| Lexington Orthopaedic And Sports Medicine | |
|
146 E Hospital Dr Ste 350 West Columbia SC 29169-4800 | |
| (803) 314-9640 | |
| (803) 314-9641 |
| Full Name | Lexington Orthopaedic And Sports Medicine |
|---|---|
| Speciality | Orthopaedic Surgery |
| Location | 146 E Hospital Dr Ste 350, West Columbia, South Carolina |
| Authorized Official Name and Position | Jeffrey Brillhart (SR VP/CFO) |
| Authorized Official Contact | 8037912967 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lexington Orthopaedic And Sports Medicine Po Box 6069 West Columbia SC 29171-6069 Ph: (803) 791-2000 | Lexington Orthopaedic And Sports Medicine 146 E Hospital Dr Ste 350 West Columbia SC 29169-4800 Ph: (803) 314-9640 |
| NPI Number | 1710634753 |
|---|---|
| Provider Enumeration Date | 03/09/2022 |
| Last Update Date | 06/14/2024 |
| Medicare PECOS PAC ID | 2567872070 |
|---|---|
| Medicare Enrollment ID | O20201208000922 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710634753 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207XX0005X | Orthopaedic Surgery - Sports Medicine | (* (Not Available)) | Primary |
| Provider Name | Linda M Neis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699795401 PECOS PAC ID: 6507778735 Enrollment ID: I20031105000182 |
| Provider Name | William H Bragdon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346217601 PECOS PAC ID: 2769394824 Enrollment ID: I20031105000679 |
| Provider Name | Rutkumar P Jani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164405981 PECOS PAC ID: 6507760790 Enrollment ID: I20031120000255 |
| Provider Name | William T Korman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740298066 PECOS PAC ID: 6204731516 Enrollment ID: I20031201000331 |
| Provider Name | David Casey Berlin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033132717 PECOS PAC ID: 9638074495 Enrollment ID: I20031204000562 |
| Provider Name | Francis M Dayrit |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1669405874 PECOS PAC ID: 8628978905 Enrollment ID: I20040112000293 |
| Provider Name | Richard P Murray |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013928407 PECOS PAC ID: 2860393402 Enrollment ID: I20040116000680 |
| Provider Name | Edwin Roman Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770506289 PECOS PAC ID: 0941101489 Enrollment ID: I20040116000765 |
| Provider Name | Kirk R Steptoe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942212949 PECOS PAC ID: 7810898939 Enrollment ID: I20040120000671 |
| Provider Name | Maxcy Hook Nowell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457370454 PECOS PAC ID: 0547163669 Enrollment ID: I20040128000213 |
| Provider Name | Teresa K Satterfield |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710998083 PECOS PAC ID: 8022911668 Enrollment ID: I20040130000172 |
| Provider Name | Francisco Javier Albert |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255352837 PECOS PAC ID: 9032003223 Enrollment ID: I20040210000114 |
| Provider Name | Karen H Dorr |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053956300 PECOS PAC ID: 5294629101 Enrollment ID: I20040211000901 |
| Provider Name | Bradley A Clayton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659419869 PECOS PAC ID: 4082509294 Enrollment ID: I20040217000783 |
| Provider Name | Glen F Strickland |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1568474583 PECOS PAC ID: 3173418852 Enrollment ID: I20040220000481 |
| Provider Name | James D Givens |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1750398525 PECOS PAC ID: 2062307754 Enrollment ID: I20040220000505 |
| Provider Name | James C Mcintosh |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1902817836 PECOS PAC ID: 3274429758 Enrollment ID: I20040223000749 |
| Provider Name | Charles J Court |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1588623920 PECOS PAC ID: 1254227598 Enrollment ID: I20040224001180 |
| Provider Name | Ethredge Myron Barwick |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1346263027 PECOS PAC ID: 4385531722 Enrollment ID: I20040302000040 |
| Provider Name | Richard Jc Felton |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1699782193 PECOS PAC ID: 4981591237 Enrollment ID: I20040302000141 |
| Provider Name | William Shawn Ghent |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1528022423 PECOS PAC ID: 4385531391 Enrollment ID: I20040303001049 |
| Provider Name | Ronald G Myatich |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245241637 PECOS PAC ID: 4486544038 Enrollment ID: I20040317000916 |
| Provider Name | Terry O Norton |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1477564888 PECOS PAC ID: 2365332921 Enrollment ID: I20040317000939 |
| Provider Name | Jeffrey S Libbey |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1609884816 PECOS PAC ID: 8325938988 Enrollment ID: I20040317000961 |
| Provider Name | William M Moore |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1316958895 PECOS PAC ID: 4981594553 Enrollment ID: I20040317001015 |
| Provider Name | Patrick M. Morgan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922070671 PECOS PAC ID: 1951395227 Enrollment ID: I20040409000528 |
| Provider Name | Michael Clark Roberts |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1508829730 PECOS PAC ID: 1052305992 Enrollment ID: I20040413000812 |
| Provider Name | Mark R Kutyla |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1326007022 PECOS PAC ID: 1759378821 Enrollment ID: I20040429000765 |
| Provider Name | Shannon R Hallman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528133915 PECOS PAC ID: 3476542416 Enrollment ID: I20040506001048 |
| Provider Name | Alan C Rodgers |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154345890 PECOS PAC ID: 0840289807 Enrollment ID: I20040506001206 |
| Provider Name | Susan K Wilkerson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1942332713 PECOS PAC ID: 8123017191 Enrollment ID: I20040506001268 |
| Provider Name | Mark R Jackson |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1033177530 PECOS PAC ID: 6204817109 Enrollment ID: I20040526001360 |
| Provider Name | Thomas Brian Willard |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1477585305 PECOS PAC ID: 6204818719 Enrollment ID: I20040607000877 |
| Provider Name | Bartlett K Snyder |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609843713 PECOS PAC ID: 5799768750 Enrollment ID: I20040610000781 |
| Provider Name | Thomas E Gibbons |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316908643 PECOS PAC ID: 2365427747 Enrollment ID: I20040621000740 |
| Provider Name | Ronnie S Fuerst |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609847375 PECOS PAC ID: 3476538851 Enrollment ID: I20040621000795 |
| Provider Name | Carlos Andres Soto |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699787689 PECOS PAC ID: 9133105612 Enrollment ID: I20040625000452 |
| Provider Name | David Pledger Lyle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154339331 PECOS PAC ID: 9638156516 Enrollment ID: I20040630000256 |
| Provider Name | Leslie K West |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174535967 PECOS PAC ID: 8921085366 Enrollment ID: I20040702000415 |
| Provider Name | Michael Lee Nunnery |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194736512 PECOS PAC ID: 6204813652 Enrollment ID: I20040702000483 |
| Provider Name | Stacie K Moore-bowens |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225098478 PECOS PAC ID: 2961480801 Enrollment ID: I20040708000817 |
| Provider Name | Wesley H Shuler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073557724 PECOS PAC ID: 6406834902 Enrollment ID: I20040712001227 |
| Provider Name | Jeffrey A Lohr |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427070580 PECOS PAC ID: 0345229696 Enrollment ID: I20040719001352 |
| Provider Name | Janet T Guggenheim |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811948482 PECOS PAC ID: 9436138039 Enrollment ID: I20040721001318 |
| Provider Name | Stacie J Boyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427078237 PECOS PAC ID: 9830160951 Enrollment ID: I20040803000879 |
| Provider Name | Brent Michael Powers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710998034 PECOS PAC ID: 6901877869 Enrollment ID: I20040804000275 |
| Provider Name | Daniel Louis Avosso |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396725917 PECOS PAC ID: 0345211967 Enrollment ID: I20040805000378 |
| Provider Name | Kerri A Edwards |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689642324 PECOS PAC ID: 8123090362 Enrollment ID: I20040809001224 |
| Provider Name | William R Westerkam |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1376597070 PECOS PAC ID: 9032182852 Enrollment ID: I20040818001041 |
| Provider Name | Gregory K Fulcher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104969252 PECOS PAC ID: 3870568314 Enrollment ID: I20040830000127 |
| Provider Name | Richard H Billings |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467626309 PECOS PAC ID: 1052389996 Enrollment ID: I20040920000376 |
| Provider Name | Ryan T Chassereau |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184673139 PECOS PAC ID: 3577532407 Enrollment ID: I20040930000228 |
| Provider Name | Javier Enrique Carles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508809344 PECOS PAC ID: 3678533163 Enrollment ID: I20041019000503 |
| Provider Name | Susan M Griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891744660 PECOS PAC ID: 7113989278 Enrollment ID: I20041101000466 |
| Provider Name | Daniel C Brown |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699791855 PECOS PAC ID: 7416911771 Enrollment ID: I20041116000858 |
| Provider Name | Harriett L Boozer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235177148 PECOS PAC ID: 7012971229 Enrollment ID: I20041117000678 |
| Provider Name | Clifford Darren Staggs |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851476857 PECOS PAC ID: 8224093547 Enrollment ID: I20041129000771 |
| Provider Name | Joseph A Evans |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548277031 PECOS PAC ID: 7416913942 Enrollment ID: I20041207000533 |
| Provider Name | Curt Bryant Charnes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588621817 PECOS PAC ID: 6002872272 Enrollment ID: I20041209000056 |
| Provider Name | Kathryn Woods Watson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578586889 PECOS PAC ID: 1557327756 Enrollment ID: I20041209000277 |
| Provider Name | James A Hicks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649288226 PECOS PAC ID: 1355308248 Enrollment ID: I20041213000376 |
| Provider Name | Patrice L High |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649280231 PECOS PAC ID: 6204893506 Enrollment ID: I20041218000121 |
| Provider Name | Robert W Silverio |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417968546 PECOS PAC ID: 5193782357 Enrollment ID: I20041220000442 |
| Provider Name | Gilbert L Rogers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356352553 PECOS PAC ID: 4981661147 Enrollment ID: I20041220000464 |
| Provider Name | James P Phillips |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457362758 PECOS PAC ID: 8224096870 Enrollment ID: I20041229000259 |
| Provider Name | Valerie Ann Skinner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306857388 PECOS PAC ID: 7517915895 Enrollment ID: I20050104000748 |
| Provider Name | Miriam Austell Wilcox |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922010628 PECOS PAC ID: 9234187162 Enrollment ID: I20050107000340 |
| Provider Name | Vijay A Koli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700835493 PECOS PAC ID: 4688622285 Enrollment ID: I20050111000216 |
| Provider Name | Juan Manuel Venegas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548318264 PECOS PAC ID: 3072561588 Enrollment ID: I20050111000351 |
| Provider Name | Brian P Cline |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801819958 PECOS PAC ID: 0042268492 Enrollment ID: I20050112000350 |
| Provider Name | Henry James Marion |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760490841 PECOS PAC ID: 3870541238 Enrollment ID: I20050112000412 |
| Provider Name | Julie A Reed |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316918709 PECOS PAC ID: 7214985605 Enrollment ID: I20050112000595 |
| Provider Name | Frederick B Thompson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912919770 PECOS PAC ID: 8224087259 Enrollment ID: I20050118000295 |
| Provider Name | William E Plyler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770594087 PECOS PAC ID: 0446209472 Enrollment ID: I20050118000333 |
| Provider Name | David Jonathan Stallard |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548272537 PECOS PAC ID: 2567411309 Enrollment ID: I20050119000236 |
| Provider Name | James E Estes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285641753 PECOS PAC ID: 4880643634 Enrollment ID: I20050119000273 |
| Provider Name | James H Altieri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720027477 PECOS PAC ID: 2365493285 Enrollment ID: I20050208000433 |
| Provider Name | Edgar G Deschamps |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699734483 PECOS PAC ID: 2365494432 Enrollment ID: I20050216000933 |
| Provider Name | Leslee R Berlin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558338665 PECOS PAC ID: 8022060490 Enrollment ID: I20050217000681 |
| Provider Name | Lashell L Head |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285766162 PECOS PAC ID: 6305899071 Enrollment ID: I20050223000330 |
| Provider Name | Betty D Pelletier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548392442 PECOS PAC ID: 9638122302 Enrollment ID: I20050223000360 |
| Provider Name | Anoma S Gamage |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326141938 PECOS PAC ID: 4183678949 Enrollment ID: I20050304000549 |
| Provider Name | Timothy P Close |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700859485 PECOS PAC ID: 4981659612 Enrollment ID: I20050316000176 |
| Provider Name | Douglas M Weddle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912082777 PECOS PAC ID: 0143275776 Enrollment ID: I20050316001032 |
| Provider Name | Donald L Powell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255436093 PECOS PAC ID: 5193771202 Enrollment ID: I20050323000179 |
| Provider Name | Michael Paul Taillon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124121785 PECOS PAC ID: 3274589387 Enrollment ID: I20050323000196 |
| Provider Name | Donald G Moore |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801999487 PECOS PAC ID: 3375599483 Enrollment ID: I20050323000211 |
| Provider Name | Bradley W Word |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043279854 PECOS PAC ID: 8123075991 Enrollment ID: I20050404000844 |
| Provider Name | Caroline Marvin Bedingfield |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003883117 PECOS PAC ID: 9931156502 Enrollment ID: I20050405001404 |
| Provider Name | Olin B Hutto |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013990985 PECOS PAC ID: 0547217861 Enrollment ID: I20050407000885 |
| Provider Name | Scott A Mckay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679584148 PECOS PAC ID: 1557300605 Enrollment ID: I20050427001320 |
| Provider Name | Frank J Ferraro |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1861433831 PECOS PAC ID: 9739128323 Enrollment ID: I20050503000740 |
| Provider Name | Marc C Antonetti |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1043237803 PECOS PAC ID: 7214925569 Enrollment ID: I20050531000724 |
| Provider Name | Amy R Epps |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1235247198 PECOS PAC ID: 2365485000 Enrollment ID: I20050603000780 |
| Provider Name | Edward Joseph Jakubs |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1295794212 PECOS PAC ID: 7416990916 Enrollment ID: I20050606000969 |
| Provider Name | David K Lee |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1871557801 PECOS PAC ID: 0648216713 Enrollment ID: I20050629000893 |
| Provider Name | Laura B Jackson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407864978 PECOS PAC ID: 1052357548 Enrollment ID: I20050706000895 |
| Provider Name | Elizabeth F Mathias |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811907728 PECOS PAC ID: 2264478510 Enrollment ID: I20050708000059 |
| Provider Name | William J Fravel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508872367 PECOS PAC ID: 0941236707 Enrollment ID: I20050713000123 |
| Provider Name | Marcia L Taylor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295823771 PECOS PAC ID: 1153358502 Enrollment ID: I20050718000971 |
| Provider Name | Donna M Andrews |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1548378409 PECOS PAC ID: 3577590884 Enrollment ID: I20050719000508 |
| Provider Name | Charles D Phillips |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1275502999 PECOS PAC ID: 8123055241 Enrollment ID: I20050720000803 |
| Provider Name | Amanda E Baker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801819412 PECOS PAC ID: 9537196142 Enrollment ID: I20050725000989 |
| Provider Name | Amanda Lee Wardlaw |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487610135 PECOS PAC ID: 2961439559 Enrollment ID: I20050726000331 |
| Provider Name | Michelle B Surrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114110665 PECOS PAC ID: 5597794636 Enrollment ID: I20050809000280 |
| Provider Name | Evelyn R Tucker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396849006 PECOS PAC ID: 4688603483 Enrollment ID: I20050811000708 |
| Provider Name | Stuart L Cooper |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942223086 PECOS PAC ID: 1456381714 Enrollment ID: I20050816000838 |
| Provider Name | Keith D Lobel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407864671 PECOS PAC ID: 5799715058 Enrollment ID: I20050816000853 |
| Provider Name | Rebecca B Mcnair |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205808839 PECOS PAC ID: 1355371352 Enrollment ID: I20050819000094 |
| Provider Name | Huong T Phan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326059627 PECOS PAC ID: 6608807227 Enrollment ID: I20050824000071 |
| Provider Name | Stacy J Gajewski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467553404 PECOS PAC ID: 0042242463 Enrollment ID: I20050907000470 |
| Provider Name | Quillin Davis |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1770621989 PECOS PAC ID: 8820026131 Enrollment ID: I20050912000026 |
| Provider Name | Jan Lynn Mcbride |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184634008 PECOS PAC ID: 1557395720 Enrollment ID: I20050927000333 |
| Provider Name | Patricia M Head |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205822509 PECOS PAC ID: 5698790418 Enrollment ID: I20051011000758 |
| Provider Name | Julie O Doherty |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528088374 PECOS PAC ID: 0143248781 Enrollment ID: I20051102000990 |
| Provider Name | Michael T Crump |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194793794 PECOS PAC ID: 8527088087 Enrollment ID: I20051129000457 |
| Provider Name | Crystal Y Johnson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407804826 PECOS PAC ID: 6305866815 Enrollment ID: I20051129000832 |
| Provider Name | Troy B Gamble |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982662532 PECOS PAC ID: 4789644360 Enrollment ID: I20051208000155 |
