| Lewis Gale Physicians Llc | |
|
1802 Braeburn Dr Salem VA 24153-7357 | |
| (540) 772-3671 | |
| (540) 725-5067 |
| Full Name | Lewis Gale Physicians Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1802 Braeburn Dr, Salem, Virginia |
| Authorized Official Name and Position | Louis Joseph (VP) |
| Authorized Official Contact | 6153737630 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lewis Gale Physicians Llc 2000 Health Park Dr Brentwood TN 37027-4692 Ph: (615) 372-7600 | Lewis Gale Physicians Llc 1802 Braeburn Dr Salem VA 24153-7357 Ph: (540) 772-3671 |
| NPI Number | 1902977705 |
|---|---|
| Provider Enumeration Date | 11/13/2006 |
| Last Update Date | 01/02/2023 |
| Medicare PECOS PAC ID | 6507886231 |
|---|---|
| Medicare Enrollment ID | O20051128000164 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902977705 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Virginia) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (Virginia) | Secondary |
| Provider Name | Joseph L Troise |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285629345 PECOS PAC ID: 7113822867 Enrollment ID: I20031210000333 |
| Provider Name | Joyce A Cummings |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750367215 PECOS PAC ID: 7012818958 Enrollment ID: I20040115000171 |
| Provider Name | Tamera L Howell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174504773 PECOS PAC ID: 4486540705 Enrollment ID: I20040224001004 |
| Provider Name | Lisa M Deyerle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669508735 PECOS PAC ID: 8325027071 Enrollment ID: I20040715001261 |
| Provider Name | James S Weston |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568406221 PECOS PAC ID: 5294621520 Enrollment ID: I20040826000202 |
| Provider Name | Brian J Van Der Linden |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1184602864 PECOS PAC ID: 6103892088 Enrollment ID: I20040902000989 |
| Provider Name | Everett Kirk Luder |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629046701 PECOS PAC ID: 1557322765 Enrollment ID: I20041021000308 |
| Provider Name | Hassan K Honainy |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1932104023 PECOS PAC ID: 0143281782 Enrollment ID: I20041026000826 |
| Provider Name | Carl R Hannah |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1700848363 PECOS PAC ID: 8123080496 Enrollment ID: I20041028001137 |
| Provider Name | Robert C Solomon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902864374 PECOS PAC ID: 6002865268 Enrollment ID: I20050114000611 |
| Provider Name | Joseph M Carbone |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1245282458 PECOS PAC ID: 3870404205 Enrollment ID: I20050120000849 |
| Provider Name | William Andrew Tierney |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1831184753 PECOS PAC ID: 5294772174 Enrollment ID: I20050412000982 |
| Provider Name | John L Harding |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457318776 PECOS PAC ID: 1850320029 Enrollment ID: I20050808001013 |
| Provider Name | Christopher Keeley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417914821 PECOS PAC ID: 7113956384 Enrollment ID: I20050808001024 |
| Provider Name | Vandana R Karri |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1932188562 PECOS PAC ID: 3971536707 Enrollment ID: I20050913000787 |
| Provider Name | Ali M Sajadi |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1326028614 PECOS PAC ID: 0547294266 Enrollment ID: I20050922000405 |
| Provider Name | Stephen A Couture |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457337974 PECOS PAC ID: 8527088160 Enrollment ID: I20051129000251 |
| Provider Name | Garry E. Bayliss |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1215936943 PECOS PAC ID: 0749198976 Enrollment ID: I20051129000286 |
| Provider Name | John F Daugherty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164409652 PECOS PAC ID: 3476573957 Enrollment ID: I20051129000663 |
| Provider Name | Susanne E Voekler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972574861 PECOS PAC ID: 4981624483 Enrollment ID: I20051129000795 |
| Provider Name | Chetna Jha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316926009 PECOS PAC ID: 4789620550 Enrollment ID: I20051130000124 |
| Provider Name | Roy Habib |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588643100 PECOS PAC ID: 9032139480 Enrollment ID: I20051130000148 |
| Provider Name | Russell E Delaney |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427035880 PECOS PAC ID: 0547280927 Enrollment ID: I20051130000357 |
| Provider Name | Clement A Elechi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538146915 PECOS PAC ID: 3870585433 Enrollment ID: I20051130000628 |
