| Provider Name | James P Spinelli |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1306061874 PECOS PAC ID: 8729153952 Enrollment ID: I20080821000524 |
| Provider Name | David Canes |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1841246576 PECOS PAC ID: 4587763867 Enrollment ID: I20080821000573 |
| Provider Name | Patrick L Bessette |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1194816447 PECOS PAC ID: 5890860837 Enrollment ID: I20080826000480 |
| Provider Name | Anna I Livson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902845993 PECOS PAC ID: 9739255597 Enrollment ID: I20080903000259 |
| Provider Name | Rahul Kakkar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255545604 PECOS PAC ID: 4688740129 Enrollment ID: I20080905000548 |
| Provider Name | R Kirk Bohigian |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1194822445 PECOS PAC ID: 3971679234 Enrollment ID: I20080910000373 |
| Provider Name | John Wei |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1144329228 PECOS PAC ID: 2668548975 Enrollment ID: I20080911000171 |
| Provider Name | Denise A. Hache |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1952566705 PECOS PAC ID: 4385711399 Enrollment ID: I20080917000195 |
| Provider Name | Andrew Kowal |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1679679153 PECOS PAC ID: 1153498167 Enrollment ID: I20080917000235 |
| Provider Name | Ann Kent Gasiorowski |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831280353 PECOS PAC ID: 2769559798 Enrollment ID: I20080917000389 |
| Provider Name | Daniel R Gross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346317799 PECOS PAC ID: 5294802229 Enrollment ID: I20080917000404 |
| Provider Name | Stella Chow |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1518053859 PECOS PAC ID: 8628145406 Enrollment ID: I20080919000298 |
| Provider Name | Ximena M Castro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245327386 PECOS PAC ID: 5890884654 Enrollment ID: I20080920000061 |
| Provider Name | Karim J Hamawy |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1386731081 PECOS PAC ID: 9335216084 Enrollment ID: I20080922000280 |
| Provider Name | Natalia D. Yurkovetsky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750394581 PECOS PAC ID: 4284633017 Enrollment ID: I20080923000713 |
| Provider Name | David M Venesy |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1841302387 PECOS PAC ID: 6305913997 Enrollment ID: I20080924000008 |
| Provider Name | Maximillian Soong |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1821124579 PECOS PAC ID: 4385711985 Enrollment ID: I20080924000123 |
| Provider Name | Ajay K Sharma |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1063662922 PECOS PAC ID: 2466529888 Enrollment ID: I20080925000672 |
| Provider Name | Alexey Makogonov |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417944877 PECOS PAC ID: 0648347070 Enrollment ID: I20080926000008 |
| Provider Name | Shaji Habeebulla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922095348 PECOS PAC ID: 2466529896 Enrollment ID: I20080926000010 |
| Provider Name | Leo Tchong |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1861655136 PECOS PAC ID: 9234206699 Enrollment ID: I20080926000287 |
| Provider Name | Stacey Lynn Slavkin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639191216 PECOS PAC ID: 9638245533 Enrollment ID: I20080929000231 |
| Provider Name | Dilip Reddy Sathambakam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598911455 PECOS PAC ID: 8820166044 Enrollment ID: I20081001000238 |
| Provider Name | Jill K Lanahan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1497738215 PECOS PAC ID: 1759459795 Enrollment ID: I20081004000048 |
| Provider Name | Ritu Bagla |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043486632 PECOS PAC ID: 2668540196 Enrollment ID: I20081009000804 |
| Provider Name | Richard Michael Petrone |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1306939111 PECOS PAC ID: 3072671270 Enrollment ID: I20081016000226 |
| Provider Name | Susan M Tucker |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1578664462 PECOS PAC ID: 8123126711 Enrollment ID: I20081016000435 |
| Provider Name | David I Tapper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578719852 PECOS PAC ID: 8325106412 Enrollment ID: I20081017000524 |
| Provider Name | Annmarie W Brady |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245352590 PECOS PAC ID: 9436217569 Enrollment ID: I20081018000201 |
| Provider Name | Gisela Held |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386707370 PECOS PAC ID: 8426116484 Enrollment ID: I20081020000240 |
| Provider Name | Anika Parab |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225253172 PECOS PAC ID: 6305904319 Enrollment ID: I20081020000663 |
| Provider Name | Hezi Jakobi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720259245 PECOS PAC ID: 8123186160 Enrollment ID: I20081021000313 |
| Provider Name | Melissa Mavroides |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710135124 PECOS PAC ID: 2860550316 Enrollment ID: I20081028000164 |
| Provider Name | James Liebmann |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1477556587 PECOS PAC ID: 2163512641 Enrollment ID: I20081106000086 |
| Provider Name | Nancy J Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265680300 PECOS PAC ID: 0042379976 Enrollment ID: I20081107000123 |
| Provider Name | Nathalie M Celestin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528265394 PECOS PAC ID: 2466540737 Enrollment ID: I20081114000482 |
| Provider Name | Stephen Karp |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1124127568 PECOS PAC ID: 0143380196 Enrollment ID: I20081120000173 |
| Provider Name | Kara L. Del Torchio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164671509 PECOS PAC ID: 6305906116 Enrollment ID: I20081125000043 |
| Provider Name | Susan A Martell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710083274 PECOS PAC ID: 5991866022 Enrollment ID: I20081209000149 |
| Provider Name | Peter W Marcello |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1477603660 PECOS PAC ID: 7214098250 Enrollment ID: I20081209000280 |
| Provider Name | Jill Kooyoomjian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821240177 PECOS PAC ID: 7911068887 Enrollment ID: I20081210000584 |
| Provider Name | Peter Young |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417036864 PECOS PAC ID: 9436210135 Enrollment ID: I20081212000083 |
| Provider Name | April L Cyr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144202664 PECOS PAC ID: 0244392835 Enrollment ID: I20081216000123 |
| Provider Name | Elizabeth Toh |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1437125069 PECOS PAC ID: 7719049048 Enrollment ID: I20081222000232 |
| Provider Name | Michael J Vortmann |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225204068 PECOS PAC ID: 7517021264 Enrollment ID: I20090126000322 |
| Provider Name | Lata Thatai |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1447240858 PECOS PAC ID: 1759445018 Enrollment ID: I20090130000594 |
| Provider Name | Richard Kalish |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154394955 PECOS PAC ID: 8628132826 Enrollment ID: I20090203000573 |
| Provider Name | Muhammad Bakr Ghbeis |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1649481045 PECOS PAC ID: 9436214301 Enrollment ID: I20090210000655 |
| Provider Name | Dmitriy Zilber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659462083 PECOS PAC ID: 7315905759 Enrollment ID: I20090225000397 |
| Provider Name | Michael Kain |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1104092055 PECOS PAC ID: 5193881217 Enrollment ID: I20090225000426 |
| Provider Name | Nancy L Sydow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912156027 PECOS PAC ID: 9931265709 Enrollment ID: I20090303000166 |
| Provider Name | Daniel G Eurich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508002379 PECOS PAC ID: 7810053626 Enrollment ID: I20090303000515 |
| Provider Name | Carla R Lamb |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1508963208 PECOS PAC ID: 0042376527 Enrollment ID: I20090309000212 |
| Provider Name | Neji Tangban |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790976629 PECOS PAC ID: 3173617560 Enrollment ID: I20090319000614 |
| Provider Name | Debjani Mukherjee |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699795948 PECOS PAC ID: 6002845831 Enrollment ID: I20090325000123 |
| Provider Name | Annapurna Bhagavathula |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992946099 PECOS PAC ID: 8820145121 Enrollment ID: I20090402000135 |
| Provider Name | Polly Fraga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265674543 PECOS PAC ID: 6406903145 Enrollment ID: I20090415000074 |
| Provider Name | Robert R. Faust |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093859407 PECOS PAC ID: 1850449224 Enrollment ID: I20090423000617 |
| Provider Name | Elizabeth G Nilson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639112022 PECOS PAC ID: 3779588504 Enrollment ID: I20090423000642 |
| Provider Name | Mariana Stoleru |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1487839551 PECOS PAC ID: 1052469111 Enrollment ID: I20090429000019 |
| Provider Name | Han-ting Lin |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1114019148 PECOS PAC ID: 6204914542 Enrollment ID: I20090429000632 |
| Provider Name | Colleen Yavarow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457511883 PECOS PAC ID: 2668521311 Enrollment ID: I20090528000566 |
| Provider Name | Timothy D Anderson |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1285682567 PECOS PAC ID: 7012067291 Enrollment ID: I20090609000594 |
| Provider Name | Dipti K Lenhart |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265638662 PECOS PAC ID: 0648320382 Enrollment ID: I20090618000119 |
| Provider Name | Daniel F Erler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598716862 PECOS PAC ID: 5890846448 Enrollment ID: I20090623000052 |
| Provider Name | Patrick R. Aquino |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821127697 PECOS PAC ID: 4284785775 Enrollment ID: I20090623000443 |
| Provider Name | Elizabeth Lo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598981060 PECOS PAC ID: 6204987712 Enrollment ID: I20090623000640 |
| Provider Name | Shantanu Srinivasan Kidambi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1356494405 PECOS PAC ID: 2264529379 Enrollment ID: I20090626000028 |
| Provider Name | Edward Courville |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962501114 PECOS PAC ID: 9830241405 Enrollment ID: I20090713000025 |
| Provider Name | Joanne J Oh |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1679511950 PECOS PAC ID: 8921150277 Enrollment ID: I20090716000580 |
| Provider Name | Alexander Panda |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1750524278 PECOS PAC ID: 4880746171 Enrollment ID: I20090717000121 |
| Provider Name | Joseph D. Burns |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710184627 PECOS PAC ID: 7911090667 Enrollment ID: I20090720000003 |
| Provider Name | Yi Tang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720229149 PECOS PAC ID: 0648322826 Enrollment ID: I20090720000064 |
| Provider Name | Karl J Dsilva |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1598711160 PECOS PAC ID: 9335237866 Enrollment ID: I20090720000375 |
| Provider Name | Jennifer Michaud Finch |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669643185 PECOS PAC ID: 2365595741 Enrollment ID: I20090803000237 |
| Provider Name | Jana Montgomery |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1750557765 PECOS PAC ID: 2264586031 Enrollment ID: I20090812000736 |
| Provider Name | Xiaofei Wang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1538215355 PECOS PAC ID: 8123172947 Enrollment ID: I20090813000281 |
| Provider Name | Stephen M Dyda |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1073681938 PECOS PAC ID: 3577585033 Enrollment ID: I20090814000216 |
| Provider Name | Igor Braverman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1700982246 PECOS PAC ID: 7719031988 Enrollment ID: I20090822000052 |
| Provider Name | Elzbieta Antonina Kos |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1598861072 PECOS PAC ID: 6507911518 Enrollment ID: I20090827000058 |
| Provider Name | Thomas M Brand |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013008143 PECOS PAC ID: 1355496753 Enrollment ID: I20090909000337 |
| Provider Name | Mahesh K Bhardwaj |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1821180894 PECOS PAC ID: 6608921010 Enrollment ID: I20090909000366 |
| Provider Name | Arthur J Lee |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1720109689 PECOS PAC ID: 0749368181 Enrollment ID: I20090923000250 |
| Provider Name | Cathi Mabon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750511705 PECOS PAC ID: 4082750302 Enrollment ID: I20090930000074 |
| Provider Name | Kristen M Robson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1003914375 PECOS PAC ID: 5890831010 Enrollment ID: I20091001000343 |
| Provider Name | Seyedeh S Hosseini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255598835 PECOS PAC ID: 4183760705 Enrollment ID: I20091012000329 |
| Provider Name | Cynthia L Sershen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366614497 PECOS PAC ID: 7113064437 Enrollment ID: I20091019000606 |
| Provider Name | Joel M Oster |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881794873 PECOS PAC ID: 8820135023 Enrollment ID: I20091020000685 |
| Provider Name | Vaneeta Sheth |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1548461973 PECOS PAC ID: 9436296290 Enrollment ID: I20091027000629 |
| Provider Name | Elizabeth A Gagliardi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669562617 PECOS PAC ID: 7214075753 Enrollment ID: I20091103000646 |
| Provider Name | Kimberlee Bunkartas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093944738 PECOS PAC ID: 7416095690 Enrollment ID: I20091109000264 |
| Provider Name | Jennifer Kales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538136684 PECOS PAC ID: 9638183767 Enrollment ID: I20091114000049 |
| Provider Name | Renee R Gabree |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033342076 PECOS PAC ID: 8224176896 Enrollment ID: I20091119000240 |
| Provider Name | Raza Malik |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1518082510 PECOS PAC ID: 8729128079 Enrollment ID: I20091216000583 |
| Provider Name | David L. Longworth |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1811092869 PECOS PAC ID: 3274673132 Enrollment ID: I20091228000367 |
| Provider Name | Joanne Biondo Giugno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174859979 PECOS PAC ID: 5890835789 Enrollment ID: I20091229000016 |
| Provider Name | Kristie Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942536370 PECOS PAC ID: 2961543590 Enrollment ID: I20100105000437 |
| Provider Name | Sebastian Flacke |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235326018 PECOS PAC ID: 8820139918 Enrollment ID: I20100112000341 |
| Provider Name | Rebecca L Longo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679809255 PECOS PAC ID: 5698819258 Enrollment ID: I20100219000483 |
| Provider Name | Syed M Quadri |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1306173059 PECOS PAC ID: 5890839146 Enrollment ID: I20100224000541 |
| Provider Name | Nancy L. Bettez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972832384 PECOS PAC ID: 8527102763 Enrollment ID: I20100225000524 |
| Provider Name | Melissa Cyr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053541003 PECOS PAC ID: 5193862811 Enrollment ID: I20100301000245 |
| Provider Name | Maria E Estrada |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578894036 PECOS PAC ID: 7911032156 Enrollment ID: I20100312000980 |
| Provider Name | David A Axelrod |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1477574820 PECOS PAC ID: 1355379132 Enrollment ID: I20100319000198 |
| Provider Name | Hannah Marie Gilligan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1518044080 PECOS PAC ID: 0244366482 Enrollment ID: I20100327000101 |
| Provider Name | Diana Apetauerova |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861564346 PECOS PAC ID: 7315073566 Enrollment ID: I20100327000134 |
| Provider Name | Bruce Campbell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831297837 PECOS PAC ID: 1557497641 Enrollment ID: I20100329000050 |
| Provider Name | Alice Hunter |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1306901160 PECOS PAC ID: 5294861035 Enrollment ID: I20100331000228 |
| Provider Name | Matthew S. Kanef |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942308937 PECOS PAC ID: 9335275189 Enrollment ID: I20100331000287 |
| Provider Name | Namrata Anand |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1659436442 PECOS PAC ID: 3072649748 Enrollment ID: I20100405000421 |
| Provider Name | Kari G Doucette |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1144326604 PECOS PAC ID: 3779505201 Enrollment ID: I20100406000037 |
| Provider Name | Christine Diedwardo |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1164479705 PECOS PAC ID: 1456355874 Enrollment ID: I20100406000227 |
| Provider Name | Kurt F Heim |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1912062639 PECOS PAC ID: 5294861993 Enrollment ID: I20100406000320 |
| Provider Name | Jeffrey L Marx |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1851312367 PECOS PAC ID: 0446278907 Enrollment ID: I20100406000412 |
| Provider Name | Michael C Berarducci |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447358270 PECOS PAC ID: 8527194091 Enrollment ID: I20100414000151 |
| Provider Name | Mark A. Gendreau |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184666315 PECOS PAC ID: 7810024759 Enrollment ID: I20100423000471 |
| Provider Name | Maureen Obrien |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982716270 PECOS PAC ID: 9537296413 Enrollment ID: I20100424000017 |
| Provider Name | Corinne M Prigo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023331741 PECOS PAC ID: 7517095003 Enrollment ID: I20100504000142 |
| Provider Name | Kathleen E. White |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003907080 PECOS PAC ID: 2961530498 Enrollment ID: I20100504000705 |
| Provider Name | Carol L Moheban |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295891109 PECOS PAC ID: 5395873673 Enrollment ID: I20100506000599 |
| Provider Name | Sonal N Pandya |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1023059631 PECOS PAC ID: 7618987405 Enrollment ID: I20100506000663 |
| Provider Name | John Tilzey |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1366541732 PECOS PAC ID: 2163550484 Enrollment ID: I20100507000004 |
| Provider Name | Sujata Bhave |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1376649814 PECOS PAC ID: 4789712969 Enrollment ID: I20100508000031 |
| Provider Name | Thaddeus Nigborowicz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437257268 PECOS PAC ID: 6406984681 Enrollment ID: I20100508000048 |
| Provider Name | Patricia Ann Student |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1215957154 PECOS PAC ID: 9032247325 Enrollment ID: I20100511000071 |
| Provider Name | Andrea Sorcini |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1063569093 PECOS PAC ID: 2668500646 Enrollment ID: I20100512000652 |
| Provider Name | Joseph C Corkery |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356440762 PECOS PAC ID: 7911087804 Enrollment ID: I20100512000770 |
| Provider Name | Celynne Fleur Ambrose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326288606 PECOS PAC ID: 1254469935 Enrollment ID: I20100518000222 |
| Provider Name | Lisa Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922322148 PECOS PAC ID: 0446389142 Enrollment ID: I20100518000439 |
| Provider Name | Jennifer A Rehm |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568569382 PECOS PAC ID: 4981733540 Enrollment ID: I20100520000591 |
| Provider Name | Susan Busch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841263969 PECOS PAC ID: 9537206099 Enrollment ID: I20100524000012 |
| Provider Name | Susan Christine Kovacs |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1114024379 PECOS PAC ID: 9335278720 Enrollment ID: I20100524000275 |
| Provider Name | Florence M Parrella |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1063519056 PECOS PAC ID: 8729117007 Enrollment ID: I20100525000483 |
| Provider Name | Noreen A Dolan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255669503 PECOS PAC ID: 3678602828 Enrollment ID: I20100526000337 |
| Provider Name | Yuval Zabar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750472791 PECOS PAC ID: 2264561356 Enrollment ID: I20100528000056 |
| Provider Name | Michael Sherwin Stix |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1386684819 PECOS PAC ID: 5294864393 Enrollment ID: I20100528000156 |
| Provider Name | Suzanne Olbricht |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1811077985 PECOS PAC ID: 0840329892 Enrollment ID: I20100601000169 |
| Provider Name | Nurhan George Kasparyan |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1164513065 PECOS PAC ID: 5193854065 Enrollment ID: I20100602000742 |
| Provider Name | Rachel R Soffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790919918 PECOS PAC ID: 5496885816 Enrollment ID: I20100611000184 |
| Provider Name | Kevin J Yeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750477956 PECOS PAC ID: 7618009408 Enrollment ID: I20100714000305 |
| Provider Name | Adam J Smith |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1962734368 PECOS PAC ID: 7911039391 Enrollment ID: I20100721000009 |
| Provider Name | Sachin Shah |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1467619130 PECOS PAC ID: 7810029238 Enrollment ID: I20100721000519 |
| Provider Name | Michelle A Stefka |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1255502936 PECOS PAC ID: 0244362416 Enrollment ID: I20100723000401 |
| Provider Name | Eugene J Boss |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477602209 PECOS PAC ID: 7012049208 Enrollment ID: I20100723000574 |
| Provider Name | Kimberly Callahan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427187442 PECOS PAC ID: 6800929829 Enrollment ID: I20100728000325 |
| Provider Name | Sara Shadchehr |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1649391798 PECOS PAC ID: 6305979337 Enrollment ID: I20100728000416 |
| Provider Name | Joshua L Berkowitz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891802633 PECOS PAC ID: 7416081633 Enrollment ID: I20100810000570 |
| Provider Name | Ajit S Puri |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689833105 PECOS PAC ID: 6305970427 Enrollment ID: I20100811000727 |
| Provider Name | Dongdong Yao |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1801088174 PECOS PAC ID: 2466586342 Enrollment ID: I20100813000467 |
| Provider Name | Gyorgy Abel |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1831282383 PECOS PAC ID: 7618001488 Enrollment ID: I20100816000373 |
| Provider Name | David B Macdonald |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1225207897 PECOS PAC ID: 6800920299 Enrollment ID: I20100820000720 |
| Provider Name | Roderick L Mccoy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235304254 PECOS PAC ID: 3779607874 Enrollment ID: I20100826000220 |
| Provider Name | Nestor Gabriel Tarragona |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982874343 PECOS PAC ID: 1951425941 Enrollment ID: I20100827000206 |
| Provider Name | Claudia Chaves |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740241736 PECOS PAC ID: 8921122789 Enrollment ID: I20100831000366 |
| Provider Name | Jayshiri Srinsvan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568563245 PECOS PAC ID: 8527182302 Enrollment ID: I20100831000546 |
| Provider Name | Adam Lipworth |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1174650501 PECOS PAC ID: 4385768100 Enrollment ID: I20100901000035 |
| Provider Name | Kerry Demers |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780610592 PECOS PAC ID: 9638191372 Enrollment ID: I20100901000200 |
| Provider Name | Dirk Varelmann |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1366615957 PECOS PAC ID: 0547384240 Enrollment ID: I20100902000136 |
| Provider Name | Annie S Lee |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1730344995 PECOS PAC ID: 0143344630 Enrollment ID: I20100907000330 |
| Provider Name | Eve Bello Guerrero-pajela |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104923366 PECOS PAC ID: 4880719202 Enrollment ID: I20100908001051 |