| Provider Name | Debora S Froese |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396831012 PECOS PAC ID: 3072534197 Enrollment ID: I20051215000789 |
| Provider Name | Suzanne L Schwab |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699786749 PECOS PAC ID: 2769406420 Enrollment ID: I20060120000331 |
| Provider Name | Sarkis S Derderian |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1427036375 PECOS PAC ID: 0749204428 Enrollment ID: I20060120000432 |
| Provider Name | Andrew Wiktor Piasecki |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1881622272 PECOS PAC ID: 1153345723 Enrollment ID: I20060123000240 |
| Provider Name | James A Carlen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427015205 PECOS PAC ID: 6901811546 Enrollment ID: I20060217000382 |
| Provider Name | Cynthia C Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437138419 PECOS PAC ID: 7113932609 Enrollment ID: I20060221000307 |
| Provider Name | Barnaby T Dedmond |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1861478323 PECOS PAC ID: 0840215737 Enrollment ID: I20060223000019 |
| Provider Name | Edward George Froelich |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1851481147 PECOS PAC ID: 5193731966 Enrollment ID: I20060302000635 |
| Provider Name | Thomas Cole Austin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710958020 PECOS PAC ID: 4082621099 Enrollment ID: I20060316000288 |
| Provider Name | Lacey P Mcneely |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669492088 PECOS PAC ID: 7719995091 Enrollment ID: I20060328000577 |
| Provider Name | Douglas M Addy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942270590 PECOS PAC ID: 8820006828 Enrollment ID: I20060403000526 |
| Provider Name | Constance L Parson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891719589 PECOS PAC ID: 7113937004 Enrollment ID: I20060421000083 |
| Provider Name | Janis E Keeton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518936392 PECOS PAC ID: 0840200499 Enrollment ID: I20060427000295 |
| Provider Name | Clarence E Coker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003891508 PECOS PAC ID: 5597778159 Enrollment ID: I20060726000351 |
| Provider Name | Mohamed S Soliman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1497795207 PECOS PAC ID: 1153334735 Enrollment ID: I20060727000094 |
| Provider Name | Ariel Alejandro Pertile |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427010503 PECOS PAC ID: 2466489273 Enrollment ID: I20060822000330 |
| Provider Name | Robin R Pruette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932136488 PECOS PAC ID: 7618970138 Enrollment ID: I20060822000437 |
| Provider Name | Wesley H Frierson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689693715 PECOS PAC ID: 2264437748 Enrollment ID: I20060918000169 |
| Provider Name | Gregory E Lyman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528040375 PECOS PAC ID: 9537165774 Enrollment ID: I20061012000036 |
| Provider Name | Johnny Yates Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841202892 PECOS PAC ID: 5991701815 Enrollment ID: I20061016000390 |
| Provider Name | Hampton S Alford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740248780 PECOS PAC ID: 0547267213 Enrollment ID: I20061024000010 |
| Provider Name | Gwendolyn C Galphin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285691345 PECOS PAC ID: 2466459060 Enrollment ID: I20061024000296 |
| Provider Name | Allyson I Jones |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386751063 PECOS PAC ID: 6204833718 Enrollment ID: I20061025000703 |
| Provider Name | William Scott Dacus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336162403 PECOS PAC ID: 0941207013 Enrollment ID: I20061102000333 |
| Provider Name | Terry Leroy Nagel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114938511 PECOS PAC ID: 4284631136 Enrollment ID: I20061107000144 |
| Provider Name | Michael P Harris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376551903 PECOS PAC ID: 4284631151 Enrollment ID: I20061107000345 |
| Provider Name | Gregory J Konduros |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275541609 PECOS PAC ID: 2163429036 Enrollment ID: I20061107000380 |
| Provider Name | John H Fisher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285641787 PECOS PAC ID: 8224035100 Enrollment ID: I20061107000407 |
| Provider Name | Roger Kevin Griggs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134136070 PECOS PAC ID: 3476550351 Enrollment ID: I20061107000426 |
| Provider Name | Samantha S Morton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558383315 PECOS PAC ID: 3274530019 Enrollment ID: I20061108000571 |
| Provider Name | Andrew R Donato |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225064140 PECOS PAC ID: 3870543929 Enrollment ID: I20070212000385 |
| Provider Name | Kevin Quinlan Shalkham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184710881 PECOS PAC ID: 7113953571 Enrollment ID: I20070212000658 |
| Provider Name | Joel Todd Miller |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356369979 PECOS PAC ID: 7214913128 Enrollment ID: I20070212000696 |
| Provider Name | Matison L Boyer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1639265671 PECOS PAC ID: 7012019342 Enrollment ID: I20070216000385 |
| Provider Name | Celise M Zbytovsky |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275643504 PECOS PAC ID: 8123120912 Enrollment ID: I20070226000259 |
| Provider Name | Jennifer B Linfert |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184628125 PECOS PAC ID: 3173626363 Enrollment ID: I20070308000178 |
| Provider Name | Jack C Linfert |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942228242 PECOS PAC ID: 0143323816 Enrollment ID: I20070319000116 |
| Provider Name | Michael M Zhadkevich |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1598724882 PECOS PAC ID: 4082718176 Enrollment ID: I20070329000358 |
| Provider Name | Ted H Marshall |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619930229 PECOS PAC ID: 8123122231 Enrollment ID: I20070329000498 |
| Provider Name | David R Kingery |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1730162058 PECOS PAC ID: 2163466848 Enrollment ID: I20070402000505 |
| Provider Name | Vijaya Korrapati |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1033186713 PECOS PAC ID: 7416052410 Enrollment ID: I20070419000662 |
| Provider Name | Gretchen H Collum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568508141 PECOS PAC ID: 3072619642 Enrollment ID: I20070430000001 |
| Provider Name | Roland Ryhstmas Craft |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427176544 PECOS PAC ID: 2264530021 Enrollment ID: I20070604000096 |
| Provider Name | John M Lazaro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649238684 PECOS PAC ID: 6800995648 Enrollment ID: I20070620000357 |
| Provider Name | Kimberly P Hawkes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629100870 PECOS PAC ID: 3476652926 Enrollment ID: I20070625000025 |
| Provider Name | James P Benedict |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639283088 PECOS PAC ID: 5496855900 Enrollment ID: I20070713000002 |
| Provider Name | Terence N Chapman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1346299674 PECOS PAC ID: 9032122510 Enrollment ID: I20070802000214 |
| Provider Name | Linda A Perkins |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1609071844 PECOS PAC ID: 9133210644 Enrollment ID: I20070813000002 |
| Provider Name | James Shennan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992726459 PECOS PAC ID: 4082628243 Enrollment ID: I20070911000792 |
| Provider Name | Edward W King |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083646038 PECOS PAC ID: 9830135144 Enrollment ID: I20071002000069 |
| Provider Name | Virginia W Summerall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932248515 PECOS PAC ID: 0143315358 Enrollment ID: I20071003000374 |
| Provider Name | Russell Dale Mcmurry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770698235 PECOS PAC ID: 8426063900 Enrollment ID: I20071010000691 |
| Provider Name | Pamela D Levi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285773846 PECOS PAC ID: 5496842916 Enrollment ID: I20071031000327 |
| Provider Name | Jennifer C Rudasill |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427104421 PECOS PAC ID: 8325136211 Enrollment ID: I20071109000355 |
| Provider Name | Virgil J Kenneda |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1891874715 PECOS PAC ID: 7618992041 Enrollment ID: I20071120000382 |
| Provider Name | Mark K Lencke |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720099005 PECOS PAC ID: 9739278847 Enrollment ID: I20071127000571 |
| Provider Name | Jennifer M Paglia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356530497 PECOS PAC ID: 6103915921 Enrollment ID: I20071203000020 |
| Provider Name | Anna Shuker Shalkham |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558410241 PECOS PAC ID: 7911096557 Enrollment ID: I20071204000535 |
| Provider Name | Thomas S Edwards |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316907157 PECOS PAC ID: 3072603000 Enrollment ID: I20071214000238 |
| Provider Name | Donald M Millus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811964612 PECOS PAC ID: 6507956547 Enrollment ID: I20071214000261 |
| Provider Name | Misty L Price Bost |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487743829 PECOS PAC ID: 3870683428 Enrollment ID: I20071219000496 |
| Provider Name | June E Duggan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386611499 PECOS PAC ID: 7517048911 Enrollment ID: I20080111000017 |
| Provider Name | Jason S Lloyd |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295888287 PECOS PAC ID: 9931283652 Enrollment ID: I20080219000860 |
| Provider Name | Jennifer L Dablock |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1144295494 PECOS PAC ID: 2466471347 Enrollment ID: I20080303000001 |
| Provider Name | Erik S Crook |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659449544 PECOS PAC ID: 1456437839 Enrollment ID: I20080326000086 |
| Provider Name | Joseph Russell Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225038656 PECOS PAC ID: 6608974332 Enrollment ID: I20080327000476 |
| Provider Name | Cassandra L Patterson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851500821 PECOS PAC ID: 7719063866 Enrollment ID: I20080328000712 |
| Provider Name | William M Luce |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992708614 PECOS PAC ID: 8527145408 Enrollment ID: I20080402000331 |
| Provider Name | Melanie A Lobel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013033273 PECOS PAC ID: 7214015361 Enrollment ID: I20080415000579 |
| Provider Name | George W Watt |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700854551 PECOS PAC ID: 8628156627 Enrollment ID: I20080416000222 |
| Provider Name | Steven A Madden |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1538198171 PECOS PAC ID: 3476446584 Enrollment ID: I20080418000492 |
| Provider Name | Mark D Wild |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891759916 PECOS PAC ID: 0345319836 Enrollment ID: I20080523000561 |
| Provider Name | Thomas R Hall |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821102898 PECOS PAC ID: 3577633874 Enrollment ID: I20080529000292 |
| Provider Name | Christopher D Perry |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1437261559 PECOS PAC ID: 6608878483 Enrollment ID: I20080617000180 |
| Provider Name | Paul B Shahbahrami |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588653216 PECOS PAC ID: 9537230131 Enrollment ID: I20080624000793 |
| Provider Name | Abraham E Rowson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366647901 PECOS PAC ID: 4284706748 Enrollment ID: I20080630000034 |
| Provider Name | John Stewart Cooke |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1366563306 PECOS PAC ID: 9830261163 Enrollment ID: I20080702000229 |
| Provider Name | Carlton Greg Cauthen |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1346258746 PECOS PAC ID: 8921108572 Enrollment ID: I20080707000040 |
| Provider Name | Jonathan Hewett |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1063696011 PECOS PAC ID: 1456436245 Enrollment ID: I20080714000520 |
| Provider Name | Rebecca Ridenhour |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073705612 PECOS PAC ID: 1951474980 Enrollment ID: I20080723000697 |
| Provider Name | Christopher M Wicker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801912829 PECOS PAC ID: 4688747447 Enrollment ID: I20080728000020 |
| Provider Name | Carol A Makla |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609046986 PECOS PAC ID: 7618041336 Enrollment ID: I20080729000710 |
| Provider Name | Aimee A Durgin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033389614 PECOS PAC ID: 1052485778 Enrollment ID: I20080729000736 |
| Provider Name | Mary J Ochieng |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497924427 PECOS PAC ID: 4587738208 Enrollment ID: I20080729000753 |
| Provider Name | Katherine H Kunkle |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033381959 PECOS PAC ID: 4981778024 Enrollment ID: I20080807000175 |
| Provider Name | Elizabeth A Renwick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013030774 PECOS PAC ID: 1759455660 Enrollment ID: I20080811000148 |
| Provider Name | Thomas George Moore |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902076409 PECOS PAC ID: 6901970821 Enrollment ID: I20080811000189 |
| Provider Name | Leon J Khoury |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467498014 PECOS PAC ID: 9436186954 Enrollment ID: I20080811000695 |
| Provider Name | Janice R Hossler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649288168 PECOS PAC ID: 0345315289 Enrollment ID: I20080812000678 |
| Provider Name | Jesse O Ehrenclou |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982792032 PECOS PAC ID: 0143395905 Enrollment ID: I20080813000932 |
| Provider Name | Steven V Bailey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114196722 PECOS PAC ID: 0143395772 Enrollment ID: I20080818000096 |
| Provider Name | Brian Moonkyong Chung |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669633137 PECOS PAC ID: 0547335671 Enrollment ID: I20080825000043 |
| Provider Name | Steven Edward Battle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932262029 PECOS PAC ID: 8123029105 Enrollment ID: I20080825000405 |
| Provider Name | Benjamin J Askins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679601330 PECOS PAC ID: 6103992524 Enrollment ID: I20080909000713 |
| Provider Name | Joseph J Lawton |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1457313116 PECOS PAC ID: 2668548934 Enrollment ID: I20080910000436 |
| Provider Name | Jaime Hollingsworth Strickland |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780855742 PECOS PAC ID: 2860568136 Enrollment ID: I20080910000531 |
| Provider Name | Gregory S Hooks |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629037320 PECOS PAC ID: 4082781117 Enrollment ID: I20080916000135 |
| Provider Name | Nehal Desai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801855622 PECOS PAC ID: 0941377071 Enrollment ID: I20080916000182 |
| Provider Name | Alan Charles Peterson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720048978 PECOS PAC ID: 4082781125 Enrollment ID: I20080916000219 |
| Provider Name | Joel Stephen Waldrop |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336128016 PECOS PAC ID: 8527135003 Enrollment ID: I20080925000167 |
| Provider Name | Elizabeth S Lambert |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295868685 PECOS PAC ID: 8729147210 Enrollment ID: I20081113000184 |
| Provider Name | Anthony C Zamcho |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477673465 PECOS PAC ID: 7517027006 Enrollment ID: I20081113000219 |
| Provider Name | Richard T Williams |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1801859038 PECOS PAC ID: 0446310544 Enrollment ID: I20081119000526 |
| Provider Name | Robert M Malanuk |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1740242304 PECOS PAC ID: 3779643523 Enrollment ID: I20081124000384 |
| Provider Name | Brian R Lowdermilk |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1821267725 PECOS PAC ID: 1951461722 Enrollment ID: I20081124000566 |
| Provider Name | William B Hoole |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1447441365 PECOS PAC ID: 5395805063 Enrollment ID: I20081125000693 |
| Provider Name | Janice D Black |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740495688 PECOS PAC ID: 4284796095 Enrollment ID: I20090102000195 |
| Provider Name | Natalie J Cauthen |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1124095658 PECOS PAC ID: 2264337054 Enrollment ID: I20090109000058 |
| Provider Name | Abigail S Smith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205043445 PECOS PAC ID: 1759446511 Enrollment ID: I20090211000794 |
| Provider Name | Tara B Mccarty |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1477569572 PECOS PAC ID: 1456416189 Enrollment ID: I20090212000699 |
| Provider Name | Ginger Y Rodgers |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336386275 PECOS PAC ID: 9638236342 Enrollment ID: I20090325000306 |
| Provider Name | Stephen E Van Horn |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1275622979 PECOS PAC ID: 7517014988 Enrollment ID: I20090422000416 |
| Provider Name | Kayce A Boggs |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1073755922 PECOS PAC ID: 1850449026 Enrollment ID: I20090427000401 |
| Provider Name | Stephen Ad Grant |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033294335 PECOS PAC ID: 3870588312 Enrollment ID: I20090513000206 |
| Provider Name | Paul C Browne |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366496465 PECOS PAC ID: 2668447558 Enrollment ID: I20090527000569 |
| Provider Name | Bethany C Bray |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1831222181 PECOS PAC ID: 8123178035 Enrollment ID: I20090616000341 |
| Provider Name | Hugh Labarbe Willcox |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174649198 PECOS PAC ID: 8921150475 Enrollment ID: I20090715000268 |
| Provider Name | Jennifer A Greene |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508971672 PECOS PAC ID: 4688675234 Enrollment ID: I20090715000325 |
| Provider Name | Jean A Massey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699742411 PECOS PAC ID: 5597817783 Enrollment ID: I20090720000121 |
| Provider Name | Lou A Hudspith |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376606103 PECOS PAC ID: 9537211461 Enrollment ID: I20090723000296 |
| Provider Name | Melody S Heffline |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538291497 PECOS PAC ID: 0446303119 Enrollment ID: I20090728000292 |
| Provider Name | Kelly Elizabeth Maloney |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1356431589 PECOS PAC ID: 0042263493 Enrollment ID: I20090729000477 |
| Provider Name | William M Yarbrough |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1912193087 PECOS PAC ID: 6800949058 Enrollment ID: I20090805000371 |
| Provider Name | Teresa L Hathcox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659589232 PECOS PAC ID: 6901950807 Enrollment ID: I20090811000767 |