| Provider Name | Mark W Gustafson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134108756 PECOS PAC ID: 2567482979 Enrollment ID: I20051130000656 |
| Provider Name | Mark S Currie |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1700862273 PECOS PAC ID: 8426078833 Enrollment ID: I20051130000692 |
| Provider Name | Nelson B Greene |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1801875455 PECOS PAC ID: 7911927264 Enrollment ID: I20051201000090 |
| Provider Name | James A Witten |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1407827231 PECOS PAC ID: 4789604042 Enrollment ID: I20051201000136 |
| Provider Name | Vashist Nobbee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265411573 PECOS PAC ID: 5890715171 Enrollment ID: I20051201000296 |
| Provider Name | Andrew J Maiolo |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1013996669 PECOS PAC ID: 9335169630 Enrollment ID: I20051201000492 |
| Provider Name | Gary E Glontz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669451258 PECOS PAC ID: 4880614056 Enrollment ID: I20051202000141 |
| Provider Name | Joseph F Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992744643 PECOS PAC ID: 8820018948 Enrollment ID: I20051202000653 |
| Provider Name | Sachinder Vasudeva |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053387167 PECOS PAC ID: 7214958016 Enrollment ID: I20060125000552 |
| Provider Name | Alan Early Mcluckie |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1962402024 PECOS PAC ID: 4385652510 Enrollment ID: I20060330000302 |
| Provider Name | Bradley Ryan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467475053 PECOS PAC ID: 0840297354 Enrollment ID: I20061025000708 |
| Provider Name | Muddasar Chaudry |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1396795936 PECOS PAC ID: 0749289387 Enrollment ID: I20061209000014 |
| Provider Name | Kamran Rasul |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1356306591 PECOS PAC ID: 6800896895 Enrollment ID: I20061221000215 |
| Provider Name | Eric Christian Steen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518058650 PECOS PAC ID: 8527054840 Enrollment ID: I20070309000248 |
| Provider Name | Scott Robert Boerth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366439721 PECOS PAC ID: 7315041795 Enrollment ID: I20070323000274 |
| Provider Name | Sherrie J Doss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285628834 PECOS PAC ID: 3173531522 Enrollment ID: I20070409000331 |
| Provider Name | Nathan P Goldin |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1033198072 PECOS PAC ID: 3971608191 Enrollment ID: I20070417000640 |
| Provider Name | Mark Rogers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922127950 PECOS PAC ID: 0244324002 Enrollment ID: I20070924000695 |
| Provider Name | Stephan J Vivian |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1619975877 PECOS PAC ID: 9133199904 Enrollment ID: I20080108000739 |
| Provider Name | Christine D Jordan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568685485 PECOS PAC ID: 6709969413 Enrollment ID: I20080218000533 |
| Provider Name | Jolene Bryner Henshaw |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164549978 PECOS PAC ID: 7719058916 Enrollment ID: I20080616000534 |
| Provider Name | Serge E Depret-guillaume |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063488534 PECOS PAC ID: 9931272853 Enrollment ID: I20080724000677 |
| Provider Name | Deepak Deshmukh |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1942224522 PECOS PAC ID: 0749355584 Enrollment ID: I20080813000774 |
| Provider Name | Quasir Raza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497846943 PECOS PAC ID: 8527009398 Enrollment ID: I20090616000723 |
| Provider Name | Phillip J Patterson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1376604215 PECOS PAC ID: 0648346478 Enrollment ID: I20090723000493 |
| Provider Name | Mohammed A Bhatti |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629159512 PECOS PAC ID: 7315009917 Enrollment ID: I20090806000255 |
| Provider Name | Bassel Moughrabi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376548438 PECOS PAC ID: 0244278539 Enrollment ID: I20090819000311 |
| Provider Name | William R Jones |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1841288891 PECOS PAC ID: 9234224536 Enrollment ID: I20091124000729 |
| Provider Name | Jason Fowlkes |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356534952 PECOS PAC ID: 0345389706 Enrollment ID: I20091125000258 |
| Provider Name | Glenda Beekmann Ball |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215126107 PECOS PAC ID: 2961530480 Enrollment ID: I20100504000571 |