| Provider Name | Jacqueline A Danis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972597599 PECOS PAC ID: 3971628264 Enrollment ID: I20100909000806 |
| Provider Name | Andreea Goldberger |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215112867 PECOS PAC ID: 7214052448 Enrollment ID: I20100913000058 |
| Provider Name | Patricia Brooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346435518 PECOS PAC ID: 8426174996 Enrollment ID: I20100922000564 |
| Provider Name | Anita Erler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033166293 PECOS PAC ID: 8820114218 Enrollment ID: I20100922001048 |
| Provider Name | Wendy Barr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427050939 PECOS PAC ID: 2567416316 Enrollment ID: I20100925000227 |
| Provider Name | Diane Soem |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609191667 PECOS PAC ID: 8426174517 Enrollment ID: I20100927000442 |
| Provider Name | Ewa Niemierko |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1447233549 PECOS PAC ID: 9436275393 Enrollment ID: I20100928001285 |
| Provider Name | Benita Handa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083646509 PECOS PAC ID: 8921124710 Enrollment ID: I20100929001193 |
| Provider Name | Robert A Fuller |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336314764 PECOS PAC ID: 6709078017 Enrollment ID: I20101005000876 |
| Provider Name | Emmanuel Kanyi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467773382 PECOS PAC ID: 6002008976 Enrollment ID: I20101011000444 |
| Provider Name | Pamela Nankoole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780919811 PECOS PAC ID: 7719179597 Enrollment ID: I20101012000772 |
| Provider Name | Michael Pincus |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1376741785 PECOS PAC ID: 6305962226 Enrollment ID: I20101013000074 |
| Provider Name | Bhumi Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700052388 PECOS PAC ID: 0446443790 Enrollment ID: I20101020000122 |
| Provider Name | Amy Tien |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1922033265 PECOS PAC ID: 1456544360 Enrollment ID: I20101025000317 |
| Provider Name | Siobhan Mannion |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1134209844 PECOS PAC ID: 5193918860 Enrollment ID: I20101026001073 |
| Provider Name | Shadi Sami Tarazi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164672424 PECOS PAC ID: 5799979142 Enrollment ID: I20101030000005 |
| Provider Name | Stephanie Cintora |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609902097 PECOS PAC ID: 7214080670 Enrollment ID: I20101102000477 |
| Provider Name | Katrina E. Traber |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1194990648 PECOS PAC ID: 5496949513 Enrollment ID: I20101103000328 |
| Provider Name | Roberto C Ugarte |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699946020 PECOS PAC ID: 1052506656 Enrollment ID: I20101109000697 |
| Provider Name | Sarah I Hillios |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154637882 PECOS PAC ID: 8022203397 Enrollment ID: I20101111001362 |
| Provider Name | Evelyn Delegas |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1093028367 PECOS PAC ID: 8224223482 Enrollment ID: I20101112000917 |
| Provider Name | Jody L. Avery |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1578875175 PECOS PAC ID: 6002001278 Enrollment ID: I20101112000997 |
| Provider Name | Stacey Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659685253 PECOS PAC ID: 6406041433 Enrollment ID: I20101116000409 |
| Provider Name | Amanda Powell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043478241 PECOS PAC ID: 3870789233 Enrollment ID: I20101124000278 |
| Provider Name | Prakrita Bhushan Udas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275791030 PECOS PAC ID: 7719175603 Enrollment ID: I20101220000114 |
| Provider Name | Miguel A Antelo |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1720069545 PECOS PAC ID: 3870781719 Enrollment ID: I20101220000755 |
| Provider Name | Jennifer A Chatburn |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609067727 PECOS PAC ID: 7113115783 Enrollment ID: I20101223000255 |
| Provider Name | Jennifer Callahan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467761551 PECOS PAC ID: 8022206424 Enrollment ID: I20101229000968 |
| Provider Name | Einat Grunfeld |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093042921 PECOS PAC ID: 0547459778 Enrollment ID: I20110104000753 |
| Provider Name | Rafael A Meller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881884500 PECOS PAC ID: 4688762040 Enrollment ID: I20110125000332 |
| Provider Name | Thomas M Burch |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1508806126 PECOS PAC ID: 0941286405 Enrollment ID: I20110202000203 |
| Provider Name | Frederic S Resnic |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1740231281 PECOS PAC ID: 5597946384 Enrollment ID: I20110228000331 |
| Provider Name | Kristen J Belmonte |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376853226 PECOS PAC ID: 5294917100 Enrollment ID: I20110315000206 |
| Provider Name | Vishal Kuchaculla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386837342 PECOS PAC ID: 5799832853 Enrollment ID: I20110325000565 |
| Provider Name | John Perry |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1962662874 PECOS PAC ID: 4082898861 Enrollment ID: I20110404000523 |
| Provider Name | Gabrielle E Mahoney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619272366 PECOS PAC ID: 9335323047 Enrollment ID: I20110405000063 |
| Provider Name | Raghu Seethala |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1437317096 PECOS PAC ID: 9436200656 Enrollment ID: I20110513000246 |
| Provider Name | Anthony D Bona |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043517469 PECOS PAC ID: 7113103805 Enrollment ID: I20110513000312 |
| Provider Name | Martin Zammert |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1801959549 PECOS PAC ID: 6103002738 Enrollment ID: I20110517000293 |
| Provider Name | Stephen Schissel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528075777 PECOS PAC ID: 4284792326 Enrollment ID: I20110602000447 |
| Provider Name | Ruth Medina- Gutierrez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063687598 PECOS PAC ID: 2668659277 Enrollment ID: I20110608000433 |
| Provider Name | Carolyn Come |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1558395210 PECOS PAC ID: 1557548914 Enrollment ID: I20110613000042 |
| Provider Name | Trisha A Lawrence |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013226067 PECOS PAC ID: 8325226368 Enrollment ID: I20110622000512 |
| Provider Name | Alla Tibbetts |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386807329 PECOS PAC ID: 8224206453 Enrollment ID: I20110714000264 |
| Provider Name | Heather A. Ford |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760653141 PECOS PAC ID: 7810165644 Enrollment ID: I20110722000270 |
| Provider Name | Maitriyi J Shah |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1861603110 PECOS PAC ID: 5193993756 Enrollment ID: I20110726000418 |
| Provider Name | Bettina N Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932418555 PECOS PAC ID: 1658549266 Enrollment ID: I20110727000096 |
| Provider Name | Anne D Morris |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144491911 PECOS PAC ID: 2961670468 Enrollment ID: I20110728000400 |
| Provider Name | Shams I Iqbal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386808608 PECOS PAC ID: 6406025790 Enrollment ID: I20110802000624 |
| Provider Name | Sohin Patel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1366647208 PECOS PAC ID: 8628247780 Enrollment ID: I20110805000108 |
| Provider Name | Ashling Oconnor |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1881851798 PECOS PAC ID: 5193994721 Enrollment ID: I20110816000223 |
| Provider Name | Malgorzata Inez Dawiskiba |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1215197983 PECOS PAC ID: 5890964449 Enrollment ID: I20110816000511 |
| Provider Name | Kenneth J. Walton |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1942474200 PECOS PAC ID: 2365611878 Enrollment ID: I20110817000437 |
| Provider Name | Irina Buhaescu |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1619144052 PECOS PAC ID: 6002086386 Enrollment ID: I20110824000023 |
| Provider Name | Sini Poulose |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700885639 PECOS PAC ID: 3274591151 Enrollment ID: I20110902000229 |
| Provider Name | Timothy S Draper |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750541181 PECOS PAC ID: 8426228214 Enrollment ID: I20110906000321 |
| Provider Name | Michelle Mcsweeney |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255409181 PECOS PAC ID: 2264566496 Enrollment ID: I20110907001358 |
| Provider Name | Erik E-kai Wang |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487856746 PECOS PAC ID: 1153591839 Enrollment ID: I20110907001484 |
| Provider Name | Monika Merchea |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467613687 PECOS PAC ID: 8123299799 Enrollment ID: I20110913000184 |
| Provider Name | Alex J Vanni |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1326095712 PECOS PAC ID: 1557494499 Enrollment ID: I20110914000212 |
| Provider Name | Peter Soderland |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1760641922 PECOS PAC ID: 9739350091 Enrollment ID: I20110916000073 |
| Provider Name | Priya Shastri |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1023216827 PECOS PAC ID: 4284805458 Enrollment ID: I20110920000041 |
| Provider Name | Kristen E Farwell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629222336 PECOS PAC ID: 7810168739 Enrollment ID: I20110924000002 |
| Provider Name | Anu Diddee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932214178 PECOS PAC ID: 0042224057 Enrollment ID: I20110930000205 |
| Provider Name | Michael K Miovic |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275585754 PECOS PAC ID: 7719159243 Enrollment ID: I20111005000793 |
| Provider Name | Diana H Cabral |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609160514 PECOS PAC ID: 2567634025 Enrollment ID: I20111006000203 |
| Provider Name | Shamila M Saiyed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447411624 PECOS PAC ID: 0648463398 Enrollment ID: I20111010000602 |
| Provider Name | Lauren Anderson |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1285913533 PECOS PAC ID: 6901078963 Enrollment ID: I20111017000595 |
| Provider Name | Ankit Rohatgi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306001177 PECOS PAC ID: 9638341571 Enrollment ID: I20111018000774 |
| Provider Name | Lucy S Hall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477797918 PECOS PAC ID: 3274682315 Enrollment ID: I20111024000768 |
| Provider Name | Michelle B Drown |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710268230 PECOS PAC ID: 3375716012 Enrollment ID: I20111025000792 |
| Provider Name | Mary-christine Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871874636 PECOS PAC ID: 8729251384 Enrollment ID: I20111027000546 |
| Provider Name | Shwetha S Sequeira |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982867578 PECOS PAC ID: 1456524941 Enrollment ID: I20111027000958 |
| Provider Name | Gueldine P Valme |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497049860 PECOS PAC ID: 7416120803 Enrollment ID: I20111031000541 |
| Provider Name | William T Durkin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174514582 PECOS PAC ID: 4385666304 Enrollment ID: I20111108000695 |
| Provider Name | Akram Shaar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588817241 PECOS PAC ID: 6406020262 Enrollment ID: I20111114000591 |
| Provider Name | Chieke Udom |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023249406 PECOS PAC ID: 9537333216 Enrollment ID: I20111115000020 |
| Provider Name | Juli M Lohnes |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538143615 PECOS PAC ID: 5395919658 Enrollment ID: I20111122000871 |
| Provider Name | Christine M Ackroyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053693549 PECOS PAC ID: 7719151000 Enrollment ID: I20111123000215 |
| Provider Name | Kristofferson M Lee |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053612614 PECOS PAC ID: 4587838701 Enrollment ID: I20111123000640 |
| Provider Name | Jennifer Britton-colonnese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679714208 PECOS PAC ID: 0749454767 Enrollment ID: I20111130000799 |
| Provider Name | Alexandra Dlouha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922380682 PECOS PAC ID: 5991970311 Enrollment ID: I20111214000472 |
| Provider Name | Katherine R Alonso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538443585 PECOS PAC ID: 4688840341 Enrollment ID: I20111229000575 |
| Provider Name | Emily K. Newcomb |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760767842 PECOS PAC ID: 5597932780 Enrollment ID: I20120111000128 |
| Provider Name | Jennifer A Grillo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740276658 PECOS PAC ID: 5991860157 Enrollment ID: I20120112000324 |
| Provider Name | Ashwini Nadkarni |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730348202 PECOS PAC ID: 6901073733 Enrollment ID: I20120119000629 |
| Provider Name | Srivalli Konduri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417187386 PECOS PAC ID: 6800063587 Enrollment ID: I20120120000296 |
| Provider Name | Eugene Kim |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1891967675 PECOS PAC ID: 6406023902 Enrollment ID: I20120125000009 |
| Provider Name | Michal Vytopil |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1134337249 PECOS PAC ID: 0840367967 Enrollment ID: I20120126000710 |
| Provider Name | Jeffrey Kane |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1801802145 PECOS PAC ID: 1153588405 Enrollment ID: I20120130000385 |
| Provider Name | Zoher Ghogawala |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1437264744 PECOS PAC ID: 3072613058 Enrollment ID: I20120131000423 |
| Provider Name | Benjamin Chin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922006667 PECOS PAC ID: 4183881345 Enrollment ID: I20120131000755 |
| Provider Name | Matthew T Coombs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700154796 PECOS PAC ID: 6406013671 Enrollment ID: I20120131000827 |
| Provider Name | Pierre Pellerin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1235411232 PECOS PAC ID: 7618134727 Enrollment ID: I20120201000392 |
| Provider Name | Lauren Nieuweboer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972882892 PECOS PAC ID: 6608033758 Enrollment ID: I20120201000788 |
| Provider Name | Tammy Lynn Chamberland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528348745 PECOS PAC ID: 6800054032 Enrollment ID: I20120220000831 |
| Provider Name | Douglas Fritz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336360742 PECOS PAC ID: 5395903934 Enrollment ID: I20120228000548 |
| Provider Name | Chunmei Huang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669681433 PECOS PAC ID: 7012175417 Enrollment ID: I20120229000771 |
| Provider Name | Udaya Sena Reddy Dendi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992968200 PECOS PAC ID: 0143345421 Enrollment ID: I20120301000900 |
| Provider Name | Robert S. Warren |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1336181270 PECOS PAC ID: 7911802152 Enrollment ID: I20120328000011 |
| Provider Name | Shamsun Nahar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992779037 PECOS PAC ID: 4486635919 Enrollment ID: I20120331000013 |
| Provider Name | Sanjay Gupta |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801803523 PECOS PAC ID: 6608870225 Enrollment ID: I20120417000535 |
| Provider Name | Erica N Savino Moffatt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720238181 PECOS PAC ID: 5597929042 Enrollment ID: I20120613000034 |
| Provider Name | Gail Gregg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295013050 PECOS PAC ID: 7911161112 Enrollment ID: I20120620000439 |
| Provider Name | Sara Tortorici |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902190499 PECOS PAC ID: 9032387865 Enrollment ID: I20120627000001 |
| Provider Name | Suzanne Jane Baron |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1619003324 PECOS PAC ID: 3870750649 Enrollment ID: I20120716000137 |
| Provider Name | Jennifer Broder |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346377702 PECOS PAC ID: 4183880321 Enrollment ID: I20120716000585 |
| Provider Name | Marianne Barry |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1568692143 PECOS PAC ID: 9830355676 Enrollment ID: I20120724000457 |
| Provider Name | Eva Bero |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1811023062 PECOS PAC ID: 6608032305 Enrollment ID: I20120725000204 |
| Provider Name | Jeanette Y Chun |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225195886 PECOS PAC ID: 6406012111 Enrollment ID: I20120725000241 |
| Provider Name | David J. Ramsey |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1881861789 PECOS PAC ID: 6901062389 Enrollment ID: I20120731000025 |
| Provider Name | Jessica Mandeville |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1396916045 PECOS PAC ID: 2860648698 Enrollment ID: I20120810000442 |
| Provider Name | David A Gruenberg |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1386773422 PECOS PAC ID: 3577695121 Enrollment ID: I20120905000009 |
| Provider Name | Nathan T Jones |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1265683254 PECOS PAC ID: 5597913848 Enrollment ID: I20120912000321 |
| Provider Name | Amy Sullivan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700146958 PECOS PAC ID: 6608025291 Enrollment ID: I20120925000261 |
| Provider Name | Alan Lim |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1659341709 PECOS PAC ID: 5597832436 Enrollment ID: I20120926000699 |
| Provider Name | Lauren F Knowles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629325022 PECOS PAC ID: 6406005719 Enrollment ID: I20121002000398 |
| Provider Name | Brendan M. Johnston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104181171 PECOS PAC ID: 0547419699 Enrollment ID: I20121004000287 |
| Provider Name | Jamie Mckenzie |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1104953546 PECOS PAC ID: 1052567880 Enrollment ID: I20121009000806 |
| Provider Name | Violeta Ristic |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386873644 PECOS PAC ID: 1658521273 Enrollment ID: I20121017000158 |
| Provider Name | Zahra Fathi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972864726 PECOS PAC ID: 6800046277 Enrollment ID: I20121019000287 |
| Provider Name | Krishna Gunturu |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1699881037 PECOS PAC ID: 9537227780 Enrollment ID: I20121024000203 |
| Provider Name | Shauna L. Holden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053660282 PECOS PAC ID: 5092965814 Enrollment ID: I20121031000682 |
| Provider Name | Sujit Suchindran |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1922275171 PECOS PAC ID: 1759548597 Enrollment ID: I20121108000554 |
| Provider Name | Satrajit Bose |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1205028966 PECOS PAC ID: 4183875651 Enrollment ID: I20121108000686 |
| Provider Name | Bedabrata Sarkar |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1225157175 PECOS PAC ID: 6608027859 Enrollment ID: I20121115000457 |
| Provider Name | Matthew Reynolds |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1437172939 PECOS PAC ID: 5890946073 Enrollment ID: I20121116000172 |
| Provider Name | Jacob Sands |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1356491237 PECOS PAC ID: 1951469543 Enrollment ID: I20121116000209 |
| Provider Name | Diane M. Pierce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912239039 PECOS PAC ID: 7315199668 Enrollment ID: I20121212000470 |
| Provider Name | Kathleen D Mcconnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922058155 PECOS PAC ID: 6406882984 Enrollment ID: I20121214000020 |
| Provider Name | Patricia Z Labieniec |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427213586 PECOS PAC ID: 3476628355 Enrollment ID: I20121218000072 |
| Provider Name | Maura K Dudley |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1093078081 PECOS PAC ID: 5496907594 Enrollment ID: I20121219000313 |
| Provider Name | Cocav A Rauwerdink |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1649388018 PECOS PAC ID: 4284827726 Enrollment ID: I20121219000323 |
| Provider Name | Amel Karaa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053502484 PECOS PAC ID: 9638336829 Enrollment ID: I20121228000044 |
| Provider Name | Elizabeth Atlee Menefee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326393646 PECOS PAC ID: 0446404479 Enrollment ID: I20130129000190 |
| Provider Name | Qiwei Zhang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316101330 PECOS PAC ID: 7214115336 Enrollment ID: I20130206000207 |
| Provider Name | Dan J Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952362972 PECOS PAC ID: 4981858594 Enrollment ID: I20130207000324 |
| Provider Name | Richard P Hausman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922049113 PECOS PAC ID: 1153307657 Enrollment ID: I20130215000201 |
| Provider Name | Shawn T Gaughan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417926130 PECOS PAC ID: 3577477231 Enrollment ID: I20130222000091 |
| Provider Name | Colleen Summers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184934978 PECOS PAC ID: 2668652397 Enrollment ID: I20130306000395 |
| Provider Name | Peter C Weber |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1063477974 PECOS PAC ID: 5294747838 Enrollment ID: I20130307000220 |
| Provider Name | Mredula Mannan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427291665 PECOS PAC ID: 7214182542 Enrollment ID: I20130312000421 |
| Provider Name | Tanishia D Choice |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396904611 PECOS PAC ID: 1355528233 Enrollment ID: I20130313000239 |
| Provider Name | Ismadelyne Antoine |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417185612 PECOS PAC ID: 8426203704 Enrollment ID: I20130313000254 |
| Provider Name | Amy Lynn French |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1841511946 PECOS PAC ID: 3870738974 Enrollment ID: I20130320000374 |
| Provider Name | Ryan P Shannon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457687071 PECOS PAC ID: 4486818788 Enrollment ID: I20130320000564 |
| Provider Name | Lindita Coku |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1134394745 PECOS PAC ID: 9830356963 Enrollment ID: I20130514000522 |
| Provider Name | Debbie L Chabot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376793588 PECOS PAC ID: 3375669781 Enrollment ID: I20130621000519 |
| Provider Name | Tucker Webb |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811218555 PECOS PAC ID: 5799924676 Enrollment ID: I20130626000137 |
| Provider Name | Carolyn J Sporn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386690451 PECOS PAC ID: 0941496715 Enrollment ID: I20130701000586 |
| Provider Name | Meera S Sekar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689834095 PECOS PAC ID: 6305086810 Enrollment ID: I20130705000178 |
| Provider Name | Jaime L Dasilva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033554803 PECOS PAC ID: 6204076565 Enrollment ID: I20130709000831 |
| Provider Name | Syed I Ali |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1174636435 PECOS PAC ID: 5698823656 Enrollment ID: I20130715000042 |
| Provider Name | Jalil Afnan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972623429 PECOS PAC ID: 8224278130 Enrollment ID: I20130717000015 |
| Provider Name | Paolo Mascari |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1770894743 PECOS PAC ID: 6103066014 Enrollment ID: I20130717000054 |
| Provider Name | Elizabeth H Tsai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700105293 PECOS PAC ID: 6507047719 Enrollment ID: I20130718000082 |
| Provider Name | Melissa A. Gauthier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730481995 PECOS PAC ID: 0749465458 Enrollment ID: I20130718000266 |
| Provider Name | Jeffrey R. Swanson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1255568705 PECOS PAC ID: 2062653223 Enrollment ID: I20130731000005 |
| Provider Name | Jacob A. Clark |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1871735167 PECOS PAC ID: 9830330984 Enrollment ID: I20130801000201 |
| Provider Name | Farbod N Rahaghi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720253156 PECOS PAC ID: 4385890649 Enrollment ID: I20130801000875 |
