| Mary Hitchcock Memorial Hospital | |
|
One Medical Center Dr Lebanon NH 03756-0001 | |
| (603) 650-5000 | |
| Not Available |
| Full Name | Mary Hitchcock Memorial Hospital |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | One Medical Center Dr, Lebanon, New Hampshire |
| Authorized Official Name and Position | Daniel P. Jantzen (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 6036505668 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Hitchcock Memorial Hospital Po Box 419112 Boston MA 02241-9112 Ph: (603) 650-5000 | Mary Hitchcock Memorial Hospital One Medical Center Dr Lebanon NH 03756-0001 Ph: (603) 650-5000 |
| NPI Number | 1023092053 |
|---|---|
| Provider Enumeration Date | 12/02/2005 |
| Last Update Date | 08/12/2021 |
| Medicare PECOS PAC ID | 4486561164 |
|---|---|
| Medicare Enrollment ID | O20031126000258 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023092053 | NPI | - | NPPES |
| 0RE2206 | Medicaid | VT | |
| 80300003 | Medicaid | NH | |
| 80300900 | Medicaid | NH | |
| CD9167 | Other | NH | RAILROAD MEDICARE |
| 0300003 | Medicaid | VT | |
| 0300900 | Medicaid | VT | |
| 3076533 | Medicaid | NH | |
| 30005466 | Medicaid | NH | |
| DE1531 | Other | VT | RAILROAD MEDICARE |
| 30011095 | Medicaid | NH | |
| 30210001 | Medicaid | NH |
| Provider Name | E Rebecca Pschirrer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235157025 PECOS PAC ID: 5496668618 Enrollment ID: I20031112000414 |
| Provider Name | Kathleen Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639123763 PECOS PAC ID: 3274437694 Enrollment ID: I20031126000123 |
| Provider Name | Elizabeth A Talbot |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1366465189 PECOS PAC ID: 7416851894 Enrollment ID: I20031126000406 |
| Provider Name | John T Buchanan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437244720 PECOS PAC ID: 6002711892 Enrollment ID: I20031204000765 |
| Provider Name | Barbara B Lazar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972524445 PECOS PAC ID: 5991603953 Enrollment ID: I20031229000655 |
| Provider Name | Catherine Holub Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588635403 PECOS PAC ID: 2961303946 Enrollment ID: I20040114000481 |
| Provider Name | Nicholas J Horangic |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1275625055 PECOS PAC ID: 1254233414 Enrollment ID: I20040127000378 |
| Provider Name | James H Kelly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336119734 PECOS PAC ID: 8224921838 Enrollment ID: I20040206000391 |
| Provider Name | Anne M Silas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609840016 PECOS PAC ID: 4587559828 Enrollment ID: I20040217000273 |
| Provider Name | Robert M Zwolak |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1487664629 PECOS PAC ID: 8527954130 Enrollment ID: I20040223000217 |
| Provider Name | Alan C Hartford |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1912017732 PECOS PAC ID: 6406748938 Enrollment ID: I20040329000442 |
| Provider Name | Joohahn J Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144231457 PECOS PAC ID: 3779475157 Enrollment ID: I20040329001400 |
| Provider Name | Julia F Burdick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336155654 PECOS PAC ID: 4284526674 Enrollment ID: I20040329001510 |
| Provider Name | Eric M Bonnem |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1265426035 PECOS PAC ID: 6103818240 Enrollment ID: I20040331000319 |
| Provider Name | Patricia R Ryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043222599 PECOS PAC ID: 6901898741 Enrollment ID: I20040401000030 |
| Provider Name | Nicole N Varasteh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821019852 PECOS PAC ID: 1355333907 Enrollment ID: I20040401001513 |
| Provider Name | Michele A Vander Heyden |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1376555607 PECOS PAC ID: 8123012614 Enrollment ID: I20040408000788 |
| Provider Name | John D Seigne |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1144242470 PECOS PAC ID: 0042105736 Enrollment ID: I20040412001026 |
| Provider Name | Leah S Mosenthal |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1710915384 PECOS PAC ID: 8123012143 Enrollment ID: I20040413000572 |
| Provider Name | Valerie A Bell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306860242 PECOS PAC ID: 1658365283 Enrollment ID: I20040414001108 |
| Provider Name | Samuel J Casella |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1386650323 PECOS PAC ID: 4587659099 Enrollment ID: I20040415000511 |
| Provider Name | William C Torrey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104994417 PECOS PAC ID: 7416943659 Enrollment ID: I20040422000910 |
| Provider Name | Timothy R Lyons |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1992723704 PECOS PAC ID: 5496656217 Enrollment ID: I20040506000647 |
| Provider Name | Vijaya L Upadrasta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720035975 PECOS PAC ID: 0941291454 Enrollment ID: I20040523000015 |
| Provider Name | Marc A Seltzer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568480770 PECOS PAC ID: 1254313653 Enrollment ID: I20040601000831 |
| Provider Name | Eileen F Granahan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881654200 PECOS PAC ID: 1355324542 Enrollment ID: I20040610000535 |
| Provider Name | Thomas Johnson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467433342 PECOS PAC ID: 9032193354 Enrollment ID: I20040615000920 |
| Provider Name | Andrew R Forauer |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1679592588 PECOS PAC ID: 9133104854 Enrollment ID: I20040618000580 |
| Provider Name | Daniel J Abbis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427068709 PECOS PAC ID: 3870564925 Enrollment ID: I20040803001125 |
| Provider Name | Elisabeth B Haeger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316978232 PECOS PAC ID: 2163325895 Enrollment ID: I20040804000329 |
| Provider Name | Stacey A Abbis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1033229422 PECOS PAC ID: 0840261301 Enrollment ID: I20040805001458 |
| Provider Name | Aruru R Nath |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710930706 PECOS PAC ID: 1557333812 Enrollment ID: I20040809000498 |
| Provider Name | Darla L Thyng |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053332197 PECOS PAC ID: 2567434343 Enrollment ID: I20040811001030 |
| Provider Name | Gregory H Ripple |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1033229703 PECOS PAC ID: 5597739177 Enrollment ID: I20040820000057 |
| Provider Name | Christopher H Lowrey |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1154336964 PECOS PAC ID: 5092789677 Enrollment ID: I20040820000102 |
| Provider Name | Marc Gautier |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1477571297 PECOS PAC ID: 8921072513 Enrollment ID: I20040820000158 |
| Provider Name | Thomas H Davis |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1114013240 PECOS PAC ID: 8921072539 Enrollment ID: I20040820000242 |
| Provider Name | Gary N Schwartz |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1073536504 PECOS PAC ID: 9638143241 Enrollment ID: I20040820000255 |
| Provider Name | Elizabeth M Bengtson |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1437269966 PECOS PAC ID: 8820062441 Enrollment ID: I20040820000318 |
| Provider Name | Mary K. Jankowski |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881806073 PECOS PAC ID: 4385618933 Enrollment ID: I20040824000520 |
| Provider Name | Karen L Schabot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366466062 PECOS PAC ID: 4385618404 Enrollment ID: I20040824001162 |
| Provider Name | Benoit J Gosselin |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1225064629 PECOS PAC ID: 5294700613 Enrollment ID: I20040830000650 |
| Provider Name | Shuwei Liu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770563058 PECOS PAC ID: 9133027782 Enrollment ID: I20040908000913 |
| Provider Name | Lisa M Plotnik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962456160 PECOS PAC ID: 1355319054 Enrollment ID: I20040921000419 |
| Provider Name | Tanya M Luttinger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831112200 PECOS PAC ID: 5597733030 Enrollment ID: I20040922000350 |
| Provider Name | Michael Ormont |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114951753 PECOS PAC ID: 7517926769 Enrollment ID: I20041005000384 |
| Provider Name | Amy Beaupre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376532390 PECOS PAC ID: 8527027382 Enrollment ID: I20041007000134 |
| Provider Name | Adam J Sorscher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942241542 PECOS PAC ID: 2466412796 Enrollment ID: I20041012000917 |
| Provider Name | Stephanie P Yen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770501991 PECOS PAC ID: 1355237215 Enrollment ID: I20041014000227 |
| Provider Name | Stephen L Lee |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154433795 PECOS PAC ID: 7012977663 Enrollment ID: I20041018000638 |
| Provider Name | Michael T Lynch |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922041094 PECOS PAC ID: 3870554397 Enrollment ID: I20041019000778 |
| Provider Name | Marcus S Shaker |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1679686836 PECOS PAC ID: 5597726174 Enrollment ID: I20041026001107 |
| Provider Name | Jacinto P Casio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689691412 PECOS PAC ID: 4486618956 Enrollment ID: I20041115000719 |
| Provider Name | William K Schanlaber |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1619955242 PECOS PAC ID: 4284698473 Enrollment ID: I20041117000540 |
| Provider Name | John M Hill |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1346359361 PECOS PAC ID: 7719942259 Enrollment ID: I20041124000310 |
| Provider Name | Norman B Berman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1356354427 PECOS PAC ID: 6406811843 Enrollment ID: I20041124000331 |
| Provider Name | Bradley A Arrick |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1265453484 PECOS PAC ID: 3375508716 Enrollment ID: I20041124000358 |
| Provider Name | Konstantin H Dragnev |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1306855713 PECOS PAC ID: 6800851254 Enrollment ID: I20041124000386 |
| Provider Name | Daniel Stadler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467479022 PECOS PAC ID: 5991791766 Enrollment ID: I20041129000768 |
| Provider Name | Erin V Pospychala |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1063440642 PECOS PAC ID: 8921063249 Enrollment ID: I20041129000787 |
| Provider Name | Kenneth J Weintraub |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1285643114 PECOS PAC ID: 2668438177 Enrollment ID: I20041207000359 |
| Provider Name | John Mcintyre |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710906227 PECOS PAC ID: 7113917337 Enrollment ID: I20041208000703 |
| Provider Name | Dean Cd Morris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811943442 PECOS PAC ID: 7416913538 Enrollment ID: I20041209000455 |
| Provider Name | Michael J Gilbert |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538176326 PECOS PAC ID: 0749247260 Enrollment ID: I20041216000525 |
| Provider Name | Mary P Mcgowan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528000742 PECOS PAC ID: 8123076197 Enrollment ID: I20050106000189 |
| Provider Name | Laurie A Campbell |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1679589725 PECOS PAC ID: 3870541360 Enrollment ID: I20050111000900 |
| Provider Name | Mellisa Jean Mullen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952477002 PECOS PAC ID: 4183673767 Enrollment ID: I20050120000985 |
| Provider Name | Annika M Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134286198 PECOS PAC ID: 5698725844 Enrollment ID: I20050128000786 |
| Provider Name | Scott C Jaynes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447317490 PECOS PAC ID: 7618927864 Enrollment ID: I20050128000795 |
| Provider Name | Nancy Mcnulty |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124045000 PECOS PAC ID: 8224012778 Enrollment ID: I20050207000230 |
| Provider Name | Delia C Hendrick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679508857 PECOS PAC ID: 3577514462 Enrollment ID: I20050208000919 |
| Provider Name | Daniel P Croitoru |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629086095 PECOS PAC ID: 8224089933 Enrollment ID: I20050209000859 |
| Provider Name | Bryan J Marsh |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1417974304 PECOS PAC ID: 5092768309 Enrollment ID: I20050228000186 |
| Provider Name | Bruce Wayne Andrus |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1760426951 PECOS PAC ID: 9739132655 Enrollment ID: I20050302000789 |
| Provider Name | Michael B Sparks |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1023044930 PECOS PAC ID: 3577517424 Enrollment ID: I20050303000752 |
| Provider Name | Debra A Fournier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427074178 PECOS PAC ID: 4880648070 Enrollment ID: I20050310000427 |
| Provider Name | Scott R Devanny |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1093786972 PECOS PAC ID: 9335194158 Enrollment ID: I20050315000438 |
| Provider Name | Timothy D Scherer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437172228 PECOS PAC ID: 0244285526 Enrollment ID: I20050321000023 |
| Provider Name | Jack T Bueno |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1619990496 PECOS PAC ID: 3870548167 Enrollment ID: I20050321000035 |
| Provider Name | Kenneth R Meehan |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1659469377 PECOS PAC ID: 8628023868 Enrollment ID: I20050321000537 |
| Provider Name | John B Moeschler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447362819 PECOS PAC ID: 3971540113 Enrollment ID: I20050411000131 |
| Provider Name | Brooke G Judd |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1255409744 PECOS PAC ID: 4880632306 Enrollment ID: I20050425000287 |
| Provider Name | Charles T Cappetta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730193897 PECOS PAC ID: 3678513017 Enrollment ID: I20050505000340 |
| Provider Name | Anna L Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205901782 PECOS PAC ID: 4688614886 Enrollment ID: I20050506000513 |
| Provider Name | Deborah Ann Upton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134156805 PECOS PAC ID: 4981644762 Enrollment ID: I20050511000508 |
| Provider Name | Richard A Zuckerman |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1891807541 PECOS PAC ID: 3678514098 Enrollment ID: I20050517000023 |
| Provider Name | Barbara C Jobst |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790876696 PECOS PAC ID: 2961443064 Enrollment ID: I20050519000097 |
| Provider Name | Laurie Foster |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1275580847 PECOS PAC ID: 5193767580 Enrollment ID: I20050525001051 |
| Provider Name | Edward J Farmlett |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427047695 PECOS PAC ID: 8325015696 Enrollment ID: I20050602000166 |
| Provider Name | Gerald Gehr |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1114903309 PECOS PAC ID: 7315980190 Enrollment ID: I20050602000648 |
| Provider Name | Susan C Brighton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528140324 PECOS PAC ID: 7315980919 Enrollment ID: I20050606000167 |
| Provider Name | Eric K Hoffer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114946597 PECOS PAC ID: 0042253247 Enrollment ID: I20050608000842 |
| Provider Name | Peter David Solberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619901071 PECOS PAC ID: 9335125756 Enrollment ID: I20050613001096 |
| Provider Name | James L Bernat |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326006180 PECOS PAC ID: 4880638279 Enrollment ID: I20050616000441 |
| Provider Name | Susan P Danna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467415661 PECOS PAC ID: 3971568031 Enrollment ID: I20050623000348 |
| Provider Name | Elizabeth A Kimtis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538278130 PECOS PAC ID: 3274578802 Enrollment ID: I20050624000077 |
| Provider Name | Lin A Brown |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1366463861 PECOS PAC ID: 0941245419 Enrollment ID: I20050624000482 |
| Provider Name | Nancy S Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437132941 PECOS PAC ID: 6800831181 Enrollment ID: I20050627001234 |
| Provider Name | Bruce J Friedman |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1679662423 PECOS PAC ID: 3173569381 Enrollment ID: I20050628000967 |
| Provider Name | Kim Marie Keaton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417964784 PECOS PAC ID: 4486690625 Enrollment ID: I20050628001198 |
| Provider Name | Anna D Schaal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871517524 PECOS PAC ID: 6800832924 Enrollment ID: I20050629000506 |
| Provider Name | Jill M Rockwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205870664 PECOS PAC ID: 0749226876 Enrollment ID: I20050629000560 |
| Provider Name | Stephen K Liu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578507141 PECOS PAC ID: 5395781199 Enrollment ID: I20050701000394 |
| Provider Name | Maura R Jones |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1922109883 PECOS PAC ID: 1254377922 Enrollment ID: I20050705000016 |
| Provider Name | Filomena I Kersey |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1316045628 PECOS PAC ID: 7416993191 Enrollment ID: I20050705000152 |
| Provider Name | Jennifer D Letendre |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1801961438 PECOS PAC ID: 7618913302 Enrollment ID: I20050705000242 |
| Provider Name | Lisa A Stephens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144261678 PECOS PAC ID: 9436195047 Enrollment ID: I20050706000198 |
| Provider Name | Ellen H Eisenberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598793606 PECOS PAC ID: 2466400403 Enrollment ID: I20050712001170 |
| Provider Name | Kevin Y Rivera Colon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003889759 PECOS PAC ID: 8628038478 Enrollment ID: I20050714000414 |
| Provider Name | Prasanna V Gulur |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1164443750 PECOS PAC ID: 0547297871 Enrollment ID: I20050719000624 |
| Provider Name | Corey A Siegel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1699798322 PECOS PAC ID: 7113954892 Enrollment ID: I20050725000669 |
| Provider Name | Daniel S Moran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033158571 PECOS PAC ID: 8527095215 Enrollment ID: I20050725000781 |
| Provider Name | Mitchell R Young |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770522880 PECOS PAC ID: 8820025471 Enrollment ID: I20050726000038 |
| Provider Name | Jennifer Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184657801 PECOS PAC ID: 3274517545 Enrollment ID: I20050726000228 |
| Provider Name | John T Nutting |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1982632840 PECOS PAC ID: 5597793018 Enrollment ID: I20050727000205 |
| Provider Name | Kurt K Rhynhart |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1770685539 PECOS PAC ID: 3375571805 Enrollment ID: I20050727000244 |
| Provider Name | Richard J Comi |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1073528758 PECOS PAC ID: 7315975851 Enrollment ID: I20050727000371 |
| Provider Name | Nancy J Vanvranken |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003823865 PECOS PAC ID: 2860420726 Enrollment ID: I20050801001180 |
| Provider Name | Andrew Ryan Spector |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1750367884 PECOS PAC ID: 1557399300 Enrollment ID: I20050802000644 |
| Provider Name | Tessa J Lafortune Greenberg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265413942 PECOS PAC ID: 6002845518 Enrollment ID: I20050804001089 |
| Provider Name | Michael E Ritondo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215956693 PECOS PAC ID: 1951330877 Enrollment ID: I20050810000789 |
| Provider Name | Susanne E Tanski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730191024 PECOS PAC ID: 6709816424 Enrollment ID: I20050812000609 |
| Provider Name | Christopher C Braga |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851327704 PECOS PAC ID: 8426032566 Enrollment ID: I20050818000810 |
| Provider Name | Joseph E. Lowne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205874211 PECOS PAC ID: 0547292054 Enrollment ID: I20050906000849 |
| Provider Name | Heather L Feltmate |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972513810 PECOS PAC ID: 0042243800 Enrollment ID: I20050913001027 |
| Provider Name | Heather L Marks |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568481398 PECOS PAC ID: 9830124098 Enrollment ID: I20050927001183 |
| Provider Name | Jerome T Schlachter |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427005362 PECOS PAC ID: 3678508421 Enrollment ID: I20050929000796 |
| Provider Name | Christopher M Burns |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1588744718 PECOS PAC ID: 9739114315 Enrollment ID: I20051003000399 |
| Provider Name | Nathaniel W Niles |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1134172471 PECOS PAC ID: 7012932569 Enrollment ID: I20051013000321 |
| Provider Name | Thomas N Ward |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1811955263 PECOS PAC ID: 7719902279 Enrollment ID: I20051013000411 |
| Provider Name | Robert S Crandall |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790794345 PECOS PAC ID: 0345265807 Enrollment ID: I20051013000417 |
| Provider Name | Donald A West |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356419659 PECOS PAC ID: 3072538545 Enrollment ID: I20051013000489 |
| Provider Name | Rocco R Addante |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1922100379 PECOS PAC ID: 7618992108 Enrollment ID: I20051013000626 |
| Provider Name | Debra L Birenbaum |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306867973 PECOS PAC ID: 9739104142 Enrollment ID: I20051013000822 |
| Provider Name | David W Nierenberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275558645 PECOS PAC ID: 5496770877 Enrollment ID: I20051014000213 |
| Provider Name | Charles F Carr |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1508896176 PECOS PAC ID: 2466477849 Enrollment ID: I20051014000248 |
| Provider Name | John H Turco |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1134143969 PECOS PAC ID: 0345265732 Enrollment ID: I20051014000281 |
| Provider Name | Kenneth M. Dolkart |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1295832616 PECOS PAC ID: 3375569213 Enrollment ID: I20051019001045 |
| Provider Name | Thomas M Astolfi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689650665 PECOS PAC ID: 9830115534 Enrollment ID: I20051021000494 |
| Provider Name | Margaret L Wiegand |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821051715 PECOS PAC ID: 7113943739 Enrollment ID: I20051021000654 |
| Provider Name | Rebecca Neal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669400867 PECOS PAC ID: 7911923594 Enrollment ID: I20051022000212 |
| Provider Name | Jeffrey Parsonnet |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1114948361 PECOS PAC ID: 3274550769 Enrollment ID: I20051024000943 |
| Provider Name | Harold L Manning |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1578579538 PECOS PAC ID: 0840217352 Enrollment ID: I20051024001108 |
| Provider Name | Maria Stella Mchugh |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1275559932 PECOS PAC ID: 6103843453 Enrollment ID: I20051026001085 |
| Provider Name | Lawrence J Dacey |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1447296330 PECOS PAC ID: 0547160723 Enrollment ID: I20051026001151 |
| Provider Name | James H Dolan |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1942231568 PECOS PAC ID: 1153348099 Enrollment ID: I20051029000086 |
| Provider Name | Sean C Frost |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1457375248 PECOS PAC ID: 5890751754 Enrollment ID: I20051031000735 |
| Provider Name | Jocelyn D Chertoff |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326072539 PECOS PAC ID: 9335167717 Enrollment ID: I20051103000890 |
| Provider Name | Elijah W Stommel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700813789 PECOS PAC ID: 9032137419 Enrollment ID: I20051103000919 |
| Provider Name | Vijay M Thadani |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306959911 PECOS PAC ID: 8426076886 Enrollment ID: I20051104000241 |
| Provider Name | Stuart R Gordon |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1992711469 PECOS PAC ID: 5395763668 Enrollment ID: I20051104000352 |
| Provider Name | Emily R Baker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275556011 PECOS PAC ID: 9931127271 Enrollment ID: I20051105000044 |
| Provider Name | Marc Cendron |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1679550008 PECOS PAC ID: 4082658398 Enrollment ID: I20051105000056 |
| Provider Name | Jon W Wahrenberger |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1356388037 PECOS PAC ID: 8820016165 Enrollment ID: I20051105000068 |
| Provider Name | Marilyn O Howard |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1457392706 PECOS PAC ID: 3274551510 Enrollment ID: I20051105000075 |
| Provider Name | Laura Anne Flashman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730131707 PECOS PAC ID: 4385662634 Enrollment ID: I20051105000154 |
| Provider Name | John E Jayne |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1336180884 PECOS PAC ID: 6800814153 Enrollment ID: I20051105000195 |
| Provider Name | Douglas W Goodwin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548288558 PECOS PAC ID: 2264450519 Enrollment ID: I20051105000201 |
| Provider Name | John H Yost |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1083635379 PECOS PAC ID: 3870511025 Enrollment ID: I20051105000229 |
| Provider Name | Perry A Ball |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1144322371 PECOS PAC ID: 2961420161 Enrollment ID: I20051107000289 |
| Provider Name | George T Blike |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1477631893 PECOS PAC ID: 8224056437 Enrollment ID: I20051107000305 |
| Provider Name | James E Snyder |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1811965379 PECOS PAC ID: 8022036250 Enrollment ID: I20051107000561 |
| Provider Name | Elaine M Silverman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922035666 PECOS PAC ID: 4183642317 Enrollment ID: I20051107000578 |
| Provider Name | Janette Seville |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699843912 PECOS PAC ID: 1254359482 Enrollment ID: I20051107000601 |
| Provider Name | William Bihrle |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1437168770 PECOS PAC ID: 5597799866 Enrollment ID: I20051108000055 |