| Provider Name | Robert D Kosciusko |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477753184 PECOS PAC ID: 3779637681 Enrollment ID: I20090812000132 |
| Provider Name | Gail B Armstrong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063628139 PECOS PAC ID: 3779638887 Enrollment ID: I20090825000664 |
| Provider Name | Sarah Stevenson Cottingham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851472039 PECOS PAC ID: 9739234741 Enrollment ID: I20090827000009 |
| Provider Name | Dianne L Bretz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659587764 PECOS PAC ID: 7618022468 Enrollment ID: I20090901000160 |
| Provider Name | William Michael Greene |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1063656924 PECOS PAC ID: 7113072547 Enrollment ID: I20090908000414 |
| Provider Name | Ta Tanisha Favor |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710148101 PECOS PAC ID: 7012063753 Enrollment ID: I20090921000669 |
| Provider Name | Rachel L Callis-wolfe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033240395 PECOS PAC ID: 9032265509 Enrollment ID: I20090924000445 |
| Provider Name | Amy E Conard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932235108 PECOS PAC ID: 7911043104 Enrollment ID: I20091001000063 |
| Provider Name | Bruce E Goeckeritz |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1366552796 PECOS PAC ID: 9638234461 Enrollment ID: I20091001000671 |
| Provider Name | Deborah Holland |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1568686681 PECOS PAC ID: 3678619657 Enrollment ID: I20091005000608 |
| Provider Name | Chinh T Ngo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386765865 PECOS PAC ID: 2860538204 Enrollment ID: I20091015000217 |
| Provider Name | Jazman E Beach |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659585040 PECOS PAC ID: 2264578681 Enrollment ID: I20091026000278 |
| Provider Name | Katie M Smyers |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346406295 PECOS PAC ID: 0840337754 Enrollment ID: I20091027000052 |
| Provider Name | Alison Holland Sallings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073744892 PECOS PAC ID: 0446398044 Enrollment ID: I20091118000375 |
| Provider Name | Ruben L Mayer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891755039 PECOS PAC ID: 5294873824 Enrollment ID: I20091118000637 |
| Provider Name | Elizabeth A Boison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245447192 PECOS PAC ID: 7113066606 Enrollment ID: I20091123000048 |
| Provider Name | Misty A Sawyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225189434 PECOS PAC ID: 4082753991 Enrollment ID: I20091207000558 |
| Provider Name | Robert Osborne Brown |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1124074851 PECOS PAC ID: 2466464516 Enrollment ID: I20091210000171 |
| Provider Name | Asheesh Lal |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1841223047 PECOS PAC ID: 6901946706 Enrollment ID: I20091229000237 |
| Provider Name | Paula G Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942375431 PECOS PAC ID: 4082755384 Enrollment ID: I20100108000557 |
| Provider Name | Carl J Shealy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891706917 PECOS PAC ID: 7618019605 Enrollment ID: I20100129000146 |
| Provider Name | Christine Maria Scott Demonbre |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780695932 PECOS PAC ID: 6800939455 Enrollment ID: I20100204000017 |
| Provider Name | Ashley R Whetsell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962414755 PECOS PAC ID: 2163565714 Enrollment ID: I20100204000030 |
| Provider Name | Gerald Allan Fishman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508873019 PECOS PAC ID: 1759424377 Enrollment ID: I20100204000634 |
| Provider Name | Ganesha Boniface Perera |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1689746299 PECOS PAC ID: 5294735536 Enrollment ID: I20100209000713 |
| Provider Name | David J Ha |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467469304 PECOS PAC ID: 3870638208 Enrollment ID: I20100309000774 |
| Provider Name | George Michael Beaver |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073533832 PECOS PAC ID: 6800931122 Enrollment ID: I20100310000865 |
| Provider Name | Robert M Callis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093780140 PECOS PAC ID: 2961537311 Enrollment ID: I20100324000357 |
| Provider Name | Janice L Bacon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194789735 PECOS PAC ID: 7911810940 Enrollment ID: I20100324001183 |
| Provider Name | Gordon H Bobbett |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205976107 PECOS PAC ID: 8820004773 Enrollment ID: I20100325000373 |
| Provider Name | Raymond Diamond |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497779573 PECOS PAC ID: 7810023322 Enrollment ID: I20100408000399 |
| Provider Name | Mitchell Wells Jacocks |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1881667897 PECOS PAC ID: 2860521218 Enrollment ID: I20100525000013 |
| Provider Name | Philip W Kinder |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1669486742 PECOS PAC ID: 8022035732 Enrollment ID: I20100622000717 |
| Provider Name | Judith A Wolfe |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740507268 PECOS PAC ID: 3476684002 Enrollment ID: I20100626000004 |
| Provider Name | John E Golay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215944137 PECOS PAC ID: 7517098981 Enrollment ID: I20100629000220 |
| Provider Name | Harold I Friedman |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1609833839 PECOS PAC ID: 5294866448 Enrollment ID: I20100701000548 |
| Provider Name | Pamela Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003826504 PECOS PAC ID: 8022140961 Enrollment ID: I20100713000335 |
| Provider Name | John G Beasley |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1962416073 PECOS PAC ID: 4385661099 Enrollment ID: I20100723000293 |
| Provider Name | Eleanor Leaphart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801956693 PECOS PAC ID: 2062595085 Enrollment ID: I20100728000908 |
| Provider Name | Rae-ann R Grimes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790917961 PECOS PAC ID: 0648303396 Enrollment ID: I20100802000131 |
| Provider Name | Marshall Levon French |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1447467980 PECOS PAC ID: 6002949708 Enrollment ID: I20100802000655 |
| Provider Name | Charles Philip Toussaint |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1730368499 PECOS PAC ID: 2769515303 Enrollment ID: I20100803000161 |
| Provider Name | Alexander A Remedios |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831352962 PECOS PAC ID: 2163556614 Enrollment ID: I20100819000057 |
| Provider Name | Jeremy Ray Crisp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205035342 PECOS PAC ID: 5092830737 Enrollment ID: I20100917000399 |
| Provider Name | Janie C Bruce |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1932308558 PECOS PAC ID: 5496871840 Enrollment ID: I20100923000394 |
| Provider Name | Delcie L Adams |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1821317199 PECOS PAC ID: 9032235395 Enrollment ID: I20100924000252 |
| Provider Name | Brett C. Gunter |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1538261615 PECOS PAC ID: 6406972603 Enrollment ID: I20100924000941 |
| Provider Name | Christopher Hutchinson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083662357 PECOS PAC ID: 3971795352 Enrollment ID: I20101004000653 |
| Provider Name | Jaime Gremillion |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710205679 PECOS PAC ID: 6002008786 Enrollment ID: I20101013000741 |
| Provider Name | Michael C Marshall |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1326026287 PECOS PAC ID: 0345433934 Enrollment ID: I20101014001046 |
| Provider Name | Lisa A Fields |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467770321 PECOS PAC ID: 4789877606 Enrollment ID: I20101022000946 |
| Provider Name | John H Chakides |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255650032 PECOS PAC ID: 9638362577 Enrollment ID: I20101022001128 |
| Provider Name | Glen Scott |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184656233 PECOS PAC ID: 0042279044 Enrollment ID: I20101026000206 |
| Provider Name | Emilio V Perez Jorge |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1902898752 PECOS PAC ID: 5890694723 Enrollment ID: I20101027000157 |
| Provider Name | Daniel H Dunbar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114106747 PECOS PAC ID: 6305032244 Enrollment ID: I20101118000239 |
| Provider Name | James F Knight |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1164507182 PECOS PAC ID: 1052508330 Enrollment ID: I20101213000761 |
| Provider Name | Solon Hughes |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1033184817 PECOS PAC ID: 9739156548 Enrollment ID: I20110103000502 |
| Provider Name | Daniel R Hess |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487853529 PECOS PAC ID: 0446449391 Enrollment ID: I20110107001063 |
| Provider Name | Leslie Long |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487734562 PECOS PAC ID: 3577752997 Enrollment ID: I20110114000798 |
| Provider Name | Frederick L Richards |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1588749436 PECOS PAC ID: 7810186244 Enrollment ID: I20110114000838 |
| Provider Name | Michelle L Spittler |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1134183932 PECOS PAC ID: 6800075763 Enrollment ID: I20110124001129 |
| Provider Name | John T Caskey |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1932284981 PECOS PAC ID: 5395924039 Enrollment ID: I20110126000921 |
| Provider Name | Gail B Capell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1346325396 PECOS PAC ID: 9032165113 Enrollment ID: I20110126000973 |
| Provider Name | Lee J Boguski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225075757 PECOS PAC ID: 8921287319 Enrollment ID: I20110201000737 |
| Provider Name | Russell E Ditzler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053378588 PECOS PAC ID: 6103802426 Enrollment ID: I20110202000491 |
| Provider Name | Clarence Sylvester Davis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982633426 PECOS PAC ID: 9931102746 Enrollment ID: I20110202000518 |
| Provider Name | Kyron Cain |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588705909 PECOS PAC ID: 3779655519 Enrollment ID: I20110202000728 |
| Provider Name | Herbert O Poole |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1275556847 PECOS PAC ID: 8820061260 Enrollment ID: I20110209000268 |
| Provider Name | Charles Campbell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1093890808 PECOS PAC ID: 3173704905 Enrollment ID: I20110225000661 |
| Provider Name | Scott Boyd |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1528160686 PECOS PAC ID: 8729280169 Enrollment ID: I20110228000521 |
| Provider Name | Kevin K Nahigian |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1316906282 PECOS PAC ID: 0941112379 Enrollment ID: I20110228000834 |
| Provider Name | Deborah B Simpson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891713640 PECOS PAC ID: 5698956324 Enrollment ID: I20110228000901 |
| Provider Name | Sameena A Khan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235381971 PECOS PAC ID: 4688856016 Enrollment ID: I20110307000656 |
| Provider Name | Dina L Sharps |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649266594 PECOS PAC ID: 3173659257 Enrollment ID: I20110311000607 |
| Provider Name | April K Getz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295856508 PECOS PAC ID: 7517038722 Enrollment ID: I20110311000647 |
| Provider Name | Paul Richard Bearden |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1578525820 PECOS PAC ID: 3375651425 Enrollment ID: I20110314000651 |
| Provider Name | Kelly Metts |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962707547 PECOS PAC ID: 3870775521 Enrollment ID: I20110316000950 |
| Provider Name | Andrew Battiata |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1639222037 PECOS PAC ID: 8123121308 Enrollment ID: I20110322000047 |
| Provider Name | Alexander Matthew Drew |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538321765 PECOS PAC ID: 9739363466 Enrollment ID: I20110405000252 |
| Provider Name | Jeanette Fulton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477511392 PECOS PAC ID: 3072797216 Enrollment ID: I20110412000676 |
| Provider Name | William Walter Brabham |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1235336157 PECOS PAC ID: 6709060650 Enrollment ID: I20110418000662 |
| Provider Name | Frank O Pusey |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1730277732 PECOS PAC ID: 9335114206 Enrollment ID: I20110419000479 |
| Provider Name | Ashley Chapman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467741108 PECOS PAC ID: 5597941088 Enrollment ID: I20110518000248 |
| Provider Name | John William Bingham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457665994 PECOS PAC ID: 9537347166 Enrollment ID: I20110629000333 |
| Provider Name | Roger Dalton Johnson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871884742 PECOS PAC ID: 8921286469 Enrollment ID: I20110701000283 |
| Provider Name | Robert B Garris |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306047733 PECOS PAC ID: 1456529270 Enrollment ID: I20110722000134 |
| Provider Name | Lauren L Clanton |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801058011 PECOS PAC ID: 9032387428 Enrollment ID: I20110801000181 |
| Provider Name | Christa M Collins |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447540042 PECOS PAC ID: 8224207691 Enrollment ID: I20110802000236 |
| Provider Name | Abhijit A Raval |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508052275 PECOS PAC ID: 8325115108 Enrollment ID: I20110802000756 |
| Provider Name | Daniel A Brunson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487950069 PECOS PAC ID: 7012186158 Enrollment ID: I20110808000287 |
| Provider Name | Philip Keith |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1346402153 PECOS PAC ID: 7911176938 Enrollment ID: I20110809000429 |
| Provider Name | Joshua Mccain |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487742698 PECOS PAC ID: 5395914154 Enrollment ID: I20110811000637 |
| Provider Name | Katherine S Johnson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386942969 PECOS PAC ID: 4981873601 Enrollment ID: I20110812000459 |
| Provider Name | David Hinkle Lamb |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1215961842 PECOS PAC ID: 3476723636 Enrollment ID: I20110825000118 |
| Provider Name | Alexandra S Witherspoon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871755678 PECOS PAC ID: 1557532454 Enrollment ID: I20110926000926 |
| Provider Name | Nicholas Limperos |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942460746 PECOS PAC ID: 5799967931 Enrollment ID: I20110927000172 |
| Provider Name | Hope A Brainard |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669652046 PECOS PAC ID: 1355475625 Enrollment ID: I20111017000339 |
| Provider Name | James L Wells |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1164509873 PECOS PAC ID: 0143493924 Enrollment ID: I20111024000735 |
| Provider Name | Theresa Hance Cuda |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1306926548 PECOS PAC ID: 0143414003 Enrollment ID: I20111128000349 |
| Provider Name | Rebecca R Rucker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1144240979 PECOS PAC ID: 7719152578 Enrollment ID: I20111207000396 |
| Provider Name | Lora L Hammer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1275553042 PECOS PAC ID: 5890960561 Enrollment ID: I20111207000534 |
| Provider Name | Andrew S. Weisinger |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1053386953 PECOS PAC ID: 2769657436 Enrollment ID: I20111207000574 |
| Provider Name | Renee F Eaves |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063432813 PECOS PAC ID: 3870558075 Enrollment ID: I20111207000597 |
| Provider Name | Jill Elizabeth Libbey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1275556813 PECOS PAC ID: 6002081783 Enrollment ID: I20111207000637 |
| Provider Name | Walter B Harman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407879034 PECOS PAC ID: 0446425151 Enrollment ID: I20111208000117 |
| Provider Name | Melinda D Gibson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851351936 PECOS PAC ID: 5597930859 Enrollment ID: I20111214001041 |
| Provider Name | Edward W Yeh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184709941 PECOS PAC ID: 9335315423 Enrollment ID: I20111220000189 |
| Provider Name | Stephanie W Vaught |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487675716 PECOS PAC ID: 8729254156 Enrollment ID: I20120105000569 |
| Provider Name | Claudius Shuler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700815271 PECOS PAC ID: 2769658178 Enrollment ID: I20120106000498 |
| Provider Name | Jeffery P Zalewski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992728216 PECOS PAC ID: 9739355058 Enrollment ID: I20120106000784 |
| Provider Name | Laura W Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972608487 PECOS PAC ID: 2769658061 Enrollment ID: I20120109000818 |
| Provider Name | Keith Mcguire |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750310421 PECOS PAC ID: 6103093190 Enrollment ID: I20120113000625 |
| Provider Name | Katherine Elizabeth Gordon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558370346 PECOS PAC ID: 7416144035 Enrollment ID: I20120119000046 |
| Provider Name | Beth M Siroty-smith |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467482448 PECOS PAC ID: 4385811181 Enrollment ID: I20120119000278 |
| Provider Name | Christopher T Mccarty |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609805142 PECOS PAC ID: 5991972705 Enrollment ID: I20120119000408 |
| Provider Name | John Heath Martin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154399889 PECOS PAC ID: 3274700976 Enrollment ID: I20120120000536 |
| Provider Name | Geoffrey T Gilleland |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164456562 PECOS PAC ID: 0648352682 Enrollment ID: I20120124000037 |
| Provider Name | James W Stands |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710957766 PECOS PAC ID: 9931376555 Enrollment ID: I20120124000044 |
| Provider Name | David Holladay |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962472936 PECOS PAC ID: 0648447268 Enrollment ID: I20120124000071 |
| Provider Name | Mark H Salley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053381012 PECOS PAC ID: 8527235043 Enrollment ID: I20120124000110 |
| Provider Name | Thomas Giudice |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497735757 PECOS PAC ID: 7012184344 Enrollment ID: I20120126000755 |
| Provider Name | Edwin P Pia |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447289111 PECOS PAC ID: 9032376694 Enrollment ID: I20120209000215 |
| Provider Name | David N Knight |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1417986902 PECOS PAC ID: 9436317831 Enrollment ID: I20120214000588 |
| Provider Name | Edward A Woody |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1255369609 PECOS PAC ID: 0143274043 Enrollment ID: I20120216000363 |
| Provider Name | Moses T Laffitte |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316917388 PECOS PAC ID: 3173537529 Enrollment ID: I20120228000690 |