| Provider Name | Pamela Ryle |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750402012 PECOS PAC ID: 4385886118 Enrollment ID: I20130807000798 |
| Provider Name | John A. Camuso |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316288715 PECOS PAC ID: 5890937130 Enrollment ID: I20130815000441 |
| Provider Name | Jordan D Paulson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619101136 PECOS PAC ID: 1759523913 Enrollment ID: I20130819000068 |
| Provider Name | James L Perkins |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497921787 PECOS PAC ID: 4789858069 Enrollment ID: I20130820000683 |
| Provider Name | Scott R Weissman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922443423 PECOS PAC ID: 6305089319 Enrollment ID: I20130823000346 |
| Provider Name | Ye M Tun |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1063738615 PECOS PAC ID: 2264675198 Enrollment ID: I20130826000327 |
| Provider Name | Julia A. Benedetti |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1912135153 PECOS PAC ID: 0446493126 Enrollment ID: I20130828000216 |
| Provider Name | Robert Whitmore |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1669521068 PECOS PAC ID: 8325281017 Enrollment ID: I20130828000401 |
| Provider Name | Suja Sadasivan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881822021 PECOS PAC ID: 4688817901 Enrollment ID: I20130905000167 |
| Provider Name | Thomas M. Gage |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1497907109 PECOS PAC ID: 7012150337 Enrollment ID: I20130905000196 |
| Provider Name | Liyan Zhuang |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1578728200 PECOS PAC ID: 7214171313 Enrollment ID: I20130913000196 |
| Provider Name | Jason Grossman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1972823193 PECOS PAC ID: 1052555018 Enrollment ID: I20130913000433 |
| Provider Name | Chizoba Umeh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1023291556 PECOS PAC ID: 1254580103 Enrollment ID: I20130917000007 |
| Provider Name | Marianna Silverman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720399702 PECOS PAC ID: 2668616368 Enrollment ID: I20130919000362 |
| Provider Name | Susan M Koen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932142411 PECOS PAC ID: 4688656416 Enrollment ID: I20131002000215 |
| Provider Name | Weihong Yang |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1619119047 PECOS PAC ID: 5799943296 Enrollment ID: I20131008000277 |
| Provider Name | Laura S Eurich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063733731 PECOS PAC ID: 9335373786 Enrollment ID: I20131018000133 |
| Provider Name | Mylah N Mahon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649615154 PECOS PAC ID: 3072748417 Enrollment ID: I20131021001003 |
| Provider Name | Matthew Barmmer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295978815 PECOS PAC ID: 1850526583 Enrollment ID: I20131105000017 |
| Provider Name | Amy Beth Heroux |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700228590 PECOS PAC ID: 7315172087 Enrollment ID: I20131105001322 |
| Provider Name | Gautam Gadey |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1134354962 PECOS PAC ID: 3779789102 Enrollment ID: I20131105001362 |
| Provider Name | Philip Formica |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1184883209 PECOS PAC ID: 2668607243 Enrollment ID: I20131107000707 |
| Provider Name | Byron D. Williams |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1063492205 PECOS PAC ID: 4284602152 Enrollment ID: I20131107000779 |
| Provider Name | Jamie Diclemente |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174956247 PECOS PAC ID: 7012142540 Enrollment ID: I20131108000576 |
| Provider Name | Maryanne M Senna |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1326276726 PECOS PAC ID: 1456587641 Enrollment ID: I20131118000709 |
| Provider Name | Cherisse Michelle Carlo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538591466 PECOS PAC ID: 4688800626 Enrollment ID: I20131120001993 |
| Provider Name | Hanna Peck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255767059 PECOS PAC ID: 8527294321 Enrollment ID: I20131127001200 |
| Provider Name | Michael Levy |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1366681207 PECOS PAC ID: 6406029008 Enrollment ID: I20131212001624 |
| Provider Name | Ellen E. Choi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1821285800 PECOS PAC ID: 4688867658 Enrollment ID: I20140113000596 |
| Provider Name | Jodi A Stevens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609123926 PECOS PAC ID: 4284887217 Enrollment ID: I20140116000966 |
| Provider Name | Mary-louise Dudek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376978023 PECOS PAC ID: 3779711650 Enrollment ID: I20140123000413 |
| Provider Name | Sharon L Levine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588093355 PECOS PAC ID: 6305076282 Enrollment ID: I20140221000671 |
| Provider Name | Christine Leary-ruhmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780942870 PECOS PAC ID: 4587894043 Enrollment ID: I20140228000668 |
| Provider Name | Melissa B Delrossi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447680657 PECOS PAC ID: 8022248129 Enrollment ID: I20140312000966 |
| Provider Name | Shehra Khalifa |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851721427 PECOS PAC ID: 5092946095 Enrollment ID: I20140314000567 |
| Provider Name | Munirih Yeshwant |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801038500 PECOS PAC ID: 8820255755 Enrollment ID: I20140326001367 |
| Provider Name | Grace Stebenne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902229768 PECOS PAC ID: 2062644594 Enrollment ID: I20140415000833 |
| Provider Name | Nicholas C James |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346403052 PECOS PAC ID: 6709018187 Enrollment ID: I20140417001433 |
| Provider Name | Janice Vanwart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821101833 PECOS PAC ID: 5698772515 Enrollment ID: I20140422001477 |
| Provider Name | Doris Bernacet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033547633 PECOS PAC ID: 0547492712 Enrollment ID: I20140423000151 |
| Provider Name | Himanshu Verma |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1619135936 PECOS PAC ID: 0345366225 Enrollment ID: I20140423000283 |
| Provider Name | Kerry Fagan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821209586 PECOS PAC ID: 4183857360 Enrollment ID: I20140424001446 |
| Provider Name | Rachel B Stronge |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801231998 PECOS PAC ID: 8224251913 Enrollment ID: I20140528000019 |
| Provider Name | Mustali M Dohadwala |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1831349299 PECOS PAC ID: 4183859770 Enrollment ID: I20140619000301 |
| Provider Name | Angela K Kuhnen |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1871620203 PECOS PAC ID: 3476716945 Enrollment ID: I20140624002393 |
| Provider Name | William C Faust |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1730342320 PECOS PAC ID: 2860617396 Enrollment ID: I20140625002101 |
| Provider Name | Alin A Joseph |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1770747461 PECOS PAC ID: 4284859596 Enrollment ID: I20140630001166 |
| Provider Name | Natalia Berry |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1780810291 PECOS PAC ID: 3173786746 Enrollment ID: I20140709001574 |
| Provider Name | Zheng Zhou |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1659531770 PECOS PAC ID: 4981829710 Enrollment ID: I20140710000712 |
| Provider Name | Laura M. Doyon |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235363342 PECOS PAC ID: 2567687379 Enrollment ID: I20140711001429 |
| Provider Name | Muhammad Janisar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972883197 PECOS PAC ID: 6103041827 Enrollment ID: I20140711002313 |
| Provider Name | Heather A Wojcik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124443262 PECOS PAC ID: 0749406379 Enrollment ID: I20140717000089 |
| Provider Name | Jeffrey Tiger |
|---|---|
| Provider Type | Practitioner - Micrographic Dermatologic Surgery (mds) |
| Provider Identifiers | NPI Number: 1326274200 PECOS PAC ID: 7911123310 Enrollment ID: I20140721001204 |
| Provider Name | Elizabeth Doney |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1134484801 PECOS PAC ID: 2860618162 Enrollment ID: I20140723000058 |
| Provider Name | Christopher C Bolus |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154583490 PECOS PAC ID: 6608092911 Enrollment ID: I20140723000372 |
| Provider Name | Julie O Dennis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336293760 PECOS PAC ID: 4284850504 Enrollment ID: I20140723000583 |
| Provider Name | Johanna Kline Kim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952562381 PECOS PAC ID: 0840484796 Enrollment ID: I20140723001563 |
| Provider Name | Lisa B. Gelormini |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497037105 PECOS PAC ID: 1759507890 Enrollment ID: I20140724002485 |
| Provider Name | Veljko M Popov |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033371430 PECOS PAC ID: 6002032141 Enrollment ID: I20140724002574 |
| Provider Name | Matthew Lawler |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629363767 PECOS PAC ID: 8820215353 Enrollment ID: I20140807000325 |
| Provider Name | Bharat Yarlagadda |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1942465489 PECOS PAC ID: 7618194721 Enrollment ID: I20140814000228 |
| Provider Name | Sherifat A Hinchey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093933509 PECOS PAC ID: 6103000492 Enrollment ID: I20140828000132 |
| Provider Name | Brian Rosenberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417129636 PECOS PAC ID: 2365629946 Enrollment ID: I20140828001346 |
| Provider Name | Tarun Patel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1912285255 PECOS PAC ID: 9739307968 Enrollment ID: I20140829000041 |
| Provider Name | Chaitan K Narsule |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891913604 PECOS PAC ID: 0244423168 Enrollment ID: I20140902000183 |
| Provider Name | Justin M Zbrzezny |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1699938639 PECOS PAC ID: 9436377561 Enrollment ID: I20140902001147 |
| Provider Name | Gaurav C Parikh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508038506 PECOS PAC ID: 4587810288 Enrollment ID: I20140905000971 |
| Provider Name | Anuj Basil |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811131386 PECOS PAC ID: 8123246063 Enrollment ID: I20140905001868 |
| Provider Name | Balram Sharma |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1134356975 PECOS PAC ID: 4284862202 Enrollment ID: I20140905001999 |
| Provider Name | Jessica K Shields |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457676405 PECOS PAC ID: 2365661279 Enrollment ID: I20140908001751 |
| Provider Name | Brendan Connell |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1306131933 PECOS PAC ID: 3971722661 Enrollment ID: I20140911000213 |
| Provider Name | Ming V Lin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1043404593 PECOS PAC ID: 2365679529 Enrollment ID: I20140911001849 |
| Provider Name | Mary M Bazylewicz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669758397 PECOS PAC ID: 7810116209 Enrollment ID: I20140917001242 |
| Provider Name | Parag Vohra |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1073749412 PECOS PAC ID: 5092860858 Enrollment ID: I20140918000642 |
| Provider Name | Lara Maclachlan |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1992964183 PECOS PAC ID: 8022258573 Enrollment ID: I20140919001107 |
| Provider Name | Victoria Scanlan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164717708 PECOS PAC ID: 1254551989 Enrollment ID: I20141001001661 |
| Provider Name | Jayaseeli Bastin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437365897 PECOS PAC ID: 4981791878 Enrollment ID: I20141002001330 |
| Provider Name | Calin S Neagoe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508156027 PECOS PAC ID: 0648490144 Enrollment ID: I20141006000613 |
| Provider Name | Sheri Keitz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336179514 PECOS PAC ID: 9638253586 Enrollment ID: I20141010000825 |
| Provider Name | Esha Sood |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174888234 PECOS PAC ID: 5799931994 Enrollment ID: I20141010000984 |
| Provider Name | Kathleen A Garabedian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801295431 PECOS PAC ID: 1355561531 Enrollment ID: I20141010001164 |
| Provider Name | Meghan Schmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912325317 PECOS PAC ID: 5890916936 Enrollment ID: I20141015000487 |
| Provider Name | Lauren M Pincus |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497915516 PECOS PAC ID: 2062644057 Enrollment ID: I20141016000626 |
| Provider Name | Anilkumar Katta |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1740444991 PECOS PAC ID: 2860634680 Enrollment ID: I20141023002249 |
| Provider Name | Gretchen W Dietrich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265724090 PECOS PAC ID: 6204068109 Enrollment ID: I20141024001344 |
| Provider Name | Laura A Enos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114335122 PECOS PAC ID: 0143442350 Enrollment ID: I20141103002022 |
| Provider Name | Elysia Cappellucci |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740681048 PECOS PAC ID: 8921220898 Enrollment ID: I20141107001810 |
| Provider Name | Samad Siraz Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710278270 PECOS PAC ID: 2961634522 Enrollment ID: I20141112001004 |
| Provider Name | Janet A Young |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841501814 PECOS PAC ID: 9537381249 Enrollment ID: I20141113001348 |
| Provider Name | Kathleen Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477961589 PECOS PAC ID: 1153543616 Enrollment ID: I20141118000594 |
| Provider Name | Craig J Corey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598166746 PECOS PAC ID: 6406078864 Enrollment ID: I20141119001992 |
| Provider Name | Trang M Tong |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114321429 PECOS PAC ID: 7315169794 Enrollment ID: I20141119002451 |
| Provider Name | Jack J Fang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083904080 PECOS PAC ID: 6608098967 Enrollment ID: I20141121000477 |
| Provider Name | Satinder Singh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558608695 PECOS PAC ID: 6901049162 Enrollment ID: I20141121001135 |
| Provider Name | Andrea Tsai |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710114350 PECOS PAC ID: 4284892696 Enrollment ID: I20141121001688 |
| Provider Name | Taylor J. Deasy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356759914 PECOS PAC ID: 8426370248 Enrollment ID: I20141205001909 |
| Provider Name | Bryan J Piccirillo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134449606 PECOS PAC ID: 2769614510 Enrollment ID: I20141208000058 |
| Provider Name | Chaya Ray |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679853139 PECOS PAC ID: 1658693312 Enrollment ID: I20141208001155 |
| Provider Name | Yaron B Gesthalter |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1013183599 PECOS PAC ID: 9638301799 Enrollment ID: I20141210000654 |
| Provider Name | Jun Hu |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689913972 PECOS PAC ID: 5799924155 Enrollment ID: I20141212000042 |
| Provider Name | Linda C. Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568864130 PECOS PAC ID: 9234451642 Enrollment ID: I20141212001711 |
| Provider Name | Sean P. Hurley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427398890 PECOS PAC ID: 6204077258 Enrollment ID: I20141223000321 |
| Provider Name | Arun Uthayashankar |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1801115076 PECOS PAC ID: 1153446596 Enrollment ID: I20150211001003 |
| Provider Name | Cary Meyer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518213131 PECOS PAC ID: 8527383629 Enrollment ID: I20150212001564 |
| Provider Name | Kristin Passeri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861808354 PECOS PAC ID: 6103141916 Enrollment ID: I20150218001532 |
| Provider Name | Cameron T Stock |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1588821219 PECOS PAC ID: 0345494407 Enrollment ID: I20150313001225 |
| Provider Name | Saw Tee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992032635 PECOS PAC ID: 4880863166 Enrollment ID: I20150330000109 |
| Provider Name | Megan Brown |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033320536 PECOS PAC ID: 1850463274 Enrollment ID: I20150331001278 |
| Provider Name | Brianna L Muller |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023409596 PECOS PAC ID: 7214254135 Enrollment ID: I20150402000270 |
| Provider Name | Jennifer I Frias |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033514401 PECOS PAC ID: 6406174093 Enrollment ID: I20150410001180 |
| Provider Name | Kit Mui |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194958488 PECOS PAC ID: 3375861735 Enrollment ID: I20150414002557 |
| Provider Name | Alexis Dawkins Jorgenson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1275937963 PECOS PAC ID: 8426376567 Enrollment ID: I20150421001618 |
| Provider Name | Jorge A Alzate |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003200858 PECOS PAC ID: 2769701747 Enrollment ID: I20150427000349 |
| Provider Name | Susan M. Himes |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215260104 PECOS PAC ID: 3072760552 Enrollment ID: I20150512002329 |
| Provider Name | Ethan J Rowin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1578790283 PECOS PAC ID: 1759508757 Enrollment ID: I20150602000161 |
| Provider Name | Aaron Paul |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659689263 PECOS PAC ID: 2668631110 Enrollment ID: I20150604000791 |
| Provider Name | Laura L Jett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114013794 PECOS PAC ID: 0244275469 Enrollment ID: I20150605001486 |
| Provider Name | Katie Wallace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952703092 PECOS PAC ID: 2062733686 Enrollment ID: I20150609000054 |
| Provider Name | Eleanor Summerhill |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1720063399 PECOS PAC ID: 1951468388 Enrollment ID: I20150610000511 |
| Provider Name | Mohammed Mustafa Alnijoumi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1699938449 PECOS PAC ID: 2466621222 Enrollment ID: I20150615002597 |
| Provider Name | Usman A Tahir |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1801152236 PECOS PAC ID: 5698907723 Enrollment ID: I20150619000157 |
| Provider Name | Daniel D Vardeh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205132990 PECOS PAC ID: 8123289048 Enrollment ID: I20150624001095 |
| Provider Name | Gillian L Mccafferty |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629335914 PECOS PAC ID: 5294969200 Enrollment ID: I20150625001165 |
| Provider Name | Harneet Gujral |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396035127 PECOS PAC ID: 9638481989 Enrollment ID: I20150630001042 |
| Provider Name | Elliot L. Servais |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1194982421 PECOS PAC ID: 9537386479 Enrollment ID: I20150708002202 |
| Provider Name | Reza Hakimelahi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063703791 PECOS PAC ID: 5496069973 Enrollment ID: I20150728004427 |
| Provider Name | Jessica Lynch |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548523988 PECOS PAC ID: 6002120466 Enrollment ID: I20150730011106 |
| Provider Name | David B Lazar |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1417242975 PECOS PAC ID: 0840504130 Enrollment ID: I20150730012596 |
| Provider Name | Daniel S. Fitelson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1053545459 PECOS PAC ID: 3678884111 Enrollment ID: I20150731014704 |
| Provider Name | John Hwang |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1386957728 PECOS PAC ID: 6901110063 Enrollment ID: I20150803001070 |
| Provider Name | Alessandro Cancelliere |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073888236 PECOS PAC ID: 3678887460 Enrollment ID: I20150807013329 |
| Provider Name | Zoe Rosenbaum |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1992020903 PECOS PAC ID: 2769797307 Enrollment ID: I20150812006354 |
| Provider Name | Karim S Fikry |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1316258353 PECOS PAC ID: 7214196740 Enrollment ID: I20150812007427 |
| Provider Name | Eman M Shaban |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922396969 PECOS PAC ID: 6406085166 Enrollment ID: I20150813009814 |
| Provider Name | Jeffrey You-ling Shyu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023336690 PECOS PAC ID: 9032357983 Enrollment ID: I20150825004747 |
| Provider Name | Alon Dor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376806653 PECOS PAC ID: 3779714928 Enrollment ID: I20150825004934 |
| Provider Name | Michael Colancecco |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1841481330 PECOS PAC ID: 2961672951 Enrollment ID: I20150831002163 |
| Provider Name | Amer Nazir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487911996 PECOS PAC ID: 3678889730 Enrollment ID: I20150903001910 |
| Provider Name | Young-soo Song |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1679720221 PECOS PAC ID: 7315166873 Enrollment ID: I20150908000131 |
| Provider Name | Laura J. Harvey |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1528352853 PECOS PAC ID: 9436465366 Enrollment ID: I20150908002334 |
| Provider Name | Katherine T Brunner |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1427317247 PECOS PAC ID: 9234352592 Enrollment ID: I20150915002181 |
| Provider Name | Jessica C Mintz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1780975177 PECOS PAC ID: 9133347107 Enrollment ID: I20150916001082 |
| Provider Name | Ezra R Miller |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1982923595 PECOS PAC ID: 2961719083 Enrollment ID: I20150922000529 |
| Provider Name | Catherine Carroll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235511031 PECOS PAC ID: 8527375658 Enrollment ID: I20150922000908 |
| Provider Name | Heather A Jay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831448505 PECOS PAC ID: 3173746526 Enrollment ID: I20150928001782 |
| Provider Name | Alison A. Locke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043469158 PECOS PAC ID: 6103134986 Enrollment ID: I20150928001818 |
| Provider Name | Danelle Debye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255710869 PECOS PAC ID: 1759699564 Enrollment ID: I20150928002625 |
| Provider Name | Kristina G Gaud |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508151598 PECOS PAC ID: 9032332861 Enrollment ID: I20150929000685 |
| Provider Name | Heidi Prieur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750765046 PECOS PAC ID: 8820306269 Enrollment ID: I20151005000391 |
| Provider Name | Tomas R Walsh |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1538421987 PECOS PAC ID: 7810141678 Enrollment ID: I20151013001494 |
| Provider Name | Nicole Landzberg Grossman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1619297124 PECOS PAC ID: 8729397740 Enrollment ID: I20151014000903 |
| Provider Name | Kaitlin E Walton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245615764 PECOS PAC ID: 9032428784 Enrollment ID: I20151020000144 |
| Provider Name | Tarun Baveja |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619222585 PECOS PAC ID: 5991014144 Enrollment ID: I20151029000430 |
| Provider Name | Octavia N Devon |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1396976205 PECOS PAC ID: 9537391990 Enrollment ID: I20151110000463 |
| Provider Name | Sara A Scialdone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316323553 PECOS PAC ID: 6406156264 Enrollment ID: I20151130001394 |
| Provider Name | Kimberly Ann Lung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780018077 PECOS PAC ID: 0941425284 Enrollment ID: I20151204000942 |
| Provider Name | Imran S Hasan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225394810 PECOS PAC ID: 7719209782 Enrollment ID: I20151207001524 |
| Provider Name | Matthew A. Nitzberg |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1053632539 PECOS PAC ID: 3072732361 Enrollment ID: I20151209001761 |
| Provider Name | David C Chu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164715389 PECOS PAC ID: 7214155191 Enrollment ID: I20151216000963 |
| Provider Name | Jennifer L Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649679614 PECOS PAC ID: 4587965488 Enrollment ID: I20151218000525 |