| Provider Name | Alan H Siegel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881613719 PECOS PAC ID: 7113945221 Enrollment ID: I20051108000109 |
| Provider Name | Jeanne M Johnson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194702662 PECOS PAC ID: 4183642291 Enrollment ID: I20051108000123 |
| Provider Name | Joseph M Rosen |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1912015215 PECOS PAC ID: 0345268355 Enrollment ID: I20051108001070 |
| Provider Name | Rosalind A Stevens |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1538272893 PECOS PAC ID: 3678591500 Enrollment ID: I20051109000141 |
| Provider Name | David S Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053575779 PECOS PAC ID: 5294753133 Enrollment ID: I20051109000269 |
| Provider Name | Kevin Kerin |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1548371263 PECOS PAC ID: 6901825108 Enrollment ID: I20051116001055 |
| Provider Name | Anthony W Discipio |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1063440253 PECOS PAC ID: 0547289746 Enrollment ID: I20051116001057 |
| Provider Name | Karen B Hewitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255377784 PECOS PAC ID: 2668491440 Enrollment ID: I20051122000484 |
| Provider Name | Kristine A Karlson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154340073 PECOS PAC ID: 9234150129 Enrollment ID: I20051207000424 |
| Provider Name | Carolyn L Kerrigan |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1073532636 PECOS PAC ID: 0446271373 Enrollment ID: I20051207000734 |
| Provider Name | Paul S Austin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740285980 PECOS PAC ID: 9032130968 Enrollment ID: I20051207000770 |
| Provider Name | Lynette J Margesson |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1528057940 PECOS PAC ID: 1153342092 Enrollment ID: I20051207000838 |
| Provider Name | Michael C Chobanian |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1457428013 PECOS PAC ID: 6406877356 Enrollment ID: I20051207000862 |
| Provider Name | Harley P Friedman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619922010 PECOS PAC ID: 3375564230 Enrollment ID: I20051207000969 |
| Provider Name | Phillip P Fichera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790761773 PECOS PAC ID: 7517988314 Enrollment ID: I20051208000218 |
| Provider Name | Heather A Wishart |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1104994680 PECOS PAC ID: 4789605387 Enrollment ID: I20051212000107 |
| Provider Name | Richard J Barth |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700974672 PECOS PAC ID: 9931120573 Enrollment ID: I20051212000434 |
| Provider Name | John M Gemery |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1811921836 PECOS PAC ID: 1658392139 Enrollment ID: I20051212000796 |
| Provider Name | Michelle A Russell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699782979 PECOS PAC ID: 9537180906 Enrollment ID: I20051213000499 |
| Provider Name | Janet Perkins - Howland |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124057278 PECOS PAC ID: 8527089770 Enrollment ID: I20051215000162 |
| Provider Name | Joerg Rathmann |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1568465532 PECOS PAC ID: 5991726960 Enrollment ID: I20051219000328 |
| Provider Name | Rick D Phelps |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1518943315 PECOS PAC ID: 7012939010 Enrollment ID: I20051219000644 |
| Provider Name | Jonathan D Lurie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912093121 PECOS PAC ID: 7810919792 Enrollment ID: I20051220000301 |
| Provider Name | Judith E Olson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194786327 PECOS PAC ID: 0840212627 Enrollment ID: I20051221000189 |
| Provider Name | Roshini C Pinto Powell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336166172 PECOS PAC ID: 9739101411 Enrollment ID: I20051221000866 |
| Provider Name | David D Court |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1093721169 PECOS PAC ID: 3577585223 Enrollment ID: I20051222000405 |
| Provider Name | Glen P Greenough |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538237839 PECOS PAC ID: 6305868936 Enrollment ID: I20051227000073 |
| Provider Name | Jonathan B Thyng |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902820921 PECOS PAC ID: 2769404243 Enrollment ID: I20051227000565 |
| Provider Name | Jennifer T Jones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356379176 PECOS PAC ID: 2769404250 Enrollment ID: I20051227000572 |
| Provider Name | Theresa M Oliveira |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306865977 PECOS PAC ID: 5193747681 Enrollment ID: I20051227000588 |
| Provider Name | Nina Sand Loud |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942364120 PECOS PAC ID: 8022085596 Enrollment ID: I20051227000622 |
| Provider Name | Kathryn A Zug |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1225126659 PECOS PAC ID: 8921020447 Enrollment ID: I20051228000201 |
| Provider Name | Keith J Mcavoy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1811927445 PECOS PAC ID: 8921020314 Enrollment ID: I20051229000104 |
| Provider Name | Brian D Remillard |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1124059829 PECOS PAC ID: 3375563570 Enrollment ID: I20060103000193 |
| Provider Name | Patricia B Kegel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942217369 PECOS PAC ID: 2860414059 Enrollment ID: I20060103000217 |
| Provider Name | Cecilia L Clemans |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801866991 PECOS PAC ID: 8426071085 Enrollment ID: I20060110000195 |
| Provider Name | Daniel Mazza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124102389 PECOS PAC ID: 9830112432 Enrollment ID: I20060110000551 |
| Provider Name | Nancy J Pariser |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306844873 PECOS PAC ID: 1456374065 Enrollment ID: I20060110000679 |
| Provider Name | Jasmine A Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396758827 PECOS PAC ID: 2961425400 Enrollment ID: I20060110000983 |
| Provider Name | Kathryn B Kirkland |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1851300289 PECOS PAC ID: 2365465788 Enrollment ID: I20060111000556 |
| Provider Name | Phat C Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881636777 PECOS PAC ID: 8628091055 Enrollment ID: I20060111000570 |
| Provider Name | Jay C Buckey |
|---|---|
| Provider Type | Practitioner - Undersea And Hyperbaric Medicine |
| Provider Identifiers | NPI Number: 1639289168 PECOS PAC ID: 1153344460 Enrollment ID: I20060112000129 |
| Provider Name | Kris Strohbehn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023037538 PECOS PAC ID: 0446273767 Enrollment ID: I20060112000202 |
| Provider Name | Paul H Kispert |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730257494 PECOS PAC ID: 2668495888 Enrollment ID: I20060113000062 |
| Provider Name | Chung Hwa Yi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902822083 PECOS PAC ID: 3779506944 Enrollment ID: I20060113000389 |
| Provider Name | Maureen T Quigley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205869591 PECOS PAC ID: 0143243337 Enrollment ID: I20060113000600 |
| Provider Name | Jeffrey A Cohen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1457319667 PECOS PAC ID: 7517981608 Enrollment ID: I20060117000079 |
| Provider Name | M Brooke Herndon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982633608 PECOS PAC ID: 5193749265 Enrollment ID: I20060117000794 |
| Provider Name | Colleen M Olson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174535272 PECOS PAC ID: 5395769376 Enrollment ID: I20060117000976 |
| Provider Name | Ashish C Chaudhari |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396811279 PECOS PAC ID: 9133143142 Enrollment ID: I20060117001206 |
| Provider Name | Elizabeth C Todd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477570240 PECOS PAC ID: 4183648082 Enrollment ID: I20060118000778 |
| Provider Name | Maria S Velazquez-evans |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265459085 PECOS PAC ID: 7810911617 Enrollment ID: I20060119000599 |
| Provider Name | Thadeus L Trus |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1093826679 PECOS PAC ID: 6800810607 Enrollment ID: I20060119000608 |
| Provider Name | Angela L Nelson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1487667499 PECOS PAC ID: 8426072224 Enrollment ID: I20060119000623 |
| Provider Name | Carl R Szot |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1962552745 PECOS PAC ID: 2668496365 Enrollment ID: I20060120000594 |
| Provider Name | Mary Beth P Dinulos |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629183686 PECOS PAC ID: 4385668920 Enrollment ID: I20060123000030 |
| Provider Name | Cecilia W Stuopis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619982493 PECOS PAC ID: 4688698244 Enrollment ID: I20060123000154 |
| Provider Name | Denise E Youssef |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083636989 PECOS PAC ID: 6305860891 Enrollment ID: I20060124000228 |
| Provider Name | Nathan E Simmons |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1972529121 PECOS PAC ID: 4183648678 Enrollment ID: I20060124000265 |
| Provider Name | Roberta M Diflorio Alexander |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639191752 PECOS PAC ID: 0244254555 Enrollment ID: I20060125000248 |
| Provider Name | Louise P Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265469985 PECOS PAC ID: 2860416120 Enrollment ID: I20060125000639 |
| Provider Name | Janet L Cobb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699702779 PECOS PAC ID: 0547284812 Enrollment ID: I20060125000766 |
| Provider Name | Sharene K Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255357471 PECOS PAC ID: 6901810191 Enrollment ID: I20060126000515 |
| Provider Name | Nancy A Yazinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316953151 PECOS PAC ID: 7315951241 Enrollment ID: I20060131000448 |
| Provider Name | Virginia L Alvord |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225012420 PECOS PAC ID: 8224042072 Enrollment ID: I20060131000734 |
| Provider Name | Alan T Kono |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1821104803 PECOS PAC ID: 3971563156 Enrollment ID: I20060202000636 |
| Provider Name | Julia M Stauble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033284120 PECOS PAC ID: 0648284208 Enrollment ID: I20060202000693 |
| Provider Name | Jeffrey M Zimmerman |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1679579023 PECOS PAC ID: 6507870094 Enrollment ID: I20060206000031 |
| Provider Name | Sharon E Bry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093728446 PECOS PAC ID: 4587616941 Enrollment ID: I20060207000540 |
| Provider Name | Tracia L Oshana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811905458 PECOS PAC ID: 2264447648 Enrollment ID: I20060207000828 |
| Provider Name | Debra L Lloyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487674495 PECOS PAC ID: 7517972896 Enrollment ID: I20060207000854 |
| Provider Name | Ellen M Mckinnon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336221795 PECOS PAC ID: 9032124318 Enrollment ID: I20060207000885 |
| Provider Name | Karen A Skalla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356435929 PECOS PAC ID: 8123079738 Enrollment ID: I20060208000171 |
| Provider Name | Marc A Hofley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265470918 PECOS PAC ID: 9830104744 Enrollment ID: I20060214000588 |
| Provider Name | Pamela M Hofley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508804253 PECOS PAC ID: 3971518887 Enrollment ID: I20060214000609 |
| Provider Name | Mark T Hansberry |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417993262 PECOS PAC ID: 6002821923 Enrollment ID: I20060214000655 |
| Provider Name | Amanda J Spiro |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356384515 PECOS PAC ID: 4385659119 Enrollment ID: I20060215000083 |
| Provider Name | Timothy Gardner |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1851387229 PECOS PAC ID: 2163437906 Enrollment ID: I20060215000145 |
| Provider Name | Joanne F. Wagner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922316223 PECOS PAC ID: 0143236364 Enrollment ID: I20060227000066 |
| Provider Name | William S Laycock |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1639101181 PECOS PAC ID: 1456367523 Enrollment ID: I20060227000420 |
| Provider Name | Steven P Bensen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1427071596 PECOS PAC ID: 0941216014 Enrollment ID: I20060227000459 |
| Provider Name | Craig L Donnelly |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689742991 PECOS PAC ID: 6103832274 Enrollment ID: I20060227000473 |
| Provider Name | Petra J Lewis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598780405 PECOS PAC ID: 2567485345 Enrollment ID: I20060227000526 |
| Provider Name | Shirley V Galucki |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114964517 PECOS PAC ID: 0244246189 Enrollment ID: I20060301000410 |
| Provider Name | Kelly A Kieffer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740224443 PECOS PAC ID: 6103832068 Enrollment ID: I20060301000554 |
| Provider Name | Clay A Block |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1962593608 PECOS PAC ID: 6709892664 Enrollment ID: I20060301000579 |
| Provider Name | Sarah G Johansen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073546586 PECOS PAC ID: 4789690678 Enrollment ID: I20060302000032 |
| Provider Name | Jeffrey R Harnsberger |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1033135967 PECOS PAC ID: 5496761397 Enrollment ID: I20060302000047 |
| Provider Name | Lisa A Mistler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689604902 PECOS PAC ID: 4981610607 Enrollment ID: I20060303000369 |
| Provider Name | Stewart I Levenson |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1336105246 PECOS PAC ID: 2860408424 Enrollment ID: I20060306000755 |
| Provider Name | Judith A Austin Strohbehn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053337667 PECOS PAC ID: 8022024611 Enrollment ID: I20060307000196 |
| Provider Name | Elizabeth Ann Gormley |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1457465189 PECOS PAC ID: 1850308461 Enrollment ID: I20060307000430 |
| Provider Name | Fabrice P Brenot |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1003858457 PECOS PAC ID: 3173530714 Enrollment ID: I20060307000649 |
| Provider Name | John R Hollister |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831200617 PECOS PAC ID: 2264449800 Enrollment ID: I20060307000656 |
| Provider Name | Clifford J Eskey |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1134193030 PECOS PAC ID: 0042289100 Enrollment ID: I20060308000480 |
| Provider Name | Elaine L Fleming |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073549580 PECOS PAC ID: 9032126560 Enrollment ID: I20060308000582 |
| Provider Name | Paul R Steiner |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1386607968 PECOS PAC ID: 8022004126 Enrollment ID: I20060308000673 |
| Provider Name | Oliver P Herfort |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497774848 PECOS PAC ID: 6103833678 Enrollment ID: I20060309000071 |
| Provider Name | Marlene A Santiago |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1689600116 PECOS PAC ID: 7911914486 Enrollment ID: I20060309000082 |
| Provider Name | Salvatore P Costa |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1194761437 PECOS PAC ID: 1850308230 Enrollment ID: I20060309000241 |
| Provider Name | Thomas M Kaneko |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1851343859 PECOS PAC ID: 2466469846 Enrollment ID: I20060309000269 |
| Provider Name | Armin Helisch |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104921816 PECOS PAC ID: 2365459757 Enrollment ID: I20060309000292 |
| Provider Name | Tina C Foster |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295754661 PECOS PAC ID: 1153338439 Enrollment ID: I20060310000406 |
| Provider Name | Julie A Johnson |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1518980309 PECOS PAC ID: 4486661642 Enrollment ID: I20060313000456 |
| Provider Name | Kathryn C Hoyt |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1851304935 PECOS PAC ID: 7214944404 Enrollment ID: I20060313000703 |
| Provider Name | Donald M Miller |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1942216072 PECOS PAC ID: 5496762619 Enrollment ID: I20060314000161 |
| Provider Name | Gerard A Dillon |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750398293 PECOS PAC ID: 0547277782 Enrollment ID: I20060314000390 |
| Provider Name | Ellen M Senna Martin |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1144243742 PECOS PAC ID: 9032126107 Enrollment ID: I20060314000728 |
| Provider Name | Alison V Holmes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932163235 PECOS PAC ID: 2264405422 Enrollment ID: I20060317000337 |
| Provider Name | Charles D Brackett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720014467 PECOS PAC ID: 0345287496 Enrollment ID: I20060320000610 |
| Provider Name | Lionel D Lewis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992818413 PECOS PAC ID: 5496763088 Enrollment ID: I20060323000246 |
| Provider Name | Therese J Vaccaro |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235155532 PECOS PAC ID: 2163430786 Enrollment ID: I20060323000441 |
| Provider Name | Eric B Miller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336134550 PECOS PAC ID: 3779591243 Enrollment ID: I20060324000073 |
| Provider Name | Arifa Toor |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1528081858 PECOS PAC ID: 4587672563 Enrollment ID: I20060403000290 |
| Provider Name | Julie A Buelte |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1891712857 PECOS PAC ID: 3971512310 Enrollment ID: I20060413000194 |
| Provider Name | Maria D Padin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699796532 PECOS PAC ID: 1557371697 Enrollment ID: I20060503000465 |
| Provider Name | Rima E Downs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952387284 PECOS PAC ID: 8426069022 Enrollment ID: I20060510000593 |
| Provider Name | Michael E Zegans |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1356351647 PECOS PAC ID: 0446261986 Enrollment ID: I20060511000206 |
| Provider Name | Suzanne Shipman |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1013969005 PECOS PAC ID: 4880604636 Enrollment ID: I20060602000136 |
| Provider Name | Rihan Khan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487607990 PECOS PAC ID: 2961414800 Enrollment ID: I20060615000093 |
| Provider Name | Elizabeth W Dann |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912956624 PECOS PAC ID: 0244242196 Enrollment ID: I20060615000162 |
| Provider Name | Marie Claude D Bettencourt |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1477583250 PECOS PAC ID: 7618927203 Enrollment ID: I20060802000145 |
| Provider Name | Irene O Hou |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1891724589 PECOS PAC ID: 2264435114 Enrollment ID: I20060814000313 |
| Provider Name | Nicole C Pace |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1306879804 PECOS PAC ID: 9133122443 Enrollment ID: I20060815000156 |
| Provider Name | Mark C Smith |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1386668135 PECOS PAC ID: 9931102720 Enrollment ID: I20060816000593 |
| Provider Name | James T Devries |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1225088826 PECOS PAC ID: 6709889504 Enrollment ID: I20060817000092 |
| Provider Name | Anna M Zielinska |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942239215 PECOS PAC ID: 5799788352 Enrollment ID: I20060821000381 |
| Provider Name | Deborah M Enegess |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093751554 PECOS PAC ID: 7214931641 Enrollment ID: I20060828000078 |
| Provider Name | John-erik Bell |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1326084591 PECOS PAC ID: 2860496122 Enrollment ID: I20060830000015 |
| Provider Name | David Hou |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629015409 PECOS PAC ID: 3375547649 Enrollment ID: I20060830000141 |
| Provider Name | Denise M Aaron |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1598775710 PECOS PAC ID: 4880699099 Enrollment ID: I20060921000524 |
| Provider Name | Sean D Bears |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1013968486 PECOS PAC ID: 1355330127 Enrollment ID: I20061004000472 |
| Provider Name | Anna K Fariss |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1982713913 PECOS PAC ID: 7214928647 Enrollment ID: I20061016000482 |
| Provider Name | Kari M Rosenkranz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1326156761 PECOS PAC ID: 6406874957 Enrollment ID: I20061113000490 |
| Provider Name | Daniel A Albert |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1386670636 PECOS PAC ID: 9931148731 Enrollment ID: I20061227000104 |
| Provider Name | Hongbao Ma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720092232 PECOS PAC ID: 2860492303 Enrollment ID: I20070105000301 |
| Provider Name | Maria C C Dragnev |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952481178 PECOS PAC ID: 5698772788 Enrollment ID: I20070117000464 |
| Provider Name | Matthew L Curley |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1992737191 PECOS PAC ID: 0941207732 Enrollment ID: I20070125000038 |
| Provider Name | Rakesh Veerareddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386791077 PECOS PAC ID: 9537160759 Enrollment ID: I20070130000524 |
| Provider Name | Louise Davies |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1750301651 PECOS PAC ID: 3971505751 Enrollment ID: I20070207000381 |
| Provider Name | Lisa C Pastel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477669422 PECOS PAC ID: 7719089994 Enrollment ID: I20070219000095 |
| Provider Name | Ann M Pitts |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417007410 PECOS PAC ID: 1456453919 Enrollment ID: I20070301000385 |
| Provider Name | Julie Kim |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518970821 PECOS PAC ID: 7416050398 Enrollment ID: I20070314000144 |
| Provider Name | Ashok Reddy |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1639162852 PECOS PAC ID: 4082639083 Enrollment ID: I20070403000251 |
| Provider Name | Bianca J Lang |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1912962481 PECOS PAC ID: 2062475320 Enrollment ID: I20070521000379 |
| Provider Name | David A Pastel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609971852 PECOS PAC ID: 9436257680 Enrollment ID: I20070612000160 |
| Provider Name | Melissa A Duxbury |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053492231 PECOS PAC ID: 5092814970 Enrollment ID: I20070618000253 |
| Provider Name | Brenda J Lawrence |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134243827 PECOS PAC ID: 6507965621 Enrollment ID: I20070629000460 |
| Provider Name | Lisa A Chartier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578775763 PECOS PAC ID: 2365541497 Enrollment ID: I20070629000516 |
| Provider Name | Lance G Warhold |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1073597100 PECOS PAC ID: 9739127937 Enrollment ID: I20070724000216 |
| Provider Name | Richard I Enelow |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1568429561 PECOS PAC ID: 5890703235 Enrollment ID: I20070724000219 |
| Provider Name | Timothy J Fisher |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871563718 PECOS PAC ID: 6507957420 Enrollment ID: I20070807000649 |
| Provider Name | Mary D Chamberlin |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1841302593 PECOS PAC ID: 7214834480 Enrollment ID: I20070809000181 |
| Provider Name | Kathleen M Collins |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730287459 PECOS PAC ID: 7719078450 Enrollment ID: I20070809000187 |
| Provider Name | Christian P Wilke |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700949443 PECOS PAC ID: 1658462205 Enrollment ID: I20070810000331 |
| Provider Name | William J Tanski |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1568564524 PECOS PAC ID: 4880785450 Enrollment ID: I20070810000570 |
| Provider Name | April A Larson |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1659446946 PECOS PAC ID: 0749372076 Enrollment ID: I20070816000423 |
| Provider Name | Cheri C Mather |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225028574 PECOS PAC ID: 0840187993 Enrollment ID: I20070822001328 |
| Provider Name | Rajbir S Sangha |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1417041831 PECOS PAC ID: 4385736180 Enrollment ID: I20070824000350 |
| Provider Name | Brian J Krawitt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316042666 PECOS PAC ID: 5799878294 Enrollment ID: I20070829000373 |
| Provider Name | Timothy A Beaver |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1225084619 PECOS PAC ID: 4789618059 Enrollment ID: I20070911000027 |
| Provider Name | Joseph P Desimone |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1528118643 PECOS PAC ID: 4880788181 Enrollment ID: I20070918000144 |
| Provider Name | Boris Bronfine |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528036522 PECOS PAC ID: 4486749009 Enrollment ID: I20070927000470 |
| Provider Name | Chun Rui Ray Zhao |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1760432850 PECOS PAC ID: 7113987447 Enrollment ID: I20071001000680 |
| Provider Name | Sidney M Poret |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679684096 PECOS PAC ID: 2668566993 Enrollment ID: I20071012000646 |
| Provider Name | Patricia Q Clerkin |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1497858047 PECOS PAC ID: 3577659796 Enrollment ID: I20071019000223 |
| Provider Name | David H Stone |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1083605117 PECOS PAC ID: 5991706624 Enrollment ID: I20071025000202 |
| Provider Name | Mitsuo Matsuoka |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1346449667 PECOS PAC ID: 2264529148 Enrollment ID: I20071025000290 |
| Provider Name | Kerry L Pendak |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1538353891 PECOS PAC ID: 1557458262 Enrollment ID: I20071027000032 |
| Provider Name | Susan E Krasner |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1043370950 PECOS PAC ID: 2860580800 Enrollment ID: I20071108000657 |
| Provider Name | Kimberly M Mckean |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184633729 PECOS PAC ID: 2163327289 Enrollment ID: I20071204000622 |
| Provider Name | Jessica E Densmore |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1063617389 PECOS PAC ID: 5991894412 Enrollment ID: I20071207000339 |
| Provider Name | Mary M Gheen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447346903 PECOS PAC ID: 0345330080 Enrollment ID: I20071218000166 |
| Provider Name | Kathleen M Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285826677 PECOS PAC ID: 8022108406 Enrollment ID: I20071221000462 |