| Provider Name | Kathryn L Moore |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871545061 PECOS PAC ID: 9931368420 Enrollment ID: I20120301000556 |
| Provider Name | John H Moore |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851343040 PECOS PAC ID: 8022277540 Enrollment ID: I20120301000917 |
| Provider Name | Robert Grumbach |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881664795 PECOS PAC ID: 3971762345 Enrollment ID: I20120306000072 |
| Provider Name | Stephen John Platte |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073698064 PECOS PAC ID: 4183883481 Enrollment ID: I20120306000509 |
| Provider Name | Jeffrey Travis |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1174571533 PECOS PAC ID: 2264462050 Enrollment ID: I20120327000326 |
| Provider Name | Amy R Mefford |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801168638 PECOS PAC ID: 2163683855 Enrollment ID: I20120405000005 |
| Provider Name | Joshua D Lawson |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1972788479 PECOS PAC ID: 9830251206 Enrollment ID: I20120426000424 |
| Provider Name | Erin F Lawson |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1063617900 PECOS PAC ID: 7517020209 Enrollment ID: I20120516000602 |
| Provider Name | Melanie W Seybt |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1841310851 PECOS PAC ID: 4183776818 Enrollment ID: I20120518000117 |
| Provider Name | Leslee K Aun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760753644 PECOS PAC ID: 2860656048 Enrollment ID: I20120620000158 |
| Provider Name | William D Brearley |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1639208671 PECOS PAC ID: 9436315546 Enrollment ID: I20120718000094 |
| Provider Name | Bang Chau |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841482262 PECOS PAC ID: 0345314183 Enrollment ID: I20120724001044 |
| Provider Name | Christopher P Rowley |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1073780813 PECOS PAC ID: 6002945060 Enrollment ID: I20120807000329 |
| Provider Name | Richard W Monk |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1811150352 PECOS PAC ID: 1951557677 Enrollment ID: I20120813000711 |
| Provider Name | Joseph S Asaro |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1316100993 PECOS PAC ID: 6406002088 Enrollment ID: I20120814000598 |
| Provider Name | Courtney R Brooks |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295996239 PECOS PAC ID: 6204082654 Enrollment ID: I20120817000314 |
| Provider Name | Evelyn D Roland |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871755173 PECOS PAC ID: 5294982633 Enrollment ID: I20120820001182 |
| Provider Name | Kyle D Boyce |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1962663492 PECOS PAC ID: 2264689231 Enrollment ID: I20120827000250 |
| Provider Name | Patrick Sipe |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1174518674 PECOS PAC ID: 0840348231 Enrollment ID: I20120904000007 |
| Provider Name | Payton B Foust |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528352291 PECOS PAC ID: 1951558469 Enrollment ID: I20120905000472 |
| Provider Name | Edward A Tillitz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467693457 PECOS PAC ID: 6507027190 Enrollment ID: I20120918000642 |
| Provider Name | Sara Curtis Reese |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528321155 PECOS PAC ID: 0941458764 Enrollment ID: I20120919000422 |
| Provider Name | Holly J Jakubs |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124375811 PECOS PAC ID: 4981853207 Enrollment ID: I20121002000477 |
| Provider Name | Latisha Denise Washington |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073862223 PECOS PAC ID: 0244489276 Enrollment ID: I20121005000350 |
| Provider Name | Julia G Trippe |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710250972 PECOS PAC ID: 6406005396 Enrollment ID: I20121010000004 |
| Provider Name | Lauren C Parisi |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780943092 PECOS PAC ID: 2365691136 Enrollment ID: I20121011000483 |
| Provider Name | Kimberly Habben Barringer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689947392 PECOS PAC ID: 7911157904 Enrollment ID: I20121029000579 |
| Provider Name | Stephanie B Huston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083963144 PECOS PAC ID: 1355591132 Enrollment ID: I20121102000056 |
| Provider Name | Pattie M Farlow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073529517 PECOS PAC ID: 8325299787 Enrollment ID: I20121112000247 |
| Provider Name | Todd S Lefkowitz |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1134362320 PECOS PAC ID: 9032397237 Enrollment ID: I20121112000725 |
| Provider Name | Jennifer M Johnson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730459090 PECOS PAC ID: 6800052887 Enrollment ID: I20121115000403 |
| Provider Name | Wesley Michael Cleaves |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598920381 PECOS PAC ID: 2668623828 Enrollment ID: I20121115000600 |
| Provider Name | Pamela A Dowey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518926609 PECOS PAC ID: 2264606730 Enrollment ID: I20121119000275 |
| Provider Name | Brandi P Derrick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245465178 PECOS PAC ID: 4880847557 Enrollment ID: I20130104000445 |
| Provider Name | Beverly E Summer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982767497 PECOS PAC ID: 7719130244 Enrollment ID: I20130114000292 |
| Provider Name | Melissa M Blackmon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477816668 PECOS PAC ID: 7315191434 Enrollment ID: I20130125000116 |
| Provider Name | Elizabeth Mckoy Bemis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093085516 PECOS PAC ID: 6608020326 Enrollment ID: I20130206000003 |
| Provider Name | Michael B Shealy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023356854 PECOS PAC ID: 8729223599 Enrollment ID: I20130327000068 |
| Provider Name | Lucas D Abney |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619219334 PECOS PAC ID: 0941445415 Enrollment ID: I20130404000229 |
| Provider Name | Jennifer O Gillis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407195688 PECOS PAC ID: 0547406936 Enrollment ID: I20130409000093 |
| Provider Name | Afusat Tokunbo Nesbitt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336412410 PECOS PAC ID: 9133380330 Enrollment ID: I20130514000180 |
| Provider Name | Jennifer W Askins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568805331 PECOS PAC ID: 7416196910 Enrollment ID: I20130613000132 |
| Provider Name | Edward J Mayeaux |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356368880 PECOS PAC ID: 0749324465 Enrollment ID: I20130725000163 |
| Provider Name | Amit Sanghi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720280530 PECOS PAC ID: 0941469613 Enrollment ID: I20130807000498 |
| Provider Name | Neal W Burkhalter |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1285897470 PECOS PAC ID: 4789826470 Enrollment ID: I20130808000582 |
| Provider Name | Stephen Greer |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1306868666 PECOS PAC ID: 7618866153 Enrollment ID: I20130820001109 |
| Provider Name | James P Hassinger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821384926 PECOS PAC ID: 4688817620 Enrollment ID: I20130823000618 |
| Provider Name | Jason M Forche |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1548495658 PECOS PAC ID: 8628106028 Enrollment ID: I20130826000556 |
| Provider Name | Ashley K Doscher |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518284397 PECOS PAC ID: 0840433546 Enrollment ID: I20130828000443 |
| Provider Name | Erin R Hays |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1881855815 PECOS PAC ID: 2769626464 Enrollment ID: I20130919000351 |
| Provider Name | William Clarence Richards |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1639308034 PECOS PAC ID: 4688812340 Enrollment ID: I20130925000764 |
| Provider Name | Mitchell L Nimmich |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932341534 PECOS PAC ID: 9537316146 Enrollment ID: I20131008001708 |
| Provider Name | Grant J Sullivan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215115969 PECOS PAC ID: 1658495395 Enrollment ID: I20131017000265 |
| Provider Name | Jaime E Brown Price |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235368796 PECOS PAC ID: 7911132394 Enrollment ID: I20131022000314 |
| Provider Name | John Paul Short |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1235176520 PECOS PAC ID: 6002891124 Enrollment ID: I20131112001462 |
| Provider Name | Ronald F Pendleton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689680597 PECOS PAC ID: 1658316765 Enrollment ID: I20131119001014 |
| Provider Name | Chelsea R Stillwell |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1952509671 PECOS PAC ID: 2860628880 Enrollment ID: I20131122000233 |
| Provider Name | Jessica D Peelle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295165207 PECOS PAC ID: 8628207446 Enrollment ID: I20140127000980 |
| Provider Name | Robert A Leonardi |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1013182898 PECOS PAC ID: 3678602299 Enrollment ID: I20140318000828 |
| Provider Name | Fernando X Castro |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1518063718 PECOS PAC ID: 2264625706 Enrollment ID: I20140416001503 |
| Provider Name | Parshant Kumar |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528495520 PECOS PAC ID: 9436382355 Enrollment ID: I20140430001224 |
| Provider Name | Gretchen Arlene Gravel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427335157 PECOS PAC ID: 6305069931 Enrollment ID: I20140528001873 |
| Provider Name | David Matthew Braddy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104264928 PECOS PAC ID: 3678799293 Enrollment ID: I20140716002729 |
| Provider Name | Nicolas Rua |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851728018 PECOS PAC ID: 0547486557 Enrollment ID: I20140729000836 |
| Provider Name | Michael L Newton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306152483 PECOS PAC ID: 0941489546 Enrollment ID: I20140904000720 |
| Provider Name | Nicholas Dean Mayes |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285895680 PECOS PAC ID: 5698915197 Enrollment ID: I20140911001809 |
| Provider Name | Lindsey L Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215340088 PECOS PAC ID: 5991924599 Enrollment ID: I20140912001836 |
| Provider Name | William P Brehmer |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1457511479 PECOS PAC ID: 0749418531 Enrollment ID: I20140925001897 |
| Provider Name | Lauren A Castleberry |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659561421 PECOS PAC ID: 0143499012 Enrollment ID: I20141002000742 |
| Provider Name | Lauren M Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588078042 PECOS PAC ID: 9537389028 Enrollment ID: I20141006000331 |
| Provider Name | Guillaume D Dumont |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1932369030 PECOS PAC ID: 7517108798 Enrollment ID: I20141007001821 |
| Provider Name | Daniel R Shumpert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891082640 PECOS PAC ID: 8022238252 Enrollment ID: I20141009002095 |
| Provider Name | Nichole P Mcdonald |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932411600 PECOS PAC ID: 3971724451 Enrollment ID: I20141027001198 |
| Provider Name | Paul H Bornemann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699945451 PECOS PAC ID: 9830341494 Enrollment ID: I20141106000947 |
| Provider Name | Cherryl Premdass |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124274089 PECOS PAC ID: 3476790353 Enrollment ID: I20141118000950 |
| Provider Name | Marc J Saint-jour |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942592662 PECOS PAC ID: 3476775958 Enrollment ID: I20141118001223 |
| Provider Name | Parthivkumar N Kundaria |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033548771 PECOS PAC ID: 6204058530 Enrollment ID: I20141120002045 |
| Provider Name | Robin Theo Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659785582 PECOS PAC ID: 2163744855 Enrollment ID: I20141209000132 |
| Provider Name | Michael Davis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083842165 PECOS PAC ID: 8224350756 Enrollment ID: I20141211000600 |
| Provider Name | Cynthia G West |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528463148 PECOS PAC ID: 0648594838 Enrollment ID: I20150116000793 |
| Provider Name | Marisa V Gentry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518374586 PECOS PAC ID: 9335463173 Enrollment ID: I20150126002331 |
| Provider Name | Barry M Raines |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912161563 PECOS PAC ID: 7810211687 Enrollment ID: I20150127001022 |
| Provider Name | Meredith K Rychener |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902980162 PECOS PAC ID: 3072837715 Enrollment ID: I20150128001581 |
| Provider Name | Amy M Mccraw |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962673335 PECOS PAC ID: 4082939228 Enrollment ID: I20150211001468 |
| Provider Name | Karen O Moore |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447306428 PECOS PAC ID: 6800111931 Enrollment ID: I20150213000458 |
| Provider Name | Michael Todd Adams |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225472251 PECOS PAC ID: 1759507056 Enrollment ID: I20150224001889 |
| Provider Name | Mary Kathryn C Medlen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013315548 PECOS PAC ID: 8628394020 Enrollment ID: I20150302001992 |
| Provider Name | Adeline A Saint-jour |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306138029 PECOS PAC ID: 6507182888 Enrollment ID: I20150304000349 |
| Provider Name | Susan Marie Sewell |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972796746 PECOS PAC ID: 7911223086 Enrollment ID: I20150309000182 |
| Provider Name | Brooke Benson Gibbs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356604144 PECOS PAC ID: 9931347713 Enrollment ID: I20150323002614 |
| Provider Name | Susan T Crawford |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548342991 PECOS PAC ID: 4880912401 Enrollment ID: I20150410002450 |
| Provider Name | Rebecca R Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417349572 PECOS PAC ID: 5395065304 Enrollment ID: I20150514001904 |
| Provider Name | Candace N Prince |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760755003 PECOS PAC ID: 5496993057 Enrollment ID: I20150521002452 |
| Provider Name | Joshua L Prince |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427321777 PECOS PAC ID: 9739327255 Enrollment ID: I20150714001340 |
| Provider Name | Kenya A Cooper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891108775 PECOS PAC ID: 5496068322 Enrollment ID: I20150721000993 |
| Provider Name | Mollie Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093141004 PECOS PAC ID: 7719113323 Enrollment ID: I20150722006011 |
| Provider Name | Thomas Roy White |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821354457 PECOS PAC ID: 6002056785 Enrollment ID: I20150722006129 |
| Provider Name | Johnathan Sebring |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376963256 PECOS PAC ID: 4183939457 Enrollment ID: I20150814014077 |
| Provider Name | Lisa G James |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295120822 PECOS PAC ID: 4880909100 Enrollment ID: I20150817000766 |
| Provider Name | Naomi G Gill |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1821480781 PECOS PAC ID: 8921313172 Enrollment ID: I20150817001993 |
| Provider Name | Rohan R Arya |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1093950602 PECOS PAC ID: 0547487332 Enrollment ID: I20150818003477 |
| Provider Name | Gloria R Harvey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356587760 PECOS PAC ID: 0244546000 Enrollment ID: I20150825004527 |
| Provider Name | Jon Patrick Jennings |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639432594 PECOS PAC ID: 1658592209 Enrollment ID: I20150826002028 |
| Provider Name | Frances D Cooke |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114347838 PECOS PAC ID: 7214243732 Enrollment ID: I20150828001923 |
| Provider Name | David Kabata Machungo |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225125735 PECOS PAC ID: 5092721662 Enrollment ID: I20150903002353 |
| Provider Name | Roberta O Jupp |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1659405512 PECOS PAC ID: 4880900976 Enrollment ID: I20150903002842 |
| Provider Name | Whitney H Ott |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487049573 PECOS PAC ID: 9032426945 Enrollment ID: I20150909002399 |
| Provider Name | Jonathan K West |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1184867798 PECOS PAC ID: 1759510597 Enrollment ID: I20150928002266 |
| Provider Name | Robert Y Knowlton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952690984 PECOS PAC ID: 8224346085 Enrollment ID: I20150929001523 |
| Provider Name | Angela F Conder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811370877 PECOS PAC ID: 3476861618 Enrollment ID: I20151007002380 |
| Provider Name | Khurram Rashid |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801193529 PECOS PAC ID: 7315171170 Enrollment ID: I20151007003400 |
| Provider Name | Eric Jon Freiberger |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881690147 PECOS PAC ID: 6406899236 Enrollment ID: I20151014003299 |
| Provider Name | James Marshall Chapman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275584914 PECOS PAC ID: 5193736346 Enrollment ID: I20151026000661 |
| Provider Name | Richard C Webb |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1841490513 PECOS PAC ID: 6800118407 Enrollment ID: I20151030001537 |
| Provider Name | Carol Hyun Choe |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1104052091 PECOS PAC ID: 3577712678 Enrollment ID: I20151116000455 |
| Provider Name | Jeffrey Douglas Sarata |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043418924 PECOS PAC ID: 4183811060 Enrollment ID: I20151120002626 |
| Provider Name | Jully Andrea Forero Aguirre |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437446291 PECOS PAC ID: 7416106711 Enrollment ID: I20151201000669 |
| Provider Name | Swathi Beeravolu |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1396051819 PECOS PAC ID: 2062670649 Enrollment ID: I20151201000985 |
| Provider Name | Alicia Nicole Pendergrass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063883767 PECOS PAC ID: 4981904398 Enrollment ID: I20151207002142 |
| Provider Name | Brian W Johnson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477841922 PECOS PAC ID: 4789985201 Enrollment ID: I20151228002381 |
| Provider Name | Berry Allen Campbell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700808979 PECOS PAC ID: 5193776912 Enrollment ID: I20160111001906 |
| Provider Name | Avnk Patidar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528334372 PECOS PAC ID: 5294037065 Enrollment ID: I20160111002082 |
| Provider Name | Scott R Wilbert |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841368578 PECOS PAC ID: 0143524678 Enrollment ID: I20160203002682 |
| Provider Name | Michael Patrick Hurley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427489871 PECOS PAC ID: 4284865312 Enrollment ID: I20160212001249 |