| Provider Name | Peter Joseph Recupero |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053358143 PECOS PAC ID: 5193615516 Enrollment ID: I20100513001128 |
| Provider Name | Kevin C Kelleher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619049392 PECOS PAC ID: 3678661477 Enrollment ID: I20100915000893 |
| Provider Name | Adetokunbo A Ladenika |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306030143 PECOS PAC ID: 8628263779 Enrollment ID: I20101115000560 |
| Provider Name | Richard P Konstance |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1407893639 PECOS PAC ID: 2062479918 Enrollment ID: I20101115000581 |
| Provider Name | Joe Marshall Pack |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1679578751 PECOS PAC ID: 5294823639 Enrollment ID: I20101201001206 |
| Provider Name | Kristin H Conrad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306880422 PECOS PAC ID: 8527255041 Enrollment ID: I20101209001245 |
| Provider Name | Eric D Swisher |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720002868 PECOS PAC ID: 3971782293 Enrollment ID: I20110119000513 |
| Provider Name | Brian E Wood |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073577888 PECOS PAC ID: 5991985905 Enrollment ID: I20110208001081 |
| Provider Name | James R Wickham |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740244615 PECOS PAC ID: 7517147523 Enrollment ID: I20110208001093 |
| Provider Name | James K Moles |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336103407 PECOS PAC ID: 0042490997 Enrollment ID: I20110209000561 |
| Provider Name | Albert C Weed |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881683217 PECOS PAC ID: 4789864380 Enrollment ID: I20110215000387 |
| Provider Name | Madalina Minciu Macrea |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1396791505 PECOS PAC ID: 3072794460 Enrollment ID: I20110217000563 |
| Provider Name | Richard Preston Leggett |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104968403 PECOS PAC ID: 3779765805 Enrollment ID: I20110310001077 |
| Provider Name | John Bouldin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386624930 PECOS PAC ID: 6002999869 Enrollment ID: I20110419000586 |
| Provider Name | Paul Lee Strausbaugh |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1619927134 PECOS PAC ID: 0042106346 Enrollment ID: I20110509000707 |
| Provider Name | Ruth E Peevey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740576586 PECOS PAC ID: 0042489320 Enrollment ID: I20110802000506 |
| Provider Name | Michael R Simpson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780652719 PECOS PAC ID: 9931378841 Enrollment ID: I20110810000641 |
| Provider Name | Preston Waldrop |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1447292511 PECOS PAC ID: 5193612364 Enrollment ID: I20111027000130 |
| Provider Name | Elizabeth C Barwick |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518157668 PECOS PAC ID: 1456524537 Enrollment ID: I20111107000076 |
| Provider Name | Debra Hart Clapp |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417924960 PECOS PAC ID: 4981879780 Enrollment ID: I20111206000535 |
| Provider Name | Mona Sadek |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275500746 PECOS PAC ID: 5597930396 Enrollment ID: I20111206000570 |
| Provider Name | Laurie A Buchwald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952435737 PECOS PAC ID: 8628234655 Enrollment ID: I20120719000350 |
| Provider Name | Lauren C Good |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538427547 PECOS PAC ID: 3870742455 Enrollment ID: I20120926000417 |
| Provider Name | Robbin C Oliver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174870786 PECOS PAC ID: 7315197209 Enrollment ID: I20121031000261 |
| Provider Name | Abraham B Hardee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114198926 PECOS PAC ID: 8921257528 Enrollment ID: I20121128000371 |
| Provider Name | Megan C Thomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902063423 PECOS PAC ID: 1456522523 Enrollment ID: I20121220000471 |
| Provider Name | Christopher L Starks |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1588827968 PECOS PAC ID: 3173779725 Enrollment ID: I20130809000499 |
| Provider Name | Sorina Dancea |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1699975326 PECOS PAC ID: 3779676101 Enrollment ID: I20131017001084 |
| Provider Name | Kelly R Link |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942632344 PECOS PAC ID: 8123253150 Enrollment ID: I20131029002002 |