| Provider Name | Vincent Baguinguito Garcia |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205860913 PECOS PAC ID: 3274546551 Enrollment ID: I20071226000038 |
| Provider Name | Loyd A West |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1356311443 PECOS PAC ID: 7618057910 Enrollment ID: I20071227000328 |
| Provider Name | Nadia H Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679763536 PECOS PAC ID: 5092895284 Enrollment ID: I20071228000397 |
| Provider Name | Stacey A Kopp |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316936503 PECOS PAC ID: 8628011509 Enrollment ID: I20071228000435 |
| Provider Name | Janette L Stender |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285817221 PECOS PAC ID: 1052493822 Enrollment ID: I20080201000120 |
| Provider Name | Alicia M Przydzielski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124208665 PECOS PAC ID: 1052494564 Enrollment ID: I20080207000017 |
| Provider Name | Asma Ahmed |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1972788073 PECOS PAC ID: 1456435858 Enrollment ID: I20080225000112 |
| Provider Name | Amanda R Hitchings |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669655437 PECOS PAC ID: 3476637299 Enrollment ID: I20080303000520 |
| Provider Name | James E Saunders |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1407824535 PECOS PAC ID: 8022024330 Enrollment ID: I20080305000553 |
| Provider Name | Janine R Eagle |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1265415533 PECOS PAC ID: 0042397507 Enrollment ID: I20080408000406 |
| Provider Name | Diane M Stearns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952414286 PECOS PAC ID: 1254401565 Enrollment ID: I20080529000331 |
| Provider Name | Boguslawa J Kremzner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184746877 PECOS PAC ID: 4082784111 Enrollment ID: I20080602000592 |
| Provider Name | Patricia T Glowa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790707230 PECOS PAC ID: 8820168586 Enrollment ID: I20080606000328 |
| Provider Name | Tamara L Barry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245250182 PECOS PAC ID: 6800966508 Enrollment ID: I20080607000039 |
| Provider Name | Jennifer H Krawitt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083719892 PECOS PAC ID: 6709956287 Enrollment ID: I20080610000710 |
| Provider Name | Steven K Sargent |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174543268 PECOS PAC ID: 9436220787 Enrollment ID: I20080616000019 |
| Provider Name | Bassem I Zaki |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1679599625 PECOS PAC ID: 2961420823 Enrollment ID: I20080616000429 |
| Provider Name | Joseph A Paydarfar |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1700975620 PECOS PAC ID: 1355412404 Enrollment ID: I20080617000224 |
| Provider Name | Richard P Morse |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477565018 PECOS PAC ID: 1456422336 Enrollment ID: I20080620000026 |
| Provider Name | Kris A Eschbach |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417038506 PECOS PAC ID: 0749352441 Enrollment ID: I20080711000183 |
| Provider Name | Philip P Goodney |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1821193434 PECOS PAC ID: 8729151444 Enrollment ID: I20080714000418 |
| Provider Name | Mitchell Frumkin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205857752 PECOS PAC ID: 0941373104 Enrollment ID: I20080721000726 |
| Provider Name | Richard J Powell |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1942316914 PECOS PAC ID: 0749354314 Enrollment ID: I20080730000466 |
| Provider Name | Vernon M Pais |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1952369654 PECOS PAC ID: 6002895364 Enrollment ID: I20080806000415 |
| Provider Name | Todd D Morrell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467440750 PECOS PAC ID: 5799850822 Enrollment ID: I20080825000064 |
| Provider Name | Mary F Merkel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558375709 PECOS PAC ID: 7719052752 Enrollment ID: I20080826000469 |
| Provider Name | Eileen P Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700990249 PECOS PAC ID: 7012936115 Enrollment ID: I20080828000304 |
| Provider Name | Richard I Rothstein |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1487678314 PECOS PAC ID: 3779659610 Enrollment ID: I20080829000206 |
| Provider Name | Shoshana J Hort |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093820821 PECOS PAC ID: 5698705093 Enrollment ID: I20080908000436 |
| Provider Name | Lijun Song |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386756815 PECOS PAC ID: 2769558972 Enrollment ID: I20080911000259 |
| Provider Name | Archie W Dickinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518143650 PECOS PAC ID: 0345282364 Enrollment ID: I20080915000113 |
| Provider Name | Erik M Shessler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780756338 PECOS PAC ID: 5496822405 Enrollment ID: I20080917000258 |
| Provider Name | David J Malenka |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932149200 PECOS PAC ID: 0143397083 Enrollment ID: I20080918000572 |
| Provider Name | Sarah M Colson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063678159 PECOS PAC ID: 5294802492 Enrollment ID: I20080929000770 |
| Provider Name | Srikrishna Nagri |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1851573570 PECOS PAC ID: 3476611708 Enrollment ID: I20081015000266 |
| Provider Name | Evelyn L Fleming |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1780616219 PECOS PAC ID: 3577621689 Enrollment ID: I20081017000665 |
| Provider Name | Miruna O Folger |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497814867 PECOS PAC ID: 3274691332 Enrollment ID: I20081020000202 |
| Provider Name | Da Shih Hu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710055033 PECOS PAC ID: 2860550829 Enrollment ID: I20081020000259 |
| Provider Name | Yvonne Y Cheung |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992723134 PECOS PAC ID: 5698833143 Enrollment ID: I20081028000147 |
| Provider Name | Mary Ellen Fiske |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740285501 PECOS PAC ID: 9335207836 Enrollment ID: I20081028000561 |
| Provider Name | Krzysztof A Bujarski |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992985360 PECOS PAC ID: 9234189036 Enrollment ID: I20081028000661 |
| Provider Name | Andrew J Schuman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578535423 PECOS PAC ID: 0446318877 Enrollment ID: I20081029000062 |
| Provider Name | Anthony H Repucci |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649268368 PECOS PAC ID: 7810056280 Enrollment ID: I20081030000638 |
| Provider Name | Lesley A Jarvis |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1144417502 PECOS PAC ID: 2860551074 Enrollment ID: I20081103000558 |
| Provider Name | John A Batsis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124092812 PECOS PAC ID: 1759319429 Enrollment ID: I20081104000807 |
| Provider Name | Cathleen E Morrow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972579092 PECOS PAC ID: 0345225066 Enrollment ID: I20081111000120 |
| Provider Name | Claire M Pace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679534838 PECOS PAC ID: 7517069594 Enrollment ID: I20081112000358 |
| Provider Name | Martha L Graber |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1740375609 PECOS PAC ID: 7911067996 Enrollment ID: I20081120000448 |
| Provider Name | Polina Y Sayess |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992902456 PECOS PAC ID: 1951462555 Enrollment ID: I20081201000490 |
| Provider Name | Michael Shane Chapman |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1649287921 PECOS PAC ID: 0345301875 Enrollment ID: I20081203000076 |
| Provider Name | Nicole Marie Orzechowski |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1316924624 PECOS PAC ID: 0143212142 Enrollment ID: I20081203000451 |
| Provider Name | Timothy Lukovits |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1609819267 PECOS PAC ID: 5395806418 Enrollment ID: I20081209000024 |
| Provider Name | Diana Pascu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205098944 PECOS PAC ID: 2264593110 Enrollment ID: I20081210000393 |
| Provider Name | Michael Kaploe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073500682 PECOS PAC ID: 8022079839 Enrollment ID: I20081211000380 |
| Provider Name | Christine T Finn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841280971 PECOS PAC ID: 5890766463 Enrollment ID: I20081226000224 |
| Provider Name | Deborah L Ornstein |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1902012610 PECOS PAC ID: 6002902103 Enrollment ID: I20090112000418 |
| Provider Name | Sushela S Chaidarun |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1639143852 PECOS PAC ID: 5991795312 Enrollment ID: I20090113000782 |
| Provider Name | L Campbell Levy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1821181454 PECOS PAC ID: 5496818445 Enrollment ID: I20090116000433 |
| Provider Name | Eunice Y Chen |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1306877725 PECOS PAC ID: 4486656188 Enrollment ID: I20090116000575 |
| Provider Name | Joyce E Mccullen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437334422 PECOS PAC ID: 5890859722 Enrollment ID: I20090121000567 |
| Provider Name | Richard B Ferrell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366492258 PECOS PAC ID: 3971548090 Enrollment ID: I20090126000598 |
| Provider Name | Corinne M Kelliher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306865118 PECOS PAC ID: 6507892098 Enrollment ID: I20090202000124 |
| Provider Name | Robert A Guardiano |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1568435386 PECOS PAC ID: 4385708312 Enrollment ID: I20090205000333 |
| Provider Name | Stephen T Cole |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124149323 PECOS PAC ID: 2365450376 Enrollment ID: I20090205000692 |
| Provider Name | Michele A Mccarthy |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1588734016 PECOS PAC ID: 9436163870 Enrollment ID: I20090206000069 |
| Provider Name | Stephen J Guerin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477667830 PECOS PAC ID: 3375609886 Enrollment ID: I20090309000453 |
| Provider Name | Bethany L Ames |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114092772 PECOS PAC ID: 2668539842 Enrollment ID: I20090316000659 |
| Provider Name | Felicia Dipietro |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447328943 PECOS PAC ID: 5799832960 Enrollment ID: I20090406000434 |
| Provider Name | Lisa A Lambert |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215915368 PECOS PAC ID: 9234180142 Enrollment ID: I20090429000320 |
| Provider Name | Miriam N Cordell |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1457325680 PECOS PAC ID: 9234288358 Enrollment ID: I20090520000451 |
| Provider Name | Sadaf Ashraf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285833210 PECOS PAC ID: 5395896625 Enrollment ID: I20090626000539 |
| Provider Name | Alexander T Abess |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1679677694 PECOS PAC ID: 2163573346 Enrollment ID: I20090629000426 |
| Provider Name | Bert Lawrence Fichman |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1508866716 PECOS PAC ID: 7618967415 Enrollment ID: I20090710000087 |
| Provider Name | Kristen E Stevens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942451646 PECOS PAC ID: 4284787748 Enrollment ID: I20090730000406 |
| Provider Name | Sumathi Rajanna |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700962503 PECOS PAC ID: 8729131297 Enrollment ID: I20090730000416 |
| Provider Name | Kalpesh K Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780883306 PECOS PAC ID: 8729131834 Enrollment ID: I20090806000214 |
| Provider Name | Jason Oliviero |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1023223708 PECOS PAC ID: 7416025218 Enrollment ID: I20090812000907 |
| Provider Name | Joseph C Hou |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1164487781 PECOS PAC ID: 5092732586 Enrollment ID: I20090820000215 |
| Provider Name | Kerrington D Smith |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1568685626 PECOS PAC ID: 7517057581 Enrollment ID: I20090827000193 |
| Provider Name | Frederick Lansigan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1548436520 PECOS PAC ID: 6103971130 Enrollment ID: I20090827000213 |
| Provider Name | Julie A Braga |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386848190 PECOS PAC ID: 4880749217 Enrollment ID: I20090908000370 |
| Provider Name | Todd A Noce |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639379316 PECOS PAC ID: 3971658246 Enrollment ID: I20090910000280 |
| Provider Name | Catherine C Rieke |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1205066313 PECOS PAC ID: 4587710124 Enrollment ID: I20090923000107 |
| Provider Name | Justin J Mowchun |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780782912 PECOS PAC ID: 5092861708 Enrollment ID: I20090926000024 |
| Provider Name | Amit Rastogi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295782100 PECOS PAC ID: 0648281956 Enrollment ID: I20090928000339 |
| Provider Name | Alix Ashare |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1417937038 PECOS PAC ID: 9638106149 Enrollment ID: I20090930000447 |
| Provider Name | James L Carroll |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1346227956 PECOS PAC ID: 5890831879 Enrollment ID: I20091005000566 |
| Provider Name | Matthew S Duncan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710061577 PECOS PAC ID: 2567488984 Enrollment ID: I20091007000641 |
| Provider Name | Adam R Weinstein |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720061153 PECOS PAC ID: 8820028913 Enrollment ID: I20091007000700 |
| Provider Name | Patricia L Min |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104857887 PECOS PAC ID: 6608913793 Enrollment ID: I20091021000856 |
| Provider Name | Brian M Beals |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104828979 PECOS PAC ID: 1052458023 Enrollment ID: I20091023000120 |
| Provider Name | Frank S Drescher |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1972797561 PECOS PAC ID: 3678651536 Enrollment ID: I20091027000093 |
| Provider Name | Dagmar Hoegemann Savellano |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871698019 PECOS PAC ID: 4880731702 Enrollment ID: I20091027000127 |
| Provider Name | Tricia L Groff |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063598928 PECOS PAC ID: 9335287846 Enrollment ID: I20091103000437 |
| Provider Name | Bridget A Linehan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710110895 PECOS PAC ID: 2163560343 Enrollment ID: I20091109000253 |
| Provider Name | Carey B Stillman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912961632 PECOS PAC ID: 2567500713 Enrollment ID: I20091110000204 |
| Provider Name | Sally A Alwan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255546115 PECOS PAC ID: 5991843708 Enrollment ID: I20091124000355 |
| Provider Name | Laura Macnow |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578610937 PECOS PAC ID: 6305923806 Enrollment ID: I20091125000044 |
| Provider Name | Jessica A Fauteux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366775819 PECOS PAC ID: 8123167327 Enrollment ID: I20091201000454 |
| Provider Name | Ellen Flaherty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063748036 PECOS PAC ID: 6103966650 Enrollment ID: I20091215000238 |
| Provider Name | Elizabeth B Mcgrath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912005406 PECOS PAC ID: 7719029438 Enrollment ID: I20100119000447 |
| Provider Name | Diane E Bilotta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659393973 PECOS PAC ID: 2062555063 Enrollment ID: I20100129000347 |
| Provider Name | Trinh Bang Meyer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1164563268 PECOS PAC ID: 1355415944 Enrollment ID: I20100205000303 |
| Provider Name | Marshall A Guill |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1932133030 PECOS PAC ID: 6901706894 Enrollment ID: I20100223000526 |
| Provider Name | Roshani Patel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396912572 PECOS PAC ID: 4486725108 Enrollment ID: I20100224000092 |
| Provider Name | Susan Abel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093826893 PECOS PAC ID: 5698800415 Enrollment ID: I20100318000711 |
| Provider Name | Evelyn L Teague |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225351240 PECOS PAC ID: 2961530761 Enrollment ID: I20100517000013 |
| Provider Name | Kevin Bruce Meyer |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1154450310 PECOS PAC ID: 8325118060 Enrollment ID: I20100524000261 |
| Provider Name | Julie S Bosak |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1639219538 PECOS PAC ID: 7911036058 Enrollment ID: I20100527000380 |
| Provider Name | Jenifer A Glatz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1821206236 PECOS PAC ID: 6507954369 Enrollment ID: I20100607000216 |
| Provider Name | James G Johnston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811963283 PECOS PAC ID: 9638114119 Enrollment ID: I20100627000022 |
| Provider Name | Karen L Huyck |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1144363532 PECOS PAC ID: 9931200490 Enrollment ID: I20100630000352 |
| Provider Name | Alexei Viazmenski |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386730646 PECOS PAC ID: 2163554312 Enrollment ID: I20100723000162 |
| Provider Name | Aaron V Kaplan |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1881621100 PECOS PAC ID: 3476687336 Enrollment ID: I20100813000289 |
| Provider Name | Benjamin P Chan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285757609 PECOS PAC ID: 0345374922 Enrollment ID: I20100818000474 |
| Provider Name | Pushkala Muralitharan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700806304 PECOS PAC ID: 3779617261 Enrollment ID: I20100819000536 |
| Provider Name | Corey N Sides |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528072519 PECOS PAC ID: 5193899912 Enrollment ID: I20100824000202 |
| Provider Name | Alex Gifford |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1750397188 PECOS PAC ID: 7012031990 Enrollment ID: I20100830000247 |
| Provider Name | Louis A Kazal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467477208 PECOS PAC ID: 0749304673 Enrollment ID: I20100830000984 |
| Provider Name | Elizabeth J Honigsberg |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1629238415 PECOS PAC ID: 3971627449 Enrollment ID: I20100907000214 |
| Provider Name | Amber L Porter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881741171 PECOS PAC ID: 8729182035 Enrollment ID: I20100914000780 |
| Provider Name | Jennifer L Mclaren |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457469413 PECOS PAC ID: 9537243357 Enrollment ID: I20100916000368 |
| Provider Name | Philip E Schaner |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1225248123 PECOS PAC ID: 0840316246 Enrollment ID: I20100922001158 |
| Provider Name | Erin M Salcone |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1316001001 PECOS PAC ID: 6103942206 Enrollment ID: I20100927000518 |
| Provider Name | James J Filiano |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477564482 PECOS PAC ID: 5890811640 Enrollment ID: I20100929000713 |
| Provider Name | Lisa E Atkinson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205843505 PECOS PAC ID: 0345432712 Enrollment ID: I20101005000221 |
| Provider Name | Richard N Read |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1881836914 PECOS PAC ID: 8729270822 Enrollment ID: I20101007000857 |
| Provider Name | Jeffrey C Munson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1619030145 PECOS PAC ID: 2264497668 Enrollment ID: I20101018000379 |
| Provider Name | Kenton E Powell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790808517 PECOS PAC ID: 9234322694 Enrollment ID: I20101019000446 |
| Provider Name | Karen Kost-rios |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1851304828 PECOS PAC ID: 3173716495 Enrollment ID: I20101019001361 |
| Provider Name | Erik J Kobylarz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003903188 PECOS PAC ID: 3779632351 Enrollment ID: I20101020001022 |
| Provider Name | Courtney R Farrell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770788044 PECOS PAC ID: 0648463612 Enrollment ID: I20101022000214 |
| Provider Name | Alison E Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427231521 PECOS PAC ID: 5890877583 Enrollment ID: I20101022000413 |
| Provider Name | Alexis A Cochran |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780883413 PECOS PAC ID: 3072706779 Enrollment ID: I20101026000144 |
| Provider Name | Issam El Bizri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013114131 PECOS PAC ID: 8628262144 Enrollment ID: I20101028001230 |
| Provider Name | Carey Field |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598967788 PECOS PAC ID: 7113111667 Enrollment ID: I20101029000011 |
| Provider Name | Joan C Barthold |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215947650 PECOS PAC ID: 8820282155 Enrollment ID: I20101101000909 |
| Provider Name | Marichi O Ong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265615595 PECOS PAC ID: 3779777529 Enrollment ID: I20101105000218 |
| Provider Name | Pallavi Guddeti |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1720278864 PECOS PAC ID: 2062507791 Enrollment ID: I20101118000575 |
| Provider Name | Letha E Mills |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1487649018 PECOS PAC ID: 1254355605 Enrollment ID: I20101119001004 |
| Provider Name | Julia R Frew |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417069907 PECOS PAC ID: 6709915176 Enrollment ID: I20101123000053 |
| Provider Name | William F C Rigby |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1700992583 PECOS PAC ID: 5294922258 Enrollment ID: I20101203000412 |
| Provider Name | David A Gould |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821034406 PECOS PAC ID: 8527255124 Enrollment ID: I20101208000974 |
| Provider Name | John N Mecchella |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1972728178 PECOS PAC ID: 3476740796 Enrollment ID: I20101213000008 |
| Provider Name | Daniel B Stewart |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1720014954 PECOS PAC ID: 9638197098 Enrollment ID: I20101218000005 |
| Provider Name | Amber Castell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073769642 PECOS PAC ID: 4183782097 Enrollment ID: I20110105000846 |
| Provider Name | Scott M Lannon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730416173 PECOS PAC ID: 5890984934 Enrollment ID: I20110105000895 |
| Provider Name | Jonathan T Huntington |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356568877 PECOS PAC ID: 6406045772 Enrollment ID: I20110118001150 |
| Provider Name | Marie-helene Sajous |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1225176688 PECOS PAC ID: 0446347611 Enrollment ID: I20110124000670 |
| Provider Name | Melissa C Levesque |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912192899 PECOS PAC ID: 9234319906 Enrollment ID: I20110212000081 |
| Provider Name | Antonia L Altomare |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1568688232 PECOS PAC ID: 0941481253 Enrollment ID: I20110221000105 |
| Provider Name | Susan M Thibodeau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467471136 PECOS PAC ID: 0345421665 Enrollment ID: I20110221000188 |
| Provider Name | Nicole D Krygeris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225368293 PECOS PAC ID: 0446431191 Enrollment ID: I20110301000172 |
| Provider Name | Kalyan Ghanta |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1982614632 PECOS PAC ID: 6608871959 Enrollment ID: I20110304000818 |
| Provider Name | Amy Doolan Roy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538127485 PECOS PAC ID: 3476512518 Enrollment ID: I20110307000364 |
| Provider Name | Emily Cooper |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1285936971 PECOS PAC ID: 6901088954 Enrollment ID: I20110311000269 |
| Provider Name | Kelly J Corrigan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275558488 PECOS PAC ID: 2466426721 Enrollment ID: I20110412000860 |
| Provider Name | Mayumi Chatani-hinze |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316108640 PECOS PAC ID: 3072653880 Enrollment ID: I20110420000009 |
| Provider Name | Margaret F Guill |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1306956750 PECOS PAC ID: 0749345197 Enrollment ID: I20110526000764 |
| Provider Name | Susan A Distasio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316975469 PECOS PAC ID: 4486541950 Enrollment ID: I20110613000029 |
| Provider Name | David Paul Kuwayama |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1265591333 PECOS PAC ID: 4486753464 Enrollment ID: I20110614000637 |
| Provider Name | Laura A Blodgett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306913447 PECOS PAC ID: 7618155003 Enrollment ID: I20110708000021 |
| Provider Name | Deanna J Banuskevich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225321680 PECOS PAC ID: 1456529163 Enrollment ID: I20110725000590 |
| Provider Name | Lisa V Adams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912225186 PECOS PAC ID: 9638348618 Enrollment ID: I20110808000817 |
| Provider Name | Eric D Martin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1386744928 PECOS PAC ID: 0042480287 Enrollment ID: I20110826000207 |
| Provider Name | Paul E Holtzheimer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548271893 PECOS PAC ID: 0547158800 Enrollment ID: I20110831000684 |
| Provider Name | Gary L Freed |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1023284148 PECOS PAC ID: 3173793064 Enrollment ID: I20110901000424 |
| Provider Name | Michael J Wood |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336273234 PECOS PAC ID: 1658564349 Enrollment ID: I20110906000462 |
| Provider Name | Brityn Alie |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1093747255 PECOS PAC ID: 4284805698 Enrollment ID: I20110915000226 |
| Provider Name | Eva E Barger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194003194 PECOS PAC ID: 3173794450 Enrollment ID: I20110916000191 |
| Provider Name | Ashley N Perez |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1215216031 PECOS PAC ID: 2769653005 Enrollment ID: I20110919000414 |
| Provider Name | Adam M Pearson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1730281551 PECOS PAC ID: 3173629110 Enrollment ID: I20110922000262 |
| Provider Name | Todd M Poret |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700802543 PECOS PAC ID: 7113198094 Enrollment ID: I20110926000648 |