| Provider Name | Susan Drinkwater |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487031860 PECOS PAC ID: 9537463351 Enrollment ID: I20160215001246 |
| Provider Name | Hilary M Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851773147 PECOS PAC ID: 4183929664 Enrollment ID: I20160222000377 |
| Provider Name | Elizabeth Nimmich |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1164663068 PECOS PAC ID: 1850547662 Enrollment ID: I20160318001583 |
| Provider Name | Andrea L Olson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316304769 PECOS PAC ID: 7214234004 Enrollment ID: I20160322001379 |
| Provider Name | Jeannie M Woody |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1710345459 PECOS PAC ID: 7315246576 Enrollment ID: I20160422000912 |
| Provider Name | Clayton E Carter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720428683 PECOS PAC ID: 3173831682 Enrollment ID: I20160429000182 |
| Provider Name | Sara M Hogg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225391139 PECOS PAC ID: 3476852153 Enrollment ID: I20160502000783 |
| Provider Name | Cherisse J Thomas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275726457 PECOS PAC ID: 3577755594 Enrollment ID: I20160511000832 |
| Provider Name | Charity J Berg Maggard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982070553 PECOS PAC ID: 5092005900 Enrollment ID: I20160606001833 |
| Provider Name | Melanie J Demattei |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821317538 PECOS PAC ID: 8527205871 Enrollment ID: I20160708001902 |
| Provider Name | Sara B Woodberry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336507623 PECOS PAC ID: 9234421975 Enrollment ID: I20160715002003 |
| Provider Name | Thomas D Bryan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073990511 PECOS PAC ID: 7315230190 Enrollment ID: I20160802000003 |
| Provider Name | Sara Sheehan Wallace |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003255605 PECOS PAC ID: 9931493806 Enrollment ID: I20160816001224 |
| Provider Name | Susan G Bowers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629420286 PECOS PAC ID: 6608161377 Enrollment ID: I20160818002721 |
| Provider Name | Erica Lindsay Reed |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568811172 PECOS PAC ID: 3375838873 Enrollment ID: I20160823001903 |
| Provider Name | Buffie Han Burr |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902251523 PECOS PAC ID: 7012202492 Enrollment ID: I20160824001366 |
| Provider Name | Rachel Elizabeth Avila |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1619331154 PECOS PAC ID: 0840585964 Enrollment ID: I20160829000035 |
| Provider Name | Sarah Caroline Rustin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639514193 PECOS PAC ID: 8820238496 Enrollment ID: I20160829000213 |
| Provider Name | Brittney N Skiles |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649620014 PECOS PAC ID: 1456646546 Enrollment ID: I20160829002060 |
| Provider Name | Michael Walker Britt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326411331 PECOS PAC ID: 4082909080 Enrollment ID: I20160829002471 |
| Provider Name | Brandon Drafts |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1336309095 PECOS PAC ID: 3375715659 Enrollment ID: I20160919001136 |
| Provider Name | Katherine T Ostapoff |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1407056922 PECOS PAC ID: 4183911613 Enrollment ID: I20160927000554 |
| Provider Name | Brenna M Brucker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346684776 PECOS PAC ID: 2567771595 Enrollment ID: I20160927000654 |
| Provider Name | Perrie Ryan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1073530432 PECOS PAC ID: 3072695410 Enrollment ID: I20160927002156 |
| Provider Name | Kelli Marie Hudon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831538438 PECOS PAC ID: 2466760905 Enrollment ID: I20160927002551 |
| Provider Name | Jared Robert Stone |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790198018 PECOS PAC ID: 6901192715 Enrollment ID: I20161003001907 |
| Provider Name | Jessica A Schaberl |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861753162 PECOS PAC ID: 8022237304 Enrollment ID: I20161004001519 |
| Provider Name | Teonica Cecilia Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669825907 PECOS PAC ID: 5799073888 Enrollment ID: I20161005000480 |
| Provider Name | Eric Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598016099 PECOS PAC ID: 2466606595 Enrollment ID: I20161007000295 |
| Provider Name | Beth Ann A Bremer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205380185 PECOS PAC ID: 9234427121 Enrollment ID: I20161010000235 |
| Provider Name | Emilee Rikard Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033562954 PECOS PAC ID: 2769770536 Enrollment ID: I20161011001058 |
| Provider Name | Kristin E Kaley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093729725 PECOS PAC ID: 8426072638 Enrollment ID: I20161017000345 |
| Provider Name | Darcia M Putnam |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1659642643 PECOS PAC ID: 9032372446 Enrollment ID: I20161017001970 |
| Provider Name | Melanie Caustrita |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316219397 PECOS PAC ID: 0840453379 Enrollment ID: I20161025001952 |
| Provider Name | Arumugam Thanumalaya Perumal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770555872 PECOS PAC ID: 8325187842 Enrollment ID: I20161026000016 |
| Provider Name | Gayatri Kuraganti |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1427287937 PECOS PAC ID: 1355588559 Enrollment ID: I20161026001629 |
| Provider Name | Rebecca Anne Berdel |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1558659011 PECOS PAC ID: 8527346089 Enrollment ID: I20161103001552 |
| Provider Name | Justin R Knight |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1700045481 PECOS PAC ID: 3274754072 Enrollment ID: I20161122002218 |
| Provider Name | Virginia I Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588110761 PECOS PAC ID: 5294015046 Enrollment ID: I20161213001373 |
| Provider Name | Benjamin G Garrick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356781215 PECOS PAC ID: 3779726443 Enrollment ID: I20161219002399 |
| Provider Name | Elizabeth Wilkes |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053374272 PECOS PAC ID: 7719957919 Enrollment ID: I20161220000399 |
| Provider Name | Denise I Cubero-walker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679586879 PECOS PAC ID: 7517935679 Enrollment ID: I20161220001659 |
| Provider Name | Megan Boykin Tolar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790116028 PECOS PAC ID: 0840414710 Enrollment ID: I20170103001734 |
| Provider Name | Katelyn H Call |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699217810 PECOS PAC ID: 4880978535 Enrollment ID: I20170224002154 |
| Provider Name | Melda G Weeks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992157515 PECOS PAC ID: 7517253107 Enrollment ID: I20170228001780 |
| Provider Name | Kevin B Ford |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063697522 PECOS PAC ID: 7618956293 Enrollment ID: I20170315000649 |
| Provider Name | Latoya S Hinton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497299556 PECOS PAC ID: 7214212646 Enrollment ID: I20170327000182 |
| Provider Name | Victoria J Clayton |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619090164 PECOS PAC ID: 4486806510 Enrollment ID: I20170328001158 |
| Provider Name | Edward P Jones |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386878213 PECOS PAC ID: 9234385519 Enrollment ID: I20170328001811 |
| Provider Name | Michael L Capuano |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679548697 PECOS PAC ID: 3870771124 Enrollment ID: I20170328002041 |
| Provider Name | Chanelle C Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629510862 PECOS PAC ID: 5496031569 Enrollment ID: I20170405000041 |
| Provider Name | Leeann M Wright |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225177637 PECOS PAC ID: 1850677501 Enrollment ID: I20170411001928 |
| Provider Name | Jennifer Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265979827 PECOS PAC ID: 5092091777 Enrollment ID: I20170412000241 |
| Provider Name | Timothy H Stone |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801069653 PECOS PAC ID: 1254617947 Enrollment ID: I20170412000721 |
| Provider Name | Mary Frances Snipes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528428448 PECOS PAC ID: 3870870587 Enrollment ID: I20170508000116 |
| Provider Name | Pamela Nichols |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912090671 PECOS PAC ID: 5799062410 Enrollment ID: I20170508000472 |
| Provider Name | Jennifer Peagler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902346059 PECOS PAC ID: 3375820814 Enrollment ID: I20170510000551 |
| Provider Name | Whitney J Cochcroft |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821468364 PECOS PAC ID: 2163709510 Enrollment ID: I20170511002860 |
| Provider Name | Michelle Rogers |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588917462 PECOS PAC ID: 4981981339 Enrollment ID: I20170511002880 |
| Provider Name | Katie Frick |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841676814 PECOS PAC ID: 6709163157 Enrollment ID: I20170511002900 |
| Provider Name | Julie Durnford |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275787772 PECOS PAC ID: 6901183300 Enrollment ID: I20170512001998 |
| Provider Name | Shannon Berrian |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417098039 PECOS PAC ID: 1850678194 Enrollment ID: I20170515001824 |
| Provider Name | Katherine Willett Dahlberg |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629314836 PECOS PAC ID: 8123313251 Enrollment ID: I20170518001748 |
| Provider Name | Frederick A Talip |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1417954843 PECOS PAC ID: 3577536564 Enrollment ID: I20170602000587 |
| Provider Name | Cierra Oneal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346787231 PECOS PAC ID: 7315216744 Enrollment ID: I20170628002341 |
| Provider Name | Margaret A Gray |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164719894 PECOS PAC ID: 9537380522 Enrollment ID: I20170717001242 |
| Provider Name | Feneisha Franklin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174962591 PECOS PAC ID: 9335419373 Enrollment ID: I20170724002533 |
| Provider Name | Jennifer Renee Hines |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598287302 PECOS PAC ID: 7719259977 Enrollment ID: I20170823000425 |
| Provider Name | Harold A Hall |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295140259 PECOS PAC ID: 4688965775 Enrollment ID: I20170828002614 |
| Provider Name | Stephanie C Blume |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447788039 PECOS PAC ID: 3476826231 Enrollment ID: I20170830002613 |
| Provider Name | Matthew James Day |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1760759856 PECOS PAC ID: 6002053220 Enrollment ID: I20170831003249 |
| Provider Name | Anne Marie Ashley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336663301 PECOS PAC ID: 1557635349 Enrollment ID: I20170918001180 |
| Provider Name | Jarom Nathan Gilstrap |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1205157658 PECOS PAC ID: 8426367491 Enrollment ID: I20170925000143 |
| Provider Name | Meredith K Molnar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265961973 PECOS PAC ID: 2466726880 Enrollment ID: I20170925001552 |
| Provider Name | Stephanie Morris Jokerst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235652967 PECOS PAC ID: 2365716511 Enrollment ID: I20170927000049 |
| Provider Name | Elizabeth M Mcmicken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023538030 PECOS PAC ID: 2567737315 Enrollment ID: I20171004003848 |
| Provider Name | Hunter Boyleston Porter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457873721 PECOS PAC ID: 4587939020 Enrollment ID: I20171009002463 |
| Provider Name | Noreen Lyday Dudley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073550117 PECOS PAC ID: 6305887498 Enrollment ID: I20171010000998 |
| Provider Name | Katie Booth Kitchen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154864940 PECOS PAC ID: 8527333020 Enrollment ID: I20171010001402 |
| Provider Name | Carrie Cain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740710722 PECOS PAC ID: 5193090587 Enrollment ID: I20171011001976 |
| Provider Name | Hoyt Randall Beard |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1366762585 PECOS PAC ID: 4789993031 Enrollment ID: I20171011001987 |
| Provider Name | Andrew J Ohar |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528212982 PECOS PAC ID: 9436388535 Enrollment ID: I20171012002234 |
| Provider Name | Andrea Garrick |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801236765 PECOS PAC ID: 7911140561 Enrollment ID: I20171031002289 |
| Provider Name | Dheeraj Puppala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396090551 PECOS PAC ID: 4082926860 Enrollment ID: I20171031003158 |
| Provider Name | Christopher A Cooper |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932511151 PECOS PAC ID: 0042519795 Enrollment ID: I20171031003418 |
| Provider Name | Anil Purohit |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1447415211 PECOS PAC ID: 0042480295 Enrollment ID: I20171101002850 |
| Provider Name | Samuel Edward Watts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376066159 PECOS PAC ID: 3173889383 Enrollment ID: I20171103001269 |
| Provider Name | Dawn C Pike |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669572632 PECOS PAC ID: 4880623685 Enrollment ID: I20171121003510 |
| Provider Name | Beth Eargle |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720096548 PECOS PAC ID: 3072571926 Enrollment ID: I20171208000392 |
| Provider Name | William D Strickland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013321546 PECOS PAC ID: 5799009015 Enrollment ID: I20171214002910 |
| Provider Name | Jennifer M Pittard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730698580 PECOS PAC ID: 4284992058 Enrollment ID: I20171227002972 |
| Provider Name | Rosalita Noella Kirkland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558872325 PECOS PAC ID: 7214295930 Enrollment ID: I20171228002850 |
| Provider Name | Louis Jeffrey Moyer |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1194867838 PECOS PAC ID: 5193948156 Enrollment ID: I20171228002857 |
| Provider Name | Benjamin C Weathersby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245740414 PECOS PAC ID: 5597024216 Enrollment ID: I20180125001061 |
| Provider Name | Derek E Lair |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487163671 PECOS PAC ID: 2062773567 Enrollment ID: I20180226000688 |
| Provider Name | Amy S Shenkar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023140845 PECOS PAC ID: 2365703584 Enrollment ID: I20180305002226 |
| Provider Name | Austin Gregory Dunn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528568904 PECOS PAC ID: 7911269212 Enrollment ID: I20180327000583 |
| Provider Name | Jordan M Piper |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215443312 PECOS PAC ID: 0547522773 Enrollment ID: I20180327002215 |
| Provider Name | Douglas Robert Sinclair |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356404107 PECOS PAC ID: 0143259408 Enrollment ID: I20180329002526 |
| Provider Name | Erin Thompson Wiesendanger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083847248 PECOS PAC ID: 9234325507 Enrollment ID: I20180409001998 |
| Provider Name | Jordan Rentz Barham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083169940 PECOS PAC ID: 0941563795 Enrollment ID: I20180410000937 |
| Provider Name | Mark Duane Kilgus |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093771107 PECOS PAC ID: 4486613346 Enrollment ID: I20180413001960 |
| Provider Name | Michelle Toole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336647536 PECOS PAC ID: 8729341995 Enrollment ID: I20180423000723 |
| Provider Name | Sheena M Vaccaro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437658267 PECOS PAC ID: 6406110295 Enrollment ID: I20180502001859 |
| Provider Name | Sarah R Stephens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225536410 PECOS PAC ID: 8022372846 Enrollment ID: I20180502002986 |
| Provider Name | Hadyn Gause |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376031393 PECOS PAC ID: 2860757622 Enrollment ID: I20180525001135 |
| Provider Name | Jamie Grimaud Andrews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932601903 PECOS PAC ID: 0042575847 Enrollment ID: I20180529000822 |
| Provider Name | Kristi L Hewitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568963387 PECOS PAC ID: 7719242254 Enrollment ID: I20180604000525 |
| Provider Name | Rebecca E Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700388626 PECOS PAC ID: 2062777469 Enrollment ID: I20180606002210 |
| Provider Name | Whitney M Dellinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487154894 PECOS PAC ID: 4880949122 Enrollment ID: I20180611000350 |
| Provider Name | William Little |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326543190 PECOS PAC ID: 7012262280 Enrollment ID: I20180613000230 |
| Provider Name | Elizabeth A Kadar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073010906 PECOS PAC ID: 1355696022 Enrollment ID: I20180620002543 |
| Provider Name | Srinadh O Rao |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669455911 PECOS PAC ID: 1658301197 Enrollment ID: I20180621000008 |
| Provider Name | Braiden L Sightler |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902306335 PECOS PAC ID: 1759638000 Enrollment ID: I20180718002304 |
| Provider Name | Kelsey Marie Hawkins |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1952807497 PECOS PAC ID: 7012264831 Enrollment ID: I20180724003336 |
| Provider Name | Jessica Newell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184123630 PECOS PAC ID: 2365790888 Enrollment ID: I20180731002283 |
| Provider Name | David Alexander Kranc |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114314465 PECOS PAC ID: 1951616366 Enrollment ID: I20180801003141 |
| Provider Name | Audrey Gleaton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487048914 PECOS PAC ID: 6608169982 Enrollment ID: I20180814001403 |
| Provider Name | William Grimes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639460116 PECOS PAC ID: 8325361488 Enrollment ID: I20180821000276 |
| Provider Name | Stormy D Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962994160 PECOS PAC ID: 5092064238 Enrollment ID: I20180821001512 |
| Provider Name | Danielle J Crais |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659866788 PECOS PAC ID: 2365791571 Enrollment ID: I20180822000343 |
| Provider Name | Peter Andrew Bailey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871974808 PECOS PAC ID: 7214236959 Enrollment ID: I20180918003850 |
| Provider Name | Amanda Padilla Marquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053897645 PECOS PAC ID: 8325399918 Enrollment ID: I20180920001651 |
| Provider Name | Catherine A Carlson |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1558517565 PECOS PAC ID: 5395933246 Enrollment ID: I20181005001461 |
| Provider Name | Benjamin Joel Amberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528545597 PECOS PAC ID: 6103178777 Enrollment ID: I20181009002727 |