| Provider Name | Lindsay B Paula |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710359898 PECOS PAC ID: 0749582666 Enrollment ID: I20160111000444 |
| Provider Name | Tamar Shoshana Geva |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1366757783 PECOS PAC ID: 6406158138 Enrollment ID: I20160112001458 |
| Provider Name | Arjun Majithia |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1285922054 PECOS PAC ID: 8325340961 Enrollment ID: I20160113001960 |
| Provider Name | Aaron Glenney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932465390 PECOS PAC ID: 1153625801 Enrollment ID: I20160201002195 |
| Provider Name | Ed Fortune A Mangio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659700599 PECOS PAC ID: 6002137783 Enrollment ID: I20160203001759 |
| Provider Name | Kendea Oliver |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578954582 PECOS PAC ID: 0345545646 Enrollment ID: I20160224002299 |
| Provider Name | Amy M Fabiani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679982185 PECOS PAC ID: 4789989971 Enrollment ID: I20160225002297 |
| Provider Name | Seyed Rezapour |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710240155 PECOS PAC ID: 3375848351 Enrollment ID: I20160301000077 |
| Provider Name | Sheba G Vattamala |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245593680 PECOS PAC ID: 0749586576 Enrollment ID: I20160304000293 |
| Provider Name | Meenakshi Kundi-sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528322245 PECOS PAC ID: 5193963106 Enrollment ID: I20160329001860 |
| Provider Name | Cailin Coleman Delaney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649491655 PECOS PAC ID: 9436457801 Enrollment ID: I20160419000487 |
| Provider Name | Michele L Kelley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639539083 PECOS PAC ID: 2668771312 Enrollment ID: I20160502000086 |
| Provider Name | Nikola S Natov |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1952690695 PECOS PAC ID: 9234438805 Enrollment ID: I20160503001580 |
| Provider Name | Melanie J Teabo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528431830 PECOS PAC ID: 8022307859 Enrollment ID: I20160518001932 |
| Provider Name | Bonnie A Ewald |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1346535440 PECOS PAC ID: 1355631359 Enrollment ID: I20160603000481 |
| Provider Name | Zeyar Myint Yeh |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1518218882 PECOS PAC ID: 2466607874 Enrollment ID: I20160609002291 |
| Provider Name | Jeremy Wortman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548549736 PECOS PAC ID: 7618115577 Enrollment ID: I20160615000714 |
| Provider Name | Mircea C Dobre |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225203151 PECOS PAC ID: 2264653344 Enrollment ID: I20160615001416 |
| Provider Name | Gail Batissa Handwork |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811928393 PECOS PAC ID: 2365536075 Enrollment ID: I20160616002092 |
| Provider Name | Eli Poorvu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760741276 PECOS PAC ID: 1355659541 Enrollment ID: I20160620000397 |
| Provider Name | Elie R Balesh |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1528353299 PECOS PAC ID: 0345403317 Enrollment ID: I20160621000274 |
| Provider Name | Casper Reske-nielsen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902172257 PECOS PAC ID: 8426273087 Enrollment ID: I20160701000858 |
| Provider Name | Gerard H. Daly |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1003179599 PECOS PAC ID: 7810289097 Enrollment ID: I20160708000170 |
| Provider Name | Dallas Walsh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033566773 PECOS PAC ID: 2860784956 Enrollment ID: I20160711001584 |
| Provider Name | Apurva A Shah |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194071969 PECOS PAC ID: 8921311226 Enrollment ID: I20160721002293 |
| Provider Name | Amanda Coffey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376998914 PECOS PAC ID: 6103119268 Enrollment ID: I20160727000268 |
| Provider Name | Collins A Tabiri |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700032471 PECOS PAC ID: 2860660107 Enrollment ID: I20160802002620 |
| Provider Name | Jeffrey A. Hashim |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699061341 PECOS PAC ID: 9537453907 Enrollment ID: I20160808001256 |
| Provider Name | Joshua H. Brody |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932429016 PECOS PAC ID: 0547581977 Enrollment ID: I20160811001311 |
| Provider Name | Gagandeep Kochhar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700174109 PECOS PAC ID: 7113145343 Enrollment ID: I20160812000792 |
| Provider Name | Kendra A. Klein-mascia |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1205192697 PECOS PAC ID: 0143519801 Enrollment ID: I20160816002143 |
| Provider Name | David W Van Norstrand |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437413994 PECOS PAC ID: 8921252107 Enrollment ID: I20160823003134 |
| Provider Name | Susana C Candia |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518288232 PECOS PAC ID: 5799096947 Enrollment ID: I20160824000232 |
| Provider Name | Marcey L Osgood |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770894107 PECOS PAC ID: 4082837588 Enrollment ID: I20160906000365 |
| Provider Name | Alon Dagan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023451747 PECOS PAC ID: 5092001552 Enrollment ID: I20160908002439 |
| Provider Name | Chelsea Mccraine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285090506 PECOS PAC ID: 9830485358 Enrollment ID: I20160909001507 |
| Provider Name | Iqra Javeed |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1568884559 PECOS PAC ID: 4789973371 Enrollment ID: I20160912000433 |
| Provider Name | Jessica A Krass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558709477 PECOS PAC ID: 2062646698 Enrollment ID: I20160912002128 |
| Provider Name | Elizabeth Kovac |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1659721330 PECOS PAC ID: 4183910482 Enrollment ID: I20160913002285 |
| Provider Name | Jeffrey Heit |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508893447 PECOS PAC ID: 9133264773 Enrollment ID: I20160913002678 |
| Provider Name | Ali Ebrahimi |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1780976894 PECOS PAC ID: 6305132523 Enrollment ID: I20160914000394 |
| Provider Name | Margaret Marion Zambon |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1609018613 PECOS PAC ID: 1658536693 Enrollment ID: I20160914002166 |
| Provider Name | Joanna Suski |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326362880 PECOS PAC ID: 5092944868 Enrollment ID: I20160915000052 |
| Provider Name | Khaled Eissa |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1124257928 PECOS PAC ID: 6406142546 Enrollment ID: I20160915001784 |
| Provider Name | Jaclyn Therrien |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467730739 PECOS PAC ID: 3779870829 Enrollment ID: I20160917000349 |
| Provider Name | Julia Martyn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255799680 PECOS PAC ID: 4688961006 Enrollment ID: I20160928000670 |
| Provider Name | Courtney E. Gallant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376995738 PECOS PAC ID: 9739476953 Enrollment ID: I20160930001822 |
| Provider Name | Jonathan K Vincent |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821313388 PECOS PAC ID: 2668769894 Enrollment ID: I20161003000319 |
| Provider Name | Michelle Wong |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1679912539 PECOS PAC ID: 5799073896 Enrollment ID: I20161005000856 |
| Provider Name | Hector M Madariaga |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1992010375 PECOS PAC ID: 1850690900 Enrollment ID: I20161013000439 |
| Provider Name | Daniel Aaron Caroff |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1710205471 PECOS PAC ID: 3577795939 Enrollment ID: I20161019002095 |
| Provider Name | Dita Mayer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1336436187 PECOS PAC ID: 1456642339 Enrollment ID: I20161024000008 |
| Provider Name | Hassan El Bakkar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881036838 PECOS PAC ID: 9234417312 Enrollment ID: I20161024002463 |
| Provider Name | Elaina Townsend |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003202334 PECOS PAC ID: 5496075780 Enrollment ID: I20161026002061 |
| Provider Name | Noah Schoenberg |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1346535259 PECOS PAC ID: 2466680459 Enrollment ID: I20161027001043 |
| Provider Name | Cathy Daugusta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396103107 PECOS PAC ID: 7214215193 Enrollment ID: I20161027001184 |
| Provider Name | Katelyn Enwright Yang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104278258 PECOS PAC ID: 2062790959 Enrollment ID: I20161027001488 |
| Provider Name | Julie Howe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629403928 PECOS PAC ID: 8628391596 Enrollment ID: I20161103001132 |
| Provider Name | Fabian R Reimold |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609216571 PECOS PAC ID: 2668750068 Enrollment ID: I20161104000769 |
| Provider Name | Nicole Hanley-williams |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1851567424 PECOS PAC ID: 7315115599 Enrollment ID: I20161107001955 |
| Provider Name | Eric Francis Swart |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1386960128 PECOS PAC ID: 8820304918 Enrollment ID: I20161114001248 |
| Provider Name | Yana S Studentsova |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1194870840 PECOS PAC ID: 3173613197 Enrollment ID: I20161114001955 |
| Provider Name | Ahmed Mahmoud Elebiary |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659719227 PECOS PAC ID: 8022301704 Enrollment ID: I20161117001735 |
| Provider Name | Jessica Redis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770778003 PECOS PAC ID: 1355620105 Enrollment ID: I20161117002401 |
| Provider Name | Kenneth Jia En Lim |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1316280381 PECOS PAC ID: 1052555182 Enrollment ID: I20161122000676 |
| Provider Name | Andrew D Donnelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578017497 PECOS PAC ID: 0345529863 Enrollment ID: I20161128000113 |
| Provider Name | Shveta S. Motwani |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1316251135 PECOS PAC ID: 4385866227 Enrollment ID: I20161129000347 |
| Provider Name | Qiang Zeng |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134495286 PECOS PAC ID: 4082927660 Enrollment ID: I20161129000369 |
| Provider Name | Sathyavani Prabhakar |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1215033188 PECOS PAC ID: 2860592987 Enrollment ID: I20161209001045 |
| Provider Name | Anubhav Kaul |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023457975 PECOS PAC ID: 8729368618 Enrollment ID: I20161212001205 |
| Provider Name | Daniel Cruz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588930820 PECOS PAC ID: 8224288279 Enrollment ID: I20161219000034 |
| Provider Name | John W Ambrose |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487676862 PECOS PAC ID: 4385637727 Enrollment ID: I20161222001084 |
| Provider Name | Tiara Mccaskill |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629493820 PECOS PAC ID: 5294959318 Enrollment ID: I20161228000300 |
| Provider Name | Stephen A Klinge |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1538397732 PECOS PAC ID: 4183849029 Enrollment ID: I20161229001160 |
| Provider Name | Anne Winkler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235245887 PECOS PAC ID: 7911288006 Enrollment ID: I20170104000366 |
| Provider Name | Joseph R Ackerman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285083725 PECOS PAC ID: 4880975622 Enrollment ID: I20170110000914 |
| Provider Name | Caroline Simon |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1790903524 PECOS PAC ID: 9739460478 Enrollment ID: I20170111002029 |
| Provider Name | Fangyu Chi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811341019 PECOS PAC ID: 8820370547 Enrollment ID: I20170112002147 |
| Provider Name | Andrew Mccullough |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1831183631 PECOS PAC ID: 8123038569 Enrollment ID: I20170112002630 |
| Provider Name | Firas Kaddouh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225317589 PECOS PAC ID: 5092931865 Enrollment ID: I20170118002109 |
| Provider Name | Merle Kushner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568813376 PECOS PAC ID: 3072895515 Enrollment ID: I20170118002359 |
| Provider Name | Sharon Cicchetti Rousseau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538105903 PECOS PAC ID: 0941421085 Enrollment ID: I20170124001896 |
| Provider Name | Sakara I Cummings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174975585 PECOS PAC ID: 9931481033 Enrollment ID: I20170125002374 |
| Provider Name | Christina A Hanzis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093259962 PECOS PAC ID: 2567744345 Enrollment ID: I20170201000092 |
| Provider Name | Ana Solky |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1295047322 PECOS PAC ID: 3971886748 Enrollment ID: I20170202000682 |
| Provider Name | Yee Lee Cheah |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942428784 PECOS PAC ID: 0840573614 Enrollment ID: I20170202000787 |
| Provider Name | Alan S Miller |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265484562 PECOS PAC ID: 2365354081 Enrollment ID: I20170207000904 |
| Provider Name | Dawne Hillsgrove |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124561824 PECOS PAC ID: 5597048611 Enrollment ID: I20170215000080 |
| Provider Name | Kara Nugent |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477712057 PECOS PAC ID: 2769511013 Enrollment ID: I20170223001685 |
| Provider Name | Kelly Ann Calnan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295286037 PECOS PAC ID: 1557645264 Enrollment ID: I20170224000418 |
| Provider Name | Colette M Montoni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336696053 PECOS PAC ID: 2769766476 Enrollment ID: I20170224000689 |
| Provider Name | Neha Malik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306081963 PECOS PAC ID: 0143493692 Enrollment ID: I20170224001729 |
| Provider Name | Stephanie Powers Convey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487947164 PECOS PAC ID: 3072746023 Enrollment ID: I20170227001844 |
| Provider Name | Susan Hilburn |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1396772679 PECOS PAC ID: 3779478995 Enrollment ID: I20170302002038 |
| Provider Name | Katrina Reiser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649609736 PECOS PAC ID: 7810271145 Enrollment ID: I20170303001551 |
| Provider Name | Barry J Maron |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1871040253 PECOS PAC ID: 3971887282 Enrollment ID: I20170306001915 |
| Provider Name | Julie Morgan Freiman |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1295056869 PECOS PAC ID: 1456635473 Enrollment ID: I20170310000756 |
| Provider Name | Lisa Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023301983 PECOS PAC ID: 5395922652 Enrollment ID: I20170403001178 |
| Provider Name | Ashley Brisebois |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851846687 PECOS PAC ID: 1557647153 Enrollment ID: I20170414000096 |
| Provider Name | Tracy J Daly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619386562 PECOS PAC ID: 6507142791 Enrollment ID: I20170425001233 |
| Provider Name | Tory Larsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669920179 PECOS PAC ID: 6002193893 Enrollment ID: I20170504000068 |
| Provider Name | Richard R Guillaume |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013454990 PECOS PAC ID: 9830476639 Enrollment ID: I20170504000367 |
| Provider Name | Jiayi Zhou |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1396285748 PECOS PAC ID: 9830476217 Enrollment ID: I20170512001081 |
| Provider Name | David P Richards |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1114907508 PECOS PAC ID: 3072525005 Enrollment ID: I20170515000149 |
| Provider Name | Neeraj Mahajan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174801351 PECOS PAC ID: 7810118809 Enrollment ID: I20170516002430 |
| Provider Name | Meaghan Mackesy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134415334 PECOS PAC ID: 8628216652 Enrollment ID: I20170518000357 |
| Provider Name | Gianluca Toraldo |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1972869857 PECOS PAC ID: 5698907772 Enrollment ID: I20170518000814 |
| Provider Name | Aanchal Gupta |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1972866093 PECOS PAC ID: 8820371560 Enrollment ID: I20170525001887 |
| Provider Name | Joshua Giaccotto |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1639463292 PECOS PAC ID: 0446527279 Enrollment ID: I20170530001100 |
| Provider Name | Cristina Montalvo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427390004 PECOS PAC ID: 3274759766 Enrollment ID: I20170601002120 |
| Provider Name | Jagriti Upadhyay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205148095 PECOS PAC ID: 6901025113 Enrollment ID: I20170607000538 |
| Provider Name | Kevin P Crotty |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1215253661 PECOS PAC ID: 4082982426 Enrollment ID: I20170608000110 |
| Provider Name | Mark E Clukey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093135840 PECOS PAC ID: 1557639580 Enrollment ID: I20170616000423 |
| Provider Name | Justin Simmons |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1588807382 PECOS PAC ID: 0244480788 Enrollment ID: I20170620002025 |
| Provider Name | Sarah Maresco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801039086 PECOS PAC ID: 7517236896 Enrollment ID: I20170629001048 |
| Provider Name | David Kleiman |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1437391125 PECOS PAC ID: 0547539843 Enrollment ID: I20170629001777 |
| Provider Name | Fraser Colin Mackay |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629330410 PECOS PAC ID: 2769622380 Enrollment ID: I20170705002330 |
| Provider Name | Wei Xing |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1346534609 PECOS PAC ID: 0446545396 Enrollment ID: I20170707000255 |
| Provider Name | Johanna Helenius |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336403930 PECOS PAC ID: 1355648585 Enrollment ID: I20170707000831 |
| Provider Name | Farah Deeba |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821409947 PECOS PAC ID: 0143599050 Enrollment ID: I20170710001214 |
| Provider Name | Rachel Hw Root |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174766117 PECOS PAC ID: 4284896929 Enrollment ID: I20170718002437 |
| Provider Name | Ryan Seibert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912263864 PECOS PAC ID: 3173838216 Enrollment ID: I20170726002686 |
| Provider Name | Katerina Papa |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538588280 PECOS PAC ID: 7416173265 Enrollment ID: I20170727000745 |
| Provider Name | Beth Lovell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669429403 PECOS PAC ID: 2769457290 Enrollment ID: I20170728001503 |
| Provider Name | John Lee |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114303906 PECOS PAC ID: 8527339282 Enrollment ID: I20170731001150 |
| Provider Name | Karla Nicole Nieves Borrero |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1720305766 PECOS PAC ID: 6204070014 Enrollment ID: I20170731001867 |
| Provider Name | Scott Sperling |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1043570930 PECOS PAC ID: 2769601590 Enrollment ID: I20170801000227 |
| Provider Name | Stefanie S Saunders |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1235497207 PECOS PAC ID: 1052537792 Enrollment ID: I20170803000441 |
| Provider Name | Mahesh Pandey |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1164618757 PECOS PAC ID: 1951485598 Enrollment ID: I20170803000533 |
| Provider Name | Meredith A Stringer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003239070 PECOS PAC ID: 2062638760 Enrollment ID: I20170803002761 |
| Provider Name | Nadia A Shaikh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588076202 PECOS PAC ID: 0042437626 Enrollment ID: I20170804000138 |
| Provider Name | Rachel Meyer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1235405283 PECOS PAC ID: 6507137726 Enrollment ID: I20170807002523 |
| Provider Name | Rojer Ranjit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407383136 PECOS PAC ID: 6800167826 Enrollment ID: I20170809000279 |
| Provider Name | Adam J Wulkan |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1174865901 PECOS PAC ID: 0840561890 Enrollment ID: I20170809001890 |
| Provider Name | Heather L Davidson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497836407 PECOS PAC ID: 2769629500 Enrollment ID: I20170816002960 |
| Provider Name | Ping Lien |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730352352 PECOS PAC ID: 4284709783 Enrollment ID: I20170825001075 |
| Provider Name | Esther Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295141588 PECOS PAC ID: 3173895133 Enrollment ID: I20170825001288 |
| Provider Name | Joseph Maffucci |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902320351 PECOS PAC ID: 0941573851 Enrollment ID: I20170829000080 |
| Provider Name | Tatiana Bernde C Aime Noel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588061964 PECOS PAC ID: 1557634391 Enrollment ID: I20170830001752 |
| Provider Name | Alaa Samih Ayyoub |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1659688810 PECOS PAC ID: 1052684784 Enrollment ID: I20170831002195 |
| Provider Name | Kari Gillmeyer |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1174899033 PECOS PAC ID: 5395977375 Enrollment ID: I20170906001081 |
| Provider Name | Jocelyn R Farmer |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1194162321 PECOS PAC ID: 9335376623 Enrollment ID: I20170911002140 |
| Provider Name | Marta Braschi Amirfarzan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821330200 PECOS PAC ID: 5395979561 Enrollment ID: I20170913001650 |
| Provider Name | Laura Sowerby |
|---|---|
| Provider Type | Practitioner - Micrographic Dermatologic Surgery (mds) |
| Provider Identifiers | NPI Number: 1902280308 PECOS PAC ID: 7911298914 Enrollment ID: I20170919004232 |
| Provider Name | James W Hansen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1275769846 PECOS PAC ID: 9931364213 Enrollment ID: I20170928000686 |
| Provider Name | Pooja Raibagkar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306133293 PECOS PAC ID: 7315192952 Enrollment ID: I20171002000504 |
| Provider Name | Jennifer A Liebenthal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205066446 PECOS PAC ID: 0749599595 Enrollment ID: I20171004002533 |
| Provider Name | Elizabeth M Drumm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336579986 PECOS PAC ID: 6204065550 Enrollment ID: I20171006000877 |
| Provider Name | Kimberly Rose Haynsworth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992214340 PECOS PAC ID: 9032484506 Enrollment ID: I20171010000152 |
| Provider Name | Caroline Cristina Nitschmann |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1538483003 PECOS PAC ID: 7719144120 Enrollment ID: I20171010000347 |
| Provider Name | Sara Williford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760654982 PECOS PAC ID: 2062699747 Enrollment ID: I20171011001309 |
| Provider Name | Stephanie M Hon |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1942648746 PECOS PAC ID: 8628375391 Enrollment ID: I20171017001050 |
| Provider Name | Sarah Glaser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316463805 PECOS PAC ID: 7315213394 Enrollment ID: I20171018002115 |
| Provider Name | Brittney Christina Locke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093253569 PECOS PAC ID: 5991071813 Enrollment ID: I20171020001947 |
| Provider Name | Anil Ramineni |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528353679 PECOS PAC ID: 1850667197 Enrollment ID: I20171101000375 |
| Provider Name | Vivek Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568877686 PECOS PAC ID: 1153687447 Enrollment ID: I20171101002571 |
| Provider Name | Ryan V Messiner |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1114075801 PECOS PAC ID: 1658565940 Enrollment ID: I20171102000373 |
| Provider Name | Ariadne Scott Iriarte |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1023458411 PECOS PAC ID: 9436453461 Enrollment ID: I20171109002549 |
| Provider Name | Christina Kassab |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558709626 PECOS PAC ID: 7719269554 Enrollment ID: I20171110000095 |