| Provider Name | Renee A Travassos |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396908612 PECOS PAC ID: 4284806886 Enrollment ID: I20111003000751 |
| Provider Name | Christopher J Clarke |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649473315 PECOS PAC ID: 0446422992 Enrollment ID: I20111006000114 |
| Provider Name | Andrew O Crockett |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356559504 PECOS PAC ID: 5395917850 Enrollment ID: I20111006000196 |
| Provider Name | Auden C Mcclure |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780793844 PECOS PAC ID: 4981876265 Enrollment ID: I20111010000348 |
| Provider Name | Lauren S Rosen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174821722 PECOS PAC ID: 2062684020 Enrollment ID: I20111017000618 |
| Provider Name | William B Daviss |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922070481 PECOS PAC ID: 8921072851 Enrollment ID: I20111017000635 |
| Provider Name | Christopher Simpkins |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1285784249 PECOS PAC ID: 1951439066 Enrollment ID: I20111018000827 |
| Provider Name | Ivan Y Boyadzhiev |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417105115 PECOS PAC ID: 3577735463 Enrollment ID: I20111019000562 |
| Provider Name | George B Lantz |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1972565422 PECOS PAC ID: 6507920931 Enrollment ID: I20111024000737 |
| Provider Name | Jing Ji |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245440007 PECOS PAC ID: 2961675459 Enrollment ID: I20111028000002 |
| Provider Name | David I Crowley |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477634566 PECOS PAC ID: 7315110806 Enrollment ID: I20111028000010 |
| Provider Name | Gina Gerardine S Fernandez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669792446 PECOS PAC ID: 4082887500 Enrollment ID: I20111028000377 |
| Provider Name | Sergey Devitskiy |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1629129747 PECOS PAC ID: 5890887517 Enrollment ID: I20111028000464 |
| Provider Name | Jonathan M Ross |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407895642 PECOS PAC ID: 0840382180 Enrollment ID: I20111103000149 |
| Provider Name | Ritu G Ullal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942324397 PECOS PAC ID: 8224194535 Enrollment ID: I20111107000256 |
| Provider Name | Elena L Ivashina |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477542116 PECOS PAC ID: 1153359328 Enrollment ID: I20111108000034 |
| Provider Name | James B Ames |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1326140567 PECOS PAC ID: 4284710377 Enrollment ID: I20111110000749 |
| Provider Name | Alisa R Hurwitz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629244066 PECOS PAC ID: 0042484594 Enrollment ID: I20111117000589 |
| Provider Name | Cynthia Nulton |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1790712396 PECOS PAC ID: 4082888219 Enrollment ID: I20111123000710 |
| Provider Name | Katrina Thorstensen |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1710901962 PECOS PAC ID: 8921272121 Enrollment ID: I20111128000810 |
| Provider Name | Martha K Elias |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1427062405 PECOS PAC ID: 4486657996 Enrollment ID: I20111201000471 |
| Provider Name | Melissa C Storms |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356626964 PECOS PAC ID: 0648446351 Enrollment ID: I20111230000259 |
| Provider Name | Justin B Montgomery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043501778 PECOS PAC ID: 9133396138 Enrollment ID: I20120113000701 |
| Provider Name | Harrison E Burman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972547628 PECOS PAC ID: 1850499484 Enrollment ID: I20120118000581 |
| Provider Name | Bekah L Kittredge |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1508190976 PECOS PAC ID: 9537124649 Enrollment ID: I20120201000223 |
| Provider Name | Dorothea T Barton |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1457522443 PECOS PAC ID: 3375700347 Enrollment ID: I20120202000214 |
| Provider Name | Robert M Roth |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891863106 PECOS PAC ID: 3870750300 Enrollment ID: I20120210000196 |
| Provider Name | Caroline Koo |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1093917254 PECOS PAC ID: 4385802214 Enrollment ID: I20120223000854 |
| Provider Name | John F Nigriny |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1598848699 PECOS PAC ID: 8426150434 Enrollment ID: I20120306000754 |
| Provider Name | Neera Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750599734 PECOS PAC ID: 3678661998 Enrollment ID: I20120313000845 |
| Provider Name | Matthew M Hand |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1093743205 PECOS PAC ID: 2668414871 Enrollment ID: I20120411000425 |
| Provider Name | Robert A Timmons |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1841280013 PECOS PAC ID: 0547443509 Enrollment ID: I20120416000400 |
| Provider Name | Phillip J Manno |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1649271438 PECOS PAC ID: 4385683580 Enrollment ID: I20120416000541 |
| Provider Name | Karen P Santora |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386968584 PECOS PAC ID: 4880857978 Enrollment ID: I20120530000394 |
| Provider Name | Renata J Wheeler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679839104 PECOS PAC ID: 6800050287 Enrollment ID: I20120614000766 |
| Provider Name | Meredith A Macmartin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316168164 PECOS PAC ID: 5395992655 Enrollment ID: I20120822000287 |
| Provider Name | Terrence D Welch |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1245351055 PECOS PAC ID: 3274688932 Enrollment ID: I20120823000151 |
| Provider Name | Lauren Catherine Lessard |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609042506 PECOS PAC ID: 7315194057 Enrollment ID: I20120830000751 |
| Provider Name | Amelia M Cullinan |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1467588046 PECOS PAC ID: 2466550520 Enrollment ID: I20120906000591 |
| Provider Name | Maxwell T Vergo |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1205894813 PECOS PAC ID: 5991804635 Enrollment ID: I20120906000885 |
| Provider Name | Qi Lu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831490408 PECOS PAC ID: 1951559939 Enrollment ID: I20120917000565 |
| Provider Name | Monic R Drescher |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1023294949 PECOS PAC ID: 6800044637 Enrollment ID: I20120919000483 |
| Provider Name | Jennifer M D'auteuil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336220169 PECOS PAC ID: 3072761618 Enrollment ID: I20120924000544 |
| Provider Name | David Frederick Bauer |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1093923831 PECOS PAC ID: 8022101005 Enrollment ID: I20120924000565 |
| Provider Name | Deborah A Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881702009 PECOS PAC ID: 4981656493 Enrollment ID: I20120925000206 |
| Provider Name | Jennifer A Thompson |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1861462087 PECOS PAC ID: 6901829803 Enrollment ID: I20121003000491 |
| Provider Name | Jillian C Belmont |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316293400 PECOS PAC ID: 0941459838 Enrollment ID: I20121010000008 |
| Provider Name | Alicia Zbehlik |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1639165046 PECOS PAC ID: 2264467901 Enrollment ID: I20121011000334 |
| Provider Name | Nazli R Conway |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1225254543 PECOS PAC ID: 8729277066 Enrollment ID: I20121017000326 |
| Provider Name | Scott E Friedman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1083722797 PECOS PAC ID: 3173773736 Enrollment ID: I20121017000687 |
| Provider Name | John T Braun |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1225083769 PECOS PAC ID: 6901868835 Enrollment ID: I20121020000049 |
| Provider Name | Sharon A Hart Silveira |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821252149 PECOS PAC ID: 9537326970 Enrollment ID: I20121022000007 |
| Provider Name | Lara K Ronan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750382693 PECOS PAC ID: 8022150341 Enrollment ID: I20121105000008 |
| Provider Name | Andrew R Pachner |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720111867 PECOS PAC ID: 7315076700 Enrollment ID: I20121105000036 |
| Provider Name | Sarah A Taylor Black |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1205095825 PECOS PAC ID: 8921259482 Enrollment ID: I20121108000640 |
| Provider Name | Kathryn C Hourdequin |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1710978846 PECOS PAC ID: 5698783009 Enrollment ID: I20121109000266 |
| Provider Name | Teresa Bauernschmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780935049 PECOS PAC ID: 5092966325 Enrollment ID: I20121115000161 |
| Provider Name | Melina D Chan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871712109 PECOS PAC ID: 9133307101 Enrollment ID: I20121128000473 |
| Provider Name | Ravi G Sathyanarayanagowda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598997629 PECOS PAC ID: 8628220290 Enrollment ID: I20121205000141 |
| Provider Name | Tyler K Hartman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457451643 PECOS PAC ID: 1254338130 Enrollment ID: I20121210000420 |
| Provider Name | Keith J Loud |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144317140 PECOS PAC ID: 5890762363 Enrollment ID: I20121218000569 |
| Provider Name | Gail I Schuman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750508305 PECOS PAC ID: 9133213853 Enrollment ID: I20130116000035 |
| Provider Name | Margaret A Emmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982799649 PECOS PAC ID: 8426070541 Enrollment ID: I20130116000486 |
| Provider Name | Yinlee Yoong |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1356326664 PECOS PAC ID: 3173512860 Enrollment ID: I20130129000264 |
| Provider Name | Eric R Henderson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1922290618 PECOS PAC ID: 1456520436 Enrollment ID: I20130208000289 |
| Provider Name | Libby A W Persons |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1215290028 PECOS PAC ID: 4183880388 Enrollment ID: I20130219000554 |
| Provider Name | David R Chavez |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1124110275 PECOS PAC ID: 7810954195 Enrollment ID: I20130226000149 |
| Provider Name | Nancy J Marth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417250788 PECOS PAC ID: 2466633896 Enrollment ID: I20130227000132 |
| Provider Name | Elisabeth D Erekson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821281866 PECOS PAC ID: 1557310661 Enrollment ID: I20130305000300 |
| Provider Name | Emily Irene Richards |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790021590 PECOS PAC ID: 1355596818 Enrollment ID: I20130307000052 |
| Provider Name | Parisa R Jordan |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1467680280 PECOS PAC ID: 6709021439 Enrollment ID: I20130328000152 |
| Provider Name | Victoria W Lacasse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235431222 PECOS PAC ID: 5193905883 Enrollment ID: I20130328000211 |
| Provider Name | Brent C White |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1225141369 PECOS PAC ID: 3678575586 Enrollment ID: I20130328000286 |
| Provider Name | Vincent D Pellegrini |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1487607529 PECOS PAC ID: 7214021021 Enrollment ID: I20130412000061 |
| Provider Name | Daisy Goodman |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1366414856 PECOS PAC ID: 1850281072 Enrollment ID: I20130424000429 |
| Provider Name | Janice E Gellis |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1093724197 PECOS PAC ID: 6800994724 Enrollment ID: I20130424000473 |
| Provider Name | Carole L Putnam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558600239 PECOS PAC ID: 4385881671 Enrollment ID: I20130503000493 |
| Provider Name | Gabriele Southgate |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1346223385 PECOS PAC ID: 8527031160 Enrollment ID: I20130522000207 |
| Provider Name | Michael D Paul |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1134353527 PECOS PAC ID: 2264671528 Enrollment ID: I20130617000495 |
| Provider Name | Meghan Lynn Beaulieu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225315377 PECOS PAC ID: 0143469056 Enrollment ID: I20130625000171 |
| Provider Name | Moira A Shanahan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356321327 PECOS PAC ID: 9032023023 Enrollment ID: I20130806000131 |
| Provider Name | Sowmya Srinivas |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1356786933 PECOS PAC ID: 0042452815 Enrollment ID: I20130807000003 |
| Provider Name | Barbara A Wilson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821316118 PECOS PAC ID: 1951542042 Enrollment ID: I20130812000046 |
| Provider Name | Leslie Dick |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679583405 PECOS PAC ID: 1153564067 Enrollment ID: I20130826000091 |
| Provider Name | Devendra S Thakur |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508023003 PECOS PAC ID: 0840433769 Enrollment ID: I20130826000147 |
| Provider Name | Robert Percarpio |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1356579171 PECOS PAC ID: 5991948382 Enrollment ID: I20130904000705 |
| Provider Name | Teresa M Godsell |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1790022572 PECOS PAC ID: 9638315948 Enrollment ID: I20130906000479 |
| Provider Name | Byron F Santos Aleman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396060414 PECOS PAC ID: 9436392685 Enrollment ID: I20130909000026 |
| Provider Name | Rebecca H Evans |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255574463 PECOS PAC ID: 6507000627 Enrollment ID: I20130911000518 |
| Provider Name | Emily S Frydman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447589718 PECOS PAC ID: 8921242991 Enrollment ID: I20130912000303 |
| Provider Name | Joshua P Morrison |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700011798 PECOS PAC ID: 1052576758 Enrollment ID: I20130916000376 |
| Provider Name | Brian K Marks |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1205020385 PECOS PAC ID: 1052587375 Enrollment ID: I20130917000512 |
| Provider Name | Ewa J Jankowska |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659682961 PECOS PAC ID: 8527202837 Enrollment ID: I20130926000014 |
| Provider Name | Travis H Matheney |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1396705653 PECOS PAC ID: 9335249093 Enrollment ID: I20131107001108 |
| Provider Name | Sarah A Duffley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316371388 PECOS PAC ID: 8123254414 Enrollment ID: I20131114001353 |
| Provider Name | Marcus P Coe |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1497858336 PECOS PAC ID: 8921234196 Enrollment ID: I20131118000264 |
| Provider Name | Patrick A Francis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922323245 PECOS PAC ID: 4284860495 Enrollment ID: I20131118001250 |
| Provider Name | Gerard R Beaudry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104253434 PECOS PAC ID: 3173501004 Enrollment ID: I20131206000865 |
| Provider Name | Nirav S Kapadia |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1881857308 PECOS PAC ID: 6901031665 Enrollment ID: I20131207000115 |
| Provider Name | Stephanie B Prisch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396997060 PECOS PAC ID: 2466514542 Enrollment ID: I20131216001783 |
| Provider Name | Elizabeth Sailhamer Soukup |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1083720858 PECOS PAC ID: 6103077862 Enrollment ID: I20131220001268 |
| Provider Name | Mayra Cristina Beauchamp Bruno |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1003015173 PECOS PAC ID: 0143404608 Enrollment ID: I20131230001519 |
| Provider Name | Mary M Parrish |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1740569094 PECOS PAC ID: 0244407401 Enrollment ID: I20140114000996 |
| Provider Name | David V Dent |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1710920483 PECOS PAC ID: 6305854001 Enrollment ID: I20140128000221 |
| Provider Name | Benjamin J Shore |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1992027213 PECOS PAC ID: 9931393931 Enrollment ID: I20140128001073 |
| Provider Name | Tammy L Simpkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780005231 PECOS PAC ID: 7416186705 Enrollment ID: I20140207001189 |
| Provider Name | Katelyn J Ahern |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922438944 PECOS PAC ID: 8527297845 Enrollment ID: I20140210000009 |
| Provider Name | Tara I Fredette |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1154679686 PECOS PAC ID: 4880823798 Enrollment ID: I20140218000881 |
| Provider Name | Adam M Boise |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124371299 PECOS PAC ID: 8820228760 Enrollment ID: I20140220001009 |
| Provider Name | Aleksandra C Stark |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275734659 PECOS PAC ID: 4880834035 Enrollment ID: I20140303001423 |
| Provider Name | Nancy L Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093098196 PECOS PAC ID: 0446410336 Enrollment ID: I20140311001883 |
| Provider Name | Kellie Decalogero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437588803 PECOS PAC ID: 0749411551 Enrollment ID: I20140320000114 |
| Provider Name | Nancy A Egner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215363502 PECOS PAC ID: 5597996223 Enrollment ID: I20140324000168 |
| Provider Name | Erin Knuuti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053347567 PECOS PAC ID: 9931290905 Enrollment ID: I20140417001961 |
| Provider Name | Karen L Lavoie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417244112 PECOS PAC ID: 3870726920 Enrollment ID: I20140425001368 |
| Provider Name | David P Mooney |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881613370 PECOS PAC ID: 7719927771 Enrollment ID: I20140505001445 |
| Provider Name | Steven B Friese |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447364567 PECOS PAC ID: 3971561754 Enrollment ID: I20140612001107 |
| Provider Name | Diane Sette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336568856 PECOS PAC ID: 9537384003 Enrollment ID: I20140626000904 |
| Provider Name | Matthew Lewis Fox |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396023081 PECOS PAC ID: 3870766876 Enrollment ID: I20140630000505 |
| Provider Name | Leah A Palifka |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891956314 PECOS PAC ID: 6204051543 Enrollment ID: I20140701000091 |
| Provider Name | Lindsay M Schommer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932525839 PECOS PAC ID: 1355566514 Enrollment ID: I20140701001030 |
| Provider Name | Julie Balaban |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407969736 PECOS PAC ID: 1254362973 Enrollment ID: I20140715001185 |
| Provider Name | Scott Oosterveen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1477506186 PECOS PAC ID: 5092710111 Enrollment ID: I20140717000284 |
| Provider Name | Jeremy G Collins |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1669659793 PECOS PAC ID: 8325298896 Enrollment ID: I20140721000324 |
| Provider Name | Wilder T Doucette |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659696334 PECOS PAC ID: 2567688815 Enrollment ID: I20140723001567 |
| Provider Name | Meredith A Stringer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003239070 PECOS PAC ID: 2062638760 Enrollment ID: I20140731002103 |
| Provider Name | Preethi Rajanna |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740576883 PECOS PAC ID: 4981832961 Enrollment ID: I20140805000114 |
| Provider Name | Mary S Feldman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003074691 PECOS PAC ID: 3375682776 Enrollment ID: I20140807000346 |
| Provider Name | Siddhartha Y Parker |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1417117532 PECOS PAC ID: 2062691058 Enrollment ID: I20140807001525 |
| Provider Name | Sarah Elizabeth Billmeier |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1205998994 PECOS PAC ID: 2961640420 Enrollment ID: I20140808001785 |
| Provider Name | Einar F Sverrisson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1932202009 PECOS PAC ID: 4688891765 Enrollment ID: I20140813002225 |
| Provider Name | Samantha A House |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992097091 PECOS PAC ID: 3476771213 Enrollment ID: I20140820001229 |
| Provider Name | Florian R Schroeck |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1194999086 PECOS PAC ID: 2567635519 Enrollment ID: I20140820001525 |
| Provider Name | Meredith J Sorensen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245323765 PECOS PAC ID: 4486888351 Enrollment ID: I20140821001582 |
| Provider Name | Barbara Ludmila Nye |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1083933790 PECOS PAC ID: 5395963052 Enrollment ID: I20140822000186 |
| Provider Name | Megan J Coylewright |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1003961772 PECOS PAC ID: 8628114931 Enrollment ID: I20140826001123 |
| Provider Name | Julianne A Mann |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1831394311 PECOS PAC ID: 2860660800 Enrollment ID: I20140904000515 |
| Provider Name | Jonathan D Lichtenstein |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427465590 PECOS PAC ID: 7911125836 Enrollment ID: I20140905000868 |
| Provider Name | Srinivas J Ivatury |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1003098237 PECOS PAC ID: 0244459956 Enrollment ID: I20140911000916 |
| Provider Name | Robert E Brady |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588943781 PECOS PAC ID: 8729208145 Enrollment ID: I20141008000051 |
| Provider Name | James C Cooros |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1073787271 PECOS PAC ID: 6305990391 Enrollment ID: I20141015001452 |
| Provider Name | Jock N Mccullough |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1487695557 PECOS PAC ID: 5698703452 Enrollment ID: I20141021002432 |
| Provider Name | Wayne E Moschetti |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1487871828 PECOS PAC ID: 4880838358 Enrollment ID: I20141022002502 |
| Provider Name | Elizabeth S Leatherman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619385689 PECOS PAC ID: 5294956751 Enrollment ID: I20141027000217 |
| Provider Name | Robin Allister |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720374036 PECOS PAC ID: 8527289040 Enrollment ID: I20141027002354 |
| Provider Name | Tacee Walker |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1285657981 PECOS PAC ID: 6204831787 Enrollment ID: I20141031001634 |
| Provider Name | Brian P O'sullivan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306820014 PECOS PAC ID: 1557447778 Enrollment ID: I20141107000858 |
| Provider Name | Katrina M Masure |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013311174 PECOS PAC ID: 4183846926 Enrollment ID: I20141112001110 |
| Provider Name | Amanda R Bubar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346663101 PECOS PAC ID: 7810113040 Enrollment ID: I20141113001442 |
| Provider Name | Chelsea L Szepan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235542184 PECOS PAC ID: 8628290269 Enrollment ID: I20141114000163 |
| Provider Name | David Jevsevar |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1760407183 PECOS PAC ID: 8325946395 Enrollment ID: I20141117000135 |
| Provider Name | Remy Bacaicoa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598006371 PECOS PAC ID: 2769622331 Enrollment ID: I20141119000645 |
| Provider Name | Edward F Elliott |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013953793 PECOS PAC ID: 0244205391 Enrollment ID: I20141121001855 |
| Provider Name | Jessica L Bowman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235423773 PECOS PAC ID: 6901072602 Enrollment ID: I20141209002078 |
| Provider Name | Nichole Sorenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679975650 PECOS PAC ID: 5395068704 Enrollment ID: I20141216000522 |
| Provider Name | Allison D Touchette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629475819 PECOS PAC ID: 1850614447 Enrollment ID: I20150107001073 |
| Provider Name | Nicole N Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891194908 PECOS PAC ID: 7810053931 Enrollment ID: I20150126000954 |
| Provider Name | Karina Anna Newhall |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1710243894 PECOS PAC ID: 3577888122 Enrollment ID: I20150203000336 |
| Provider Name | David J Finley |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1619162427 PECOS PAC ID: 2668530841 Enrollment ID: I20150203002538 |
| Provider Name | Alexander D Fuld |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1083639595 PECOS PAC ID: 0143260430 Enrollment ID: I20150225001393 |
| Provider Name | Jennifer A Stableford |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1316185705 PECOS PAC ID: 3870762198 Enrollment ID: I20150313000215 |
| Provider Name | Rachel Baerga Duperoy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508167628 PECOS PAC ID: 7719120237 Enrollment ID: I20150313002198 |
| Provider Name | Praveen K Ponnamreddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295752160 PECOS PAC ID: 8426055575 Enrollment ID: I20150316000106 |
| Provider Name | Matthew Guy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194114660 PECOS PAC ID: 5193042927 Enrollment ID: I20150316001566 |
| Provider Name | Alison Stuart |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1649348038 PECOS PAC ID: 7719204437 Enrollment ID: I20150317002752 |
| Provider Name | Timothy M Millington |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1154457547 PECOS PAC ID: 7113180688 Enrollment ID: I20150320000158 |
| Provider Name | Leslie S Macgregor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659426427 PECOS PAC ID: 3678890670 Enrollment ID: I20150401001698 |
| Provider Name | Eric J Butler |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245621374 PECOS PAC ID: 3971820812 Enrollment ID: I20150402000958 |
| Provider Name | Jessica Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093072415 PECOS PAC ID: 4789902420 Enrollment ID: I20150409001333 |
| Provider Name | Joseph H Shin |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1811971807 PECOS PAC ID: 4688732480 Enrollment ID: I20150413000150 |
| Provider Name | Jibran Ahmad |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992066484 PECOS PAC ID: 4880917137 Enrollment ID: I20150422001166 |
| Provider Name | Diana M Rojas Soto |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245578194 PECOS PAC ID: 0345569091 Enrollment ID: I20150501000712 |
| Provider Name | Daniel E Odonnell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104801026 PECOS PAC ID: 3870663586 Enrollment ID: I20150511000946 |