| Provider Name | Brooke Nichole Naffziger |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649412636 PECOS PAC ID: 6002050689 Enrollment ID: I20181011000714 |
| Provider Name | Megan C Allman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780163709 PECOS PAC ID: 5193078202 Enrollment ID: I20181018002461 |
| Provider Name | Kelsey E Darden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144716945 PECOS PAC ID: 4183977200 Enrollment ID: I20181018002934 |
| Provider Name | Lyndsey M Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619453602 PECOS PAC ID: 1153674155 Enrollment ID: I20181022000171 |
| Provider Name | Emilia Krol |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1952531386 PECOS PAC ID: 0143527689 Enrollment ID: I20181029001654 |
| Provider Name | Michael Anthony Gajewski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629553755 PECOS PAC ID: 5991058398 Enrollment ID: I20181101002204 |
| Provider Name | Johnathan A Engh |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1194929810 PECOS PAC ID: 9234208042 Enrollment ID: I20181101002276 |
| Provider Name | Heather M Currier |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1073672358 PECOS PAC ID: 6103964028 Enrollment ID: I20181107001771 |
| Provider Name | Matthew Garrett Ulcak |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609368356 PECOS PAC ID: 3072867951 Enrollment ID: I20181112002250 |
| Provider Name | Laura Johnston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972078863 PECOS PAC ID: 4688918667 Enrollment ID: I20181201000438 |
| Provider Name | Michael Comer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699155119 PECOS PAC ID: 5092018945 Enrollment ID: I20181205001570 |
| Provider Name | Samantha Jane Schubert |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881070894 PECOS PAC ID: 3274836473 Enrollment ID: I20181211002450 |
| Provider Name | Kristin Mckenzie Hartman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164907853 PECOS PAC ID: 9133464555 Enrollment ID: I20181212003714 |
| Provider Name | Andrea Gale |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1306132261 PECOS PAC ID: 0840563920 Enrollment ID: I20181220001105 |
| Provider Name | Nicholas Garrett Watson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295116606 PECOS PAC ID: 6608179536 Enrollment ID: I20190108001188 |
| Provider Name | Linda A Balles |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1346442670 PECOS PAC ID: 2466547609 Enrollment ID: I20190108004142 |
| Provider Name | Veronda Janelle Mciver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134613417 PECOS PAC ID: 5890043731 Enrollment ID: I20190124000519 |
| Provider Name | Margaret Crosby Papadea |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215356555 PECOS PAC ID: 9931446846 Enrollment ID: I20190131001048 |
| Provider Name | Lori Deborah Norris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154804771 PECOS PAC ID: 5092052738 Enrollment ID: I20190204000445 |
| Provider Name | Jessica Jems Oing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609347129 PECOS PAC ID: 5698013308 Enrollment ID: I20190205000792 |
| Provider Name | Nicole Tessier |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295145936 PECOS PAC ID: 4789922360 Enrollment ID: I20190206000320 |
| Provider Name | Colton Bachman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164996369 PECOS PAC ID: 6103164934 Enrollment ID: I20190220001889 |
| Provider Name | Kathleen Baxley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023599560 PECOS PAC ID: 8820337074 Enrollment ID: I20190305002407 |
| Provider Name | Kristina Allane Bristow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700345303 PECOS PAC ID: 7012258288 Enrollment ID: I20190416002975 |
| Provider Name | Sachin Shah |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1083631600 PECOS PAC ID: 8820014061 Enrollment ID: I20190501000606 |
| Provider Name | Christi P Wiggins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346705837 PECOS PAC ID: 0244572840 Enrollment ID: I20190501001404 |
| Provider Name | Tanisha Leann Dawkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770040776 PECOS PAC ID: 0345582540 Enrollment ID: I20190508000152 |
| Provider Name | Nyesha Nicole Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275093155 PECOS PAC ID: 7911240668 Enrollment ID: I20190520002907 |
| Provider Name | Bettie S Stem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033670542 PECOS PAC ID: 5092058578 Enrollment ID: I20190524001380 |
| Provider Name | Ali Plyler Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821553157 PECOS PAC ID: 8921331737 Enrollment ID: I20190611001180 |
| Provider Name | Brian Kent Heaberlin |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1992730493 PECOS PAC ID: 3971408584 Enrollment ID: I20190612000214 |
| Provider Name | Trista Loren Hewett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417410572 PECOS PAC ID: 5193058790 Enrollment ID: I20190613002768 |
| Provider Name | Jeffery C Pride |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912403528 PECOS PAC ID: 0941534580 Enrollment ID: I20190702000126 |
| Provider Name | Scott Matthew Weitzel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1376779918 PECOS PAC ID: 8224276761 Enrollment ID: I20190722001275 |
| Provider Name | Leah Danielle Eastwood |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1275191710 PECOS PAC ID: 9234466954 Enrollment ID: I20190802002572 |
| Provider Name | Craig A. Wilkinson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356407852 PECOS PAC ID: 5799950770 Enrollment ID: I20190809000811 |
| Provider Name | Christopher Beal |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1992115935 PECOS PAC ID: 1759501869 Enrollment ID: I20190821002597 |
| Provider Name | Randall Barrett Rate |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285291989 PECOS PAC ID: 4183952450 Enrollment ID: I20190823002174 |
| Provider Name | Jenny W Rush |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699235150 PECOS PAC ID: 6507194404 Enrollment ID: I20190829002057 |
| Provider Name | Fanwei Meng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780650937 PECOS PAC ID: 8527156827 Enrollment ID: I20190829003000 |
| Provider Name | Christopher Anthony Santos |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992203152 PECOS PAC ID: 8921369349 Enrollment ID: I20190904001822 |
| Provider Name | Anna Lim-kates |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326476367 PECOS PAC ID: 7214157601 Enrollment ID: I20190912003023 |
| Provider Name | Blake Jeremy Chapman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619357043 PECOS PAC ID: 9638408768 Enrollment ID: I20190913002714 |
| Provider Name | Sonya Marie Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861058141 PECOS PAC ID: 4183953243 Enrollment ID: I20190916000841 |
| Provider Name | David Ashton Hankins |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1992048219 PECOS PAC ID: 8325342264 Enrollment ID: I20190923003134 |
| Provider Name | Yasmine Gamil Gabr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770935744 PECOS PAC ID: 6204129810 Enrollment ID: I20190928000220 |
| Provider Name | Monica S Sires |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386298024 PECOS PAC ID: 3678803970 Enrollment ID: I20190930002938 |
| Provider Name | Jacob Luke Wayland |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164943213 PECOS PAC ID: 8628334869 Enrollment ID: I20191001000005 |
| Provider Name | Caitlin Brooke Tidwell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881117828 PECOS PAC ID: 9436415684 Enrollment ID: I20191002000906 |
| Provider Name | Allyson Wells Speaks |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1588981948 PECOS PAC ID: 9234359647 Enrollment ID: I20191002002160 |
| Provider Name | John Lowell Montgomery |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528589827 PECOS PAC ID: 9931465176 Enrollment ID: I20191002003077 |
| Provider Name | Mary Catherine Watson Clayton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215598057 PECOS PAC ID: 3779814728 Enrollment ID: I20191007001043 |
| Provider Name | Kaitlyn O'gorman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1275195752 PECOS PAC ID: 2769713726 Enrollment ID: I20191007001589 |
| Provider Name | Elizabeth Gambrell Rooney |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225698053 PECOS PAC ID: 8224369103 Enrollment ID: I20191007002982 |
| Provider Name | Wendy Leigh Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083613004 PECOS PAC ID: 0143265702 Enrollment ID: I20191014001386 |
| Provider Name | Analyn T Talip |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1831196260 PECOS PAC ID: 6305811589 Enrollment ID: I20191015000069 |
| Provider Name | Michelle Christine O'brien |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1073956538 PECOS PAC ID: 6305088980 Enrollment ID: I20191024000583 |
| Provider Name | Amanda Marie Breymeyer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518529205 PECOS PAC ID: 2062744543 Enrollment ID: I20191102000318 |
| Provider Name | Erin Jaynes Belk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174180699 PECOS PAC ID: 0547592842 Enrollment ID: I20191105002052 |
| Provider Name | Megan Crane |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1265800783 PECOS PAC ID: 7719273614 Enrollment ID: I20191106000082 |
| Provider Name | Rachel Leaphart Backman |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861049017 PECOS PAC ID: 9436481793 Enrollment ID: I20191106001052 |
| Provider Name | Ian James Davis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902003395 PECOS PAC ID: 6901930015 Enrollment ID: I20191112002073 |
| Provider Name | Melissa Jewell Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215587894 PECOS PAC ID: 3173955697 Enrollment ID: I20191120003250 |
| Provider Name | Karina Hurley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487205183 PECOS PAC ID: 0042643892 Enrollment ID: I20191209001583 |
| Provider Name | James Rielly |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1386638005 PECOS PAC ID: 3577564228 Enrollment ID: I20191220002241 |
| Provider Name | Kaila Anne Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083187942 PECOS PAC ID: 6901238666 Enrollment ID: I20191223002307 |
| Provider Name | Sydney Jayne Dantzler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396380721 PECOS PAC ID: 9436583036 Enrollment ID: I20200106003107 |
| Provider Name | Rachel Fogarty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265077622 PECOS PAC ID: 7810322153 Enrollment ID: I20200115001589 |
| Provider Name | Elizabeth Marie Schmidt |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851652077 PECOS PAC ID: 1254647936 Enrollment ID: I20200115001969 |
| Provider Name | Lisa Mondo Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770128613 PECOS PAC ID: 8224463195 Enrollment ID: I20200123000345 |
| Provider Name | Cecilia E Porcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336572650 PECOS PAC ID: 9638303340 Enrollment ID: I20200123000561 |
| Provider Name | Rebecca I Gilmore |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467002683 PECOS PAC ID: 5092140780 Enrollment ID: I20200128001098 |
| Provider Name | Mary Alison Anderson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811530942 PECOS PAC ID: 1658707997 Enrollment ID: I20200205002603 |
| Provider Name | Jeremy Chad Stiles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669628608 PECOS PAC ID: 7618303504 Enrollment ID: I20200213001030 |
| Provider Name | Casey Hendrix Purcell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912544198 PECOS PAC ID: 6507293214 Enrollment ID: I20200219000012 |
| Provider Name | Jean Isherwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104812403 PECOS PAC ID: 2860420650 Enrollment ID: I20200225002534 |
| Provider Name | Kaitlyn Keenan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588200661 PECOS PAC ID: 7416384649 Enrollment ID: I20200227000733 |
| Provider Name | Jonathan Jay Sexton |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1962723809 PECOS PAC ID: 1153569603 Enrollment ID: I20200324002144 |
| Provider Name | Daniel L Johnson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215382296 PECOS PAC ID: 4587927561 Enrollment ID: I20200402003092 |
| Provider Name | Amanda Jane Warner |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1326570524 PECOS PAC ID: 6103255666 Enrollment ID: I20200403001525 |
| Provider Name | Kellsey Jerrine Senn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407488893 PECOS PAC ID: 4688003015 Enrollment ID: I20200406000743 |
| Provider Name | Emily King |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811479140 PECOS PAC ID: 2466797196 Enrollment ID: I20200410000388 |
| Provider Name | Mark Defrancisco |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1588605729 PECOS PAC ID: 6709852551 Enrollment ID: I20200502000244 |
| Provider Name | Amy C Romine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043845571 PECOS PAC ID: 0143651091 Enrollment ID: I20200511000948 |
| Provider Name | Wynn T Harvey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982198438 PECOS PAC ID: 7810249745 Enrollment ID: I20200512002012 |
| Provider Name | Keelin Jamaal Golden-maldonado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033742531 PECOS PAC ID: 3476984154 Enrollment ID: I20200513000843 |
| Provider Name | Joseph R Narvaez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134357049 PECOS PAC ID: 5991022147 Enrollment ID: I20200519002624 |
| Provider Name | Michael J Oehler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891285482 PECOS PAC ID: 4284986126 Enrollment ID: I20200520001801 |
| Provider Name | Jonathan Carl Boguski |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1265880322 PECOS PAC ID: 2466747266 Enrollment ID: I20200527000359 |
| Provider Name | Peter J Hunt |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1841459401 PECOS PAC ID: 3476701285 Enrollment ID: I20200530000022 |
| Provider Name | Luke C Spangler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609367416 PECOS PAC ID: 7618229550 Enrollment ID: I20200601000451 |
| Provider Name | Cynthia S Koli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366071474 PECOS PAC ID: 1951722685 Enrollment ID: I20200604000197 |
| Provider Name | Adam J Verhoef |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063903870 PECOS PAC ID: 3971855818 Enrollment ID: I20200604002030 |
| Provider Name | George R Rueb |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1902164098 PECOS PAC ID: 4789812769 Enrollment ID: I20200605000034 |
| Provider Name | Rebecca C Burnside |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1376956284 PECOS PAC ID: 2860786613 Enrollment ID: I20200619001092 |
| Provider Name | Richard Marks |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1023061769 PECOS PAC ID: 7517090228 Enrollment ID: I20200624003097 |
| Provider Name | Dana Johnson Cochran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851927099 PECOS PAC ID: 8123440849 Enrollment ID: I20200624003455 |
| Provider Name | Ryan A Walters |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992225338 PECOS PAC ID: 8820363302 Enrollment ID: I20200713001281 |
| Provider Name | Justin James Greenfield |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1194341552 PECOS PAC ID: 7517382021 Enrollment ID: I20200730003626 |
| Provider Name | Valerie L Swager |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1982220778 PECOS PAC ID: 6406271683 Enrollment ID: I20200805000951 |
| Provider Name | Mathew Papakyrikos Mazzola |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497275895 PECOS PAC ID: 2567738388 Enrollment ID: I20200805001241 |
| Provider Name | Nathan C Davis |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1003255548 PECOS PAC ID: 9739475328 Enrollment ID: I20200805002128 |
| Provider Name | Denese Dapito |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417340514 PECOS PAC ID: 6800154329 Enrollment ID: I20200806001484 |
| Provider Name | Henry Dingle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821431420 PECOS PAC ID: 7214246412 Enrollment ID: I20200806003584 |
| Provider Name | Adarsh Kumar Srivastava |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1346486446 PECOS PAC ID: 6204001456 Enrollment ID: I20200807000318 |
| Provider Name | Gwendolyn Gray Cashwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720112618 PECOS PAC ID: 4486070984 Enrollment ID: I20200814000280 |
| Provider Name | Erin E Harris |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659808186 PECOS PAC ID: 9638435548 Enrollment ID: I20200818000612 |
| Provider Name | Rebecca Anne Zobel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942827563 PECOS PAC ID: 2466878780 Enrollment ID: I20200818001468 |
| Provider Name | Sara Chandler Finney Inabinet |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770932881 PECOS PAC ID: 3577989672 Enrollment ID: I20200820000145 |
| Provider Name | Courtney Renee Mcilveen |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1497371298 PECOS PAC ID: 2466878301 Enrollment ID: I20200821001997 |
| Provider Name | James Wilkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619465663 PECOS PAC ID: 2264786375 Enrollment ID: I20200824002418 |
| Provider Name | Stephen Edward Kostelic |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285123455 PECOS PAC ID: 4981958717 Enrollment ID: I20200828000377 |
| Provider Name | Scott Graupner |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1821438714 PECOS PAC ID: 0547403297 Enrollment ID: I20200828000515 |
| Provider Name | John Bennett Manna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891311163 PECOS PAC ID: 7618395369 Enrollment ID: I20200914000729 |
| Provider Name | Loraine Michelle Heller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164798633 PECOS PAC ID: 2860709797 Enrollment ID: I20200923002423 |
| Provider Name | Jordan W Rawl |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1184035628 PECOS PAC ID: 2567792351 Enrollment ID: I20200928001879 |
| Provider Name | Jessica Leigh Rosebrock |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083223812 PECOS PAC ID: 2466871132 Enrollment ID: I20200929002947 |
| Provider Name | Cagney P Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346661402 PECOS PAC ID: 8628497195 Enrollment ID: I20201001003073 |
| Provider Name | Shauna Thurston Bettinger |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639212012 PECOS PAC ID: 3577982826 Enrollment ID: I20201006001199 |
| Provider Name | Sarah Peden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891306205 PECOS PAC ID: 0042630238 Enrollment ID: I20201008001446 |
| Provider Name | Natalia Lukonina Swaebe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891114823 PECOS PAC ID: 5395011811 Enrollment ID: I20201009002250 |
| Provider Name | Mitchell Hanks |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538766522 PECOS PAC ID: 5193145803 Enrollment ID: I20201019003119 |
| Provider Name | Xinwei Liu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245764661 PECOS PAC ID: 6002158722 Enrollment ID: I20201102001762 |
| Provider Name | Kay Jones Macinnis |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1093189128 PECOS PAC ID: 4789094665 Enrollment ID: I20201104000930 |