| Provider Name | Elliot S Freed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902192750 PECOS PAC ID: 5991954109 Enrollment ID: I20131231001982 |
| Provider Name | Amanda H Reese |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1124289582 PECOS PAC ID: 6305070418 Enrollment ID: I20140117000477 |
| Provider Name | Kenneth J Miller |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1225066418 PECOS PAC ID: 3870773310 Enrollment ID: I20140508002208 |
| Provider Name | John B Patterson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1073573226 PECOS PAC ID: 6002894821 Enrollment ID: I20140613001643 |
| Provider Name | Virginia Lee Herbert |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720047558 PECOS PAC ID: 6002800984 Enrollment ID: I20140702002334 |
| Provider Name | Jonh James Pineda-bonilla |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1760640429 PECOS PAC ID: 5698829240 Enrollment ID: I20140813001008 |
| Provider Name | Wei Wei |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1154536142 PECOS PAC ID: 7911131826 Enrollment ID: I20140825000762 |
| Provider Name | Gerald A Demasters |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164746988 PECOS PAC ID: 9830337773 Enrollment ID: I20140829001485 |
| Provider Name | Julianna D Snow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467747311 PECOS PAC ID: 4688893662 Enrollment ID: I20140924001808 |
| Provider Name | Jennifer Leigh Nelson |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1942439096 PECOS PAC ID: 6103068432 Enrollment ID: I20141118002150 |
| Provider Name | Madiha M Kamal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619270568 PECOS PAC ID: 8527380526 Enrollment ID: I20141202001498 |
| Provider Name | Brian C Gross |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1831327089 PECOS PAC ID: 0941325765 Enrollment ID: I20141209002532 |
| Provider Name | Deborah E Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053715318 PECOS PAC ID: 9638492986 Enrollment ID: I20141218000475 |
| Provider Name | Jessica L Jeffrey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235367889 PECOS PAC ID: 2365685666 Enrollment ID: I20150108001968 |
| Provider Name | Rania B Rosborough |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326095100 PECOS PAC ID: 6204855612 Enrollment ID: I20150226000658 |
| Provider Name | Rafik D Muawwad |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1184629420 PECOS PAC ID: 4082646518 Enrollment ID: I20150303001008 |
| Provider Name | Tara W Stone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730509944 PECOS PAC ID: 2860718111 Enrollment ID: I20150303001665 |
| Provider Name | Micah W I Jones |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1508006388 PECOS PAC ID: 6002133816 Enrollment ID: I20150316000623 |
| Provider Name | Joseph C Guthrie |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053588376 PECOS PAC ID: 3971748708 Enrollment ID: I20150424001939 |
| Provider Name | Stephen Greer |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1306868666 PECOS PAC ID: 7618866153 Enrollment ID: I20150427000964 |
| Provider Name | Matthew W Kelly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699032060 PECOS PAC ID: 0749439081 Enrollment ID: I20150708002681 |
| Provider Name | Kelly N Rebkovich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194082602 PECOS PAC ID: 8628225851 Enrollment ID: I20150804003491 |
| Provider Name | Jerita Johanna Dubash |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659697126 PECOS PAC ID: 5890938187 Enrollment ID: I20150922000592 |
| Provider Name | Patricia M Moore |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003195355 PECOS PAC ID: 7810167749 Enrollment ID: I20151104002189 |
| Provider Name | Joyce E Vivian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871977165 PECOS PAC ID: 5193025211 Enrollment ID: I20151122000007 |
| Provider Name | Jian Hu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548419971 PECOS PAC ID: 2860552379 Enrollment ID: I20160127000331 |
| Provider Name | Megan M Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043685399 PECOS PAC ID: 9133426034 Enrollment ID: I20160321000673 |
| Provider Name | Akinwumni Ojo-carons |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1033378344 PECOS PAC ID: 4183936800 Enrollment ID: I20160708000328 |
| Provider Name | Lisa M Gray |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649411539 PECOS PAC ID: 5092959874 Enrollment ID: I20160721001360 |
| Provider Name | Michael K Bowman |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1376510073 PECOS PAC ID: 3072595602 Enrollment ID: I20160725000922 |