| Provider Name | Mindy Dube |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639575392 PECOS PAC ID: 5799005799 Enrollment ID: I20150514001327 |
| Provider Name | Matthew J Daily |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205063716 PECOS PAC ID: 4284852617 Enrollment ID: I20150522000759 |
| Provider Name | Vassilios J Bezzerides |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194992834 PECOS PAC ID: 0547497737 Enrollment ID: I20150527001530 |
| Provider Name | Mary M Dupre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932503281 PECOS PAC ID: 6103147228 Enrollment ID: I20150602000206 |
| Provider Name | Janna Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184011918 PECOS PAC ID: 2860713401 Enrollment ID: I20150608001074 |
| Provider Name | Raymond T Ferri |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780765032 PECOS PAC ID: 4385772409 Enrollment ID: I20150625000777 |
| Provider Name | Julia Peters |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1154613255 PECOS PAC ID: 8426360710 Enrollment ID: I20150629002207 |
| Provider Name | Muhammad Zubair Afzal |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1982983821 PECOS PAC ID: 9638308323 Enrollment ID: I20150701002441 |
| Provider Name | Hermann Pall Sigbjarnarson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164653507 PECOS PAC ID: 6204148331 Enrollment ID: I20150702001151 |
| Provider Name | Michael K Matthew |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1093834889 PECOS PAC ID: 9133212251 Enrollment ID: I20150706000126 |
| Provider Name | Jonathan S Glass |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1164622981 PECOS PAC ID: 3971741976 Enrollment ID: I20150708002484 |
| Provider Name | Gurbakhshish Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063732121 PECOS PAC ID: 3870716087 Enrollment ID: I20150713000193 |
| Provider Name | Rebecca A Zuurbier |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982694691 PECOS PAC ID: 2466522180 Enrollment ID: I20150713000603 |
| Provider Name | Christopher T Vogt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336404722 PECOS PAC ID: 3375762024 Enrollment ID: I20150717000390 |
| Provider Name | Sivashakthi K Maeder |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1508175605 PECOS PAC ID: 5092028845 Enrollment ID: I20150722004822 |
| Provider Name | Carol Lynn H Odea |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780859249 PECOS PAC ID: 2567631120 Enrollment ID: I20150724010226 |
| Provider Name | Grant D Meador |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710367354 PECOS PAC ID: 2668786872 Enrollment ID: I20150731016628 |
| Provider Name | Nina Littlefield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730560558 PECOS PAC ID: 7012221161 Enrollment ID: I20150803000937 |
| Provider Name | Barbara J Seaborg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417997800 PECOS PAC ID: 6103853056 Enrollment ID: I20150807014124 |
| Provider Name | Jennifer Kumasaki |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407114390 PECOS PAC ID: 8729392451 Enrollment ID: I20150807014979 |
| Provider Name | Cibar M Benitez Farina |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1538325733 PECOS PAC ID: 3476868878 Enrollment ID: I20150813011600 |
| Provider Name | Ryan C Pouliot |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417243387 PECOS PAC ID: 8729229638 Enrollment ID: I20150817001404 |
| Provider Name | Samuel L Brown |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346508108 PECOS PAC ID: 4587979729 Enrollment ID: I20150817001555 |
| Provider Name | Meir Preis |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1538369541 PECOS PAC ID: 2264747468 Enrollment ID: I20150818003550 |
| Provider Name | Elizabeth J Brandt |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1275700049 PECOS PAC ID: 2062663271 Enrollment ID: I20150824001066 |
| Provider Name | Samantha L Glover |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1316234495 PECOS PAC ID: 0446579759 Enrollment ID: I20150826000065 |
| Provider Name | David J Mancini |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1750486544 PECOS PAC ID: 4789990300 Enrollment ID: I20150827001900 |
| Provider Name | Ana Sofia Rivero Gutierrez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780939587 PECOS PAC ID: 3072829522 Enrollment ID: I20150831000318 |
| Provider Name | Steven E Kammann |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932338571 PECOS PAC ID: 8426225673 Enrollment ID: I20150831000525 |
| Provider Name | Christi Ann Hayes |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1629265111 PECOS PAC ID: 9638362593 Enrollment ID: I20150831001180 |
| Provider Name | Amer O Al-nimr |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467570945 PECOS PAC ID: 6507931037 Enrollment ID: I20150901002422 |
| Provider Name | Gary S Moak |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1760478473 PECOS PAC ID: 7810974532 Enrollment ID: I20150902000609 |
| Provider Name | Nicole K Maynard |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1578946364 PECOS PAC ID: 3375859481 Enrollment ID: I20150904000349 |
| Provider Name | Janet T Lavoy Salstrom |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1790704716 PECOS PAC ID: 9032210299 Enrollment ID: I20150904000596 |
| Provider Name | Rebecca Evans |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1568772234 PECOS PAC ID: 7517274434 Enrollment ID: I20150909002727 |
| Provider Name | Leah G Matthew |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124142401 PECOS PAC ID: 3274432810 Enrollment ID: I20150910001004 |
| Provider Name | Reto M Baertschiger |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1417193590 PECOS PAC ID: 5890935522 Enrollment ID: I20150911001188 |
| Provider Name | Gailyn B Thomas |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982617866 PECOS PAC ID: 7214941731 Enrollment ID: I20150914002006 |
| Provider Name | Derek T Jurus |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053571414 PECOS PAC ID: 5395992663 Enrollment ID: I20150915001926 |
| Provider Name | Joi B. Carter |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1053462960 PECOS PAC ID: 9739203746 Enrollment ID: I20150917001647 |
| Provider Name | Laura M Chiang |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1538489786 PECOS PAC ID: 8123265865 Enrollment ID: I20150917002724 |
| Provider Name | Peter S Burrage |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1770726978 PECOS PAC ID: 2264670165 Enrollment ID: I20150922001263 |
| Provider Name | Mark A Creager |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1730139254 PECOS PAC ID: 1254502479 Enrollment ID: I20150929000445 |
| Provider Name | Heather P Holman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740550557 PECOS PAC ID: 2264699974 Enrollment ID: I20150930000590 |
| Provider Name | Robert D Spencer |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1275847378 PECOS PAC ID: 7911215405 Enrollment ID: I20151002000737 |
| Provider Name | Ivy Wilkinson Ryan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760647028 PECOS PAC ID: 7719295229 Enrollment ID: I20151002001566 |
| Provider Name | Nadee M Siriwardana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073912242 PECOS PAC ID: 2668780842 Enrollment ID: I20151008000601 |
| Provider Name | Keisuke Shirai |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1992892905 PECOS PAC ID: 5092880492 Enrollment ID: I20151013001764 |
| Provider Name | Frances B Lim-liberty |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689997223 PECOS PAC ID: 5597074419 Enrollment ID: I20151015002095 |
| Provider Name | Ramandeep Kaur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710224175 PECOS PAC ID: 5395054043 Enrollment ID: I20151020000211 |
| Provider Name | Sarah H Finn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942444237 PECOS PAC ID: 6406073782 Enrollment ID: I20151027001134 |
| Provider Name | James E. Stahl |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760473656 PECOS PAC ID: 7214015643 Enrollment ID: I20151027002635 |
| Provider Name | Victoria H Lawson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124118732 PECOS PAC ID: 8325009988 Enrollment ID: I20151028001646 |
| Provider Name | Susan Yuditskaya |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1093964850 PECOS PAC ID: 6709068042 Enrollment ID: I20151029000603 |
| Provider Name | Shannon C Schachtner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184092496 PECOS PAC ID: 3476863663 Enrollment ID: I20151029002178 |
| Provider Name | Nikhil N Batra |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1154550895 PECOS PAC ID: 5193965002 Enrollment ID: I20151030001043 |
| Provider Name | Jennifer Renz |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1922241793 PECOS PAC ID: 5092038133 Enrollment ID: I20151102001947 |
| Provider Name | Rachel A. Jeffers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639546039 PECOS PAC ID: 5092025122 Enrollment ID: I20151102002121 |
| Provider Name | Gillian L Sowden |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720387202 PECOS PAC ID: 7315257482 Enrollment ID: I20151103000533 |
| Provider Name | Nancy W Trottier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417325663 PECOS PAC ID: 4082924972 Enrollment ID: I20151104002912 |
| Provider Name | Katherine A Tuthill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588755268 PECOS PAC ID: 3274542162 Enrollment ID: I20151106000029 |
| Provider Name | Steven K Rayes |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1790703940 PECOS PAC ID: 6608186333 Enrollment ID: I20151110001284 |
| Provider Name | Sarah E Mccoy |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1891845012 PECOS PAC ID: 1254641665 Enrollment ID: I20151113000818 |
| Provider Name | Emily E Maclaury |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1467899856 PECOS PAC ID: 8224262654 Enrollment ID: I20151117000009 |
| Provider Name | Sarah L Mcmaster |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811365547 PECOS PAC ID: 5496065773 Enrollment ID: I20151117002536 |
| Provider Name | Emily Jean Principe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578932224 PECOS PAC ID: 3274833470 Enrollment ID: I20151119001121 |
| Provider Name | Jan B Wollack |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1447345608 PECOS PAC ID: 8628145612 Enrollment ID: I20151119001958 |
| Provider Name | Robert K Mathew |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801097357 PECOS PAC ID: 7810034998 Enrollment ID: I20151125000810 |
| Provider Name | Christina F Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770955320 PECOS PAC ID: 6406156165 Enrollment ID: I20151202000423 |
| Provider Name | William L Burch |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760693691 PECOS PAC ID: 4284700543 Enrollment ID: I20151202001524 |
| Provider Name | Lacey J Hayes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386954626 PECOS PAC ID: 1850691411 Enrollment ID: I20151203002137 |
| Provider Name | Stephanie D Mathew |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1679661433 PECOS PAC ID: 6204074941 Enrollment ID: I20151203003211 |
| Provider Name | Lynsey Page Teulings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487085155 PECOS PAC ID: 3577864602 Enrollment ID: I20151215001807 |
| Provider Name | John L Hammel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053448696 PECOS PAC ID: 7214125871 Enrollment ID: I20151216001198 |
| Provider Name | Eric M Williams |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1265480800 PECOS PAC ID: 7113085747 Enrollment ID: I20151217002230 |
| Provider Name | Gretchen G Kidder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164894986 PECOS PAC ID: 2365743259 Enrollment ID: I20151218000215 |
| Provider Name | Gregory A Russo |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1750591400 PECOS PAC ID: 8123192044 Enrollment ID: I20151218001473 |
| Provider Name | Diane M Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053329482 PECOS PAC ID: 7517189467 Enrollment ID: I20160105000132 |
| Provider Name | Eileen M Saunders |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1295004083 PECOS PAC ID: 4880996008 Enrollment ID: I20160105002587 |
| Provider Name | Sandra L Wong |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1447341904 PECOS PAC ID: 4981637402 Enrollment ID: I20160108001435 |
| Provider Name | William R Keller |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477678985 PECOS PAC ID: 9234325556 Enrollment ID: I20160112001384 |
| Provider Name | Matthew A Roginski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831451467 PECOS PAC ID: 7810299443 Enrollment ID: I20160113001452 |
| Provider Name | Kevin William Dwyer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1851511521 PECOS PAC ID: 9133361314 Enrollment ID: I20160212002093 |
| Provider Name | Stephanie H Kassels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053541185 PECOS PAC ID: 4486819299 Enrollment ID: I20160215002426 |
| Provider Name | Carolanne Majeski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235502188 PECOS PAC ID: 5092010876 Enrollment ID: I20160217000831 |
| Provider Name | Margaret M Doucette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669419172 PECOS PAC ID: 8022011881 Enrollment ID: I20160218000015 |
| Provider Name | Kevin J Armstrong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407228810 PECOS PAC ID: 1759686884 Enrollment ID: I20160226000981 |
| Provider Name | Roslinde M Collins-gibbard |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1093736340 PECOS PAC ID: 3971545120 Enrollment ID: I20160304000409 |
| Provider Name | Amy Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518373554 PECOS PAC ID: 4183843881 Enrollment ID: I20160328000177 |
| Provider Name | Bridget T Meador |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487019113 PECOS PAC ID: 6103125208 Enrollment ID: I20160425000422 |
| Provider Name | Andrea F Bonenfant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235508227 PECOS PAC ID: 7113237561 Enrollment ID: I20160502001126 |
| Provider Name | Ardis L Olson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649383548 PECOS PAC ID: 1951600444 Enrollment ID: I20160505000023 |
| Provider Name | Leah E Abrahamsen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033580345 PECOS PAC ID: 8022307206 Enrollment ID: I20160511000471 |
| Provider Name | Donald J Perreault |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871956680 PECOS PAC ID: 0840589263 Enrollment ID: I20160525000297 |
| Provider Name | Kevin Hsu |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1730409970 PECOS PAC ID: 0042444689 Enrollment ID: I20160602000969 |
| Provider Name | Kathleen Broglio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558443689 PECOS PAC ID: 4183510621 Enrollment ID: I20160610001182 |
| Provider Name | Becky Ahmed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164849865 PECOS PAC ID: 8820221096 Enrollment ID: I20160613001670 |
| Provider Name | Bina Aftab Ahmed |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598821803 PECOS PAC ID: 0143111831 Enrollment ID: I20160617000493 |
| Provider Name | Joshua P Aronson |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1093970949 PECOS PAC ID: 1153588561 Enrollment ID: I20160629000496 |
| Provider Name | Gregory A Dadekian |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1902082449 PECOS PAC ID: 7719126994 Enrollment ID: I20160705000497 |
| Provider Name | Michael S Calderwood |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1982756664 PECOS PAC ID: 2769553791 Enrollment ID: I20160714000979 |
| Provider Name | Ryan R Mccool |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1154508638 PECOS PAC ID: 1557531951 Enrollment ID: I20160714002073 |
| Provider Name | Lindsay E Bergmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720442312 PECOS PAC ID: 3173816832 Enrollment ID: I20160719001233 |
| Provider Name | Peter C Ransmeier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396058210 PECOS PAC ID: 4880842970 Enrollment ID: I20160720002456 |
| Provider Name | Jennifer M Dewar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164428595 PECOS PAC ID: 8921074105 Enrollment ID: I20160721001123 |
| Provider Name | Rebecca S Crow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245597442 PECOS PAC ID: 2668604034 Enrollment ID: I20160721001924 |
| Provider Name | Bjoern D Suckow |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1861644791 PECOS PAC ID: 5597997627 Enrollment ID: I20160722000682 |
| Provider Name | Christopher A Ewing |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316904840 PECOS PAC ID: 0446227284 Enrollment ID: I20160803002177 |
| Provider Name | George Patrick Thomas |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912298423 PECOS PAC ID: 8224322367 Enrollment ID: I20160811001842 |
| Provider Name | Joseph D Phillips |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1376709543 PECOS PAC ID: 5597072108 Enrollment ID: I20160812000661 |
| Provider Name | Rodwell Mabaera |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1417272279 PECOS PAC ID: 4486952801 Enrollment ID: I20160815001931 |
| Provider Name | Stanislav Sidash |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1790129435 PECOS PAC ID: 8022302918 Enrollment ID: I20160816002009 |
| Provider Name | Nathaniel Robbins |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184910689 PECOS PAC ID: 8729219977 Enrollment ID: I20160817002506 |
| Provider Name | Danette L Flint |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1447694351 PECOS PAC ID: 1557656253 Enrollment ID: I20160819000634 |
| Provider Name | Joel M Bradley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164782850 PECOS PAC ID: 0648404301 Enrollment ID: I20160819000880 |
| Provider Name | Marilena Caldarusa |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1689899270 PECOS PAC ID: 8527255074 Enrollment ID: I20160819001082 |
| Provider Name | William Fletcher |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083970065 PECOS PAC ID: 2466604046 Enrollment ID: I20160823001829 |
| Provider Name | Dominic Jr Abrams |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821372228 PECOS PAC ID: 3577707595 Enrollment ID: I20160823002121 |
| Provider Name | Audrey H. Calderwood |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1952576993 PECOS PAC ID: 5890846430 Enrollment ID: I20160825000808 |
| Provider Name | Christine M Arsnow |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154761062 PECOS PAC ID: 9638464753 Enrollment ID: I20160827000344 |
| Provider Name | Matthew M Wilson |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1477878072 PECOS PAC ID: 8325279946 Enrollment ID: I20160829002039 |
| Provider Name | Louis J Vaickus |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1841551843 PECOS PAC ID: 2163675273 Enrollment ID: I20160901000971 |
| Provider Name | Lauren R Wilson |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1356667711 PECOS PAC ID: 1153565353 Enrollment ID: I20160901001957 |
| Provider Name | Martin S Gross |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1881915833 PECOS PAC ID: 8729210646 Enrollment ID: I20160902001795 |
| Provider Name | Raphael Alexander Lizcano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053755819 PECOS PAC ID: 4183910904 Enrollment ID: I20160902001801 |
| Provider Name | Jeffrey Townsend Kuvin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1487768388 PECOS PAC ID: 6800864802 Enrollment ID: I20160909002336 |
| Provider Name | Graham Thomas Atkins |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1346576246 PECOS PAC ID: 2567623838 Enrollment ID: I20160915001313 |
| Provider Name | Lauren Kimberly Tormey |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1245473776 PECOS PAC ID: 9133384266 Enrollment ID: I20160919002376 |
| Provider Name | Patrick R Hartmann |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1063770071 PECOS PAC ID: 4880992411 Enrollment ID: I20160919002525 |
| Provider Name | Dawn S Straniero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518293570 PECOS PAC ID: 0042348666 Enrollment ID: I20160919002553 |
| Provider Name | Aliaksandr Shakhau |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235426578 PECOS PAC ID: 1052615341 Enrollment ID: I20160920000054 |
| Provider Name | Frank John Penna |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1497982110 PECOS PAC ID: 0840422804 Enrollment ID: I20160920000172 |
| Provider Name | Melissa Fussell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639305188 PECOS PAC ID: 1456648484 Enrollment ID: I20160920000209 |
| Provider Name | Shova Subedi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1801102470 PECOS PAC ID: 1052539616 Enrollment ID: I20160920002564 |
| Provider Name | Collin J May |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1821260845 PECOS PAC ID: 5092972372 Enrollment ID: I20160922001293 |
| Provider Name | Hsu-ko Kuo |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932401395 PECOS PAC ID: 6709184252 Enrollment ID: I20160922001889 |
| Provider Name | Harman Gill |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265752570 PECOS PAC ID: 8628376761 Enrollment ID: I20160923001871 |
| Provider Name | Richard B Smith |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1689674426 PECOS PAC ID: 7113810912 Enrollment ID: I20160927001940 |
| Provider Name | David D Bae |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013208644 PECOS PAC ID: 7012215296 Enrollment ID: I20160927002055 |
| Provider Name | Cynthia Meyers-seifer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952379117 PECOS PAC ID: 4082512652 Enrollment ID: I20160928001040 |
| Provider Name | Erin L Reigh |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1912291337 PECOS PAC ID: 3870714843 Enrollment ID: I20160929001484 |
| Provider Name | Alexander Orem |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1811130073 PECOS PAC ID: 1153638176 Enrollment ID: I20161003000613 |
| Provider Name | Stacy A Flinn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376765719 PECOS PAC ID: 7113172487 Enrollment ID: I20161003001929 |
| Provider Name | Ida L Gitajn |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1427379767 PECOS PAC ID: 2860659141 Enrollment ID: I20161007000988 |
| Provider Name | Meaghan A Kennedy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457790073 PECOS PAC ID: 8022247881 Enrollment ID: I20161011001104 |
| Provider Name | Inbar S Spofford |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1427275155 PECOS PAC ID: 8527226349 Enrollment ID: I20161012002718 |
| Provider Name | Bing Ren |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1932425832 PECOS PAC ID: 9133432552 Enrollment ID: I20161013000229 |
| Provider Name | Vijay Renga |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831493386 PECOS PAC ID: 2567783343 Enrollment ID: I20161013001817 |
| Provider Name | Timothy Edward Burdick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245257195 PECOS PAC ID: 8426088451 Enrollment ID: I20161013002311 |
| Provider Name | Richard M Hayes |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104814896 PECOS PAC ID: 8325068422 Enrollment ID: I20161017000169 |
| Provider Name | Sarah S Seo |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1003081597 PECOS PAC ID: 8123277803 Enrollment ID: I20161018000927 |
| Provider Name | James E Gray |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750379582 PECOS PAC ID: 3173562451 Enrollment ID: I20161018001891 |
| Provider Name | Richard P Cheung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841582541 PECOS PAC ID: 5890910012 Enrollment ID: I20161019002022 |
| Provider Name | Nikolaos Zacharias |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1023251717 PECOS PAC ID: 9032497151 Enrollment ID: I20161025000750 |
| Provider Name | Matthew Sullivan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104104918 PECOS PAC ID: 3072811686 Enrollment ID: I20161026001987 |
| Provider Name | Robert M Westlake |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1720053192 PECOS PAC ID: 4587651526 Enrollment ID: I20161026002484 |
| Provider Name | Sword C Cambron |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508094541 PECOS PAC ID: 0941515712 Enrollment ID: I20161031000006 |
| Provider Name | Gabriel A Brooks |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1366598955 PECOS PAC ID: 8729267166 Enrollment ID: I20161031000567 |
| Provider Name | Kerry O'hara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265989438 PECOS PAC ID: 5597043125 Enrollment ID: I20161101002387 |
| Provider Name | David E Koch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326594300 PECOS PAC ID: 8123307444 Enrollment ID: I20161109001392 |
| Provider Name | Sabrina Yong-yow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306284583 PECOS PAC ID: 7315188539 Enrollment ID: I20161111000808 |
| Provider Name | Margery E Donovan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457448839 PECOS PAC ID: 9032498985 Enrollment ID: I20161116001677 |
| Provider Name | Kristin O Burdick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003037904 PECOS PAC ID: 5496839771 Enrollment ID: I20161116002790 |
| Provider Name | Swaroopa Ponnamreddy |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1376842963 PECOS PAC ID: 3173821766 Enrollment ID: I20161117000706 |
| Provider Name | Vijay V Gandevia |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1457398067 PECOS PAC ID: 0547282758 Enrollment ID: I20161121000703 |
| Provider Name | Matthew R Babineau |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508033036 PECOS PAC ID: 8628142759 Enrollment ID: I20161121000834 |
| Provider Name | Joanna K Leyenaar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083947659 PECOS PAC ID: 5092840165 Enrollment ID: I20161122000210 |
| Provider Name | Jessica L Brooks |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447474218 PECOS PAC ID: 6608917117 Enrollment ID: I20161129001661 |
| Provider Name | Catherine E Dubeau |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508928060 PECOS PAC ID: 7517929128 Enrollment ID: I20161129002326 |
| Provider Name | Anna G Peters |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1184912115 PECOS PAC ID: 8628248721 Enrollment ID: I20161129002459 |
| Provider Name | Jillian M Brady |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932453511 PECOS PAC ID: 1254658826 Enrollment ID: I20161205002244 |
| Provider Name | Maryam Gul |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1144501941 PECOS PAC ID: 5294033759 Enrollment ID: I20161206001544 |
| Provider Name | Leyla J Ghazi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1114135498 PECOS PAC ID: 6507058104 Enrollment ID: I20161206001849 |