| Provider Name | Karen L Hoang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134647449 PECOS PAC ID: 2062778681 Enrollment ID: I20171114001851 |
| Provider Name | Hanane Ben Faras |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134531403 PECOS PAC ID: 3274899828 Enrollment ID: I20171114003035 |
| Provider Name | Marwa El Sabbahy |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1275897563 PECOS PAC ID: 7719277052 Enrollment ID: I20171116001521 |
| Provider Name | Suzanne Trimble King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154849255 PECOS PAC ID: 4284991662 Enrollment ID: I20171121001110 |
| Provider Name | Ashley Joan Burke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386170884 PECOS PAC ID: 1557628823 Enrollment ID: I20171122001827 |
| Provider Name | Darci Finocchiaro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467862797 PECOS PAC ID: 3870719818 Enrollment ID: I20171124000086 |
| Provider Name | Maham Arif |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215356449 PECOS PAC ID: 3870897713 Enrollment ID: I20171127002935 |
| Provider Name | Margarita Rabinovich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467829853 PECOS PAC ID: 5890052906 Enrollment ID: I20171128001877 |
| Provider Name | Krystina Habib |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609385095 PECOS PAC ID: 4183981186 Enrollment ID: I20171129002538 |
| Provider Name | Deborah Stewart Bass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629596796 PECOS PAC ID: 5092072991 Enrollment ID: I20171201000407 |
| Provider Name | Faiyaaz Ahmad Kalimullah |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1063729895 PECOS PAC ID: 9739409582 Enrollment ID: I20171201002150 |
| Provider Name | Denese Absalom |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275926271 PECOS PAC ID: 3476810193 Enrollment ID: I20171205000097 |
| Provider Name | Phyllis Chinyanga-edouard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295261782 PECOS PAC ID: 2961760160 Enrollment ID: I20171218000013 |
| Provider Name | Deborah Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619486180 PECOS PAC ID: 6103184114 Enrollment ID: I20171221000694 |
| Provider Name | Melissa Ann White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154840130 PECOS PAC ID: 4688932601 Enrollment ID: I20171221001073 |
| Provider Name | Kevin P Cavanaugh |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1184938284 PECOS PAC ID: 9739476144 Enrollment ID: I20171227001796 |
| Provider Name | Hirsh Trivedi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578902540 PECOS PAC ID: 9638438179 Enrollment ID: I20180109001461 |
| Provider Name | Eric Scott Kerns |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1013189174 PECOS PAC ID: 9032364898 Enrollment ID: I20180115000800 |
| Provider Name | Edward J Boudreau |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043395007 PECOS PAC ID: 7113286279 Enrollment ID: I20180117002202 |
| Provider Name | Tayyaba Salman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396136560 PECOS PAC ID: 7911215876 Enrollment ID: I20180118000695 |
| Provider Name | Elizabeth O'beirne Woods |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770095358 PECOS PAC ID: 9436418134 Enrollment ID: I20180125000117 |
| Provider Name | Livia Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073065587 PECOS PAC ID: 0840550323 Enrollment ID: I20180131002583 |
| Provider Name | Angela L Jellison |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1356661250 PECOS PAC ID: 6002042769 Enrollment ID: I20180213001110 |
| Provider Name | Katherine L Sohm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235643214 PECOS PAC ID: 8729348719 Enrollment ID: I20180213001245 |
| Provider Name | Ann Marie Boland |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275751562 PECOS PAC ID: 9830459619 Enrollment ID: I20180216001499 |
| Provider Name | Jennifer Diane Schwartz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447431713 PECOS PAC ID: 7315979572 Enrollment ID: I20180221001855 |
| Provider Name | Emily M. Asselin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467971044 PECOS PAC ID: 2961763537 Enrollment ID: I20180221002573 |
| Provider Name | Jessie Jean Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184136418 PECOS PAC ID: 1658632211 Enrollment ID: I20180223001011 |
| Provider Name | Carmi Santos Punzalan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1053584037 PECOS PAC ID: 6204005036 Enrollment ID: I20180223001571 |
| Provider Name | David Goldberg |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1053397810 PECOS PAC ID: 1759346091 Enrollment ID: I20180314001794 |
| Provider Name | Patrick Titterington |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1619485885 PECOS PAC ID: 6800158551 Enrollment ID: I20180319000488 |
| Provider Name | Ambareen G Jan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861784027 PECOS PAC ID: 7315268752 Enrollment ID: I20180319001884 |
| Provider Name | Isha Puri |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366672859 PECOS PAC ID: 1254589260 Enrollment ID: I20180320001974 |
| Provider Name | Meghan Lee Vooris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649778606 PECOS PAC ID: 6901168442 Enrollment ID: I20180322000763 |
| Provider Name | Juliann T Manning |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831616614 PECOS PAC ID: 8022370493 Enrollment ID: I20180322002534 |
| Provider Name | Pritika Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356894703 PECOS PAC ID: 3779845904 Enrollment ID: I20180327002478 |
| Provider Name | Cristina Portugal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225549025 PECOS PAC ID: 9133482110 Enrollment ID: I20180405000692 |
| Provider Name | Nhi Uyen Tran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346765625 PECOS PAC ID: 1850664442 Enrollment ID: I20180413001262 |
| Provider Name | Neil Vasishta Patel |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1972713733 PECOS PAC ID: 1254595671 Enrollment ID: I20180423000750 |
| Provider Name | Brian P Houle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942709852 PECOS PAC ID: 5496018533 Enrollment ID: I20180424001569 |
| Provider Name | Siddharth Sehgal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972769818 PECOS PAC ID: 9931364270 Enrollment ID: I20180425000278 |
| Provider Name | Maya Si-huey Ling |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1477807758 PECOS PAC ID: 2365767480 Enrollment ID: I20180425001189 |
| Provider Name | Shabana W Mohamed |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437548948 PECOS PAC ID: 0547524621 Enrollment ID: I20180426002185 |
| Provider Name | Linda Rose Caruso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114447810 PECOS PAC ID: 4688938475 Enrollment ID: I20180502001854 |
| Provider Name | Kimberly R Henriques |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770964728 PECOS PAC ID: 8527365246 Enrollment ID: I20180504000795 |
| Provider Name | Jonathan Rassi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013283084 PECOS PAC ID: 4284923020 Enrollment ID: I20180515000362 |
| Provider Name | Charles D Resor |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1003040676 PECOS PAC ID: 7214183615 Enrollment ID: I20180518001363 |
| Provider Name | Melanie Roy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497287064 PECOS PAC ID: 8820343791 Enrollment ID: I20180618000526 |
| Provider Name | Amy S Levin |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1972940138 PECOS PAC ID: 4284863432 Enrollment ID: I20180619001266 |
| Provider Name | Lacey B Robinson |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1174966295 PECOS PAC ID: 5799071213 Enrollment ID: I20180621001617 |
| Provider Name | Sarita Konka |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1790047520 PECOS PAC ID: 4183916794 Enrollment ID: I20180627002280 |
| Provider Name | Cyrus Arash Kholdani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235373796 PECOS PAC ID: 8628297173 Enrollment ID: I20180628003173 |
| Provider Name | Anna Leszczynski |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1942566732 PECOS PAC ID: 8527290790 Enrollment ID: I20180629000042 |
| Provider Name | Ellen Marie Vollmers |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558788422 PECOS PAC ID: 5395963029 Enrollment ID: I20180629001510 |
| Provider Name | Matthew P Gilman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1609009158 PECOS PAC ID: 0042521809 Enrollment ID: I20180709000097 |
| Provider Name | Pauley Chea |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407291743 PECOS PAC ID: 5193071728 Enrollment ID: I20180711002945 |
| Provider Name | Dylan Rose Waterman |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1548689516 PECOS PAC ID: 3072828102 Enrollment ID: I20180711003942 |
| Provider Name | Yining Fu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487040952 PECOS PAC ID: 1557617123 Enrollment ID: I20180712000610 |
| Provider Name | Alexander Teng |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124413752 PECOS PAC ID: 0143535674 Enrollment ID: I20180712001593 |
| Provider Name | Chintan Patel |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1710240395 PECOS PAC ID: 3173879673 Enrollment ID: I20180712001934 |
| Provider Name | Zachary Schwager |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1174932446 PECOS PAC ID: 9032465513 Enrollment ID: I20180713001469 |
| Provider Name | Elizabeth A. Ryer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417344532 PECOS PAC ID: 8325357981 Enrollment ID: I20180716000689 |
| Provider Name | Robert Jason Carrasquillo |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1518225580 PECOS PAC ID: 8729210695 Enrollment ID: I20180717000169 |
| Provider Name | Julia T Saraidaridis |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1285954651 PECOS PAC ID: 2567626583 Enrollment ID: I20180718001425 |
| Provider Name | Christopher Hansen |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1164797494 PECOS PAC ID: 6204135973 Enrollment ID: I20180726002041 |
| Provider Name | James Lagamo Dawson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194164988 PECOS PAC ID: 8729208210 Enrollment ID: I20180727001140 |
| Provider Name | Andrew Yenphu Yew |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1588892533 PECOS PAC ID: 0446543417 Enrollment ID: I20180730002135 |
| Provider Name | Christina Chedid |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558808568 PECOS PAC ID: 2466700505 Enrollment ID: I20180806001300 |
| Provider Name | Deidre Hein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184023103 PECOS PAC ID: 0648528596 Enrollment ID: I20180808003279 |
| Provider Name | Mohamad Khaled Abdalkader |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124472584 PECOS PAC ID: 3072891001 Enrollment ID: I20180810000523 |
| Provider Name | Sarju B Ganatra |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1649550039 PECOS PAC ID: 5193074870 Enrollment ID: I20180814003980 |
| Provider Name | Justin R Fernandes |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1427201011 PECOS PAC ID: 5395973317 Enrollment ID: I20180815002537 |
| Provider Name | Brian W Clair |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1932460235 PECOS PAC ID: 1850699398 Enrollment ID: I20180816001130 |
| Provider Name | Keri A Bergman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558854893 PECOS PAC ID: 9931458387 Enrollment ID: I20180820000809 |
| Provider Name | Philip Aurigemma |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1346688033 PECOS PAC ID: 6800194333 Enrollment ID: I20180822002039 |
| Provider Name | Temitope P Awosogba |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003235326 PECOS PAC ID: 0143448001 Enrollment ID: I20180827000368 |
| Provider Name | Paul Cavallaro |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1255710166 PECOS PAC ID: 2769797562 Enrollment ID: I20180827001856 |
| Provider Name | Michael C Lubrano |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1003229279 PECOS PAC ID: 7618227471 Enrollment ID: I20180829002300 |
| Provider Name | Thomas Ku |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417344086 PECOS PAC ID: 9335458496 Enrollment ID: I20180910001009 |
| Provider Name | Michael Porter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316240658 PECOS PAC ID: 4486904570 Enrollment ID: I20180911003110 |
| Provider Name | Megan Marie Nichols |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1326459629 PECOS PAC ID: 3173873007 Enrollment ID: I20180913001944 |
| Provider Name | Ngozi G Otaluka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518444603 PECOS PAC ID: 6002166972 Enrollment ID: I20180914000228 |
| Provider Name | Courtney Yegian |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1699193920 PECOS PAC ID: 0244454940 Enrollment ID: I20180918000320 |
| Provider Name | Lynn M Breymer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710464300 PECOS PAC ID: 9739430612 Enrollment ID: I20180918000473 |
| Provider Name | Stephanie Louise Hansen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548704398 PECOS PAC ID: 0446533368 Enrollment ID: I20180918002887 |
| Provider Name | Sarah Newman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548748189 PECOS PAC ID: 8224389812 Enrollment ID: I20180920001682 |
| Provider Name | Molly Cowdrey |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1730599473 PECOS PAC ID: 9931407517 Enrollment ID: I20181001002597 |
| Provider Name | Alvin Das |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912326000 PECOS PAC ID: 6103059811 Enrollment ID: I20181010001933 |
| Provider Name | Laura A Bushee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396187563 PECOS PAC ID: 1355694134 Enrollment ID: I20181024001469 |
| Provider Name | Stephany Hollaender |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689154676 PECOS PAC ID: 4183977911 Enrollment ID: I20181025000370 |
| Provider Name | Afia F. Mirza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962804096 PECOS PAC ID: 9537380712 Enrollment ID: I20181031001459 |
| Provider Name | Taufiq Nafis Zaman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114303393 PECOS PAC ID: 7113270596 Enrollment ID: I20181101001019 |
| Provider Name | Rebecca L Sharpe |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134509623 PECOS PAC ID: 2466705868 Enrollment ID: I20181101002111 |
| Provider Name | Michelle Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013482538 PECOS PAC ID: 5597018705 Enrollment ID: I20181105001262 |
| Provider Name | Melissa Ann Ayer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770059248 PECOS PAC ID: 6709130776 Enrollment ID: I20181109000336 |
| Provider Name | Erin Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639680788 PECOS PAC ID: 7214294255 Enrollment ID: I20181119001922 |
| Provider Name | Alban Celiku |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902304587 PECOS PAC ID: 1850645383 Enrollment ID: I20181119002452 |
| Provider Name | Omar Jamal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487049110 PECOS PAC ID: 7012261357 Enrollment ID: I20181126001800 |
| Provider Name | Vidushi Shanker |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659754596 PECOS PAC ID: 9537403530 Enrollment ID: I20181203000615 |
| Provider Name | Lauren Couture |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760909105 PECOS PAC ID: 8729322201 Enrollment ID: I20181211000976 |
| Provider Name | Khaldoon T Khirfan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1881908119 PECOS PAC ID: 9436446689 Enrollment ID: I20181218002135 |
| Provider Name | Florian Hackl |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1164842613 PECOS PAC ID: 0648561522 Enrollment ID: I20181226001571 |
| Provider Name | Theresa C Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134694565 PECOS PAC ID: 3779828322 Enrollment ID: I20181231000575 |
| Provider Name | Sama Alshora |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407169543 PECOS PAC ID: 6103162607 Enrollment ID: I20190103002286 |
| Provider Name | Kate Lorraine Sawyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386113777 PECOS PAC ID: 4688910193 Enrollment ID: I20190103002673 |
| Provider Name | Larry Schibuk |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467991588 PECOS PAC ID: 6901173459 Enrollment ID: I20190107000227 |
| Provider Name | Nidhi B Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407134745 PECOS PAC ID: 9638399983 Enrollment ID: I20190109000598 |
| Provider Name | Fadel A Bofarrag |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003291279 PECOS PAC ID: 3476852526 Enrollment ID: I20190115003399 |
| Provider Name | Jimsheed Shahriar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609262633 PECOS PAC ID: 9739492778 Enrollment ID: I20190118001418 |
| Provider Name | Kristell Ann Kloack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609346394 PECOS PAC ID: 5496092058 Enrollment ID: I20190122000459 |
| Provider Name | Naman Goel |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1437387545 PECOS PAC ID: 9830338797 Enrollment ID: I20190125001500 |
| Provider Name | Constance C Orlando |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851868657 PECOS PAC ID: 7719224484 Enrollment ID: I20190204001802 |
| Provider Name | Maureen Kathryn Winters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861963696 PECOS PAC ID: 5395083232 Enrollment ID: I20190219001159 |
| Provider Name | Malorie Lyn Bartlett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396243358 PECOS PAC ID: 0941548812 Enrollment ID: I20190219002086 |
| Provider Name | Andaleeb A Ahmed |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1598950321 PECOS PAC ID: 6901030915 Enrollment ID: I20190220002959 |
| Provider Name | Nidhi Nayyar |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1679957559 PECOS PAC ID: 0042559890 Enrollment ID: I20190222000851 |
| Provider Name | Kaitlin Marie Sears |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588134332 PECOS PAC ID: 6204175060 Enrollment ID: I20190222001528 |
| Provider Name | Khadija Chaudrey |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1629171913 PECOS PAC ID: 5991701757 Enrollment ID: I20190225000379 |
| Provider Name | Heather Ann Mcclain |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922203132 PECOS PAC ID: 9638418114 Enrollment ID: I20190227001881 |
| Provider Name | Nioke P Wright |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255537288 PECOS PAC ID: 9739273046 Enrollment ID: I20190307003038 |
| Provider Name | Ivia Rivera Agosto |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1790103299 PECOS PAC ID: 6709004526 Enrollment ID: I20190311000219 |
| Provider Name | Chelsea D'ascanio |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124597257 PECOS PAC ID: 9931447802 Enrollment ID: I20190312002702 |
| Provider Name | Cassandra Theodoris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316411481 PECOS PAC ID: 5193065696 Enrollment ID: I20190320001019 |
| Provider Name | Tatianie Jackson |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1528313558 PECOS PAC ID: 1355681891 Enrollment ID: I20190320002728 |
| Provider Name | Richard Zamore |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1982040630 PECOS PAC ID: 1850680364 Enrollment ID: I20190322000840 |
| Provider Name | Ribal Bassil |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194162768 PECOS PAC ID: 2668695099 Enrollment ID: I20190327000276 |
| Provider Name | Sourbha Satish Dani |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1659520393 PECOS PAC ID: 8022325216 Enrollment ID: I20190327003010 |
| Provider Name | Dhruv Desai |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1265872584 PECOS PAC ID: 7911247978 Enrollment ID: I20190329000519 |
| Provider Name | Bartholomew J Kane |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1093839789 PECOS PAC ID: 6002982444 Enrollment ID: I20190405001456 |
| Provider Name | Sylwia Karpinski |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1265622302 PECOS PAC ID: 4981745924 Enrollment ID: I20190409002336 |
| Provider Name | Sheri L. Soucy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720549637 PECOS PAC ID: 2668713116 Enrollment ID: I20190410000176 |
| Provider Name | Tony Wang |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013322452 PECOS PAC ID: 9830430388 Enrollment ID: I20190410000186 |
| Provider Name | Carolina Ivonne Feris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013397801 PECOS PAC ID: 1759622178 Enrollment ID: I20190412001462 |
| Provider Name | Kimberlyn J Austin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952882375 PECOS PAC ID: 5395086581 Enrollment ID: I20190417000700 |
| Provider Name | Mary Ann Cassel |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1396750709 PECOS PAC ID: 6002158110 Enrollment ID: I20190419000345 |
| Provider Name | Emanuele Orru' |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1205244993 PECOS PAC ID: 5597984492 Enrollment ID: I20190430001402 |
| Provider Name | Gerald J Hopkins |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710200936 PECOS PAC ID: 5294977203 Enrollment ID: I20190430001956 |
| Provider Name | Lee Joseph |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1184854994 PECOS PAC ID: 3173765583 Enrollment ID: I20190507000816 |
| Provider Name | Mukesh Kapoor |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1336329192 PECOS PAC ID: 0749358000 Enrollment ID: I20190507002296 |
| Provider Name | Seung J Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588015317 PECOS PAC ID: 2365730777 Enrollment ID: I20190509000889 |
| Provider Name | Elena M Gonzalez Brant |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1881071413 PECOS PAC ID: 5799085197 Enrollment ID: I20190513000224 |
| Provider Name | Fei Song |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992153183 PECOS PAC ID: 7810283728 Enrollment ID: I20190514001565 |
| Provider Name | Andrew J Goldsmith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447644984 PECOS PAC ID: 5193032142 Enrollment ID: I20190520000030 |
| Provider Name | John L Waciuma |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1194797407 PECOS PAC ID: 5799874616 Enrollment ID: I20190520000397 |
| Provider Name | Aleksey Tadevosyan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477998789 PECOS PAC ID: 2264730332 Enrollment ID: I20190524001069 |
| Provider Name | Bradley Ryan Jones |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1205253135 PECOS PAC ID: 9537460779 Enrollment ID: I20190528001406 |
| Provider Name | Christina Maria Johnson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376981241 PECOS PAC ID: 2567751571 Enrollment ID: I20190530001716 |
| Provider Name | Kathleen M Noe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578129581 PECOS PAC ID: 7719210996 Enrollment ID: I20190603000494 |
| Provider Name | Allison Kanakis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265847164 PECOS PAC ID: 1052663051 Enrollment ID: I20190603000874 |
| Provider Name | Faiza Rahim |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013396001 PECOS PAC ID: 9436453412 Enrollment ID: I20190605002611 |
| Provider Name | Jacqueline Paolino |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1689086142 PECOS PAC ID: 3971892928 Enrollment ID: I20190607001201 |
| Provider Name | Kristen Murphy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700147667 PECOS PAC ID: 1153633888 Enrollment ID: I20190611001724 |
| Provider Name | Alexander T Rozanski |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1497165419 PECOS PAC ID: 7810220555 Enrollment ID: I20190611002817 |
| Provider Name | Nidha Mattappally |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063807600 PECOS PAC ID: 5193034684 Enrollment ID: I20190612003922 |
| Provider Name | Gregory N Emmanuel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164764791 PECOS PAC ID: 5496090003 Enrollment ID: I20190613002455 |
| Provider Name | Luke Dong |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1700204518 PECOS PAC ID: 3577878206 Enrollment ID: I20190614000943 |
| Provider Name | Ying Jiang |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1306224027 PECOS PAC ID: 4981937463 Enrollment ID: I20190617000546 |
| Provider Name | Russell Andrew Baur |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1508020470 PECOS PAC ID: 3971867284 Enrollment ID: I20190618001423 |
| Provider Name | Suzanne Nicole Franzoni-kleeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831548049 PECOS PAC ID: 0547558389 Enrollment ID: I20190620001923 |