| Provider Name | Raymond I Cruz |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1609034362 PECOS PAC ID: 8123264819 Enrollment ID: I20160725001203 |
| Provider Name | Valentine T Nduku |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1871770263 PECOS PAC ID: 2163572967 Enrollment ID: I20160906000204 |
| Provider Name | Robyn J Hakanson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1124012117 PECOS PAC ID: 6507847472 Enrollment ID: I20160926001219 |
| Provider Name | Chuan L Miao |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1962660696 PECOS PAC ID: 6608921705 Enrollment ID: I20160927002081 |
| Provider Name | James Saadi |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1295748218 PECOS PAC ID: 5496794398 Enrollment ID: I20161004000620 |
| Provider Name | Jennifer M Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932657087 PECOS PAC ID: 0345521332 Enrollment ID: I20170105002368 |
| Provider Name | Meredith R Cary-morrissette |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558493791 PECOS PAC ID: 1557644598 Enrollment ID: I20170216002051 |
| Provider Name | Sarah A Markwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255875589 PECOS PAC ID: 8426332966 Enrollment ID: I20170301002183 |
| Provider Name | Samantha Smart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053869271 PECOS PAC ID: 6709160971 Enrollment ID: I20170307002192 |
| Provider Name | Todd Sterling |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1982699849 PECOS PAC ID: 7012137060 Enrollment ID: I20170323002159 |
| Provider Name | Owen W Roberts |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1629179858 PECOS PAC ID: 5092948141 Enrollment ID: I20170411001084 |
| Provider Name | Frederic Albert Rawlins |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1235450727 PECOS PAC ID: 8729201421 Enrollment ID: I20170428001900 |
| Provider Name | Meredith A Spencer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205376167 PECOS PAC ID: 4981973427 Enrollment ID: I20170627001481 |
| Provider Name | James J Taylor |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1225087380 PECOS PAC ID: 5991785693 Enrollment ID: I20170727001579 |
| Provider Name | Kimberly C Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063946358 PECOS PAC ID: 1153692637 Enrollment ID: I20170801003210 |
| Provider Name | Beth A Hite |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073040200 PECOS PAC ID: 4385915123 Enrollment ID: I20170811002581 |
| Provider Name | Jeremy Smalley |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1326334293 PECOS PAC ID: 8426347238 Enrollment ID: I20170822002387 |
| Provider Name | Dominique Dempah |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1073763751 PECOS PAC ID: 0446488910 Enrollment ID: I20171006001916 |
| Provider Name | Jessica Fultz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114445897 PECOS PAC ID: 4789959974 Enrollment ID: I20171016000359 |
| Provider Name | Joshua Charles Appelstein |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1508029612 PECOS PAC ID: 8325356967 Enrollment ID: I20171109000287 |
| Provider Name | Cemil Mehmet Purut |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1013978279 PECOS PAC ID: 7911033949 Enrollment ID: I20171204002213 |
| Provider Name | William E Pauley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770002172 PECOS PAC ID: 7618235714 Enrollment ID: I20171219001678 |
| Provider Name | Edward A Griffin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275590374 PECOS PAC ID: 4789738709 Enrollment ID: I20180214001231 |
| Provider Name | Eva S Quiroz |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1861426264 PECOS PAC ID: 7618952318 Enrollment ID: I20180326001831 |
| Provider Name | Bradley Allen Dengler |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1013143627 PECOS PAC ID: 0345530879 Enrollment ID: I20180403002635 |
| Provider Name | Brijesh Bharatbhai Patel |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1528367349 PECOS PAC ID: 9335383074 Enrollment ID: I20180713000249 |
| Provider Name | Shannon Green Johnston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427544089 PECOS PAC ID: 8325397607 Enrollment ID: I20180820002449 |
| Provider Name | Amanda Pysher Cox |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700129111 PECOS PAC ID: 1456602606 Enrollment ID: I20180926003721 |
| Provider Name | Harris Monroe Wexler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508276791 PECOS PAC ID: 6608165840 Enrollment ID: I20181114002392 |
| Provider Name | Neeta Vorst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801399555 PECOS PAC ID: 7416201975 Enrollment ID: I20181120000228 |