| Provider Name | Sivan Rotenberg |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881008886 PECOS PAC ID: 8729368857 Enrollment ID: I20161207002323 |
| Provider Name | Kevin J Mcguire |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1679529887 PECOS PAC ID: 5395719710 Enrollment ID: I20161208001458 |
| Provider Name | Amanda J King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811445224 PECOS PAC ID: 6709167216 Enrollment ID: I20161221000641 |
| Provider Name | Matthew S Maliszewski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669451480 PECOS PAC ID: 2062434665 Enrollment ID: I20161222000386 |
| Provider Name | Justin M Goehl |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1467796375 PECOS PAC ID: 5890949119 Enrollment ID: I20161228000763 |
| Provider Name | Teri B Larock |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164965851 PECOS PAC ID: 1850672106 Enrollment ID: I20161229000855 |
| Provider Name | Cornelia H Gonsalves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235219320 PECOS PAC ID: 1557445848 Enrollment ID: I20170105001560 |
| Provider Name | Molly M Hastings |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1912077520 PECOS PAC ID: 7315956539 Enrollment ID: I20170113000490 |
| Provider Name | Emily E Sieglinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598208621 PECOS PAC ID: 4183906647 Enrollment ID: I20170119000131 |
| Provider Name | Roberta M Lucas |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1326089061 PECOS PAC ID: 8921291386 Enrollment ID: I20170125003020 |
| Provider Name | Peter Rubin |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1912950411 PECOS PAC ID: 4688659980 Enrollment ID: I20170301002208 |
| Provider Name | Kim L Neskey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841226107 PECOS PAC ID: 6204808223 Enrollment ID: I20170302001390 |
| Provider Name | Christy L Aberg |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1851626287 PECOS PAC ID: 2163618174 Enrollment ID: I20170322002904 |
| Provider Name | Hyunouk Hong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437412558 PECOS PAC ID: 6103055967 Enrollment ID: I20170324001228 |
| Provider Name | Alexandra M Marcotte |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1073054656 PECOS PAC ID: 5092090498 Enrollment ID: I20170328000334 |
| Provider Name | Wilma A Hyde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033169115 PECOS PAC ID: 3173809431 Enrollment ID: I20170421000443 |
| Provider Name | Isabella W Martin |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1376868299 PECOS PAC ID: 5597084608 Enrollment ID: I20170503002545 |
| Provider Name | Christine E Lamar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114451549 PECOS PAC ID: 0143507848 Enrollment ID: I20170508000073 |
| Provider Name | Charles Y Whang |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1841630985 PECOS PAC ID: 8224337472 Enrollment ID: I20170508000090 |
| Provider Name | Adrianna Wheelock |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942575683 PECOS PAC ID: 3870860109 Enrollment ID: I20170517000810 |
| Provider Name | Geeta Chaparala |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1750562054 PECOS PAC ID: 7416039417 Enrollment ID: I20170519001140 |
| Provider Name | Barbara C Badgley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558893438 PECOS PAC ID: 6204103054 Enrollment ID: I20170525002378 |
| Provider Name | Jessica M Sin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023307774 PECOS PAC ID: 5496046898 Enrollment ID: I20170602000006 |
| Provider Name | Aimee Jordan Beaton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245650605 PECOS PAC ID: 4880993682 Enrollment ID: I20170606001975 |
| Provider Name | Jay Oza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871903070 PECOS PAC ID: 7719284397 Enrollment ID: I20170627001711 |
| Provider Name | Kathryn La Carpenter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891227583 PECOS PAC ID: 2860761137 Enrollment ID: I20170629000723 |
| Provider Name | Julia C Knight |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891037917 PECOS PAC ID: 9537460829 Enrollment ID: I20170629001649 |
| Provider Name | Rebecca J Thompson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568727535 PECOS PAC ID: 9133350416 Enrollment ID: I20170706000392 |
| Provider Name | Andrew D. Smith |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053600072 PECOS PAC ID: 8022318914 Enrollment ID: I20170706000558 |
| Provider Name | David M Haughey |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336569375 PECOS PAC ID: 4082912563 Enrollment ID: I20170711002416 |
| Provider Name | Bruce Martin Vrooman |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1346412194 PECOS PAC ID: 3274601463 Enrollment ID: I20170718001534 |
| Provider Name | Shawn M Ahmad |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1275800708 PECOS PAC ID: 8921306820 Enrollment ID: I20170719000343 |
| Provider Name | Andrea B Wolffing |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245472612 PECOS PAC ID: 6901190875 Enrollment ID: I20170726001262 |
| Provider Name | Nisha P Baliga |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548608623 PECOS PAC ID: 8628366804 Enrollment ID: I20170728002033 |
| Provider Name | Jessica L Ferger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962768945 PECOS PAC ID: 0749590800 Enrollment ID: I20170731000092 |
| Provider Name | Theresa Y Mangual |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598725988 PECOS PAC ID: 0143206383 Enrollment ID: I20170731000469 |
| Provider Name | Milangel T Concepcion Zayas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407147564 PECOS PAC ID: 8426344094 Enrollment ID: I20170802000482 |
| Provider Name | Jeanwan Kang |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1134242258 PECOS PAC ID: 6709052699 Enrollment ID: I20170807000247 |
| Provider Name | Shazia A Savul |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235151341 PECOS PAC ID: 5799782884 Enrollment ID: I20170807002782 |
| Provider Name | Nahid Yakuby Vidal |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1316269103 PECOS PAC ID: 7416191762 Enrollment ID: I20170808000839 |
| Provider Name | Auben A Van Meter |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1609015130 PECOS PAC ID: 1052682010 Enrollment ID: I20170809002278 |
| Provider Name | Timothy J Lin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1750607131 PECOS PAC ID: 5496052631 Enrollment ID: I20170810000465 |
| Provider Name | Michael N Young |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1891938395 PECOS PAC ID: 1759697923 Enrollment ID: I20170810001485 |
| Provider Name | Emily L Swann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013446574 PECOS PAC ID: 3274804133 Enrollment ID: I20170810002587 |
| Provider Name | Tyler L Cooke |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861663387 PECOS PAC ID: 3173810389 Enrollment ID: I20170810002864 |
| Provider Name | Amanda L Totte |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598292948 PECOS PAC ID: 5294007779 Enrollment ID: I20170817002864 |
| Provider Name | Roy Rajan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1053680900 PECOS PAC ID: 9931321957 Enrollment ID: I20170818000070 |
| Provider Name | Jessica B Wallaert |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1316112444 PECOS PAC ID: 7113225707 Enrollment ID: I20170818001247 |
| Provider Name | Vinca Chow |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1043575277 PECOS PAC ID: 9537309364 Enrollment ID: I20170818001486 |
| Provider Name | Dillon Hartley Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760905780 PECOS PAC ID: 5698047942 Enrollment ID: I20170821002644 |
| Provider Name | Nicholas E Weinberg |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649598871 PECOS PAC ID: 9638303001 Enrollment ID: I20170825000388 |
| Provider Name | Katherine M Shea |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295978989 PECOS PAC ID: 3072811819 Enrollment ID: I20170826000309 |
| Provider Name | Lawrence M Dagrosa |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1871884395 PECOS PAC ID: 1557655172 Enrollment ID: I20170828004287 |
| Provider Name | William Bradley Barton |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1730524034 PECOS PAC ID: 5496053282 Enrollment ID: I20170901001603 |
| Provider Name | Adrienne J Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891219218 PECOS PAC ID: 4284908260 Enrollment ID: I20170915000102 |
| Provider Name | Brian L Jones |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1962660829 PECOS PAC ID: 1850560673 Enrollment ID: I20170915002081 |
| Provider Name | Mary C Drinane |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1063733657 PECOS PAC ID: 3072762426 Enrollment ID: I20170919000154 |
| Provider Name | Andrew Kim |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1235572207 PECOS PAC ID: 7719206226 Enrollment ID: I20170921003251 |
| Provider Name | Ashley A Sartori |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053841510 PECOS PAC ID: 1658645098 Enrollment ID: I20170922002043 |
| Provider Name | Matthew James Hoyt |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1003173543 PECOS PAC ID: 6901196476 Enrollment ID: I20170925002729 |
| Provider Name | Eric P Holmgren |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1619083565 PECOS PAC ID: 5890898571 Enrollment ID: I20170928003743 |
| Provider Name | Matthew Z Wilson |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1528293347 PECOS PAC ID: 3274773015 Enrollment ID: I20170929000211 |
| Provider Name | Carol A Huntley-smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851817522 PECOS PAC ID: 9234404138 Enrollment ID: I20171003005365 |
| Provider Name | Nayla Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508272923 PECOS PAC ID: 6800116708 Enrollment ID: I20171010001267 |
| Provider Name | Robyn M Galvin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376066886 PECOS PAC ID: 6709151202 Enrollment ID: I20171010001435 |
| Provider Name | Ananta Bhatt |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1295025435 PECOS PAC ID: 3870729635 Enrollment ID: I20171012001908 |
| Provider Name | Joanna L Culver |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356753511 PECOS PAC ID: 1951677996 Enrollment ID: I20171019000814 |
| Provider Name | Fredrik H B Amell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679976294 PECOS PAC ID: 5991071672 Enrollment ID: I20171024003559 |
| Provider Name | Farhad Mazdisnian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750469201 PECOS PAC ID: 5496846313 Enrollment ID: I20171025002542 |
| Provider Name | Alexandra V Fannin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114445996 PECOS PAC ID: 3173899762 Enrollment ID: I20171026001448 |
| Provider Name | Matthew Wofford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336551076 PECOS PAC ID: 0042437790 Enrollment ID: I20171027000166 |
| Provider Name | Ruth Mize Thomson |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1144337965 PECOS PAC ID: 3971508458 Enrollment ID: I20171030001913 |
| Provider Name | Kevin F Kwaku |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1619956968 PECOS PAC ID: 1658374426 Enrollment ID: I20171102000174 |
| Provider Name | Jaylon A Von Mertens |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1386162188 PECOS PAC ID: 9234495490 Enrollment ID: I20171106000094 |
| Provider Name | Jennifer L Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700396132 PECOS PAC ID: 6305102310 Enrollment ID: I20171108000214 |
| Provider Name | Catherine D Shubkin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225089584 PECOS PAC ID: 8123384054 Enrollment ID: I20171109002137 |
| Provider Name | Amy M Kritzer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700044336 PECOS PAC ID: 9234423369 Enrollment ID: I20171130000778 |
| Provider Name | Evan Kandler Grove |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1144546771 PECOS PAC ID: 8022268077 Enrollment ID: I20171205001604 |
| Provider Name | Kathrine Y Krupnik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992214969 PECOS PAC ID: 1658638291 Enrollment ID: I20171206002052 |
| Provider Name | Cassandra L Montminy |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1942711874 PECOS PAC ID: 9436416997 Enrollment ID: I20171208001047 |
| Provider Name | Scott E Benjamin |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1174614390 PECOS PAC ID: 9830213982 Enrollment ID: I20171208002486 |
| Provider Name | Ronda Aurigemma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891716080 PECOS PAC ID: 8527025923 Enrollment ID: I20171211000240 |
| Provider Name | April H Charpentier |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861437337 PECOS PAC ID: 1052324092 Enrollment ID: I20171219000906 |
| Provider Name | Wandana Joshi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1942220165 PECOS PAC ID: 4587686894 Enrollment ID: I20171221000733 |
| Provider Name | David Vargas Lowy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1376805317 PECOS PAC ID: 4587962311 Enrollment ID: I20171221001566 |
| Provider Name | Carlyn Herz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780684530 PECOS PAC ID: 7012972326 Enrollment ID: I20171226001507 |
| Provider Name | Lindsay C Spirito |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578087920 PECOS PAC ID: 3274891056 Enrollment ID: I20171228000387 |
| Provider Name | Spencer Trooboff |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1588041073 PECOS PAC ID: 3476851882 Enrollment ID: I20171229000157 |
| Provider Name | Robin J Larson |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1730281734 PECOS PAC ID: 4284822867 Enrollment ID: I20180110003205 |
| Provider Name | Rachel L Wyninegar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427002740 PECOS PAC ID: 7416956974 Enrollment ID: I20180119002185 |
| Provider Name | Jennifer P Frost |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730695446 PECOS PAC ID: 2668731407 Enrollment ID: I20180124000719 |
| Provider Name | Sarah M Sullivan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114337755 PECOS PAC ID: 6406146463 Enrollment ID: I20180124003193 |
| Provider Name | Michelle Marie Monteleone-ethier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841719200 PECOS PAC ID: 2668731308 Enrollment ID: I20180125001701 |
| Provider Name | Laura M Paulin |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1619273331 PECOS PAC ID: 2961657218 Enrollment ID: I20180209001551 |
| Provider Name | Marcy N Singleton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306953856 PECOS PAC ID: 6002176047 Enrollment ID: I20180212001725 |
| Provider Name | Stacey L Kovatch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740795400 PECOS PAC ID: 5496016974 Enrollment ID: I20180224000073 |
| Provider Name | Kathey A Fortin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871004853 PECOS PAC ID: 1254692783 Enrollment ID: I20180226002069 |
| Provider Name | Lisa M Bradshaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104906429 PECOS PAC ID: 5193787968 Enrollment ID: I20180226002327 |
| Provider Name | Tonya Suarez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427440437 PECOS PAC ID: 5890056287 Enrollment ID: I20180227002488 |
| Provider Name | Mary K Dowd |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1235104340 PECOS PAC ID: 2769560390 Enrollment ID: I20180228000568 |
| Provider Name | Janice Valmassoi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922180512 PECOS PAC ID: 7315160231 Enrollment ID: I20180228000963 |
| Provider Name | Julia D Wieck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770094252 PECOS PAC ID: 5496016743 Enrollment ID: I20180228002603 |
| Provider Name | Keith R Fannin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457809881 PECOS PAC ID: 3971865718 Enrollment ID: I20180315000582 |
| Provider Name | Mary I Carlson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447236526 PECOS PAC ID: 3072875574 Enrollment ID: I20180321001754 |
| Provider Name | Peter Georges |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861699944 PECOS PAC ID: 3375667405 Enrollment ID: I20180324000115 |
| Provider Name | Hannah K Brilling |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1093223059 PECOS PAC ID: 4981966298 Enrollment ID: I20180327001252 |
| Provider Name | Jaclyn N Truland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073012654 PECOS PAC ID: 7416219514 Enrollment ID: I20180330000973 |
| Provider Name | Kristen E Newell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033501564 PECOS PAC ID: 5991068611 Enrollment ID: I20180411001486 |
| Provider Name | Ember S Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528578473 PECOS PAC ID: 2264795996 Enrollment ID: I20180411001933 |
| Provider Name | Denise Marie Franko |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407199797 PECOS PAC ID: 5597063669 Enrollment ID: I20180420000821 |
| Provider Name | Jennifer Penland |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235557554 PECOS PAC ID: 5698039790 Enrollment ID: I20180425001598 |
| Provider Name | Jonathan S Shaw |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356672794 PECOS PAC ID: 7214291079 Enrollment ID: I20180502000360 |
| Provider Name | Andrew Crawford |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1134564974 PECOS PAC ID: 6507171170 Enrollment ID: I20180502001682 |
| Provider Name | Roshoyah Anthonette Bernard |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700249372 PECOS PAC ID: 3476848722 Enrollment ID: I20180509001481 |
| Provider Name | Rachael K Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417317017 PECOS PAC ID: 7517259864 Enrollment ID: I20180510000638 |
| Provider Name | Yemi Olufunmilayo Alejo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396243457 PECOS PAC ID: 6608130042 Enrollment ID: I20180510001286 |
| Provider Name | Angela M Ricci |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1447526702 PECOS PAC ID: 8921363011 Enrollment ID: I20180518002014 |
| Provider Name | Jenna L Koliani-pace |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1316209141 PECOS PAC ID: 0941507503 Enrollment ID: I20180522001591 |
| Provider Name | Amy E Paris |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184885469 PECOS PAC ID: 0143487579 Enrollment ID: I20180523002264 |
| Provider Name | Uzma Mohammad Siddiqui |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1740621739 PECOS PAC ID: 0143452151 Enrollment ID: I20180529002395 |
| Provider Name | Kenneth Elliott Higgins |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1255759254 PECOS PAC ID: 9830454503 Enrollment ID: I20180530000479 |
| Provider Name | Emily P Zeitler |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1609035054 PECOS PAC ID: 7416212022 Enrollment ID: I20180601000981 |
| Provider Name | Denise M Mcgrath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104803899 PECOS PAC ID: 6800833104 Enrollment ID: I20180601001822 |
| Provider Name | Raymond M Klein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821484296 PECOS PAC ID: 7214234905 Enrollment ID: I20180601002207 |
| Provider Name | Odette Viajar Denisa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174867873 PECOS PAC ID: 7517101900 Enrollment ID: I20180605000993 |
| Provider Name | Elaine Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811487630 PECOS PAC ID: 6901161330 Enrollment ID: I20180605002306 |
| Provider Name | Eric Dinesh Shah |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1487911376 PECOS PAC ID: 0244530137 Enrollment ID: I20180605002371 |
| Provider Name | Charles W Hopley |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1811251721 PECOS PAC ID: 6406177351 Enrollment ID: I20180612001513 |
| Provider Name | Lorena Do Ponte |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316329022 PECOS PAC ID: 6103132071 Enrollment ID: I20180615000456 |
| Provider Name | Jennifer Hong |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1174814792 PECOS PAC ID: 5890093256 Enrollment ID: I20180621000983 |
| Provider Name | Roya Vakili |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497951222 PECOS PAC ID: 1254407935 Enrollment ID: I20180625001530 |
| Provider Name | Kathleen Rochefort |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366708349 PECOS PAC ID: 8527371657 Enrollment ID: I20180626001813 |
| Provider Name | Adam J Kahn |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1619382314 PECOS PAC ID: 4688941669 Enrollment ID: I20180626002913 |
| Provider Name | Christine E Anzalone |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740629120 PECOS PAC ID: 0648578070 Enrollment ID: I20180627003473 |
| Provider Name | David Eiler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285926873 PECOS PAC ID: 5193019628 Enrollment ID: I20180702000721 |
| Provider Name | Yale Allyn Fillingham |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1205199346 PECOS PAC ID: 8022308006 Enrollment ID: I20180702000986 |
| Provider Name | Jeffrey M Adler |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1225327638 PECOS PAC ID: 3072811876 Enrollment ID: I20180702002078 |
| Provider Name | Linton T Evans |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1871819268 PECOS PAC ID: 5395044549 Enrollment ID: I20180702002634 |
| Provider Name | Elliot Dean Backer |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1336407113 PECOS PAC ID: 8325289390 Enrollment ID: I20180705000075 |
| Provider Name | Matthew C Tufts |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1306284245 PECOS PAC ID: 9638425622 Enrollment ID: I20180705001189 |
| Provider Name | Michelle D Tyler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124344502 PECOS PAC ID: 0547566838 Enrollment ID: I20180710000291 |
| Provider Name | Patrick C Keane |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013400423 PECOS PAC ID: 9739435256 Enrollment ID: I20180712002746 |
| Provider Name | Curtis Allen Myers |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1275024440 PECOS PAC ID: 4587910021 Enrollment ID: I20180713000225 |
| Provider Name | Kazim Aykent |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568856482 PECOS PAC ID: 7618266867 Enrollment ID: I20180716000574 |
| Provider Name | Richard Kenwyn Saunders |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124415807 PECOS PAC ID: 8820376783 Enrollment ID: I20180720000407 |
| Provider Name | Kimberly M Youngren |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1053672436 PECOS PAC ID: 4284927518 Enrollment ID: I20180726000901 |
| Provider Name | Jordi Samuel Lehmann |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265923825 PECOS PAC ID: 1254688898 Enrollment ID: I20180727001005 |
| Provider Name | Sydney Hartman-munick |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780071191 PECOS PAC ID: 9638463052 Enrollment ID: I20180808000839 |
| Provider Name | Kara Ann Gannon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639665243 PECOS PAC ID: 7719236447 Enrollment ID: I20180814001396 |
| Provider Name | Parin R Shah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639561442 PECOS PAC ID: 3173838679 Enrollment ID: I20180815000972 |
| Provider Name | Eric A Steffen |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1376505172 PECOS PAC ID: 4183683725 Enrollment ID: I20180815001726 |
| Provider Name | Deborah J Nussdorf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841785078 PECOS PAC ID: 4981953510 Enrollment ID: I20180815002050 |
| Provider Name | Jonathan S Jolin |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1235572546 PECOS PAC ID: 3072800473 Enrollment ID: I20180815004056 |
| Provider Name | Dimosthenis Mantopoulos |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1679816326 PECOS PAC ID: 3971745746 Enrollment ID: I20180817002552 |
| Provider Name | Myles Dustin Boone |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1700843471 PECOS PAC ID: 9335143957 Enrollment ID: I20180820002685 |
| Provider Name | Evan G Smith |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700263571 PECOS PAC ID: 9133427842 Enrollment ID: I20180820003286 |
| Provider Name | Stanislav Henkin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1407291495 PECOS PAC ID: 2365683141 Enrollment ID: I20180822000845 |
| Provider Name | Kelsey L Jordan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1619406154 PECOS PAC ID: 6800145988 Enrollment ID: I20180822003277 |
| Provider Name | Megan K Martel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669959896 PECOS PAC ID: 0840549861 Enrollment ID: I20180823001633 |
| Provider Name | Susan M Stott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114403565 PECOS PAC ID: 9335498112 Enrollment ID: I20180828002051 |
| Provider Name | Robyn A Puleo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669589701 PECOS PAC ID: 7517916109 Enrollment ID: I20180829004652 |
| Provider Name | Matthew R Leboeuf |
|---|---|
| Provider Type | Practitioner - Micrographic Dermatologic Surgery (mds) |
| Provider Identifiers | NPI Number: 1295172054 PECOS PAC ID: 5395018071 Enrollment ID: I20180830000247 |
| Provider Name | Rian Melissa Hasson |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1750557724 PECOS PAC ID: 7416195326 Enrollment ID: I20180830001125 |
| Provider Name | Samuel B Mcwilliams |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710244116 PECOS PAC ID: 5496018400 Enrollment ID: I20180830001201 |
| Provider Name | David Jeremy Madrid |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518223007 PECOS PAC ID: 6608000658 Enrollment ID: I20180831001866 |
| Provider Name | Zachary Goode |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972879344 PECOS PAC ID: 5496982084 Enrollment ID: I20180831002052 |
| Provider Name | Adam Michael Normile |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124506134 PECOS PAC ID: 5799035358 Enrollment ID: I20180904000486 |
| Provider Name | Daniel Stanley Aridgides |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1083001275 PECOS PAC ID: 7113217571 Enrollment ID: I20180904002701 |
| Provider Name | Laura A Lahaye |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1265528087 PECOS PAC ID: 6406042480 Enrollment ID: I20180905000136 |
| Provider Name | Ashley Y Takahashi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952780439 PECOS PAC ID: 3577878990 Enrollment ID: I20180906000709 |
| Provider Name | Eleanor M Workman |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1457842734 PECOS PAC ID: 2264782226 Enrollment ID: I20180912002496 |
| Provider Name | Alexandra Briggs |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1740422005 PECOS PAC ID: 2466690391 Enrollment ID: I20180917000452 |
| Provider Name | Colleen M Kershaw |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1508127499 PECOS PAC ID: 2769793058 Enrollment ID: I20180917000616 |