| Provider Name | Jamie Odom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770116477 PECOS PAC ID: 2769892652 Enrollment ID: I20201104001499 |
| Provider Name | Hunter A Faircloth |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578946877 PECOS PAC ID: 9335415348 Enrollment ID: I20201119000715 |
| Provider Name | Sasa Strunjas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639179138 PECOS PAC ID: 6507806403 Enrollment ID: I20201209002367 |
| Provider Name | Rebecca Rose Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548773989 PECOS PAC ID: 8820400021 Enrollment ID: I20201211001625 |
| Provider Name | Caroline Burnett Webber |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396861308 PECOS PAC ID: 1355753435 Enrollment ID: I20201214002519 |
| Provider Name | Jordan Sasson |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1922236777 PECOS PAC ID: 8224303565 Enrollment ID: I20201230001902 |
| Provider Name | Sarah Mckenzie Reeley |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528655123 PECOS PAC ID: 4587078282 Enrollment ID: I20210120001837 |
| Provider Name | Ivan Kolev |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265020556 PECOS PAC ID: 6800200510 Enrollment ID: I20210120002045 |
| Provider Name | Gerald R Fortuna |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1447479829 PECOS PAC ID: 3779620851 Enrollment ID: I20210128000357 |
| Provider Name | Nancy K Martin |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598187940 PECOS PAC ID: 8527472638 Enrollment ID: I20210202000785 |
| Provider Name | Gretchen L Peace |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114584034 PECOS PAC ID: 3678987609 Enrollment ID: I20210202001954 |
| Provider Name | Caleb E. Wheeler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962528984 PECOS PAC ID: 9436563251 Enrollment ID: I20210205000969 |
| Provider Name | James Brandon Emery |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346447919 PECOS PAC ID: 2163836990 Enrollment ID: I20210205001410 |
| Provider Name | Lauren Shull Matthews |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538506258 PECOS PAC ID: 4880008614 Enrollment ID: I20210205001486 |
| Provider Name | Amanda Vartanian |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205249117 PECOS PAC ID: 7618263435 Enrollment ID: I20210205001564 |
| Provider Name | Lillie Edwards Bates |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487649729 PECOS PAC ID: 1153736947 Enrollment ID: I20210208001877 |
| Provider Name | Melissa A Crosby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699240473 PECOS PAC ID: 1658619424 Enrollment ID: I20210216000095 |
| Provider Name | Amber I Timmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245827369 PECOS PAC ID: 3870909708 Enrollment ID: I20210301002154 |
| Provider Name | Victoria Rachel Keen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851913065 PECOS PAC ID: 1254747843 Enrollment ID: I20210305000698 |
| Provider Name | Jenifer Gayle Pearson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174112031 PECOS PAC ID: 6608764014 Enrollment ID: I20210315000207 |
| Provider Name | Haley M Griggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669061271 PECOS PAC ID: 4688080740 Enrollment ID: I20210316000300 |
| Provider Name | Thomas Arthur Dehaven |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386236552 PECOS PAC ID: 5092122366 Enrollment ID: I20210402000715 |
| Provider Name | Danielle D Hilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225653462 PECOS PAC ID: 3072921642 Enrollment ID: I20210420001459 |
| Provider Name | Nicholas M Lytle |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1588050652 PECOS PAC ID: 0547575870 Enrollment ID: I20210511001351 |
| Provider Name | Paul Liszka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942273305 PECOS PAC ID: 4486691482 Enrollment ID: I20210517000745 |
| Provider Name | Jenna-lyn A Johnson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1861879744 PECOS PAC ID: 0840504791 Enrollment ID: I20210524000085 |
| Provider Name | Sallie Clark Giblin |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1871957993 PECOS PAC ID: 0941590863 Enrollment ID: I20210604000113 |
| Provider Name | Garrett L Ruth |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1174943278 PECOS PAC ID: 9537387113 Enrollment ID: I20210604001471 |
| Provider Name | Venkata Chinnakotla |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1033559604 PECOS PAC ID: 4789818907 Enrollment ID: I20210609002165 |
| Provider Name | David Baehren |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548221674 PECOS PAC ID: 9234100090 Enrollment ID: I20210615000394 |
| Provider Name | Hannah Nicole Bumgarner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477139103 PECOS PAC ID: 0143620062 Enrollment ID: I20210615001886 |
| Provider Name | Meleigh E Groff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841814555 PECOS PAC ID: 6204236136 Enrollment ID: I20210615002317 |
| Provider Name | Haleigh Whisnant Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144894684 PECOS PAC ID: 5698175420 Enrollment ID: I20210615002510 |
| Provider Name | Kimberly Mouzon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689024473 PECOS PAC ID: 5799064051 Enrollment ID: I20210621001790 |
| Provider Name | Brandi Burgess Hair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114542586 PECOS PAC ID: 3779984299 Enrollment ID: I20210622001429 |
| Provider Name | Aaron J Siegel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972137396 PECOS PAC ID: 5193126357 Enrollment ID: I20210624002881 |
| Provider Name | Jeremy Irving |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578536215 PECOS PAC ID: 5890783385 Enrollment ID: I20210706001116 |
| Provider Name | Greeshma R Mereddy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609370048 PECOS PAC ID: 6709140130 Enrollment ID: I20210707000694 |
| Provider Name | Clare Nissen Mcgill |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629645528 PECOS PAC ID: 7012319585 Enrollment ID: I20210707002310 |
| Provider Name | Mary K Weeks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689299406 PECOS PAC ID: 1355743311 Enrollment ID: I20210713002675 |
| Provider Name | Tisheila Diane Whitted |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003481607 PECOS PAC ID: 4486056405 Enrollment ID: I20210714001042 |
| Provider Name | Elizabeth R Hackley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447820600 PECOS PAC ID: 7911300678 Enrollment ID: I20210720000273 |
| Provider Name | Zackary Stark Vincent |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326602996 PECOS PAC ID: 9739411612 Enrollment ID: I20210720001883 |
| Provider Name | Thomas D. Nguyen |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1033606868 PECOS PAC ID: 5799188777 Enrollment ID: I20210728002739 |
| Provider Name | Jenny Lyn Prince |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1609933118 PECOS PAC ID: 9931503778 Enrollment ID: I20210802001564 |
| Provider Name | Nathan Gentry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770147332 PECOS PAC ID: 3173854817 Enrollment ID: I20210804000924 |
| Provider Name | Celeste Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518970334 PECOS PAC ID: 1355347238 Enrollment ID: I20210805000253 |
| Provider Name | Narjah M Martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023462546 PECOS PAC ID: 5890089908 Enrollment ID: I20210809002095 |
| Provider Name | Ravi Sanghani |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1598194847 PECOS PAC ID: 2062721384 Enrollment ID: I20210811002318 |
| Provider Name | Steven Michael Tackett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750954418 PECOS PAC ID: 5294139143 Enrollment ID: I20210813002554 |
| Provider Name | Diondra Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417557737 PECOS PAC ID: 7416352091 Enrollment ID: I20210819001749 |
| Provider Name | Benjamin Lee White |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1922489962 PECOS PAC ID: 3173823283 Enrollment ID: I20210819001847 |
| Provider Name | Kimberly Stone |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568808020 PECOS PAC ID: 2365736980 Enrollment ID: I20210820002949 |
| Provider Name | Christie M Mcmurry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659045565 PECOS PAC ID: 3274938543 Enrollment ID: I20210825000366 |
| Provider Name | Ronald Scott Wells |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891872008 PECOS PAC ID: 0941605976 Enrollment ID: I20210830000268 |
| Provider Name | Ashley L Ragan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073921011 PECOS PAC ID: 3274859681 Enrollment ID: I20210831000728 |
| Provider Name | Collin Tully |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1902232952 PECOS PAC ID: 3678878675 Enrollment ID: I20210908002611 |
| Provider Name | Christina Amick |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992371165 PECOS PAC ID: 3678979994 Enrollment ID: I20210910001697 |
| Provider Name | Nikki Mark Burish |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1619397619 PECOS PAC ID: 7113263120 Enrollment ID: I20210913001214 |
| Provider Name | Tara M Anderson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568928364 PECOS PAC ID: 7719211929 Enrollment ID: I20210915002960 |
| Provider Name | Susan J Hulsemann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356348718 PECOS PAC ID: 4082673629 Enrollment ID: I20210917001674 |
| Provider Name | Minerva Andre |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982268645 PECOS PAC ID: 3577894112 Enrollment ID: I20210924000338 |
| Provider Name | Keith Tisheem King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518533058 PECOS PAC ID: 4284031899 Enrollment ID: I20210924000791 |
| Provider Name | Crystal Crider Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801480645 PECOS PAC ID: 6103224993 Enrollment ID: I20211008000466 |
| Provider Name | Jeremy C Alderfer |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1689823932 PECOS PAC ID: 1850425471 Enrollment ID: I20211008002789 |
| Provider Name | Garner Caswell Brigman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841724093 PECOS PAC ID: 1153671763 Enrollment ID: I20211012000395 |
| Provider Name | Emily Kohls |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1790155471 PECOS PAC ID: 6507254638 Enrollment ID: I20211022001052 |
| Provider Name | Kyle Daugherty |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154834364 PECOS PAC ID: 7214295096 Enrollment ID: I20211022001140 |
| Provider Name | Sam Meshkinfam |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1952657348 PECOS PAC ID: 9032356720 Enrollment ID: I20211027000447 |
| Provider Name | Amanda Zorn Worrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689268146 PECOS PAC ID: 0244628907 Enrollment ID: I20211028002839 |
| Provider Name | Dana Lynn Panas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558955062 PECOS PAC ID: 1456749076 Enrollment ID: I20211101000210 |
| Provider Name | John D Blevins |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1467423608 PECOS PAC ID: 3971682691 Enrollment ID: I20211102001554 |
| Provider Name | Brittany Jenkins Ziegler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871255802 PECOS PAC ID: 0446649446 Enrollment ID: I20211112001504 |
| Provider Name | Kenneth Jackson Delay |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1699092056 PECOS PAC ID: 5890082945 Enrollment ID: I20211129000892 |
| Provider Name | Jessica L Atkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215691563 PECOS PAC ID: 0446640619 Enrollment ID: I20211201002413 |
| Provider Name | Aaron Mckenzie Bruner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962169979 PECOS PAC ID: 4688064561 Enrollment ID: I20211208002111 |
| Provider Name | Arthur Jung Nam |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1497981914 PECOS PAC ID: 1355590282 Enrollment ID: I20211227000831 |
| Provider Name | Jennica Mcfarland |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841640752 PECOS PAC ID: 4880982800 Enrollment ID: I20220126002413 |
| Provider Name | Jessica Lauren Kuchta |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508523986 PECOS PAC ID: 1850784570 Enrollment ID: I20220201002848 |
| Provider Name | Tam T Huynh |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1235177098 PECOS PAC ID: 7517971989 Enrollment ID: I20220224000306 |
| Provider Name | Aaron Jay Yunker |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1366974958 PECOS PAC ID: 6204102387 Enrollment ID: I20220225002326 |
| Provider Name | Kayla Brunson Rutland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588315600 PECOS PAC ID: 9436544343 Enrollment ID: I20220311000122 |
| Provider Name | James Eugene Fogartie |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1053359836 PECOS PAC ID: 9234027558 Enrollment ID: I20220314000560 |
| Provider Name | Anne Griffin Tafel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609548171 PECOS PAC ID: 6204221799 Enrollment ID: I20220321000013 |
| Provider Name | Mindy Allison Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023761905 PECOS PAC ID: 7315332616 Enrollment ID: I20220324000080 |
| Provider Name | Sarah Fender |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699421370 PECOS PAC ID: 2961897020 Enrollment ID: I20220328001968 |
| Provider Name | Linda R Frahm |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104881317 PECOS PAC ID: 3779582986 Enrollment ID: I20220411000029 |
| Provider Name | Todd Simon |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1811144181 PECOS PAC ID: 7012191166 Enrollment ID: I20220411000388 |
| Provider Name | Chasity S Mccray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104493725 PECOS PAC ID: 8325434848 Enrollment ID: I20220411001268 |
| Provider Name | Lee Anthony Hugar |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1790199636 PECOS PAC ID: 4587050901 Enrollment ID: I20220411001799 |
| Provider Name | Catherine Williams Free |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1235872839 PECOS PAC ID: 8527445873 Enrollment ID: I20220506001938 |
| Provider Name | Douglas Justin Cooper |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1851957609 PECOS PAC ID: 3375920283 Enrollment ID: I20220516001131 |
| Provider Name | Lori A Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477933810 PECOS PAC ID: 3173838372 Enrollment ID: I20220517002971 |
| Provider Name | Andrew Jay Soo Hoo |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1447699947 PECOS PAC ID: 0941687636 Enrollment ID: I20220518002506 |
| Provider Name | Casey Berry Ridgell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821730649 PECOS PAC ID: 0941687578 Enrollment ID: I20220519001480 |
| Provider Name | Jian Chen |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1639580707 PECOS PAC ID: 0446575757 Enrollment ID: I20220528000113 |
| Provider Name | Natalie O'kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518402510 PECOS PAC ID: 5991080327 Enrollment ID: I20220528000261 |
| Provider Name | Shamekia Tucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073978672 PECOS PAC ID: 8325332422 Enrollment ID: I20220601000028 |
| Provider Name | Cooper J Gunter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043877517 PECOS PAC ID: 2860870029 Enrollment ID: I20220601000713 |
| Provider Name | Ann Hamilton Hollis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639546245 PECOS PAC ID: 8325348725 Enrollment ID: I20220602000213 |
| Provider Name | Paula Nicole Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265078570 PECOS PAC ID: 4587042544 Enrollment ID: I20220602002024 |
| Provider Name | Kathryn R Rawlings |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720510910 PECOS PAC ID: 6608149976 Enrollment ID: I20220606000198 |
| Provider Name | Charles Amos Hensley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538801527 PECOS PAC ID: 6800274739 Enrollment ID: I20220606002916 |
| Provider Name | Angel T Moorer |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1750029914 PECOS PAC ID: 8224416722 Enrollment ID: I20220610001650 |
| Provider Name | Stevn J Hutto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548904485 PECOS PAC ID: 6103205372 Enrollment ID: I20220617001154 |
| Provider Name | Amina Majeed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508271032 PECOS PAC ID: 6901162999 Enrollment ID: I20220622001182 |
| Provider Name | Bradley A Scheidler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134282874 PECOS PAC ID: 9638189335 Enrollment ID: I20220623000172 |
| Provider Name | Amanda Brown Fischbein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093465759 PECOS PAC ID: 5991185498 Enrollment ID: I20220629003938 |
| Provider Name | Jeana M Santostefano |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063794287 PECOS PAC ID: 5890969612 Enrollment ID: I20220630003145 |
| Provider Name | Amy Elizabeth Banghart |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649647314 PECOS PAC ID: 3274913694 Enrollment ID: I20220701001357 |
| Provider Name | Marianne Carol Hensley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013584374 PECOS PAC ID: 4385024140 Enrollment ID: I20220711001758 |
| Provider Name | Sunita Tulachan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336592419 PECOS PAC ID: 3072867407 Enrollment ID: I20220711002301 |
| Provider Name | Pedro Argoti Torres |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356623201 PECOS PAC ID: 9133392301 Enrollment ID: I20220712001170 |
| Provider Name | Brittany Christin Petrilli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023675907 PECOS PAC ID: 2567797285 Enrollment ID: I20220713000407 |
| Provider Name | Sarah Holley |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1689304339 PECOS PAC ID: 9133500770 Enrollment ID: I20220713004371 |
| Provider Name | Jialiu Li |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1174059182 PECOS PAC ID: 7214207992 Enrollment ID: I20220719002971 |
| Provider Name | Corey Michael Brambley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083281497 PECOS PAC ID: 4789065996 Enrollment ID: I20220719003869 |
| Provider Name | Pamela F Gardner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487220349 PECOS PAC ID: 0143601278 Enrollment ID: I20220720001060 |
| Provider Name | Daniel Joseph Sharpe |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154068781 PECOS PAC ID: 5395126387 Enrollment ID: I20220721003926 |
| Provider Name | David Michael Kopel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1821529686 PECOS PAC ID: 5395018733 Enrollment ID: I20220721003940 |
| Provider Name | Kaleigh Keister |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407357908 PECOS PAC ID: 3678821998 Enrollment ID: I20220802002013 |
| Provider Name | Peter Ogbuu Chukwu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700445400 PECOS PAC ID: 6305228495 Enrollment ID: I20220805002377 |
| Provider Name | Miranda Mccoy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043770100 PECOS PAC ID: 8325378177 Enrollment ID: I20220808000807 |
| Provider Name | Allison L Brill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013640275 PECOS PAC ID: 6204218100 Enrollment ID: I20220809000102 |
| Provider Name | Justine M Schleiffelder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356807242 PECOS PAC ID: 3971845223 Enrollment ID: I20220810000359 |