| Provider Name | Michael A Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578940987 PECOS PAC ID: 6608171004 Enrollment ID: I20181126001657 |
| Provider Name | Norah A Silver |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356683700 PECOS PAC ID: 6103050430 Enrollment ID: I20190128000625 |
| Provider Name | Sean Quigley Kern |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1740416262 PECOS PAC ID: 6901193549 Enrollment ID: I20190205000616 |
| Provider Name | Robin Patience Akers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154800209 PECOS PAC ID: 6800137803 Enrollment ID: I20190329002383 |
| Provider Name | Ashley R Earley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700357316 PECOS PAC ID: 1557602398 Enrollment ID: I20190404002024 |
| Provider Name | Mark Burson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1104808229 PECOS PAC ID: 7113949728 Enrollment ID: I20190507002859 |
| Provider Name | Jeremy C Kelley |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1841584794 PECOS PAC ID: 4486871449 Enrollment ID: I20190521002416 |
| Provider Name | Daniel Andrew Bellin |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1689760159 PECOS PAC ID: 4486912656 Enrollment ID: I20190625003474 |
| Provider Name | Jaromir Kohout |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1245423367 PECOS PAC ID: 1456441070 Enrollment ID: I20190701000027 |
| Provider Name | Mark Robert Anderson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1922156181 PECOS PAC ID: 6103141585 Enrollment ID: I20190702003004 |
| Provider Name | Antony Fernandez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962452862 PECOS PAC ID: 8921013947 Enrollment ID: I20190809002919 |
| Provider Name | Fritz Jean-noel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881891943 PECOS PAC ID: 5799843603 Enrollment ID: I20190824000112 |
| Provider Name | Nolie G Conner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023676657 PECOS PAC ID: 4789914953 Enrollment ID: I20191001003330 |
| Provider Name | Owusu Asamoah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083840870 PECOS PAC ID: 0840439931 Enrollment ID: I20191007002296 |
| Provider Name | Vanessa C Pinter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891140042 PECOS PAC ID: 5294021846 Enrollment ID: I20191027000000 |
| Provider Name | Sidney B Barnes |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1740247162 PECOS PAC ID: 1850350745 Enrollment ID: I20191106000887 |
| Provider Name | Rebecca A King-mallory |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417306432 PECOS PAC ID: 7416206511 Enrollment ID: I20191204000727 |
| Provider Name | Nicholas F Marko |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1114199791 PECOS PAC ID: 3476718669 Enrollment ID: I20191218001330 |
| Provider Name | Brittany D Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801240924 PECOS PAC ID: 2860788429 Enrollment ID: I20191223000764 |
| Provider Name | Kathryn A Lipscomb |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1790096956 PECOS PAC ID: 2365675311 Enrollment ID: I20200114001562 |
| Provider Name | Hilary L Linderman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447789425 PECOS PAC ID: 4183976384 Enrollment ID: I20200206002794 |
| Provider Name | Stephanie Rose Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932742731 PECOS PAC ID: 8820425671 Enrollment ID: I20200217004958 |
| Provider Name | Katharine B Burmaster |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740500065 PECOS PAC ID: 8729372438 Enrollment ID: I20200305002370 |
| Provider Name | Natosha Marie Croy |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1619507589 PECOS PAC ID: 1759710163 Enrollment ID: I20200407000699 |
| Provider Name | Maria L Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669007282 PECOS PAC ID: 5799114872 Enrollment ID: I20200413000420 |
| Provider Name | Lillian A Arogo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801437306 PECOS PAC ID: 5193156222 Enrollment ID: I20200505002676 |
| Provider Name | Laura Gayton |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1841547973 PECOS PAC ID: 3678722543 Enrollment ID: I20200529001178 |
| Provider Name | Caleb Vass |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588198949 PECOS PAC ID: 9830462126 Enrollment ID: I20200601000061 |
| Provider Name | Trevor Bruce Parker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881121705 PECOS PAC ID: 1759650583 Enrollment ID: I20200623002319 |
| Provider Name | Nabil Khawand |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1366455719 PECOS PAC ID: 1456489624 Enrollment ID: I20200730000265 |