| Provider Name | Nikhil Agrawal |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1467722579 PECOS PAC ID: 3577704618 Enrollment ID: I20190621000972 |
| Provider Name | Daniel S Kowalsky |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346690450 PECOS PAC ID: 5294070744 Enrollment ID: I20190625002310 |
| Provider Name | Muhammad Jawad Rashid |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1720468515 PECOS PAC ID: 2860781754 Enrollment ID: I20190710000309 |
| Provider Name | Dipak B Ramkumar |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1639412976 PECOS PAC ID: 3870890809 Enrollment ID: I20190710000838 |
| Provider Name | Susan T Colella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144736182 PECOS PAC ID: 2769717941 Enrollment ID: I20190710001786 |
| Provider Name | Haihui Liao |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1790103208 PECOS PAC ID: 3577898519 Enrollment ID: I20190712000280 |
| Provider Name | Chen E Rosenberg |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1841533569 PECOS PAC ID: 1850626847 Enrollment ID: I20190712001889 |
| Provider Name | Jin Yuan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1710368493 PECOS PAC ID: 0648519355 Enrollment ID: I20190715002045 |
| Provider Name | Neelam A Phadke |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1831467885 PECOS PAC ID: 4284860248 Enrollment ID: I20190716001529 |
| Provider Name | Cecilia Reed |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1467640540 PECOS PAC ID: 7719077718 Enrollment ID: I20190716003207 |
| Provider Name | James Doolin |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1679923817 PECOS PAC ID: 6406140334 Enrollment ID: I20190717002664 |
| Provider Name | Brian B Freniere |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1508209768 PECOS PAC ID: 5698919231 Enrollment ID: I20190719000226 |
| Provider Name | Abhinav Kumar Tiwary |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1801191366 PECOS PAC ID: 1759569361 Enrollment ID: I20190723001124 |
| Provider Name | Ohn A Chow |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1447663380 PECOS PAC ID: 2668780651 Enrollment ID: I20190725000112 |
| Provider Name | Mehdi Ghasemi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790103794 PECOS PAC ID: 9234355017 Enrollment ID: I20190726000714 |
| Provider Name | Marc Patrick Baker-bourgeois |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154850402 PECOS PAC ID: 8820324999 Enrollment ID: I20190726001171 |
| Provider Name | Amer M Alwreikat |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1215302146 PECOS PAC ID: 0143556183 Enrollment ID: I20190729001280 |
| Provider Name | Kathryn Vatti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316413826 PECOS PAC ID: 3577808872 Enrollment ID: I20190802000852 |
| Provider Name | Andrew J Piper |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1346621927 PECOS PAC ID: 8729396387 Enrollment ID: I20190807000776 |
| Provider Name | Brian T Samuelsen |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1396186920 PECOS PAC ID: 5294976593 Enrollment ID: I20190807000899 |
| Provider Name | Anne Marcia Woodbury |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023671351 PECOS PAC ID: 9234466590 Enrollment ID: I20190808002282 |
| Provider Name | Samantha R Sisskind |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053883322 PECOS PAC ID: 8123355146 Enrollment ID: I20190813002312 |
| Provider Name | Sunil Buddaraju |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194088161 PECOS PAC ID: 1759695695 Enrollment ID: I20190816001073 |
| Provider Name | Brian Quigley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952844680 PECOS PAC ID: 6103154984 Enrollment ID: I20190819002505 |
| Provider Name | Cherie Paquette |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1659513174 PECOS PAC ID: 8820226509 Enrollment ID: I20190820003636 |
| Provider Name | Alisa Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013407147 PECOS PAC ID: 7214266147 Enrollment ID: I20190903000465 |
| Provider Name | Joe Alan Solomon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285734913 PECOS PAC ID: 2365512472 Enrollment ID: I20190905001094 |
| Provider Name | Mei Ling Chen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326521386 PECOS PAC ID: 4486983129 Enrollment ID: I20190905003172 |
| Provider Name | Timothy James Larkin |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1215975578 PECOS PAC ID: 5991786329 Enrollment ID: I20190906002867 |
| Provider Name | Gina Deck |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255642286 PECOS PAC ID: 3971735085 Enrollment ID: I20190909000683 |
| Provider Name | Shervin Kamalian |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407262637 PECOS PAC ID: 5092044420 Enrollment ID: I20190911000895 |
| Provider Name | Bridget J Watts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902385099 PECOS PAC ID: 0840542809 Enrollment ID: I20190913000072 |
| Provider Name | Jeremy J Beaulieu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427496868 PECOS PAC ID: 1052552288 Enrollment ID: I20190920001719 |
| Provider Name | Kevin M Phelan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659872489 PECOS PAC ID: 1759611437 Enrollment ID: I20190923002501 |
| Provider Name | Samantha Annette Martinello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124671862 PECOS PAC ID: 2264762814 Enrollment ID: I20190924001890 |
| Provider Name | Jaspreet Singh Suri |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114306552 PECOS PAC ID: 2466782859 Enrollment ID: I20190927001242 |
| Provider Name | Sarah A Maben |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1841553922 PECOS PAC ID: 2466671292 Enrollment ID: I20190927001981 |
| Provider Name | Alexander Hallac |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386039998 PECOS PAC ID: 9830490010 Enrollment ID: I20191003003577 |
| Provider Name | Tanya Birkett |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1023421492 PECOS PAC ID: 3779814520 Enrollment ID: I20191009003120 |
| Provider Name | En-haw Wang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851846513 PECOS PAC ID: 6901138015 Enrollment ID: I20191022003276 |
| Provider Name | Michaela Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598327702 PECOS PAC ID: 4183956931 Enrollment ID: I20191028001355 |
| Provider Name | Sara Ann Mayer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033438031 PECOS PAC ID: 3072732593 Enrollment ID: I20191030000408 |
| Provider Name | Shawna Kennedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871142034 PECOS PAC ID: 8729310032 Enrollment ID: I20191105002080 |
| Provider Name | Louisa E Codier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518512250 PECOS PAC ID: 2769814136 Enrollment ID: I20191125000128 |
| Provider Name | Ann Seri |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073766358 PECOS PAC ID: 3779647235 Enrollment ID: I20191205002228 |
| Provider Name | Richard Thomas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043763758 PECOS PAC ID: 8022303833 Enrollment ID: I20191212001195 |
| Provider Name | Illya Tolokh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528472073 PECOS PAC ID: 0345469821 Enrollment ID: I20191218001845 |
| Provider Name | Annise K Jackson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770979858 PECOS PAC ID: 8921313495 Enrollment ID: I20191223001529 |
| Provider Name | Han Li |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1629332507 PECOS PAC ID: 8224274345 Enrollment ID: I20200110001035 |
| Provider Name | Starline Francois |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861046930 PECOS PAC ID: 2365877768 Enrollment ID: I20200113001493 |
| Provider Name | Kara Guarracino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669939237 PECOS PAC ID: 5092140350 Enrollment ID: I20200114001998 |
| Provider Name | Sarah Casey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811496102 PECOS PAC ID: 5991131047 Enrollment ID: I20200207001782 |
| Provider Name | Benjamin M Grundy |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730710740 PECOS PAC ID: 1951738731 Enrollment ID: I20200218001279 |
| Provider Name | Brianna N Natale |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104463249 PECOS PAC ID: 3779910443 Enrollment ID: I20200219002235 |
| Provider Name | David P Odonnell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497158984 PECOS PAC ID: 0941637615 Enrollment ID: I20200219002258 |
| Provider Name | Shannon E Quinn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699124750 PECOS PAC ID: 2163859364 Enrollment ID: I20200228000879 |
| Provider Name | Aimee Mills-viscovich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265803332 PECOS PAC ID: 1557798642 Enrollment ID: I20200302002494 |
| Provider Name | Shailendra Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114987146 PECOS PAC ID: 1557382850 Enrollment ID: I20200303001694 |
| Provider Name | Madeleine Chiappini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194364661 PECOS PAC ID: 8921435900 Enrollment ID: I20200304001155 |
| Provider Name | Kristen A. Dix |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073991758 PECOS PAC ID: 5698083681 Enrollment ID: I20200305002102 |
| Provider Name | Arkadi Beloiartsev |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1639556988 PECOS PAC ID: 9335454651 Enrollment ID: I20200310002247 |
| Provider Name | Matthew T Mcadams |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942697297 PECOS PAC ID: 5496061228 Enrollment ID: I20200312000655 |
| Provider Name | Guy Kulbak |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1609103746 PECOS PAC ID: 5092022111 Enrollment ID: I20200323003280 |
| Provider Name | Tyler J Linster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538799689 PECOS PAC ID: 2264860360 Enrollment ID: I20200324003128 |
| Provider Name | Kelly Fanty |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528527033 PECOS PAC ID: 4385073386 Enrollment ID: I20200326000804 |
| Provider Name | Sydney Norton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891334330 PECOS PAC ID: 7810326733 Enrollment ID: I20200327002814 |
| Provider Name | Carmen Perrino |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1417204629 PECOS PAC ID: 6800180217 Enrollment ID: I20200402001486 |
| Provider Name | Paula Jeanne Mooney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992348502 PECOS PAC ID: 2466881073 Enrollment ID: I20200402002102 |
| Provider Name | Tianyi Li |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740629161 PECOS PAC ID: 0042599805 Enrollment ID: I20200403002153 |
| Provider Name | Mredula Mannan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427291665 PECOS PAC ID: 7214182542 Enrollment ID: I20200414000894 |
| Provider Name | Emily Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891261665 PECOS PAC ID: 0446594386 Enrollment ID: I20200414000940 |
| Provider Name | Janet M Sjostedt |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841825999 PECOS PAC ID: 0648600460 Enrollment ID: I20200420000500 |
| Provider Name | Eric Benoit |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1073752366 PECOS PAC ID: 3476849910 Enrollment ID: I20200519002936 |
| Provider Name | Taylor E. Lamberta |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740828607 PECOS PAC ID: 8123459427 Enrollment ID: I20200520000623 |
| Provider Name | Anne Mosenthal |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427123629 PECOS PAC ID: 1052581527 Enrollment ID: I20200603001113 |
| Provider Name | Sandeep Somalaraju |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1962781153 PECOS PAC ID: 2365663242 Enrollment ID: I20200605001496 |
| Provider Name | Farahnaz Golriz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235596164 PECOS PAC ID: 4587086947 Enrollment ID: I20200612001582 |
| Provider Name | Noreen Shaikh |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1740644012 PECOS PAC ID: 9931521929 Enrollment ID: I20200619002084 |
| Provider Name | Conor Crowley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457987604 PECOS PAC ID: 7618390980 Enrollment ID: I20200702001702 |
| Provider Name | Rajesh R Zacharias |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1952534364 PECOS PAC ID: 8921313826 Enrollment ID: I20200714002454 |
| Provider Name | Sara Alison Berg |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1750776712 PECOS PAC ID: 0840597753 Enrollment ID: I20200715000989 |
| Provider Name | David B Kopelman |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1407260144 PECOS PAC ID: 0840415931 Enrollment ID: I20200716003123 |
| Provider Name | Ekaterina Yavarovich |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1306251079 PECOS PAC ID: 5698066546 Enrollment ID: I20200717002040 |
| Provider Name | Sarah Meade |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427399963 PECOS PAC ID: 4183048549 Enrollment ID: I20200720001133 |
| Provider Name | Giuseppina Boatwright |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1346678604 PECOS PAC ID: 5597996819 Enrollment ID: I20200721002186 |
| Provider Name | Azmin Kahriman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063806453 PECOS PAC ID: 9335456086 Enrollment ID: I20200722000144 |
| Provider Name | Neera Nathan |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1811343361 PECOS PAC ID: 9032402490 Enrollment ID: I20200722003502 |
| Provider Name | Shuai Zhang |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1649895319 PECOS PAC ID: 6204250277 Enrollment ID: I20200723000631 |
| Provider Name | Michael Habib |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356737381 PECOS PAC ID: 1658615802 Enrollment ID: I20200729001233 |
| Provider Name | John Francis Mattimore |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1316398738 PECOS PAC ID: 2860743044 Enrollment ID: I20200730003036 |
| Provider Name | Jeremiah Huang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285169722 PECOS PAC ID: 7810312311 Enrollment ID: I20200730003110 |
| Provider Name | Mark Ashraf Henry |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1104211333 PECOS PAC ID: 3072817303 Enrollment ID: I20200803001554 |
| Provider Name | Doyun Park |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1982984258 PECOS PAC ID: 3779832217 Enrollment ID: I20200803002440 |
| Provider Name | Xuan Wang |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1376962639 PECOS PAC ID: 0446571533 Enrollment ID: I20200803003129 |
| Provider Name | Collin James Culbertson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881089548 PECOS PAC ID: 4587080320 Enrollment ID: I20200811003080 |
| Provider Name | Kendall Griffith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952728149 PECOS PAC ID: 1759670433 Enrollment ID: I20200812003684 |
| Provider Name | Aimee C Sullivan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790309417 PECOS PAC ID: 8224454632 Enrollment ID: I20200817001135 |
| Provider Name | Hong Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992290019 PECOS PAC ID: 1658617667 Enrollment ID: I20200818001565 |
| Provider Name | Raffaella Umeton |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801273859 PECOS PAC ID: 2668770579 Enrollment ID: I20200818002137 |
| Provider Name | Brett M Baker |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700272333 PECOS PAC ID: 7911206354 Enrollment ID: I20200821001826 |
| Provider Name | Oleg Yerstein |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689093270 PECOS PAC ID: 8325264716 Enrollment ID: I20200903000487 |
| Provider Name | Hyesun Park |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215450820 PECOS PAC ID: 1557788502 Enrollment ID: I20200904001340 |
| Provider Name | Aba Al-kaabi |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1467749341 PECOS PAC ID: 1850641614 Enrollment ID: I20200908003191 |
| Provider Name | Ram P Yogendra |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1528233020 PECOS PAC ID: 9335391945 Enrollment ID: I20200911002078 |
| Provider Name | Rae Nicole Caliento |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457975278 PECOS PAC ID: 6608294194 Enrollment ID: I20200915003278 |
| Provider Name | Mary Huerter |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1043502008 PECOS PAC ID: 2264742949 Enrollment ID: I20200923000612 |
| Provider Name | Rhea Brown Votipka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750773941 PECOS PAC ID: 1153638788 Enrollment ID: I20200930000154 |
| Provider Name | Elizabeth Sutcliffe Valentine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558733899 PECOS PAC ID: 6406159144 Enrollment ID: I20200930002491 |
| Provider Name | Urey Chow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114458296 PECOS PAC ID: 9335568757 Enrollment ID: I20201002001785 |
| Provider Name | Halsey Julien |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528047750 PECOS PAC ID: 6608865704 Enrollment ID: I20201012000334 |
| Provider Name | Marina K Garas |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1730562562 PECOS PAC ID: 4688960602 Enrollment ID: I20201014000577 |
| Provider Name | Cara Nolan Giacco |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1669943015 PECOS PAC ID: 9830519651 Enrollment ID: I20201016001590 |
| Provider Name | Polina Kanj |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487035440 PECOS PAC ID: 0143640813 Enrollment ID: I20201019001469 |
| Provider Name | Jonathan S Abelson |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1932465077 PECOS PAC ID: 1759612013 Enrollment ID: I20201019002309 |
| Provider Name | Rebecca C Mccarthy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235743741 PECOS PAC ID: 1456771187 Enrollment ID: I20201020000663 |
| Provider Name | Megan Rose Carr Laporte |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1457884389 PECOS PAC ID: 4183044548 Enrollment ID: I20201023001421 |
| Provider Name | Theodora Drescher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780180828 PECOS PAC ID: 1052660974 Enrollment ID: I20201027002570 |
| Provider Name | Mena Bakhit |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1164764320 PECOS PAC ID: 8628399011 Enrollment ID: I20201030002370 |
| Provider Name | Thiago Oliveira |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023471737 PECOS PAC ID: 5092000562 Enrollment ID: I20201103000576 |
| Provider Name | Yosbelkys Martin Paez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1376929893 PECOS PAC ID: 6204122419 Enrollment ID: I20201103000661 |
| Provider Name | Jessica Syswerda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750904710 PECOS PAC ID: 8123438009 Enrollment ID: I20201104000992 |
| Provider Name | Zachary Marnoy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194247841 PECOS PAC ID: 0840600573 Enrollment ID: I20201106002285 |
| Provider Name | Julie Claire Pizzi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306457759 PECOS PAC ID: 9638589203 Enrollment ID: I20201110002645 |
| Provider Name | Lucienne Lamothe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992358576 PECOS PAC ID: 9234549650 Enrollment ID: I20201113000069 |
| Provider Name | Kelly Gallant |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710444260 PECOS PAC ID: 3072923465 Enrollment ID: I20201114000039 |
| Provider Name | Jennifer Ashley Pilla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447862438 PECOS PAC ID: 4981014370 Enrollment ID: I20201114000042 |
| Provider Name | Kara Margaret Joseph |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1821484106 PECOS PAC ID: 1355654047 Enrollment ID: I20201119002546 |
| Provider Name | Daniel F Guarderas Paredes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306297411 PECOS PAC ID: 1951712967 Enrollment ID: I20201124000382 |
| Provider Name | Alfonso A Perillo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235611583 PECOS PAC ID: 2264843903 Enrollment ID: I20201201001584 |
| Provider Name | Dede Ukueberuwa O'shea |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679008619 PECOS PAC ID: 9638423460 Enrollment ID: I20201202000905 |
| Provider Name | Denise Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497227821 PECOS PAC ID: 8921410267 Enrollment ID: I20201210001854 |
| Provider Name | Violeta Dobreva-yakimova |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285810119 PECOS PAC ID: 6305907825 Enrollment ID: I20201231001378 |
| Provider Name | Kaylee A Krigest Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164058269 PECOS PAC ID: 2365855186 Enrollment ID: I20210114002603 |
| Provider Name | Martin Levenson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114425337 PECOS PAC ID: 0244643021 Enrollment ID: I20210115002373 |
| Provider Name | Magali N Tshiamala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326275538 PECOS PAC ID: 8325290711 Enrollment ID: I20210125001994 |
| Provider Name | Michelle B Widmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255685889 PECOS PAC ID: 0143473710 Enrollment ID: I20210130000060 |
| Provider Name | Yougen Zhan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1134539984 PECOS PAC ID: 1759628738 Enrollment ID: I20210202001588 |
| Provider Name | Rebecca Lange |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841829678 PECOS PAC ID: 1456766260 Enrollment ID: I20210208002738 |
| Provider Name | Peter John Kennedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558973396 PECOS PAC ID: 6103231824 Enrollment ID: I20210210001976 |
| Provider Name | Julie Ann Dorgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881202380 PECOS PAC ID: 9032524533 Enrollment ID: I20210216000481 |
| Provider Name | Kashif Samad |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033650452 PECOS PAC ID: 2062750557 Enrollment ID: I20210218000639 |
| Provider Name | Heather Serpa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154963247 PECOS PAC ID: 0547676306 Enrollment ID: I20210303001441 |
| Provider Name | Ryan Nazemian |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1467975359 PECOS PAC ID: 7416363643 Enrollment ID: I20210312000070 |
| Provider Name | Steven Charles Stain |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1598745804 PECOS PAC ID: 3678587763 Enrollment ID: I20210324001964 |
| Provider Name | Martha Niemiec |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477059350 PECOS PAC ID: 2961819248 Enrollment ID: I20210405000158 |
| Provider Name | Claire Anthony |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699350769 PECOS PAC ID: 6002224938 Enrollment ID: I20210414001506 |
| Provider Name | Anna Malyak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417548181 PECOS PAC ID: 7214345024 Enrollment ID: I20210415002145 |
| Provider Name | Vikram Paruchuri |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245689645 PECOS PAC ID: 0941618656 Enrollment ID: I20210419001566 |
| Provider Name | Harender Kalonia |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346626355 PECOS PAC ID: 6901154194 Enrollment ID: I20210421001811 |
| Provider Name | Keith Gingerich |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114972742 PECOS PAC ID: 8224004726 Enrollment ID: I20210422002487 |
| Provider Name | Sonal M Khatri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154841229 PECOS PAC ID: 2860758125 Enrollment ID: I20210426002399 |
| Provider Name | Kathleen Raman |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1447467394 PECOS PAC ID: 3072612191 Enrollment ID: I20210503002064 |
| Provider Name | Wilson Christian |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932528296 PECOS PAC ID: 8022241157 Enrollment ID: I20210507000520 |
| Provider Name | Elizabeth Barreto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548895741 PECOS PAC ID: 4981013398 Enrollment ID: I20210513002710 |
| Provider Name | Jennifer Mcconville |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184259343 PECOS PAC ID: 6709295116 Enrollment ID: I20210513002712 |
| Provider Name | Seth P. Jones |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740777812 PECOS PAC ID: 7315294022 Enrollment ID: I20210514002009 |
| Provider Name | Joseph M Keating |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356738348 PECOS PAC ID: 8729396270 Enrollment ID: I20210517002304 |
| Provider Name | Scott Morin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497243893 PECOS PAC ID: 7113274788 Enrollment ID: I20210518000788 |
| Provider Name | Maddie Jessica Kubiliun |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1427477058 PECOS PAC ID: 0042620957 Enrollment ID: I20210519000739 |
| Provider Name | Joy E Burke |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1447263272 PECOS PAC ID: 0547458218 Enrollment ID: I20210519001289 |