| Provider Name | Rebecca A Casey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295007276 PECOS PAC ID: 3870741119 Enrollment ID: I20180918001180 |
| Provider Name | Matthew B Mackwood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740690080 PECOS PAC ID: 4486969383 Enrollment ID: I20180918001994 |
| Provider Name | Gauri Luthra |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366767907 PECOS PAC ID: 0143464685 Enrollment ID: I20180919000252 |
| Provider Name | William J Mckinnon |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1245594001 PECOS PAC ID: 2860743531 Enrollment ID: I20180919000515 |
| Provider Name | Nina M Furnari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770079998 PECOS PAC ID: 6800147505 Enrollment ID: I20180919001974 |
| Provider Name | Susan E Shinn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720162498 PECOS PAC ID: 5193918878 Enrollment ID: I20180919002527 |
| Provider Name | Komal F Satti |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710399845 PECOS PAC ID: 2769776293 Enrollment ID: I20180920000509 |
| Provider Name | Alena Shoemaker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285922039 PECOS PAC ID: 6103057294 Enrollment ID: I20180925001671 |
| Provider Name | Delia R Shanahan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306373832 PECOS PAC ID: 0840568325 Enrollment ID: I20180925003604 |
| Provider Name | Sara E Kazanowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386121424 PECOS PAC ID: 5597016626 Enrollment ID: I20180928000326 |
| Provider Name | Sandra R Gamble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205322609 PECOS PAC ID: 7911259981 Enrollment ID: I20181003001156 |
| Provider Name | Rachel Moses |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1174816300 PECOS PAC ID: 0749579787 Enrollment ID: I20181003002567 |
| Provider Name | Andrew P Loehrer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942433941 PECOS PAC ID: 1153574314 Enrollment ID: I20181004000425 |
| Provider Name | Scott A Pompa |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1578824959 PECOS PAC ID: 6901124957 Enrollment ID: I20181004002139 |
| Provider Name | Luke J Archibald |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417190661 PECOS PAC ID: 0345499406 Enrollment ID: I20181005000481 |
| Provider Name | Michael F Daily |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942409743 PECOS PAC ID: 5799878310 Enrollment ID: I20181005002158 |
| Provider Name | Darcy A Kerr |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1770804924 PECOS PAC ID: 1759549108 Enrollment ID: I20181008002150 |
| Provider Name | Arielle E Coburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154705929 PECOS PAC ID: 2860789427 Enrollment ID: I20181009000956 |
| Provider Name | Evan Charles Bick |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427597012 PECOS PAC ID: 9830448505 Enrollment ID: I20181010001396 |
| Provider Name | Lindsay M Benton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831677046 PECOS PAC ID: 4688926199 Enrollment ID: I20181011000878 |
| Provider Name | Paul J Hoehner |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1780652453 PECOS PAC ID: 5496776304 Enrollment ID: I20181023000684 |
| Provider Name | Jessica K Salwen-deremer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518334796 PECOS PAC ID: 7113297987 Enrollment ID: I20181023001072 |
| Provider Name | Amanda E Macone |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356760821 PECOS PAC ID: 5092934653 Enrollment ID: I20181024002063 |
| Provider Name | Bryan G Hybki |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487018834 PECOS PAC ID: 5395035000 Enrollment ID: I20181029000882 |
| Provider Name | Cecilia Ryll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932698354 PECOS PAC ID: 2163775743 Enrollment ID: I20181029001964 |
| Provider Name | Jillian F Rork |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1750729307 PECOS PAC ID: 0446488563 Enrollment ID: I20181030002950 |
| Provider Name | Jennifer Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568943942 PECOS PAC ID: 2961755442 Enrollment ID: I20181031000158 |
| Provider Name | Allison L Herrick |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1548672009 PECOS PAC ID: 6709164007 Enrollment ID: I20181101002123 |
| Provider Name | Michael T Grant |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1578901195 PECOS PAC ID: 8123256245 Enrollment ID: I20181105002003 |
| Provider Name | Jaclyn M Vesey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851879647 PECOS PAC ID: 5294089330 Enrollment ID: I20181108001672 |
| Provider Name | Jillian J Rafter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841771615 PECOS PAC ID: 3274887971 Enrollment ID: I20181115002416 |
| Provider Name | Rachel E Daulaire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770058695 PECOS PAC ID: 2264786813 Enrollment ID: I20181116001673 |
| Provider Name | Michael Blair Tantillo |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1841281227 PECOS PAC ID: 5496700791 Enrollment ID: I20181129002043 |
| Provider Name | Jeffrey D Reed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346669017 PECOS PAC ID: 7315239829 Enrollment ID: I20181210002183 |
| Provider Name | Minda A Gowarty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841618899 PECOS PAC ID: 2163641887 Enrollment ID: I20181212001816 |
| Provider Name | Stephanie E Caille |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639644057 PECOS PAC ID: 7315282787 Enrollment ID: I20181213001629 |
| Provider Name | Leon D Sanchez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790728731 PECOS PAC ID: 0042239519 Enrollment ID: I20181214002663 |
| Provider Name | Julie A Ebel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093056137 PECOS PAC ID: 2769727908 Enrollment ID: I20181217002392 |
| Provider Name | Molly P Keady |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013483221 PECOS PAC ID: 4789929852 Enrollment ID: I20181218000852 |
| Provider Name | Carl W Dobson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407889462 PECOS PAC ID: 8921057787 Enrollment ID: I20181218001911 |
| Provider Name | Renee Angelo |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1679780191 PECOS PAC ID: 5395787386 Enrollment ID: I20181219000031 |
| Provider Name | Bilal Chaarani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841686664 PECOS PAC ID: 8022366020 Enrollment ID: I20181219002706 |
| Provider Name | Samantha Kate Mathews-klebes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871977454 PECOS PAC ID: 4284982489 Enrollment ID: I20181221001988 |
| Provider Name | Anas Hannoun |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1023437597 PECOS PAC ID: 9931406147 Enrollment ID: I20190102001839 |
| Provider Name | Nicholas J Daniel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295022473 PECOS PAC ID: 1456576198 Enrollment ID: I20190102002054 |
| Provider Name | Sandra J Mcdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245689868 PECOS PAC ID: 7113207143 Enrollment ID: I20190110002167 |
| Provider Name | Ann S Christiano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760497515 PECOS PAC ID: 1557607694 Enrollment ID: I20190110003529 |
| Provider Name | Deena Masten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164906061 PECOS PAC ID: 3779829445 Enrollment ID: I20190117000264 |
| Provider Name | Martha Tepas Desbiens |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104261361 PECOS PAC ID: 5193023224 Enrollment ID: I20190124003702 |
| Provider Name | Lauren E Szkodny |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356880900 PECOS PAC ID: 1153669734 Enrollment ID: I20190206000270 |
| Provider Name | Rulon L Hardman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225219421 PECOS PAC ID: 7012071350 Enrollment ID: I20190206001190 |
| Provider Name | Danielle N Cantin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982945218 PECOS PAC ID: 3274871553 Enrollment ID: I20190212001087 |
| Provider Name | Lucy J Pilcher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245759968 PECOS PAC ID: 8123366408 Enrollment ID: I20190212001266 |
| Provider Name | Roseanne M Medeiros |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134698988 PECOS PAC ID: 2163680992 Enrollment ID: I20190218002570 |
| Provider Name | Sara E Morin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780154757 PECOS PAC ID: 9234478637 Enrollment ID: I20190301001455 |
| Provider Name | Joseph P Spychalski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346229630 PECOS PAC ID: 4789627480 Enrollment ID: I20190306000619 |
| Provider Name | Jonathan Aaron Barnes |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811359995 PECOS PAC ID: 0042509762 Enrollment ID: I20190315002063 |
| Provider Name | Julie Hounchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609893643 PECOS PAC ID: 1153344346 Enrollment ID: I20190319001774 |
| Provider Name | Jason Edward Faris |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1134255813 PECOS PAC ID: 7113068586 Enrollment ID: I20190321000324 |
| Provider Name | Marc S Lessin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184682213 PECOS PAC ID: 1355346875 Enrollment ID: I20190328002000 |
| Provider Name | Janice M Marshall |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104895291 PECOS PAC ID: 9133111230 Enrollment ID: I20190418000103 |
| Provider Name | Amber E Barnato |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1437680014 PECOS PAC ID: 5890068233 Enrollment ID: I20190425000818 |
| Provider Name | Tonya M Binder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134681711 PECOS PAC ID: 2961744537 Enrollment ID: I20190501000100 |
| Provider Name | Jane B Vasquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851954945 PECOS PAC ID: 4183966765 Enrollment ID: I20190501000401 |
| Provider Name | Yvon F Bryan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1912965013 PECOS PAC ID: 6103870571 Enrollment ID: I20190502002623 |
| Provider Name | Lisa A Moulton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316473622 PECOS PAC ID: 0042582496 Enrollment ID: I20190506001919 |
| Provider Name | Paul D Espy |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1457306177 PECOS PAC ID: 5597938845 Enrollment ID: I20190520001922 |
| Provider Name | Darcy Wolcott |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699139212 PECOS PAC ID: 8224329131 Enrollment ID: I20190520001983 |
| Provider Name | Julie L Sanville |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1023374360 PECOS PAC ID: 3375782139 Enrollment ID: I20190520002170 |
| Provider Name | Mark Nasr Youssef |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508203209 PECOS PAC ID: 8527376854 Enrollment ID: I20190521002197 |
| Provider Name | Lorraine A Sutphin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871062505 PECOS PAC ID: 9032450564 Enrollment ID: I20190521002757 |
| Provider Name | Garrett T Wasp |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1699119842 PECOS PAC ID: 5193010205 Enrollment ID: I20190522000862 |
| Provider Name | Michael Yang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265826762 PECOS PAC ID: 9032452685 Enrollment ID: I20190522001255 |
| Provider Name | Michael W Winter |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1003172180 PECOS PAC ID: 8729375381 Enrollment ID: I20190522002436 |
| Provider Name | Sanaa S Ayyoub |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1396187787 PECOS PAC ID: 8527350271 Enrollment ID: I20190523000360 |
| Provider Name | Michelle Michelle Mora |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972814408 PECOS PAC ID: 7719288174 Enrollment ID: I20190524001721 |
| Provider Name | Matthew B Lake |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1992192520 PECOS PAC ID: 2365740545 Enrollment ID: I20190530001877 |
| Provider Name | Richard Allen Hedstrom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407359573 PECOS PAC ID: 8224392824 Enrollment ID: I20190604002313 |
| Provider Name | Rebecca L Keber |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1649836305 PECOS PAC ID: 2163755158 Enrollment ID: I20190606000254 |
| Provider Name | Andrew Lambour |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1285077909 PECOS PAC ID: 5496044406 Enrollment ID: I20190606001012 |
| Provider Name | Joshua M Keegan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699096545 PECOS PAC ID: 9436372935 Enrollment ID: I20190606001783 |
| Provider Name | Anna C Childs |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1881050128 PECOS PAC ID: 2062798978 Enrollment ID: I20190610000365 |
| Provider Name | Jocelyn M Beach |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1437415478 PECOS PAC ID: 1658605092 Enrollment ID: I20190619000492 |
| Provider Name | Anna Karpenko |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1730527839 PECOS PAC ID: 4082922992 Enrollment ID: I20190620002069 |
| Provider Name | Katrina Soriano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548623762 PECOS PAC ID: 8527357383 Enrollment ID: I20190625001149 |
| Provider Name | Claire Morgan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1750595542 PECOS PAC ID: 2062519143 Enrollment ID: I20190628000187 |
| Provider Name | Vivian Hoang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699959346 PECOS PAC ID: 0749444800 Enrollment ID: I20190709001075 |
| Provider Name | Patricia Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598721862 PECOS PAC ID: 6002835873 Enrollment ID: I20190715002699 |
| Provider Name | Resmiye Oral |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417944521 PECOS PAC ID: 0345575999 Enrollment ID: I20190718001486 |
| Provider Name | John T Moeller |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942697719 PECOS PAC ID: 3173836418 Enrollment ID: I20190718002342 |
| Provider Name | David De Gijsel |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1740579176 PECOS PAC ID: 9739351909 Enrollment ID: I20190718002842 |
| Provider Name | George John Zanazzi |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1528300803 PECOS PAC ID: 2769746270 Enrollment ID: I20190724002155 |
| Provider Name | Nilofar Najafian |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003263823 PECOS PAC ID: 9739473315 Enrollment ID: I20190724002471 |
| Provider Name | L R Scherer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1154391142 PECOS PAC ID: 8729092176 Enrollment ID: I20190726001078 |
| Provider Name | Kelly I Feciuch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255990917 PECOS PAC ID: 3577899673 Enrollment ID: I20190726002558 |
| Provider Name | Sheryl T Wood |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689883704 PECOS PAC ID: 9234465287 Enrollment ID: I20190729001942 |
| Provider Name | John Elliott Howe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760846018 PECOS PAC ID: 9931490265 Enrollment ID: I20190730003379 |
| Provider Name | Daniel R Storms |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1770926735 PECOS PAC ID: 4688966476 Enrollment ID: I20190731000915 |
| Provider Name | Jessica L Bentz |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1992116206 PECOS PAC ID: 5799672184 Enrollment ID: I20190731002335 |
| Provider Name | Matthew Alfano |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659798643 PECOS PAC ID: 8224336862 Enrollment ID: I20190731002489 |
| Provider Name | Zachary J Newton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568817161 PECOS PAC ID: 7012208036 Enrollment ID: I20190801002149 |
| Provider Name | David D Christensen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1700204922 PECOS PAC ID: 5991006751 Enrollment ID: I20190802000187 |
| Provider Name | Ilana Cass |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1871576199 PECOS PAC ID: 9830119395 Enrollment ID: I20190802001140 |
| Provider Name | Elizabeth O'brien |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407233133 PECOS PAC ID: 3678871332 Enrollment ID: I20190806001224 |
| Provider Name | Julia C West |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1205192382 PECOS PAC ID: 7618267956 Enrollment ID: I20190815001834 |
| Provider Name | Sean R Wise |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1528031614 PECOS PAC ID: 9739416561 Enrollment ID: I20190815003419 |
| Provider Name | Jennifer L Miles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407333198 PECOS PAC ID: 4981955820 Enrollment ID: I20190816001424 |
| Provider Name | Alexandra H Woolley |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1093072621 PECOS PAC ID: 4688838782 Enrollment ID: I20190816002597 |
| Provider Name | Heather Gotha |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1669600920 PECOS PAC ID: 1557586146 Enrollment ID: I20190816002835 |
| Provider Name | Todd P Lefkoe |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1992852693 PECOS PAC ID: 5496790610 Enrollment ID: I20190819000170 |
| Provider Name | Michael A Curley |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1568014710 PECOS PAC ID: 7719215102 Enrollment ID: I20190822003311 |
| Provider Name | Colin R Edwards |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1679992887 PECOS PAC ID: 7810114097 Enrollment ID: I20190823002923 |
| Provider Name | Stephanie W Scripture |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003477613 PECOS PAC ID: 6901135805 Enrollment ID: I20190830002258 |
| Provider Name | Philip Adamo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437106838 PECOS PAC ID: 4587611264 Enrollment ID: I20190912001541 |
| Provider Name | Zanira Fazal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013228733 PECOS PAC ID: 8426291774 Enrollment ID: I20190913001963 |
| Provider Name | Sean X Li |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710332390 PECOS PAC ID: 6709116254 Enrollment ID: I20190925002585 |
| Provider Name | Kelly L Corbett |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568809515 PECOS PAC ID: 1254558893 Enrollment ID: I20190927000818 |
| Provider Name | Melissa M Hale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578127270 PECOS PAC ID: 4587994769 Enrollment ID: I20191001003458 |
| Provider Name | Ella A Damiano |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356738538 PECOS PAC ID: 7618275462 Enrollment ID: I20191002000033 |
| Provider Name | Gemma B Pentland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396398145 PECOS PAC ID: 1658602750 Enrollment ID: I20191003001739 |
| Provider Name | Emma F Maki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861047136 PECOS PAC ID: 1850622788 Enrollment ID: I20191008001388 |
| Provider Name | Stephanie L Sileo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053854992 PECOS PAC ID: 0840521605 Enrollment ID: I20191008003683 |
| Provider Name | Asha M Zimmerman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700146693 PECOS PAC ID: 9537490305 Enrollment ID: I20191008003883 |
| Provider Name | Evadne G Marcolini |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649351446 PECOS PAC ID: 3971678418 Enrollment ID: I20191009000117 |
| Provider Name | Karim A Khan Hernandez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932551710 PECOS PAC ID: 0244527166 Enrollment ID: I20191010002989 |
| Provider Name | Anne C Cooper |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942557871 PECOS PAC ID: 6507003134 Enrollment ID: I20191016003342 |
| Provider Name | Jillian A Edmunds |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053755009 PECOS PAC ID: 9830326073 Enrollment ID: I20191017001640 |
| Provider Name | Anna M Marsh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174171342 PECOS PAC ID: 2668703943 Enrollment ID: I20191017002194 |
| Provider Name | Hale E Wills |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669683850 PECOS PAC ID: 1850534496 Enrollment ID: I20191018001601 |
| Provider Name | Sarah J Roane |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427295013 PECOS PAC ID: 0840521076 Enrollment ID: I20191018001863 |
| Provider Name | Michelle L Reedenauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891342861 PECOS PAC ID: 7012248206 Enrollment ID: I20191021001158 |
| Provider Name | Sharee Light |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164935649 PECOS PAC ID: 6103184270 Enrollment ID: I20191022000416 |
| Provider Name | Rebecca H Murphy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023402450 PECOS PAC ID: 2769787928 Enrollment ID: I20191024001687 |
| Provider Name | Thatcher R Newkirk |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245645365 PECOS PAC ID: 8325330459 Enrollment ID: I20191031002277 |
| Provider Name | Meghan S Zimmerman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609136589 PECOS PAC ID: 7719105402 Enrollment ID: I20191101002304 |
| Provider Name | Craig M Birch |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1104263565 PECOS PAC ID: 9436402500 Enrollment ID: I20191105000196 |
| Provider Name | Amy L Morissette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093365744 PECOS PAC ID: 2769714146 Enrollment ID: I20191105000491 |
| Provider Name | Prerna Mota |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1619282852 PECOS PAC ID: 4385930536 Enrollment ID: I20191105002036 |
| Provider Name | Tina L Morhardt |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1386904373 PECOS PAC ID: 2860709102 Enrollment ID: I20191107001344 |
| Provider Name | Christopher P Coppola |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1952389082 PECOS PAC ID: 4486705613 Enrollment ID: I20191107002059 |
| Provider Name | Elizabeth Diane Krainchich |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1467902965 PECOS PAC ID: 4789947680 Enrollment ID: I20191108000970 |
| Provider Name | Bonnie W Lau |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649537697 PECOS PAC ID: 1658627955 Enrollment ID: I20191111000169 |
| Provider Name | Ashley Smyth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033761283 PECOS PAC ID: 3476985649 Enrollment ID: I20191111000889 |
| Provider Name | Joanna M Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265082630 PECOS PAC ID: 5395177448 Enrollment ID: I20191112001628 |
| Provider Name | Dana M Pilchik |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790181782 PECOS PAC ID: 3678905668 Enrollment ID: I20191113000508 |
| Provider Name | Robert N Blatman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598834111 PECOS PAC ID: 5496654071 Enrollment ID: I20191113001133 |
| Provider Name | Rachel K Rooke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417506544 PECOS PAC ID: 1052743069 Enrollment ID: I20191113001531 |
| Provider Name | Karen S Hsu Blatman |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1649484189 PECOS PAC ID: 4880880533 Enrollment ID: I20191113002268 |
| Provider Name | Merle L Myerson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1801845359 PECOS PAC ID: 6103849575 Enrollment ID: I20191119002863 |
| Provider Name | Nicole Harlan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1679866560 PECOS PAC ID: 0547552549 Enrollment ID: I20191121000893 |
| Provider Name | Meena K Moorthy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760691489 PECOS PAC ID: 1759523780 Enrollment ID: I20191122000229 |
| Provider Name | Cory M Howarth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891348892 PECOS PAC ID: 9537592951 Enrollment ID: I20191125002553 |
| Provider Name | Greg Alan Schaublin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326095878 PECOS PAC ID: 8022917780 Enrollment ID: I20191202002564 |
| Provider Name | Romina Shirka |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124239116 PECOS PAC ID: 9436382173 Enrollment ID: I20191203000621 |
| Provider Name | Jonathan Hans Chen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700228681 PECOS PAC ID: 8123302460 Enrollment ID: I20191205000339 |
| Provider Name | Anthony Green |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184060816 PECOS PAC ID: 4486088739 Enrollment ID: I20191219002879 |
| Provider Name | Krithi B Ramesh |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1376714592 PECOS PAC ID: 7517033293 Enrollment ID: I20200113002147 |
| Provider Name | Sarah R Durante |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1316365513 PECOS PAC ID: 7719296482 Enrollment ID: I20200117000509 |
| Provider Name | Tania Kapila |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1457766842 PECOS PAC ID: 8628331824 Enrollment ID: I20200122002560 |
| Provider Name | Nicole H Odom |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659508885 PECOS PAC ID: 1557682473 Enrollment ID: I20200123001550 |
| Provider Name | Kathleen J Clem |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154404309 PECOS PAC ID: 1850305624 Enrollment ID: I20200130002125 |
| Provider Name | Julia Lake |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104203702 PECOS PAC ID: 8426326166 Enrollment ID: I20200130002951 |
| Provider Name | William B Weiss |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1568650919 PECOS PAC ID: 8123087020 Enrollment ID: I20200203001098 |
| Provider Name | Solomon Zinn Hallal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003256447 PECOS PAC ID: 5395171102 Enrollment ID: I20200213002348 |
| Provider Name | Shanna R Griffin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417283466 PECOS PAC ID: 8729415526 Enrollment ID: I20200217000449 |
| Provider Name | Jamie D Sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144797184 PECOS PAC ID: 7416385166 Enrollment ID: I20200312000695 |
| Provider Name | Susan L Walden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730712837 PECOS PAC ID: 2163851056 Enrollment ID: I20200327001112 |
| Provider Name | Ashley M Hardy |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1609407063 PECOS PAC ID: 2264861715 Enrollment ID: I20200403000639 |
| Provider Name | Robert W Simms |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1235101429 PECOS PAC ID: 2264445493 Enrollment ID: I20200406002850 |
| Provider Name | John B Emans |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1467417741 PECOS PAC ID: 6901796150 Enrollment ID: I20200408001749 |
| Provider Name | Michael D Kisicki |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407067572 PECOS PAC ID: 0547394736 Enrollment ID: I20200409002121 |
| Provider Name | Stanley Kogan |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1245261510 PECOS PAC ID: 3072532555 Enrollment ID: I20200422000607 |
| Provider Name | Lauren M Goodwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649805292 PECOS PAC ID: 0749610269 Enrollment ID: I20200424001778 |
| Provider Name | Amanda A Ziminsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356689020 PECOS PAC ID: 2567893688 Enrollment ID: I20200505002066 |