| Provider Name | Esam Salem Omeish |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1982766614 PECOS PAC ID: 4880675669 Enrollment ID: I20200821002266 |
| Provider Name | Kelly Denise Thomas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275894420 PECOS PAC ID: 3072809011 Enrollment ID: I20200922003224 |
| Provider Name | Elizabeth B Mick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336752492 PECOS PAC ID: 0840603098 Enrollment ID: I20210106002584 |
| Provider Name | Mazen Hasan |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1386859205 PECOS PAC ID: 9931268737 Enrollment ID: I20210112001741 |
| Provider Name | Katherine A Walker |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1902244171 PECOS PAC ID: 1153651039 Enrollment ID: I20210305000493 |
| Provider Name | Mary Morgan Mitchell |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1982051660 PECOS PAC ID: 1850685272 Enrollment ID: I20210519001990 |
| Provider Name | Christopher M Busch |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1396165726 PECOS PAC ID: 3173743804 Enrollment ID: I20210604000354 |
| Provider Name | Olubunmi O Esan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1558795377 PECOS PAC ID: 6103131487 Enrollment ID: I20210817001624 |
| Provider Name | Patrick Kennedy |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1689069577 PECOS PAC ID: 5698033017 Enrollment ID: I20210826002318 |
| Provider Name | Kelleigh Garland O'toole |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1659940856 PECOS PAC ID: 5092111690 Enrollment ID: I20210907003366 |
| Provider Name | Steven Wayne Khoo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1225074313 PECOS PAC ID: 5395983167 Enrollment ID: I20210914002916 |
| Provider Name | Joshua Seth Prol |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184294811 PECOS PAC ID: 6901294297 Enrollment ID: I20211019000515 |
| Provider Name | Jamee V Tyree |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215600267 PECOS PAC ID: 5092103044 Enrollment ID: I20211026000133 |
| Provider Name | Bernard J Hynes |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1144229345 PECOS PAC ID: 5193765006 Enrollment ID: I20211028001477 |
| Provider Name | Benjamin Smith |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477829281 PECOS PAC ID: 8628397833 Enrollment ID: I20211101001342 |
| Provider Name | Christopher M George |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1679100481 PECOS PAC ID: 2466875703 Enrollment ID: I20220428000852 |
| Provider Name | Aaron Joseph Keller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417418658 PECOS PAC ID: 1557691557 Enrollment ID: I20220615003330 |
| Provider Name | Dennis Q Chen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1043664576 PECOS PAC ID: 8820382609 Enrollment ID: I20220621000163 |
| Provider Name | Owori Bwire Mang'eni |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992232144 PECOS PAC ID: 2961881040 Enrollment ID: I20220621000324 |
| Provider Name | Aaron S Boren |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740560689 PECOS PAC ID: 3870844509 Enrollment ID: I20220729001304 |
| Provider Name | Brynn Elise Wallin |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1174279038 PECOS PAC ID: 3173905171 Enrollment ID: I20220808003397 |
| Provider Name | Thadeus Dapash |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1871976902 PECOS PAC ID: 3577871292 Enrollment ID: I20220810001656 |
| Provider Name | Hussein Al-mohamad |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1598151482 PECOS PAC ID: 7517342470 Enrollment ID: I20220914000999 |
| Provider Name | Erica Anne Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861131336 PECOS PAC ID: 2163807603 Enrollment ID: I20220919002920 |
| Provider Name | Katlen Manning Rosen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417680620 PECOS PAC ID: 9931579448 Enrollment ID: I20221227002037 |
| Provider Name | Arielle Schreck |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992167100 PECOS PAC ID: 2466873526 Enrollment ID: I20230119003287 |
| Provider Name | Abigail Elizabeth Palmerton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215644927 PECOS PAC ID: 0143692442 Enrollment ID: I20230215000705 |
| Provider Name | Joshua Schuyler Slakman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124656525 PECOS PAC ID: 9739501396 Enrollment ID: I20230713000935 |
| Provider Name | Scott H Lang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194010389 PECOS PAC ID: 5991945826 Enrollment ID: I20230717002870 |
| Provider Name | Janie Katherine Lozovski |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649768227 PECOS PAC ID: 2466703194 Enrollment ID: I20230727000419 |