| Provider Name | Cheng Zhang |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1558549428 PECOS PAC ID: 3779747977 Enrollment ID: I20210519002158 |
| Provider Name | Aislinn Giangregorio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356934806 PECOS PAC ID: 9335548056 Enrollment ID: I20210601001079 |
| Provider Name | Ryan David Rohla |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568021046 PECOS PAC ID: 3779813589 Enrollment ID: I20210603001266 |
| Provider Name | Hampton Edwin Bisalski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669423935 PECOS PAC ID: 6204806375 Enrollment ID: I20210604001748 |
| Provider Name | Jenelle Indelicato |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1669082525 PECOS PAC ID: 0547660748 Enrollment ID: I20210609002168 |
| Provider Name | Daniel Arnett |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1972846004 PECOS PAC ID: 0941525513 Enrollment ID: I20210610000241 |
| Provider Name | Kellie Decalogero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437588803 PECOS PAC ID: 0749411551 Enrollment ID: I20210610000568 |
| Provider Name | Bianca Venezia Gonynor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740815018 PECOS PAC ID: 6305246356 Enrollment ID: I20210611001690 |
| Provider Name | Meaghan Collins |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1326498692 PECOS PAC ID: 9436559440 Enrollment ID: I20210614001224 |
| Provider Name | Louise A Kane |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1528453339 PECOS PAC ID: 3678881810 Enrollment ID: I20210616002653 |
| Provider Name | Majd Jawad |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1255794129 PECOS PAC ID: 1254625684 Enrollment ID: I20210617001273 |
| Provider Name | Rachel Feldman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982108486 PECOS PAC ID: 5890046809 Enrollment ID: I20210617001345 |
| Provider Name | Alexander Donald Pyden |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1548650971 PECOS PAC ID: 4880094465 Enrollment ID: I20210618001534 |
| Provider Name | Jennifer L Mcdermott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194399857 PECOS PAC ID: 3577963073 Enrollment ID: I20210621000155 |
| Provider Name | Olusola Akenroye |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1902247968 PECOS PAC ID: 2466704226 Enrollment ID: I20210623001784 |
| Provider Name | Andrea Suzanna Kristofy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1508873936 PECOS PAC ID: 4789709965 Enrollment ID: I20210629000173 |
| Provider Name | Alexandra Perrone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386918282 PECOS PAC ID: 9931470358 Enrollment ID: I20210710000014 |
| Provider Name | Thais Bitencourt Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003459645 PECOS PAC ID: 7618379819 Enrollment ID: I20210712000139 |
| Provider Name | Kristin Nicole Rubino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659952034 PECOS PAC ID: 4688076755 Enrollment ID: I20210712003429 |
| Provider Name | Jay Shah |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1538571997 PECOS PAC ID: 4284850116 Enrollment ID: I20210713000905 |
| Provider Name | Chloe Fish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366060832 PECOS PAC ID: 1355743477 Enrollment ID: I20210713000951 |
| Provider Name | Sarah E Carew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598393381 PECOS PAC ID: 7810399854 Enrollment ID: I20210713001766 |
| Provider Name | Gena E Han |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1194119487 PECOS PAC ID: 4880902329 Enrollment ID: I20210713002579 |
| Provider Name | Shinn Te Chou |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811491467 PECOS PAC ID: 5395091037 Enrollment ID: I20210713002618 |
| Provider Name | Karen Brody |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144348376 PECOS PAC ID: 9638394091 Enrollment ID: I20210714002512 |
| Provider Name | Laura S Cadogan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053708479 PECOS PAC ID: 3274847470 Enrollment ID: I20210715000326 |
| Provider Name | Jessica Kim |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1699206136 PECOS PAC ID: 4486056223 Enrollment ID: I20210715002614 |
| Provider Name | Brian J Like |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1851745525 PECOS PAC ID: 9537406392 Enrollment ID: I20210719001860 |
| Provider Name | Yanping Kong |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1205981057 PECOS PAC ID: 2466534854 Enrollment ID: I20210721003413 |
| Provider Name | Amanda M Hulings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053981514 PECOS PAC ID: 5496159964 Enrollment ID: I20210805000173 |
| Provider Name | Lisa A Lavarnway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740662089 PECOS PAC ID: 0749548261 Enrollment ID: I20210805002658 |
| Provider Name | Ammara Watkins |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1790071546 PECOS PAC ID: 6800137597 Enrollment ID: I20210812001156 |
| Provider Name | Joseph Anaya |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1285154500 PECOS PAC ID: 4183978828 Enrollment ID: I20210813001698 |
| Provider Name | Robert Mancini |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730322082 PECOS PAC ID: 9537206842 Enrollment ID: I20210814000016 |
| Provider Name | Carolina Reveron-arias |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467860460 PECOS PAC ID: 4789973777 Enrollment ID: I20210818000037 |
| Provider Name | Matthew Spring |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104357110 PECOS PAC ID: 3971875659 Enrollment ID: I20210819002008 |
| Provider Name | Tiffany Sun |
|---|---|
| Provider Type | Practitioner - Micrographic Dermatologic Surgery (mds) |
| Provider Identifiers | NPI Number: 1245620921 PECOS PAC ID: 1355615337 Enrollment ID: I20210830002429 |
| Provider Name | Khushabu Kasabwala |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1427476662 PECOS PAC ID: 5890032825 Enrollment ID: I20210903001962 |
| Provider Name | Kwadwo Ofosu-barko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376029298 PECOS PAC ID: 8729484324 Enrollment ID: I20210907003353 |
| Provider Name | Daniel J. Wallman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376905885 PECOS PAC ID: 5890080253 Enrollment ID: I20210908000437 |
| Provider Name | Prachi Shah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952076200 PECOS PAC ID: 5193121655 Enrollment ID: I20210908002438 |
| Provider Name | Melissa K. Arnold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073108130 PECOS PAC ID: 3971909458 Enrollment ID: I20210908003501 |
| Provider Name | Jacob Adam Kapplan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700254331 PECOS PAC ID: 4981905049 Enrollment ID: I20210913000728 |
| Provider Name | Edwige Christelle Nzugang Noutonsi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093219206 PECOS PAC ID: 4688921778 Enrollment ID: I20210913000780 |
| Provider Name | Kathryn Swider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740757848 PECOS PAC ID: 3577969641 Enrollment ID: I20210915001720 |
| Provider Name | Eric Allen Rider |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528413572 PECOS PAC ID: 8123425154 Enrollment ID: I20210917001843 |
| Provider Name | Alexandra Elizabeth Zamore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245752310 PECOS PAC ID: 3375813298 Enrollment ID: I20210917002127 |
| Provider Name | Emily Ann Wilkinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376217489 PECOS PAC ID: 9537566369 Enrollment ID: I20210922000308 |
| Provider Name | Ellen Resnick |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730205519 PECOS PAC ID: 5991757239 Enrollment ID: I20210922000523 |
| Provider Name | Alanna K Tisdale |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1235589144 PECOS PAC ID: 0840588794 Enrollment ID: I20210925000070 |
| Provider Name | Norah E Silvester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376042572 PECOS PAC ID: 4587061932 Enrollment ID: I20210928000592 |
| Provider Name | Sue Ige |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790215127 PECOS PAC ID: 4981973948 Enrollment ID: I20210929001123 |
| Provider Name | Jacob Ibrook Tower |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1437538881 PECOS PAC ID: 5698087195 Enrollment ID: I20210929002213 |
| Provider Name | Chris Burke |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477563088 PECOS PAC ID: 3779655832 Enrollment ID: I20210930002271 |
| Provider Name | Joel Passer |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1003251554 PECOS PAC ID: 7517255904 Enrollment ID: I20211001000536 |
| Provider Name | Nicole Perkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053913640 PECOS PAC ID: 3779981899 Enrollment ID: I20211004003034 |
| Provider Name | Ariella Krones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922494244 PECOS PAC ID: 2163735770 Enrollment ID: I20211008001505 |
| Provider Name | Elibel Marie Abanilla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043776511 PECOS PAC ID: 4880092543 Enrollment ID: I20211011000574 |
| Provider Name | Jessica Lynn Curran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790303568 PECOS PAC ID: 4284022385 Enrollment ID: I20211021002735 |
| Provider Name | Abigail Salvati |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902480205 PECOS PAC ID: 9436547486 Enrollment ID: I20211025003082 |
| Provider Name | Lorian Candace De Oliveira |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457960304 PECOS PAC ID: 7911396320 Enrollment ID: I20211104002820 |
| Provider Name | Gary Winzelberg |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1558316869 PECOS PAC ID: 7315959913 Enrollment ID: I20211112000657 |
| Provider Name | Yury Rapoport |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1205221751 PECOS PAC ID: 6305142555 Enrollment ID: I20211116001521 |
| Provider Name | Mackenzie Stutzman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356955181 PECOS PAC ID: 3375953078 Enrollment ID: I20211117001282 |
| Provider Name | Shama Sheikh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255094603 PECOS PAC ID: 9032508544 Enrollment ID: I20211122001667 |
| Provider Name | Samantha Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003571209 PECOS PAC ID: 5092105098 Enrollment ID: I20211207000364 |
| Provider Name | James Hendele |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1376962654 PECOS PAC ID: 5991005548 Enrollment ID: I20211215000221 |
| Provider Name | Jennifer Sheets |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306407291 PECOS PAC ID: 2062803489 Enrollment ID: I20211220000858 |
| Provider Name | Anya V Cabot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184261075 PECOS PAC ID: 1254742414 Enrollment ID: I20211227001209 |
| Provider Name | Alice Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841672300 PECOS PAC ID: 7719278647 Enrollment ID: I20220112001819 |
| Provider Name | Osman Jilani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306232913 PECOS PAC ID: 4880941863 Enrollment ID: I20220114000937 |
| Provider Name | Hema Venigalla |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386155661 PECOS PAC ID: 8022375450 Enrollment ID: I20220209000096 |
| Provider Name | Janelle Sherry Romain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295344547 PECOS PAC ID: 1658764931 Enrollment ID: I20220209000953 |
| Provider Name | Lauren Elizabeth Perry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518554518 PECOS PAC ID: 5597159376 Enrollment ID: I20220221000563 |
| Provider Name | Kristin Padellaro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922628635 PECOS PAC ID: 9931593423 Enrollment ID: I20220225002422 |
| Provider Name | Anna Dynkin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912676321 PECOS PAC ID: 4587058946 Enrollment ID: I20220301000182 |
| Provider Name | Norah Wright |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114452950 PECOS PAC ID: 9830467711 Enrollment ID: I20220304000405 |
| Provider Name | Kathryn Thibedeau |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275017618 PECOS PAC ID: 3072908938 Enrollment ID: I20220312000102 |
| Provider Name | Valerie C Fusco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457002495 PECOS PAC ID: 1456746239 Enrollment ID: I20220314000576 |
| Provider Name | Abdul Qadir Dar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215426572 PECOS PAC ID: 4880090265 Enrollment ID: I20220316000551 |
| Provider Name | Hendy Jean |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063823193 PECOS PAC ID: 7012287758 Enrollment ID: I20220317001533 |
| Provider Name | Carl Ruoff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295051936 PECOS PAC ID: 4587891825 Enrollment ID: I20220317001575 |
| Provider Name | Amir Soheil Tolebeyan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053762682 PECOS PAC ID: 1052688710 Enrollment ID: I20220324001063 |
| Provider Name | Kateland Reinhart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821753146 PECOS PAC ID: 1557757614 Enrollment ID: I20220330000744 |
| Provider Name | Amal Alwreikat |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1760818660 PECOS PAC ID: 4981090784 Enrollment ID: I20220404001936 |
| Provider Name | Lawrence Lee |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1134207095 PECOS PAC ID: 5799923330 Enrollment ID: I20220411001127 |
| Provider Name | Jennifer Alexandra Zacharia |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316408255 PECOS PAC ID: 9830427038 Enrollment ID: I20220419000684 |
| Provider Name | Ryan Mason Kring |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154718450 PECOS PAC ID: 9335483528 Enrollment ID: I20220419002820 |
| Provider Name | Rachel Hilshey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487329744 PECOS PAC ID: 7719374875 Enrollment ID: I20220420002302 |
| Provider Name | Alexis Casimir |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083221659 PECOS PAC ID: 1557748365 Enrollment ID: I20220517002366 |
| Provider Name | Ashley Muehlberger |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1235491655 PECOS PAC ID: 7416193511 Enrollment ID: I20220517002431 |
| Provider Name | Sophia Drinis |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1932175924 PECOS PAC ID: 2769460252 Enrollment ID: I20220518002847 |
| Provider Name | Simone Abella Obara |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508360512 PECOS PAC ID: 1557748183 Enrollment ID: I20220519001595 |
| Provider Name | Aishatu I Ladu |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1629424700 PECOS PAC ID: 5193011161 Enrollment ID: I20220523001337 |
| Provider Name | Rachel Merton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730571530 PECOS PAC ID: 6608193925 Enrollment ID: I20220601000476 |
| Provider Name | Alexandra Nichole Cole |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1689168718 PECOS PAC ID: 8426436585 Enrollment ID: I20220601001017 |
| Provider Name | Timothy F Flanagan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609368166 PECOS PAC ID: 9830577709 Enrollment ID: I20220606000270 |
| Provider Name | Sylvana Brickley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487163945 PECOS PAC ID: 8325305519 Enrollment ID: I20220607001554 |
| Provider Name | Samson Ferm |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1255785713 PECOS PAC ID: 3274871694 Enrollment ID: I20220608002045 |
| Provider Name | Steven Afrow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871946152 PECOS PAC ID: 9739454307 Enrollment ID: I20220614000957 |
| Provider Name | Daniel P Magliulo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174050595 PECOS PAC ID: 3173895299 Enrollment ID: I20220615000030 |
| Provider Name | Dan Michael Pineda |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407370083 PECOS PAC ID: 3577942895 Enrollment ID: I20220616001737 |
| Provider Name | Kevan John Mamdouhi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013477512 PECOS PAC ID: 1153657408 Enrollment ID: I20220621000654 |
| Provider Name | Christina R Evans |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063909463 PECOS PAC ID: 3072861475 Enrollment ID: I20220622002680 |
| Provider Name | Laura Marcinkowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740879915 PECOS PAC ID: 9436565827 Enrollment ID: I20220627002391 |
| Provider Name | Jared Sears Supple |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477045078 PECOS PAC ID: 2365797867 Enrollment ID: I20220629000034 |
| Provider Name | Alison Levy |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1841671526 PECOS PAC ID: 7113336561 Enrollment ID: I20220630002141 |
| Provider Name | Alexander M Martin |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1245762913 PECOS PAC ID: 4183981863 Enrollment ID: I20220706000376 |
| Provider Name | Rajasekhara Ayyagari |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1700906294 PECOS PAC ID: 2769669480 Enrollment ID: I20220706002747 |
| Provider Name | Shravan Savant |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1932605250 PECOS PAC ID: 7416288212 Enrollment ID: I20220707002935 |
| Provider Name | Robert Dematteo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1821523291 PECOS PAC ID: 3870997810 Enrollment ID: I20220708001379 |
| Provider Name | Herine O Omer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417623083 PECOS PAC ID: 8123408929 Enrollment ID: I20220711003278 |
| Provider Name | Ryan Michael Smith |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003553298 PECOS PAC ID: 4981084639 Enrollment ID: I20220712001467 |
| Provider Name | Michael Gelinas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912563271 PECOS PAC ID: 0749514875 Enrollment ID: I20220714001724 |
| Provider Name | Tara V Saco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104245174 PECOS PAC ID: 9638402183 Enrollment ID: I20220716000187 |
| Provider Name | Halley Marcouillier |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497373302 PECOS PAC ID: 1254712524 Enrollment ID: I20220718002056 |
| Provider Name | Siva Patimalla Venkata |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1740412337 PECOS PAC ID: 9032359724 Enrollment ID: I20220719002912 |
| Provider Name | Reza Mohebi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891292280 PECOS PAC ID: 0143601039 Enrollment ID: I20220725000546 |
| Provider Name | Bella Vishnevsky |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1194257501 PECOS PAC ID: 4587046305 Enrollment ID: I20220726003360 |
| Provider Name | Aleksandra Kolnick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336708213 PECOS PAC ID: 9931581535 Enrollment ID: I20220728003151 |
| Provider Name | Fatima Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013366368 PECOS PAC ID: 2264766823 Enrollment ID: I20220728003243 |
| Provider Name | Maria Gabriela Figueiro Longo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972163517 PECOS PAC ID: 6507248150 Enrollment ID: I20220729001111 |
| Provider Name | Kunal Chawla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265851448 PECOS PAC ID: 0446516454 Enrollment ID: I20220801003126 |
| Provider Name | Shahrose Hussain |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1780160473 PECOS PAC ID: 6406238807 Enrollment ID: I20220802001394 |
| Provider Name | Marcus Jamil |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1063948982 PECOS PAC ID: 7113297656 Enrollment ID: I20220802002474 |
| Provider Name | Matthew Clements |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1700204534 PECOS PAC ID: 1557580487 Enrollment ID: I20220802002591 |
| Provider Name | Lilah El-fakih |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487272274 PECOS PAC ID: 0446632608 Enrollment ID: I20220804000449 |
| Provider Name | Stephan Zentner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114914058 PECOS PAC ID: 2466439492 Enrollment ID: I20220805002654 |
| Provider Name | Sara Fardin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306370614 PECOS PAC ID: 3870831795 Enrollment ID: I20220810000823 |
| Provider Name | Kushal Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457736274 PECOS PAC ID: 4486956471 Enrollment ID: I20220811003639 |
| Provider Name | Kelly Mueller |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1487148458 PECOS PAC ID: 0244587863 Enrollment ID: I20220816000486 |
| Provider Name | Ali Ridha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336589167 PECOS PAC ID: 1456630292 Enrollment ID: I20220822000361 |
| Provider Name | Meredith Ann Beck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245897065 PECOS PAC ID: 8729319462 Enrollment ID: I20220822001636 |
| Provider Name | Bryan Edward Mcmullen Harter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679054803 PECOS PAC ID: 6002299161 Enrollment ID: I20220823000737 |
| Provider Name | Alina A Barmanwalla |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336636695 PECOS PAC ID: 7618351503 Enrollment ID: I20220825003516 |
| Provider Name | Baigalmaa Enkhtaivan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043637176 PECOS PAC ID: 8527324029 Enrollment ID: I20220829002735 |
| Provider Name | Hairong Lu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629422548 PECOS PAC ID: 8729328497 Enrollment ID: I20220831002064 |
| Provider Name | Marie Prato |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679924815 PECOS PAC ID: 7315225810 Enrollment ID: I20220831002688 |
| Provider Name | Rifqa Alghareeb |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770045452 PECOS PAC ID: 7416331905 Enrollment ID: I20220901001278 |
| Provider Name | Isabel E Bree |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427628023 PECOS PAC ID: 1658755152 Enrollment ID: I20220901001544 |
| Provider Name | Laura Gaudette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336635580 PECOS PAC ID: 7719231026 Enrollment ID: I20220906001217 |
| Provider Name | Blessing Adukwu Phinney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316409782 PECOS PAC ID: 2062897192 Enrollment ID: I20220909002568 |
| Provider Name | Maria Antonietta Mazzola |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366963258 PECOS PAC ID: 5799160032 Enrollment ID: I20220922001011 |
| Provider Name | Nichole Ann Derubeis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710547500 PECOS PAC ID: 1153706403 Enrollment ID: I20220922001496 |
| Provider Name | Paul E Salem |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1831621002 PECOS PAC ID: 2860762010 Enrollment ID: I20220927001963 |
| Provider Name | Razaz Mageid |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700314234 PECOS PAC ID: 2860762812 Enrollment ID: I20220927002657 |
| Provider Name | Sarah Ghozayel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629714399 PECOS PAC ID: 8325424369 Enrollment ID: I20220928003709 |
| Provider Name | Peter Quinlan Marcinkowski |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1134574734 PECOS PAC ID: 9739478280 Enrollment ID: I20220928003791 |
| Provider Name | Kate Mignosi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245673961 PECOS PAC ID: 3476788928 Enrollment ID: I20220929000023 |
| Provider Name | Erica Lisa Canney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063016657 PECOS PAC ID: 4789060518 Enrollment ID: I20221003001293 |
| Provider Name | Joseph A Khoory |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902368962 PECOS PAC ID: 7113323049 Enrollment ID: I20221021001825 |
| Provider Name | Saqib Masroor |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1932147634 PECOS PAC ID: 3375456551 Enrollment ID: I20221102000825 |
| Provider Name | Thaina Moravia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568835486 PECOS PAC ID: 0547563199 Enrollment ID: I20221102001608 |
| Provider Name | Cindy J Suarez Meneses |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477050227 PECOS PAC ID: 6709126436 Enrollment ID: I20221103000121 |
| Provider Name | Claudine Ngalula Kanoni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962148031 PECOS PAC ID: 7214304088 Enrollment ID: I20221108001115 |
| Provider Name | Syed Moin Hassan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1295186187 PECOS PAC ID: 6507115847 Enrollment ID: I20221108001283 |
| Provider Name | Bhavna Ferm |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1679009930 PECOS PAC ID: 5890039309 Enrollment ID: I20221110001805 |
| Provider Name | Juliet Hoss Aborn |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932727930 PECOS PAC ID: 9032586631 Enrollment ID: I20221111000708 |
| Provider Name | Eric Green |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235214008 PECOS PAC ID: 5395720460 Enrollment ID: I20221115000256 |