| Provider Name | Nancy Beatrice Furnace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255070777 PECOS PAC ID: 6204219058 Enrollment ID: I20220811002994 |
| Provider Name | Beth-ann Knox Bowers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235884792 PECOS PAC ID: 2668855297 Enrollment ID: I20220815003253 |
| Provider Name | Carl L Edwards |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184291593 PECOS PAC ID: 8628451051 Enrollment ID: I20220818001044 |
| Provider Name | Adrenna R Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912644246 PECOS PAC ID: 1951784164 Enrollment ID: I20220822001835 |
| Provider Name | Elizabeth Price |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1033561048 PECOS PAC ID: 8921391152 Enrollment ID: I20220822001986 |
| Provider Name | Kiandra Scott |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1740639491 PECOS PAC ID: 4284912130 Enrollment ID: I20220822002542 |
| Provider Name | Monique Mckiever |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063808343 PECOS PAC ID: 8729317557 Enrollment ID: I20220823004115 |
| Provider Name | Brandon Michael Boyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790430577 PECOS PAC ID: 4981088564 Enrollment ID: I20220831000766 |
| Provider Name | Kayley Ann Miles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407591209 PECOS PAC ID: 2567846033 Enrollment ID: I20220901000211 |
| Provider Name | Melanie M Pelletier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831529650 PECOS PAC ID: 0749419612 Enrollment ID: I20220908003612 |
| Provider Name | Ahmad W. Mohammadi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124687264 PECOS PAC ID: 9739564618 Enrollment ID: I20220913001796 |
| Provider Name | Kavitha Paramanathan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1700021847 PECOS PAC ID: 3072748177 Enrollment ID: I20220915003920 |
| Provider Name | Branna Owens Grubbs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891425666 PECOS PAC ID: 6204211535 Enrollment ID: I20220922000729 |
| Provider Name | Daniel Philip Deasis |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1306112743 PECOS PAC ID: 2466757190 Enrollment ID: I20220923000678 |
| Provider Name | Brian Mcnichols |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1922495852 PECOS PAC ID: 2567711443 Enrollment ID: I20221003002351 |
| Provider Name | Kaitlyn Hofbauer Brooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891413464 PECOS PAC ID: 7810363751 Enrollment ID: I20221018003645 |
| Provider Name | John Devin Watson |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1386969137 PECOS PAC ID: 5496040214 Enrollment ID: I20221026000550 |
| Provider Name | Jose Miguel Medina |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841431087 PECOS PAC ID: 9032355011 Enrollment ID: I20221103000383 |
| Provider Name | Sarah Mishoe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326762352 PECOS PAC ID: 2365819414 Enrollment ID: I20221103000423 |
| Provider Name | Deborah Allison Milling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114656071 PECOS PAC ID: 6406223486 Enrollment ID: I20221103002196 |
| Provider Name | Robert Lee Rowell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114640505 PECOS PAC ID: 3870960867 Enrollment ID: I20221103002742 |
| Provider Name | Victoria Leigh Mcgowan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174245237 PECOS PAC ID: 9335516996 Enrollment ID: I20221110002288 |
| Provider Name | Andrew Michael Wishy |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1619389939 PECOS PAC ID: 8527332337 Enrollment ID: I20221114000918 |
| Provider Name | Kelly Anne Truesdale |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154618882 PECOS PAC ID: 2769634401 Enrollment ID: I20221126000070 |
| Provider Name | Katherine Edna Watts |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1528785151 PECOS PAC ID: 6103294079 Enrollment ID: I20221128000050 |
| Provider Name | Eliza Jacob Appleby |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225458870 PECOS PAC ID: 4688939093 Enrollment ID: I20221130002906 |
| Provider Name | Charlene Hester Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568187961 PECOS PAC ID: 5294104634 Enrollment ID: I20221207001750 |
| Provider Name | Alice Reynolds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053065383 PECOS PAC ID: 1759750813 Enrollment ID: I20221212002026 |
| Provider Name | Alexandra D Brillhart |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467023671 PECOS PAC ID: 4082017728 Enrollment ID: I20221221001365 |
| Provider Name | Angeline E Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699482729 PECOS PAC ID: 1153791744 Enrollment ID: I20221222001231 |
| Provider Name | Kimberly Brentlinger Fanguy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750828398 PECOS PAC ID: 1052788635 Enrollment ID: I20230103000185 |
| Provider Name | Jessica Sue Mendelsohn |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861615676 PECOS PAC ID: 0446226252 Enrollment ID: I20230103002104 |
| Provider Name | Nabi Chowdhury |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1134326200 PECOS PAC ID: 1850547993 Enrollment ID: I20230105000857 |
| Provider Name | John David Deperi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1043278427 PECOS PAC ID: 1456254150 Enrollment ID: I20230206002670 |
| Provider Name | Joyce M Brackebusch |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1710065271 PECOS PAC ID: 2961424676 Enrollment ID: I20230217000596 |
| Provider Name | Thomas M Mazza |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1962426684 PECOS PAC ID: 0941206775 Enrollment ID: I20230307001468 |
| Provider Name | Sidney Coupet |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285803262 PECOS PAC ID: 4688837214 Enrollment ID: I20230315000758 |
| Provider Name | Amber Leigh Small |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497455117 PECOS PAC ID: 0648644856 Enrollment ID: I20230329001683 |
| Provider Name | Kristy Emily Dechellis |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1659877223 PECOS PAC ID: 9133593353 Enrollment ID: I20230329001991 |
| Provider Name | Tido A Latour |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457348773 PECOS PAC ID: 9133115363 Enrollment ID: I20230410002019 |
| Provider Name | Kathryn C Freeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740982123 PECOS PAC ID: 5890160394 Enrollment ID: I20230416000009 |
| Provider Name | Megan Joyner Davison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740988518 PECOS PAC ID: 1951766807 Enrollment ID: I20230427001141 |
| Provider Name | Richa Verma |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528325974 PECOS PAC ID: 6406198670 Enrollment ID: I20230505000109 |
| Provider Name | Goran Rac |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1104271980 PECOS PAC ID: 3173803749 Enrollment ID: I20230505000666 |
| Provider Name | Brett B Fowler |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1700248481 PECOS PAC ID: 0143515007 Enrollment ID: I20230510002118 |
| Provider Name | Cody L Hoover |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396196622 PECOS PAC ID: 7416243092 Enrollment ID: I20230511000430 |
| Provider Name | Alexis Renee Quint |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003506684 PECOS PAC ID: 0749647188 Enrollment ID: I20230531000685 |
| Provider Name | Emily Estes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972291177 PECOS PAC ID: 1850759341 Enrollment ID: I20230614004208 |
| Provider Name | Zachary Ashmore |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1740785617 PECOS PAC ID: 5890046395 Enrollment ID: I20230615000743 |
| Provider Name | Jonathan Cates |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1023499381 PECOS PAC ID: 2961712062 Enrollment ID: I20230621003147 |
| Provider Name | Sindusha Gudipally |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1942737614 PECOS PAC ID: 7214296797 Enrollment ID: I20230623000479 |
| Provider Name | Whitney Crain Martin |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1578055042 PECOS PAC ID: 0042678716 Enrollment ID: I20230628001378 |
| Provider Name | Jamie Nicole Jones |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639653975 PECOS PAC ID: 6800140666 Enrollment ID: I20230630002539 |
| Provider Name | Jordan Cramer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235706524 PECOS PAC ID: 7810390101 Enrollment ID: I20230703002473 |
| Provider Name | James P Lam |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336716737 PECOS PAC ID: 3274992623 Enrollment ID: I20230704000461 |
| Provider Name | Kaitlyn N Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679270490 PECOS PAC ID: 0244699593 Enrollment ID: I20230705000075 |
| Provider Name | Meghan Heidt-hoppes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740986389 PECOS PAC ID: 4486013372 Enrollment ID: I20230711000600 |
| Provider Name | Amanda Leigh Bilko |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1699207886 PECOS PAC ID: 8921376419 Enrollment ID: I20230717002414 |
| Provider Name | T'sheira West Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790438877 PECOS PAC ID: 7618337049 Enrollment ID: I20230718000829 |
| Provider Name | Arjun Athreya |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275039414 PECOS PAC ID: 1759630023 Enrollment ID: I20230719003559 |
| Provider Name | Jason R Audlin |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1447755921 PECOS PAC ID: 1658618137 Enrollment ID: I20230721003468 |
| Provider Name | Trevor Lloyd Morris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316562838 PECOS PAC ID: 8820484876 Enrollment ID: I20230725001500 |
| Provider Name | Klariz Tucker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790302362 PECOS PAC ID: 9133580079 Enrollment ID: I20230725003288 |
| Provider Name | Karly M Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417631490 PECOS PAC ID: 4183085939 Enrollment ID: I20230726004207 |
| Provider Name | Ryan James Walczak |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1336646405 PECOS PAC ID: 7618338385 Enrollment ID: I20230727000936 |
| Provider Name | Dexter Ezeagwu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790305027 PECOS PAC ID: 5294196788 Enrollment ID: I20230731003751 |
| Provider Name | Kelly Redlinger Garvin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235659640 PECOS PAC ID: 8123393691 Enrollment ID: I20230801000880 |
| Provider Name | Claudette Rawlins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710341532 PECOS PAC ID: 5890078232 Enrollment ID: I20230803000454 |
| Provider Name | Ashlyn Leigh Boyd |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457928335 PECOS PAC ID: 2062873219 Enrollment ID: I20230803002546 |
| Provider Name | Bradley Harrison-seth Quarles |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699341552 PECOS PAC ID: 2769843911 Enrollment ID: I20230803002667 |
| Provider Name | Allyson Kinsman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316356363 PECOS PAC ID: 3274754676 Enrollment ID: I20230804000244 |
| Provider Name | Rachel Parker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396207841 PECOS PAC ID: 8921336330 Enrollment ID: I20230804000965 |
| Provider Name | Ashley Schlafstein |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1104314939 PECOS PAC ID: 0749531317 Enrollment ID: I20230807003686 |
| Provider Name | Timothy Michael Looney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609523380 PECOS PAC ID: 5092199760 Enrollment ID: I20230821001714 |
| Provider Name | Jennifer Gnerlich |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1790872596 PECOS PAC ID: 0042439143 Enrollment ID: I20230821003429 |
| Provider Name | Lakesha Mae Beasley |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194354720 PECOS PAC ID: 6709249527 Enrollment ID: I20230828001242 |
| Provider Name | Eric M Peterson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861806796 PECOS PAC ID: 0042507170 Enrollment ID: I20230829000501 |
| Provider Name | Ayesha Ahmad |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083243893 PECOS PAC ID: 7618330069 Enrollment ID: I20230831003987 |
| Provider Name | Marianne Martin |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841975232 PECOS PAC ID: 4880057249 Enrollment ID: I20230831004609 |
| Provider Name | Gloria Noel Micklinghoff |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447932132 PECOS PAC ID: 3173986338 Enrollment ID: I20230906000698 |
| Provider Name | Krista Potthast Gressette |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720604838 PECOS PAC ID: 4880058023 Enrollment ID: I20230907000036 |
| Provider Name | Devon W Best |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396373841 PECOS PAC ID: 0547624660 Enrollment ID: I20230907003640 |
| Provider Name | Kathryn Hogan Cole |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1407097579 PECOS PAC ID: 6608261979 Enrollment ID: I20230908000065 |
| Provider Name | Nathan Andrew Kerr |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033738950 PECOS PAC ID: 1951765817 Enrollment ID: I20230911002009 |
| Provider Name | Tiffany Nicole Phillips |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912434093 PECOS PAC ID: 5698044527 Enrollment ID: I20231003003570 |
| Provider Name | Alvin Strasburger |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629466453 PECOS PAC ID: 6305104514 Enrollment ID: I20231012001888 |
| Provider Name | Chidimma Kalu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528489770 PECOS PAC ID: 1658689559 Enrollment ID: I20231013003085 |
| Provider Name | Erin R Kennedy Ripley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043737521 PECOS PAC ID: 6901162023 Enrollment ID: I20231019001444 |
| Provider Name | Sydney Homan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598401721 PECOS PAC ID: 1951778588 Enrollment ID: I20231027000737 |
| Provider Name | Alex M Wilson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942620257 PECOS PAC ID: 6507087848 Enrollment ID: I20231101003365 |
| Provider Name | Chelsea Habbick |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083324479 PECOS PAC ID: 6204291347 Enrollment ID: I20231103002086 |
| Provider Name | Abigail Roulston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386341121 PECOS PAC ID: 8123476975 Enrollment ID: I20231205000125 |
| Provider Name | Kimberly Kay Salyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811761893 PECOS PAC ID: 4385093970 Enrollment ID: I20231207002771 |
| Provider Name | Samantha M Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114422821 PECOS PAC ID: 8426300294 Enrollment ID: I20231212001427 |
| Provider Name | Jonathan Leigh Breeden |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962884452 PECOS PAC ID: 9739538653 Enrollment ID: I20231218000503 |
| Provider Name | Nancy P Sarmiento Kluge |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457915837 PECOS PAC ID: 2567857402 Enrollment ID: I20231221000285 |
| Provider Name | Melissa Jade Lucas |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891121083 PECOS PAC ID: 0345475406 Enrollment ID: I20231221001258 |
| Provider Name | Michael David Lucas |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508116054 PECOS PAC ID: 5092960823 Enrollment ID: I20240110002231 |
| Provider Name | Jarvis Jamal Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942825500 PECOS PAC ID: 7517318785 Enrollment ID: I20240111004612 |
| Provider Name | Christopher Wesley Mangieri |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1316234685 PECOS PAC ID: 2264793983 Enrollment ID: I20240126001587 |
| Provider Name | Robert Moore |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1598050064 PECOS PAC ID: 5294972998 Enrollment ID: I20240206000108 |
| Provider Name | Salvatore Parascandola |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619330602 PECOS PAC ID: 3779927868 Enrollment ID: I20240216001319 |
| Provider Name | Marcos Aranda |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1437689411 PECOS PAC ID: 8224490677 Enrollment ID: I20240220001157 |
| Provider Name | Kyle Walch Sherwood |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407376882 PECOS PAC ID: 0547682502 Enrollment ID: I20240223001124 |
| Provider Name | William Joseph Jones |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629841150 PECOS PAC ID: 1254777295 Enrollment ID: I20240312003292 |
| Provider Name | Adrian Johnson Caughman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689442824 PECOS PAC ID: 8426494469 Enrollment ID: I20240312003307 |
| Provider Name | Bruce P Capehart |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821057878 PECOS PAC ID: 7517304322 Enrollment ID: I20240327004262 |
| Provider Name | Aimee Jo Terhark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144421694 PECOS PAC ID: 3779677646 Enrollment ID: I20240401003389 |
| Provider Name | Jessi Ralston Jordan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841904141 PECOS PAC ID: 1052759024 Enrollment ID: I20240410000754 |
| Provider Name | Briemma Wilson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1801654165 PECOS PAC ID: 0244670297 Enrollment ID: I20240424003782 |
| Provider Name | David Redding Kingery |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710446828 PECOS PAC ID: 5799015020 Enrollment ID: I20240424004028 |
| Provider Name | Tammy Renee Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881457125 PECOS PAC ID: 4789024373 Enrollment ID: I20240430001719 |
| Provider Name | Karli C Richards |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1811187446 PECOS PAC ID: 2860568656 Enrollment ID: I20240516000168 |
| Provider Name | Eva Varoqua |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003493792 PECOS PAC ID: 1052753316 Enrollment ID: I20240531002387 |
| Provider Name | Robert M Pallay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275552143 PECOS PAC ID: 8123083664 Enrollment ID: I20240605000043 |
| Provider Name | Rex Benjamin Cabaltica |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942221494 PECOS PAC ID: 7911903984 Enrollment ID: I20240605000389 |
| Provider Name | Ashley Sarah Hutto-gaskins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326896184 PECOS PAC ID: 2567904402 Enrollment ID: I20240607000366 |
Lexington Hospitalists Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2720 Sunset Blvd, West Columbia, SC 29169 Phone: 803-791-2480 Fax: 803-936-4102 | |
Jay M Markowitz Md & Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 Saluda Ridge Ct, West Columbia, SC 29169 Phone: 803-794-3320 Fax: 803-794-3157 | |
Senior Health Associates, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2858 Sunset Blvd, West Columbia, SC 29169 Phone: 803-699-9073 Fax: 866-527-0937 | |
Lexington Weight Management Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2728 Sunset Blvd Ste 303, West Columbia, SC 29169 Phone: 803-936-7505 | |
Intramed Plus Infusion & Medical Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 112 Saluda Ridge Ct Ste 200, West Columbia, SC 29169 Phone: 803-794-0200 Fax: 803-794-0404 | |
Lexington Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 East Medical Lane, West Columbia, SC 29169 Phone: 803-936-7210 Fax: 803-736-8854 | |
Select Physicians Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Still Hopes Dr, West Columbia, SC 29169 Phone: 803-796-6490 |