| Provider Name | Kayla D. Reid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669157707 PECOS PAC ID: 2769843291 Enrollment ID: I20230801001346 |
| Provider Name | Chelsea Greenway Bartlett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598140857 PECOS PAC ID: 1355702457 Enrollment ID: I20230807000728 |
| Provider Name | Tamara K Higgins |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1366103913 PECOS PAC ID: 0749676310 Enrollment ID: I20230817002595 |
| Provider Name | Amanda Marie Disabato |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962039578 PECOS PAC ID: 1951732627 Enrollment ID: I20230823000589 |
| Provider Name | Joseph Howard Conduff |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1164910303 PECOS PAC ID: 4284999491 Enrollment ID: I20230911001113 |
| Provider Name | Carissa Webster Lake |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1134448269 PECOS PAC ID: 9830467935 Enrollment ID: I20230926003902 |
| Provider Name | Jennifer Javan Streng |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780390385 PECOS PAC ID: 4284088816 Enrollment ID: I20230929002039 |
| Provider Name | Henry Kesler |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1376554360 PECOS PAC ID: 6709025109 Enrollment ID: I20231003004043 |
| Provider Name | Jason M Hoover |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1265551485 PECOS PAC ID: 5092809939 Enrollment ID: I20231103000324 |
| Provider Name | Lisa W Ross |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1770026460 PECOS PAC ID: 8628354404 Enrollment ID: I20231113003661 |
| Provider Name | Eric Hick |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1346236353 PECOS PAC ID: 9436283025 Enrollment ID: I20231204001668 |
| Provider Name | Joel Pellot Cestero |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1295174217 PECOS PAC ID: 7214313840 Enrollment ID: I20231212000063 |
| Provider Name | Jimmy C Brasfield |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1558399089 PECOS PAC ID: 8123932878 Enrollment ID: I20231215002775 |
| Provider Name | Eric E Parrott |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255891792 PECOS PAC ID: 2860827755 Enrollment ID: I20240131000190 |
| Provider Name | Robert Lee Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992499024 PECOS PAC ID: 9335582816 Enrollment ID: I20240212003775 |
| Provider Name | Emily Boothe |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841634946 PECOS PAC ID: 9931472289 Enrollment ID: I20240219002891 |
| Provider Name | Gentian Toshkezi |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1760617054 PECOS PAC ID: 4688924293 Enrollment ID: I20240304003690 |
| Provider Name | Jessica Brooke Saeger |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1649708629 PECOS PAC ID: 4385061654 Enrollment ID: I20240306002137 |
| Provider Name | Andy J Martinez Morales |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1750688735 PECOS PAC ID: 3173839941 Enrollment ID: I20240306003314 |
| Provider Name | Andrew Lawrence Franklin |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1285996140 PECOS PAC ID: 4789818493 Enrollment ID: I20240308003712 |
| Provider Name | Kelley Lynn Doss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336902113 PECOS PAC ID: 4981042843 Enrollment ID: I20240411000124 |
| Provider Name | John Devin Watson |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1386969137 PECOS PAC ID: 5496040214 Enrollment ID: I20240412001251 |
| Provider Name | Kristopher Kahle |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1063603181 PECOS PAC ID: 9436316882 Enrollment ID: I20240416001995 |
Salem Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 511 Roanoke Blvd, Suite 3, Salem, VA 24153 Phone: 540-345-3556 | |
May Chiropractic Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 918 Apperson Dr, Salem, VA 24153 Phone: 540-387-1680 Fax: 540-387-3769 | |
Main Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1802 Braeburn Dr, Salem, VA 24153 Phone: 540-772-3671 Fax: 540-725-5067 | |
Valley Internal Medicine Associates P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3737 W. Main Street, Ste 102, Salem, VA 24153 Phone: 540-380-3722 Fax: 833-378-0873 | |
Coremedx Salem Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1461 W Main St, Salem, VA 24153 Phone: 540-375-9220 Fax: 434-793-9315 | |
Family Doctor, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 511 Roanoke Blvd, Suite B, Salem, VA 24153 Phone: 540-389-0092 Fax: 540-389-0644 | |
Valley Gericare Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1945 Roanoke Blvd, Salem, VA 24153 Phone: 540-345-3894 Fax: 540-982-1783 |