| Provider Name | Jillian Kazley |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1669836326 PECOS PAC ID: 9234477514 Enrollment ID: I20221115001376 |
| Provider Name | Ian Doherty |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023683984 PECOS PAC ID: 8022491570 Enrollment ID: I20221115001943 |
| Provider Name | Kayla Courtney Hulburt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326546854 PECOS PAC ID: 6406224849 Enrollment ID: I20221116001554 |
| Provider Name | Marco Leeder |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588287254 PECOS PAC ID: 3274901566 Enrollment ID: I20221117000485 |
| Provider Name | Bradley M Howerter |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1063145845 PECOS PAC ID: 9931582665 Enrollment ID: I20221117002387 |
| Provider Name | Julia M Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891419933 PECOS PAC ID: 1759759913 Enrollment ID: I20221118000574 |
| Provider Name | Jennifer Lutz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619632726 PECOS PAC ID: 2365820750 Enrollment ID: I20221121002868 |
| Provider Name | Richard Dowd |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1528446465 PECOS PAC ID: 5890084552 Enrollment ID: I20221128001664 |
| Provider Name | Amanda Joy Baillargeon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770924425 PECOS PAC ID: 7618345356 Enrollment ID: I20221130001063 |
| Provider Name | Kelsey Short |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861126914 PECOS PAC ID: 3870962269 Enrollment ID: I20221206003330 |
| Provider Name | Una Vera Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992435432 PECOS PAC ID: 6406225572 Enrollment ID: I20221212002415 |
| Provider Name | Hollie Matlin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1043698343 PECOS PAC ID: 9234442153 Enrollment ID: I20221213002023 |
| Provider Name | Emily Fisher |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1124737168 PECOS PAC ID: 4385013184 Enrollment ID: I20221219001372 |
| Provider Name | Mira Bella Coleman |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1255043428 PECOS PAC ID: 6901277326 Enrollment ID: I20230123002607 |
| Provider Name | Nicole Butuzov |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619473733 PECOS PAC ID: 8325383557 Enrollment ID: I20230125001482 |
| Provider Name | Jennifer Reske-nielsen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164716981 PECOS PAC ID: 6103144407 Enrollment ID: I20230125001535 |
| Provider Name | James Thomas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851379937 PECOS PAC ID: 7719920685 Enrollment ID: I20230202001714 |
| Provider Name | Samantha Caruso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487370698 PECOS PAC ID: 3678945367 Enrollment ID: I20230206002231 |
| Provider Name | Cassidy Pezza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386353134 PECOS PAC ID: 9638541733 Enrollment ID: I20230220001299 |
| Provider Name | Lakshmi Madduru |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932383320 PECOS PAC ID: 4789767427 Enrollment ID: I20230227002422 |
| Provider Name | Peter Joseph Mattingly |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306299813 PECOS PAC ID: 0547544918 Enrollment ID: I20230228000859 |
| Provider Name | Attila Nakeeb |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386694008 PECOS PAC ID: 0648172981 Enrollment ID: I20230228000973 |
| Provider Name | Brandon Pang |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1790279040 PECOS PAC ID: 1052667052 Enrollment ID: I20230303000412 |
| Provider Name | Susan D Moffatt Bruce |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1225082167 PECOS PAC ID: 7012912546 Enrollment ID: I20230313001795 |
| Provider Name | Majdi Taher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346281193 PECOS PAC ID: 1951389279 Enrollment ID: I20230313001978 |
| Provider Name | Himanshu Malhotra |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1700314424 PECOS PAC ID: 2961805361 Enrollment ID: I20230315000898 |
| Provider Name | Rama N Salami |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588154025 PECOS PAC ID: 7012272511 Enrollment ID: I20230317000821 |
| Provider Name | Shravya Vinnakota |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811349020 PECOS PAC ID: 1355634304 Enrollment ID: I20230331001549 |
| Provider Name | Sarah Fellows |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609475755 PECOS PAC ID: 4688063787 Enrollment ID: I20230404000328 |
| Provider Name | Sahoor Khan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1003270653 PECOS PAC ID: 1254679731 Enrollment ID: I20230404000933 |
| Provider Name | Savindula Hewa Upasaka Kankanamge |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992407316 PECOS PAC ID: 4981079589 Enrollment ID: I20230413000997 |
| Provider Name | Maria Galkin |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1780046409 PECOS PAC ID: 3577824705 Enrollment ID: I20230419001586 |
| Provider Name | Nathan Andrew |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144716960 PECOS PAC ID: 1052660164 Enrollment ID: I20230419001980 |
| Provider Name | Weiwei Shi |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1336501295 PECOS PAC ID: 1850686973 Enrollment ID: I20230419002951 |
| Provider Name | Kevin W Wilson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952895948 PECOS PAC ID: 8729314026 Enrollment ID: I20230420001893 |
| Provider Name | Jonathan Pace |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1477997971 PECOS PAC ID: 9234550823 Enrollment ID: I20230424000144 |
| Provider Name | Inbar Mccarthy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1760912695 PECOS PAC ID: 7517239528 Enrollment ID: I20230425000774 |
| Provider Name | Megan Mccreesh |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861967101 PECOS PAC ID: 5799039939 Enrollment ID: I20230510000757 |
| Provider Name | Joanna Tan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740416692 PECOS PAC ID: 4183080534 Enrollment ID: I20230510001206 |
| Provider Name | Samer Ibrahim |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1174054159 PECOS PAC ID: 7214353465 Enrollment ID: I20230510001266 |
| Provider Name | Neethi Rebekah Dasu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1013444538 PECOS PAC ID: 9739545070 Enrollment ID: I20230511002850 |
| Provider Name | Faraz Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417368325 PECOS PAC ID: 5092010413 Enrollment ID: I20230519000879 |
| Provider Name | Kathleen W Miller |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1477043651 PECOS PAC ID: 9234480906 Enrollment ID: I20230522001098 |
| Provider Name | Anuj B Sonawala |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1073791877 PECOS PAC ID: 9931565736 Enrollment ID: I20230522001110 |
| Provider Name | Brendan Harrison |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306330535 PECOS PAC ID: 1456717040 Enrollment ID: I20230524002736 |
| Provider Name | Armela Martineau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912609124 PECOS PAC ID: 0941667463 Enrollment ID: I20230526002114 |
| Provider Name | Ifeoma Onwubiko |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1396277760 PECOS PAC ID: 3274805551 Enrollment ID: I20230530001755 |
| Provider Name | Ahmad Alhariri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003121930 PECOS PAC ID: 2264743079 Enrollment ID: I20230531003534 |
| Provider Name | Robert Petrillo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1861953002 PECOS PAC ID: 3375873482 Enrollment ID: I20230601000737 |
| Provider Name | Jason Wiseman |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1033404959 PECOS PAC ID: 8325356678 Enrollment ID: I20230601001268 |
| Provider Name | Amy Leigh Shea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871289637 PECOS PAC ID: 3678930914 Enrollment ID: I20230601001465 |
| Provider Name | Jeff Min |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1093196412 PECOS PAC ID: 6800104712 Enrollment ID: I20230601002718 |
| Provider Name | Yi Ling Dai |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1346801578 PECOS PAC ID: 5890023709 Enrollment ID: I20230605000716 |
| Provider Name | Paul Harnish |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1821416231 PECOS PAC ID: 3173845591 Enrollment ID: I20230612000048 |
| Provider Name | Janine Md Preble |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1922560846 PECOS PAC ID: 4284965690 Enrollment ID: I20230613000393 |
| Provider Name | Jennifer C Morris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699394619 PECOS PAC ID: 7911321567 Enrollment ID: I20230614001226 |
| Provider Name | Dordaneh Sugano |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1154816866 PECOS PAC ID: 1759707482 Enrollment ID: I20230626001868 |
| Provider Name | Justin David Pennington |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1285293233 PECOS PAC ID: 4587995071 Enrollment ID: I20230710000692 |
| Provider Name | Nikolai Klebanov |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1386202158 PECOS PAC ID: 1557693710 Enrollment ID: I20230710002250 |
| Provider Name | Andrew Mccasland |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326602251 PECOS PAC ID: 0749514289 Enrollment ID: I20230710003440 |
| Provider Name | Ashley Marie Scott |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1124554977 PECOS PAC ID: 8729354683 Enrollment ID: I20230711000693 |
| Provider Name | Lauren Reinhart |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932773561 PECOS PAC ID: 6901265719 Enrollment ID: I20230711001565 |
| Provider Name | Cletus Cheyuo |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1952566457 PECOS PAC ID: 6103127063 Enrollment ID: I20230711002964 |
| Provider Name | Daniel C Sullivan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1578067765 PECOS PAC ID: 0941565964 Enrollment ID: I20230717001290 |
| Provider Name | Naveen Pattisapu |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1871029892 PECOS PAC ID: 0840666889 Enrollment ID: I20230719001500 |
| Provider Name | Fatima Noor Akmal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831710532 PECOS PAC ID: 2466812649 Enrollment ID: I20230719003040 |
| Provider Name | Andreas Bub |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013545250 PECOS PAC ID: 7719347830 Enrollment ID: I20230720000677 |
| Provider Name | Sophia Turner Axtman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902452022 PECOS PAC ID: 4385070382 Enrollment ID: I20230720003079 |
| Provider Name | Christine Virginia Nikas |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1336639558 PECOS PAC ID: 0446505259 Enrollment ID: I20230720003954 |
| Provider Name | Ana Patricia Saade Lemus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316564180 PECOS PAC ID: 9234599184 Enrollment ID: I20230724003090 |
| Provider Name | Rachel Ann Mann |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1548757909 PECOS PAC ID: 8123377314 Enrollment ID: I20230724003366 |
| Provider Name | Sandy Chin |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1659375327 PECOS PAC ID: 1355318072 Enrollment ID: I20230727002333 |
| Provider Name | Christine Frederick |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063086668 PECOS PAC ID: 5698136976 Enrollment ID: I20230802004019 |
| Provider Name | Nicole M Mchugh |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467026450 PECOS PAC ID: 4587025705 Enrollment ID: I20230803001277 |
| Provider Name | William Du Comb |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1528590486 PECOS PAC ID: 5799053963 Enrollment ID: I20230803004172 |
| Provider Name | Aditya Garg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306373519 PECOS PAC ID: 6305194796 Enrollment ID: I20230808003549 |
| Provider Name | Jonelle Acojido Mungcal |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1326723230 PECOS PAC ID: 7214399336 Enrollment ID: I20230821003635 |
| Provider Name | Kevin Vacca |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578208914 PECOS PAC ID: 7315320090 Enrollment ID: I20230822001194 |
| Provider Name | Melissa Lynn Fraczek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184319287 PECOS PAC ID: 4880057843 Enrollment ID: I20230824001226 |
| Provider Name | Jillian Marion Gamelin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790467397 PECOS PAC ID: 4183087869 Enrollment ID: I20230829000181 |
| Provider Name | Karl A Andersen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033564927 PECOS PAC ID: 1153691282 Enrollment ID: I20230830001868 |
| Provider Name | Jacob Devin Nudel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1609239144 PECOS PAC ID: 2567757032 Enrollment ID: I20230901003405 |
| Provider Name | Kristy Allen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942083167 PECOS PAC ID: 9537522826 Enrollment ID: I20230905001822 |
| Provider Name | Julia T Newman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144724451 PECOS PAC ID: 0941558712 Enrollment ID: I20230912000069 |
| Provider Name | Timothy Urbik |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558882878 PECOS PAC ID: 6800167693 Enrollment ID: I20230912000385 |
| Provider Name | Mohammed Alzoobaee |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376170704 PECOS PAC ID: 6608230024 Enrollment ID: I20230918002624 |
| Provider Name | Haider Rahman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1922492370 PECOS PAC ID: 2466790027 Enrollment ID: I20230919000831 |
| Provider Name | Kathleen Elizabeth Cleary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104506906 PECOS PAC ID: 8921462326 Enrollment ID: I20230919002115 |
| Provider Name | Sareena George |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1689053464 PECOS PAC ID: 3072847490 Enrollment ID: I20230928003013 |
| Provider Name | Pranjali Sonis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427686799 PECOS PAC ID: 0143674788 Enrollment ID: I20230929002331 |
| Provider Name | Erica Bartle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992439715 PECOS PAC ID: 5092160853 Enrollment ID: I20231013001530 |
| Provider Name | Sonja Lynm |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720215668 PECOS PAC ID: 7315181682 Enrollment ID: I20231016003095 |
| Provider Name | Misti Coronel |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1124345657 PECOS PAC ID: 1658502745 Enrollment ID: I20231025001129 |
| Provider Name | Michael Hajek |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1114456639 PECOS PAC ID: 6507137536 Enrollment ID: I20231031003227 |
| Provider Name | Nancy Blatt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265499495 PECOS PAC ID: 8729042858 Enrollment ID: I20231101000461 |
| Provider Name | Maria Christine Cusimano |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598451858 PECOS PAC ID: 9537515218 Enrollment ID: I20231101001793 |
| Provider Name | Elisabeth Stewart |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427624857 PECOS PAC ID: 1951757475 Enrollment ID: I20231109000105 |
| Provider Name | Roshun Sangani |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1487212312 PECOS PAC ID: 3870940554 Enrollment ID: I20231117001240 |
| Provider Name | Reginald Sarpong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821879784 PECOS PAC ID: 3678921160 Enrollment ID: I20231121003723 |
| Provider Name | Raisa Cuccio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003502253 PECOS PAC ID: 1254789340 Enrollment ID: I20231130000652 |
| Provider Name | Mufaddal Najmuddin |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1053725564 PECOS PAC ID: 8820390255 Enrollment ID: I20231130002080 |
| Provider Name | Anna Marie Carley |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1487795860 PECOS PAC ID: 8820189434 Enrollment ID: I20231130002340 |
| Provider Name | Maha B Abdulla |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1740662469 PECOS PAC ID: 2365738812 Enrollment ID: I20231211003055 |
| Provider Name | Marie Francia Chery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306438981 PECOS PAC ID: 7214387190 Enrollment ID: I20231219003071 |
| Provider Name | Holly Irvin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548871007 PECOS PAC ID: 9739591769 Enrollment ID: I20231221001894 |
| Provider Name | Brittany Toomey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306571682 PECOS PAC ID: 9032569694 Enrollment ID: I20231221002852 |
| Provider Name | Emily Rodowicz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396452306 PECOS PAC ID: 2961852538 Enrollment ID: I20231221003270 |
| Provider Name | Imad Rahman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1598332983 PECOS PAC ID: 1153728431 Enrollment ID: I20231221003799 |
| Provider Name | Sushma Ravirala |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1902328255 PECOS PAC ID: 7113263294 Enrollment ID: I20240103001089 |
| Provider Name | Collin Homer Bouthiette |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1447815303 PECOS PAC ID: 9032443874 Enrollment ID: I20240123004229 |
| Provider Name | Kathleen Prendergast |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1750940961 PECOS PAC ID: 5991036170 Enrollment ID: I20240126002627 |
| Provider Name | Aditi Paranjape |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1295501898 PECOS PAC ID: 3577916485 Enrollment ID: I20240126003065 |
| Provider Name | Dennise Marie Delaney-smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336308816 PECOS PAC ID: 8527411883 Enrollment ID: I20240202001008 |
| Provider Name | Margaret R Macy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790733392 PECOS PAC ID: 2769611813 Enrollment ID: I20240208002995 |
| Provider Name | Firas Ajam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134652282 PECOS PAC ID: 8426467002 Enrollment ID: I20240214003132 |
| Provider Name | Sara L Shusterman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477015303 PECOS PAC ID: 3476887241 Enrollment ID: I20240223002117 |
| Provider Name | Peter Holt Anderson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1720367964 PECOS PAC ID: 9436594843 Enrollment ID: I20240226001035 |
| Provider Name | Sachin Bhandari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124632864 PECOS PAC ID: 6305207259 Enrollment ID: I20240228001057 |
| Provider Name | Michelle Karen Celeste |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942919360 PECOS PAC ID: 4183060783 Enrollment ID: I20240305004559 |
| Provider Name | Kathryn Becker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790410272 PECOS PAC ID: 3274919162 Enrollment ID: I20240315000547 |
| Provider Name | Mark Staniul |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447273917 PECOS PAC ID: 0345687646 Enrollment ID: I20240322000172 |
| Provider Name | Divya Sharma |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1306296157 PECOS PAC ID: 5799070025 Enrollment ID: I20240326003947 |
| Provider Name | Nina Y Yaftali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881077592 PECOS PAC ID: 6204146855 Enrollment ID: I20240405002936 |
| Provider Name | Hannah Lucille Hollander |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952808131 PECOS PAC ID: 6305176652 Enrollment ID: I20240409002465 |
| Provider Name | Uzma Ramzan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629097787 PECOS PAC ID: 1254498876 Enrollment ID: I20240410001927 |
| Provider Name | Marta Szymczak Azizi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629402391 PECOS PAC ID: 5597103473 Enrollment ID: I20240411000585 |
| Provider Name | Kevin Anthony Neville |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417419102 PECOS PAC ID: 1951740802 Enrollment ID: I20240411004065 |
| Provider Name | Julia Perriello |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437727443 PECOS PAC ID: 7911371042 Enrollment ID: I20240416000709 |
| Provider Name | Jennifer Lalonde |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902007289 PECOS PAC ID: 8820462971 Enrollment ID: I20240416004498 |
| Provider Name | Gina M Hanley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740703008 PECOS PAC ID: 3870967946 Enrollment ID: I20240417000816 |
| Provider Name | Kyra Hess |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437779352 PECOS PAC ID: 1759755218 Enrollment ID: I20240417002996 |
| Provider Name | Ruth Lewis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861017451 PECOS PAC ID: 8628491016 Enrollment ID: I20240418000589 |
| Provider Name | Tracey Barnaby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427828193 PECOS PAC ID: 8921447129 Enrollment ID: I20240422000637 |
| Provider Name | Larry Zhao |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1700012689 PECOS PAC ID: 7416262621 Enrollment ID: I20240423000284 |
| Provider Name | Samantha Karwin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740691260 PECOS PAC ID: 4284008145 Enrollment ID: I20240423002067 |
| Provider Name | Derya Arkonac |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1114380508 PECOS PAC ID: 2769728328 Enrollment ID: I20240507001409 |
| Provider Name | Paula Atueyi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700426186 PECOS PAC ID: 8729408760 Enrollment ID: I20240507001467 |
| Provider Name | Murad Elsadawi |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1710481288 PECOS PAC ID: 8123378577 Enrollment ID: I20240508001781 |
| Provider Name | William Michael Bertheaud |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891558862 PECOS PAC ID: 8123469061 Enrollment ID: I20240509002774 |
| Provider Name | Cora Spillman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376998302 PECOS PAC ID: 1557735149 Enrollment ID: I20240515000880 |
| Provider Name | Alyssa Rothman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1417451733 PECOS PAC ID: 3375897820 Enrollment ID: I20240515003354 |
| Provider Name | Brian Labadie |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1023548054 PECOS PAC ID: 7012286750 Enrollment ID: I20240517002655 |
| Provider Name | Arham A Khan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1174083703 PECOS PAC ID: 6800124892 Enrollment ID: I20240517003401 |
| Provider Name | Amy Lucille Marchesano |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730607011 PECOS PAC ID: 5597106765 Enrollment ID: I20240520000114 |
| Provider Name | Mazin Sadik |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1366930570 PECOS PAC ID: 3375952153 Enrollment ID: I20240520001527 |
| Provider Name | Michael Callegari |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1124524079 PECOS PAC ID: 5597107797 Enrollment ID: I20240520001888 |
| Provider Name | Nahjae E Upshaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699527218 PECOS PAC ID: 5193167393 Enrollment ID: I20240520002044 |
| Provider Name | Fayssa Salomon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043742836 PECOS PAC ID: 1456627009 Enrollment ID: I20240520002623 |
| Provider Name | Sandipani M Sandilya |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1821376609 PECOS PAC ID: 0648428680 Enrollment ID: I20240521002762 |
| Provider Name | Mehrian Jafarizade |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235698465 PECOS PAC ID: 7214379353 Enrollment ID: I20240521003499 |
| Provider Name | Samantha L Willford |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649733775 PECOS PAC ID: 7214263367 Enrollment ID: I20240522000169 |
| Provider Name | Jessica Leigh Collins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073731840 PECOS PAC ID: 0042652760 Enrollment ID: I20240528000971 |
| Provider Name | Kirsten Collins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669536512 PECOS PAC ID: 4880036425 Enrollment ID: I20240528001951 |
Lahey Clinic, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 41 Mall Rd, Burlington, MA 01805 Phone: 781-744-8000 | |
Massachusetts Neurodiagnostics, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1500 District Ave # 2053, Burlington, MA 01803 Phone: 617-648-9854 Fax: 866-279-4704 | |
Clarity Health & Wellness Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 131 Cambridge St Ste 1, Burlington, MA 01803 Phone: 781-265-2572 | |
John L Przybylski Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 25 Mall Rd, Suite 501, Burlington, MA 01803 Phone: 781-221-0055 | |
Embodyfitness Counseling And Consulting Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18 Adams St, Burlington, MA 01803 Phone: 781-999-2503 | |
Tmin Services, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 800 District Ave Ste 520, Burlington, MA 01803 Phone: 781-338-7350 | |
Northeast Medical Practice Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 41 Mall Rd, Burlington, MA 01805 Phone: 781-744-8000 |