| Provider Name | Catherine P Anton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477180552 PECOS PAC ID: 1759712789 Enrollment ID: I20200507001326 |
| Provider Name | Christine C Gooley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225112188 PECOS PAC ID: 3971514928 Enrollment ID: I20200515001130 |
| Provider Name | Theresa Mary Brisson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568970176 PECOS PAC ID: 1456782945 Enrollment ID: I20200518001522 |
| Provider Name | Joseph Stein |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477940070 PECOS PAC ID: 8022439108 Enrollment ID: I20200527002813 |
| Provider Name | David P Lawlor |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1578689568 PECOS PAC ID: 0749212397 Enrollment ID: I20200611001671 |
| Provider Name | Amy Chan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043509847 PECOS PAC ID: 0042521981 Enrollment ID: I20200616002604 |
| Provider Name | Jacqueline E Raicek |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841429388 PECOS PAC ID: 0244521631 Enrollment ID: I20200626001399 |
| Provider Name | Saugat Dey |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1780939801 PECOS PAC ID: 9537452644 Enrollment ID: I20200630001433 |
| Provider Name | Andrew M Slater |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891172557 PECOS PAC ID: 1557670569 Enrollment ID: I20200630002717 |
| Provider Name | Caitlin E Robator |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033646518 PECOS PAC ID: 6305115676 Enrollment ID: I20200706002461 |
| Provider Name | David P Munger |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588003941 PECOS PAC ID: 3971809146 Enrollment ID: I20200713001170 |
| Provider Name | Anna M Westervelt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447544127 PECOS PAC ID: 6800074386 Enrollment ID: I20200715003313 |
| Provider Name | Alexander R Fiorentino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093246522 PECOS PAC ID: 5991076192 Enrollment ID: I20200716002021 |
| Provider Name | Naveen George |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114376498 PECOS PAC ID: 3072884402 Enrollment ID: I20200720003282 |
| Provider Name | Maritza E Feliz Cepin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1457757254 PECOS PAC ID: 3779907837 Enrollment ID: I20200722000567 |
| Provider Name | Shane M Greene |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639526619 PECOS PAC ID: 4183919368 Enrollment ID: I20200722001413 |
| Provider Name | Priyanka Shekhawat |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326395955 PECOS PAC ID: 1052659661 Enrollment ID: I20200728002629 |
| Provider Name | Brittany Mae Silva |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043749740 PECOS PAC ID: 2860761376 Enrollment ID: I20200731002627 |
| Provider Name | Elizabeth Thompson |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1083234652 PECOS PAC ID: 1355766312 Enrollment ID: I20200807000973 |
| Provider Name | Eric S Rothstein |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1215371646 PECOS PAC ID: 4284991571 Enrollment ID: I20200807002555 |
| Provider Name | Amogh Karnik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326579871 PECOS PAC ID: 6800160631 Enrollment ID: I20200810001071 |
| Provider Name | Celine J Croft |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902282858 PECOS PAC ID: 0446567051 Enrollment ID: I20200810002889 |
| Provider Name | Sivraj Muralikrishnan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1568803971 PECOS PAC ID: 3577861293 Enrollment ID: I20200811003686 |
| Provider Name | H. S. Landsman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134507023 PECOS PAC ID: 9335415165 Enrollment ID: I20200811003783 |
| Provider Name | Susan S Wang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013448349 PECOS PAC ID: 8325464076 Enrollment ID: I20200812002665 |
| Provider Name | Brynne E Underhill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518589928 PECOS PAC ID: 3173949823 Enrollment ID: I20200812002906 |
| Provider Name | Samuel T Kunkel |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1154731271 PECOS PAC ID: 3375849524 Enrollment ID: I20200812002978 |
| Provider Name | Mohammadtokir Mujtaba |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1578727178 PECOS PAC ID: 8224226667 Enrollment ID: I20200813001938 |
| Provider Name | Christina L Aquila |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1942528146 PECOS PAC ID: 6204252745 Enrollment ID: I20200814001493 |
| Provider Name | Kimberly R Haller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558987560 PECOS PAC ID: 7810313152 Enrollment ID: I20200817002746 |
| Provider Name | Kristen Mary Murphy |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1992207047 PECOS PAC ID: 3971854068 Enrollment ID: I20200818000097 |
| Provider Name | Bridgette Holmes |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1013406792 PECOS PAC ID: 2264797554 Enrollment ID: I20200818003226 |
| Provider Name | Jason P Akerman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1003475914 PECOS PAC ID: 4284068743 Enrollment ID: I20200819000290 |
| Provider Name | Ioana Medrea |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558989160 PECOS PAC ID: 9133545270 Enrollment ID: I20200819002398 |
| Provider Name | John E Call |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1376997767 PECOS PAC ID: 4789000837 Enrollment ID: I20200819002779 |
| Provider Name | Stephen L. Foster |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770554495 PECOS PAC ID: 7810258845 Enrollment ID: I20200820000274 |
| Provider Name | Brian J Simmons |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1013379262 PECOS PAC ID: 3375816986 Enrollment ID: I20200825003094 |
| Provider Name | George Culler |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295155117 PECOS PAC ID: 2466798434 Enrollment ID: I20200826002848 |
| Provider Name | Jesse A Columbo |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1669815130 PECOS PAC ID: 7113225723 Enrollment ID: I20200826002889 |
| Provider Name | Matthew J Rasmussen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346701208 PECOS PAC ID: 2163758103 Enrollment ID: I20200826003301 |
| Provider Name | Kyle H James |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275065591 PECOS PAC ID: 5193096923 Enrollment ID: I20200827001417 |
| Provider Name | Emma C Martenis-robiner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114544491 PECOS PAC ID: 0244657518 Enrollment ID: I20200827001484 |
| Provider Name | Morgan Carpenter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356966592 PECOS PAC ID: 0840617346 Enrollment ID: I20200828001917 |
| Provider Name | Ryan E Little |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1679990808 PECOS PAC ID: 9931499837 Enrollment ID: I20200831000765 |
| Provider Name | Sagheer Ahmed |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376962506 PECOS PAC ID: 9335473339 Enrollment ID: I20200901002402 |
| Provider Name | Kerrilynn Hennessey |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952747446 PECOS PAC ID: 2365716222 Enrollment ID: I20200901002667 |
| Provider Name | David A Levine |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730537192 PECOS PAC ID: 2668767781 Enrollment ID: I20200903001351 |
| Provider Name | Jenna Khan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1841515293 PECOS PAC ID: 4284955584 Enrollment ID: I20200903002612 |
| Provider Name | Oakland C Walters |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932630498 PECOS PAC ID: 3072879378 Enrollment ID: I20200904000496 |
| Provider Name | Luisa Fontes Aguiar |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1164781704 PECOS PAC ID: 4880820612 Enrollment ID: I20200909002006 |
| Provider Name | Kiersten R Lagasse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093331795 PECOS PAC ID: 1557789187 Enrollment ID: I20200915000893 |
| Provider Name | Katherine Rose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902424591 PECOS PAC ID: 2961820501 Enrollment ID: I20200915001082 |
| Provider Name | Kimberly Anne Dovin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184614265 PECOS PAC ID: 4385611722 Enrollment ID: I20200915003182 |
| Provider Name | Kyle J Robichaud-fuentes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043741077 PECOS PAC ID: 6204100217 Enrollment ID: I20200917001846 |
| Provider Name | Emily Kobin |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1447607569 PECOS PAC ID: 1153609375 Enrollment ID: I20200917002603 |
| Provider Name | Matthew J. White |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1831585710 PECOS PAC ID: 6002234291 Enrollment ID: I20200921002150 |
| Provider Name | Shana Allyce Wierchowski |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1083060982 PECOS PAC ID: 6608113022 Enrollment ID: I20200921002393 |
| Provider Name | Melanie L Del Frari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609486703 PECOS PAC ID: 6901224104 Enrollment ID: I20200921002654 |
| Provider Name | Danielle N Shine |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1336765320 PECOS PAC ID: 9436578119 Enrollment ID: I20200929003324 |
| Provider Name | Christopher Geary Ahern |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1124405352 PECOS PAC ID: 1658692637 Enrollment ID: I20201001002855 |
| Provider Name | Sydney L. Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932717170 PECOS PAC ID: 0941629265 Enrollment ID: I20201006000517 |
| Provider Name | Kris D Halliwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164034088 PECOS PAC ID: 6608854518 Enrollment ID: I20201007001389 |
| Provider Name | Brittany Davis-schaffer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730528746 PECOS PAC ID: 4183912520 Enrollment ID: I20201007001631 |
| Provider Name | Joseph K Potthast |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689683161 PECOS PAC ID: 5890785646 Enrollment ID: I20201012001791 |
| Provider Name | Bashir Hassan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447689583 PECOS PAC ID: 5799105508 Enrollment ID: I20201016001335 |
| Provider Name | Kimberly M Devore |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770681785 PECOS PAC ID: 1052731874 Enrollment ID: I20201016001423 |
| Provider Name | Bethany Reutemann |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1285070136 PECOS PAC ID: 8820398555 Enrollment ID: I20201019002258 |
| Provider Name | Eileen M Duggan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184868937 PECOS PAC ID: 5092135483 Enrollment ID: I20201023003041 |
| Provider Name | Frances D Faro |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1568509842 PECOS PAC ID: 8022298173 Enrollment ID: I20201026002454 |
| Provider Name | Chun Chieh Lin |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1902359540 PECOS PAC ID: 8123366432 Enrollment ID: I20201027001263 |
| Provider Name | Lynda M Hoffmann |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1982737029 PECOS PAC ID: 3779993704 Enrollment ID: I20201103001991 |
| Provider Name | Amalia E Labinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861748360 PECOS PAC ID: 8426207663 Enrollment ID: I20201106000381 |
| Provider Name | Musa M Aner |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1073628038 PECOS PAC ID: 9830290295 Enrollment ID: I20201110003206 |
| Provider Name | Ellen Kd Sejkora |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255814380 PECOS PAC ID: 1951711555 Enrollment ID: I20201111000466 |
| Provider Name | Isabel A Brewster |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1366056145 PECOS PAC ID: 0840601225 Enrollment ID: I20201117000888 |
| Provider Name | Holly M Newton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508477720 PECOS PAC ID: 8921419201 Enrollment ID: I20201117001343 |
| Provider Name | Rameez A Qudsi |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1952695942 PECOS PAC ID: 7315104767 Enrollment ID: I20201118001008 |
| Provider Name | Ugis Gruntmanis |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1104882471 PECOS PAC ID: 2769527795 Enrollment ID: I20201119002516 |
| Provider Name | Nava C Greenfield |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1093080202 PECOS PAC ID: 7214222934 Enrollment ID: I20201123002460 |
| Provider Name | Shannon K Seney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295220036 PECOS PAC ID: 0042563496 Enrollment ID: I20201123003127 |
| Provider Name | Jessica G Clem |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679919658 PECOS PAC ID: 6204078462 Enrollment ID: I20201123003202 |
| Provider Name | Kelly T Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588034722 PECOS PAC ID: 5294033098 Enrollment ID: I20201124001551 |
| Provider Name | Kiersten A Wulff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780296780 PECOS PAC ID: 2567873326 Enrollment ID: I20201130001264 |
| Provider Name | Lynda Lee Lapan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609473917 PECOS PAC ID: 4587076955 Enrollment ID: I20201209002683 |
| Provider Name | Maria F Bates |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245524222 PECOS PAC ID: 5698068674 Enrollment ID: I20201216003318 |
| Provider Name | Julie H Harreld |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356545446 PECOS PAC ID: 9234325978 Enrollment ID: I20201218002325 |
| Provider Name | Ben J Geishauser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780070185 PECOS PAC ID: 6002240736 Enrollment ID: I20201219000094 |
| Provider Name | Clara E Spalding |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720458367 PECOS PAC ID: 7113356650 Enrollment ID: I20201222000326 |
| Provider Name | Peter L Schilling |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1780859850 PECOS PAC ID: 4183846850 Enrollment ID: I20201222001652 |
| Provider Name | Anne M Valente |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568558914 PECOS PAC ID: 1557369584 Enrollment ID: I20201228000533 |
| Provider Name | Jennifer T Amato |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750759940 PECOS PAC ID: 3971915539 Enrollment ID: I20201229000426 |
| Provider Name | Cassandra M Godzik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013370436 PECOS PAC ID: 5496028748 Enrollment ID: I20201229001753 |
| Provider Name | Trudy J Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558395616 PECOS PAC ID: 5991025249 Enrollment ID: I20210105002555 |
| Provider Name | Elizabeth C Morency |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386100485 PECOS PAC ID: 4587905021 Enrollment ID: I20210105002870 |
| Provider Name | Aaron Tannenbaum |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1073952834 PECOS PAC ID: 0840423505 Enrollment ID: I20210119001733 |
| Provider Name | Cynthia C Taub |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285628073 PECOS PAC ID: 6608837224 Enrollment ID: I20210119002440 |
| Provider Name | Manuel Iriondo |
|---|---|
| Provider Type | Practitioner - Micrographic Dermatologic Surgery (mds) |
| Provider Identifiers | NPI Number: 1205917598 PECOS PAC ID: 2466544259 Enrollment ID: I20210126003199 |
| Provider Name | Karen Kadish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386633733 PECOS PAC ID: 5991783987 Enrollment ID: I20210128000606 |
| Provider Name | Milan F Satcher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134582836 PECOS PAC ID: 2365737806 Enrollment ID: I20210203002936 |
| Provider Name | Jennifer Abjornson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144861303 PECOS PAC ID: 9830503788 Enrollment ID: I20210204000668 |
| Provider Name | Courtney J Stevens |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164956181 PECOS PAC ID: 8325452162 Enrollment ID: I20210205002062 |
| Provider Name | Amit P Amin |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1699911123 PECOS PAC ID: 3375709926 Enrollment ID: I20210212001453 |
| Provider Name | Bridget L Olsen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447235270 PECOS PAC ID: 9638584287 Enrollment ID: I20210212001994 |
| Provider Name | Manik A Amin |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1265689889 PECOS PAC ID: 8325105299 Enrollment ID: I20210216000395 |
| Provider Name | Jonathan C Waltman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639181654 PECOS PAC ID: 4284548033 Enrollment ID: I20210217001831 |
| Provider Name | David J Feller Kopman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1801885967 PECOS PAC ID: 1456300078 Enrollment ID: I20210303002428 |
| Provider Name | Kayla Northam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669064218 PECOS PAC ID: 3173939568 Enrollment ID: I20210310000207 |
| Provider Name | Casey Ann Shaffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528629516 PECOS PAC ID: 0648502203 Enrollment ID: I20210311002349 |
| Provider Name | Caitlin M Yazel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679095327 PECOS PAC ID: 7315377033 Enrollment ID: I20210315001840 |
| Provider Name | Stuart Daniel Lewis |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1023158268 PECOS PAC ID: 6800077413 Enrollment ID: I20210405000247 |
| Provider Name | Laura E Kelliher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215531983 PECOS PAC ID: 3072920362 Enrollment ID: I20210405000523 |
| Provider Name | Fred M Wu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1962469932 PECOS PAC ID: 8325074982 Enrollment ID: I20210419002473 |
| Provider Name | Valerie Kats-drozsdik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366037004 PECOS PAC ID: 6103234372 Enrollment ID: I20210428001397 |
| Provider Name | Brian Joseph Rosen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437610391 PECOS PAC ID: 1052647161 Enrollment ID: I20210428001572 |
| Provider Name | Natalie J Frassica |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053847962 PECOS PAC ID: 7618247016 Enrollment ID: I20210429000718 |
| Provider Name | Jennifer J Norris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437780376 PECOS PAC ID: 4587073465 Enrollment ID: I20210505001145 |
| Provider Name | Sevde Felek Boyvat |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902301849 PECOS PAC ID: 0446507768 Enrollment ID: I20210518000995 |
| Provider Name | Ann M Chalifour |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831216159 PECOS PAC ID: 1456599596 Enrollment ID: I20210518001735 |
| Provider Name | Elizabeth T Corridan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518373752 PECOS PAC ID: 7315252566 Enrollment ID: I20210518003076 |
| Provider Name | James A Heckman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952621856 PECOS PAC ID: 9537302906 Enrollment ID: I20210519001357 |
| Provider Name | Eric Kim |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194161091 PECOS PAC ID: 2264733617 Enrollment ID: I20210519002213 |
| Provider Name | Audrey E Lohr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225526940 PECOS PAC ID: 5496000549 Enrollment ID: I20210520000202 |
| Provider Name | Dax C Volle |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1538522917 PECOS PAC ID: 2466705173 Enrollment ID: I20210520001771 |
| Provider Name | Rebecca Wang |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1649632845 PECOS PAC ID: 4486948353 Enrollment ID: I20210521001894 |
| Provider Name | Parth S Shah |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1891177796 PECOS PAC ID: 6608124888 Enrollment ID: I20210521002422 |
| Provider Name | Margaret L Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538259288 PECOS PAC ID: 3971609066 Enrollment ID: I20210602002671 |
| Provider Name | Jennifer L Meijer |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1386227072 PECOS PAC ID: 6800296195 Enrollment ID: I20210608001220 |
| Provider Name | Carsten Robert Hamann |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1538546957 PECOS PAC ID: 3173871365 Enrollment ID: I20210608001746 |
| Provider Name | Elizabeth A Mann |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1538459367 PECOS PAC ID: 6901185669 Enrollment ID: I20210609002703 |
| Provider Name | Nidhi D Shah |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1699157982 PECOS PAC ID: 8426458654 Enrollment ID: I20210610000091 |
| Provider Name | Sherry L Wu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548765233 PECOS PAC ID: 3274880562 Enrollment ID: I20210611000130 |
| Provider Name | Hazel J Irimpan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386131357 PECOS PAC ID: 0547660151 Enrollment ID: I20210617002312 |
| Provider Name | Steven Schlozman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326016098 PECOS PAC ID: 3072691120 Enrollment ID: I20210623001789 |
| Provider Name | Hannah Grace Ruede |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386202687 PECOS PAC ID: 4880923820 Enrollment ID: I20210629000569 |
| Provider Name | John P Palmer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982109898 PECOS PAC ID: 1850648189 Enrollment ID: I20210630003347 |
| Provider Name | Suzannah J Luft |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1720499395 PECOS PAC ID: 0648591198 Enrollment ID: I20210702001173 |
| Provider Name | Valerie J Valant |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629500848 PECOS PAC ID: 5395016356 Enrollment ID: I20210707002767 |
| Provider Name | Melissa Crowder |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902251820 PECOS PAC ID: 3971895277 Enrollment ID: I20210708000928 |
| Provider Name | Kate J Shaper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619451770 PECOS PAC ID: 2163845066 Enrollment ID: I20210712003891 |
| Provider Name | Lisa Morere |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184819088 PECOS PAC ID: 8123187887 Enrollment ID: I20210720003469 |
| Provider Name | Alec J Bernard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689163800 PECOS PAC ID: 0941603484 Enrollment ID: I20210721003779 |
| Provider Name | Toni Leigh Bowling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205391034 PECOS PAC ID: 8022411560 Enrollment ID: I20210721003806 |
| Provider Name | Rajeswari Cheerath |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245519453 PECOS PAC ID: 5193086668 Enrollment ID: I20210722003233 |
| Provider Name | Eunice H Wharton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629214929 PECOS PAC ID: 9638474133 Enrollment ID: I20210723001942 |
| Provider Name | Marie Lynn Cupo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003484767 PECOS PAC ID: 6406259407 Enrollment ID: I20210728003289 |
| Provider Name | Rana Khalid Abdat |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1447784673 PECOS PAC ID: 7517231244 Enrollment ID: I20210728003633 |
| Provider Name | Colleen E Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871960401 PECOS PAC ID: 0941519631 Enrollment ID: I20210730002933 |
| Provider Name | Katherine E Niegisch |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003347402 PECOS PAC ID: 4183960057 Enrollment ID: I20210804000644 |
| Provider Name | Duncan Rogers Morhardt |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1144581224 PECOS PAC ID: 0840508180 Enrollment ID: I20210804000690 |
| Provider Name | Michael V Heinz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639600299 PECOS PAC ID: 5193129450 Enrollment ID: I20210809001376 |
| Provider Name | Anna M Dozier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972177996 PECOS PAC ID: 5496159709 Enrollment ID: I20210809003556 |
| Provider Name | Jonathan S Lee |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1003347998 PECOS PAC ID: 7517238066 Enrollment ID: I20210810000498 |
| Provider Name | Steven D Leach |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467496315 PECOS PAC ID: 5991837510 Enrollment ID: I20210816003642 |
| Provider Name | Jared R Colvert |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1861804809 PECOS PAC ID: 2163723792 Enrollment ID: I20210819002438 |
| Provider Name | Angela Frances Koenig |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326468257 PECOS PAC ID: 4183922180 Enrollment ID: I20210820001116 |
| Provider Name | Marissa A Mendez |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295115616 PECOS PAC ID: 2264733161 Enrollment ID: I20210823001511 |
| Provider Name | Leah M Natali |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154994739 PECOS PAC ID: 2961807318 Enrollment ID: I20210823002161 |
| Provider Name | Simon Khagi |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1710121165 PECOS PAC ID: 1557688181 Enrollment ID: I20210824001379 |
| Provider Name | Holly N Caten |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1952763567 PECOS PAC ID: 5991092702 Enrollment ID: I20210824001550 |
| Provider Name | Gerard Chang |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1972990794 PECOS PAC ID: 6002136736 Enrollment ID: I20210826002200 |
| Provider Name | Daniel Caldwell Austin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1730599648 PECOS PAC ID: 7719285113 Enrollment ID: I20210901001207 |
| Provider Name | Kaitlyn P Ahlers |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1740953868 PECOS PAC ID: 3678979424 Enrollment ID: I20210902002482 |
| Provider Name | Stephanie C Krasinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164098182 PECOS PAC ID: 2860898582 Enrollment ID: I20210903002313 |
| Provider Name | Andrew Wuu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124525498 PECOS PAC ID: 0345646907 Enrollment ID: I20210907001426 |
| Provider Name | Ashley L Seguin |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1851963656 PECOS PAC ID: 2961808571 Enrollment ID: I20210908000402 |
| Provider Name | Natalie M Fragoso |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1922531201 PECOS PAC ID: 7517363138 Enrollment ID: I20210908000760 |
| Provider Name | Griffin Thomas Boll |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1659719011 PECOS PAC ID: 9739488073 Enrollment ID: I20210908003391 |
| Provider Name | Hilary C Allison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598263774 PECOS PAC ID: 4183020696 Enrollment ID: I20210909000462 |
| Provider Name | Kristin L Guidice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073194189 PECOS PAC ID: 6507262755 Enrollment ID: I20210914000430 |
| Provider Name | Nathaniel E Harlow |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1477700771 PECOS PAC ID: 1759405426 Enrollment ID: I20210917001333 |
| Provider Name | Hannah I Chaudry |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1043621113 PECOS PAC ID: 2365740008 Enrollment ID: I20210920002321 |
| Provider Name | Justin J Kim |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1578958781 PECOS PAC ID: 0244547040 Enrollment ID: I20210922002800 |
| Provider Name | Rebecca J Gallant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861169674 PECOS PAC ID: 2365849098 Enrollment ID: I20210923001188 |
| Provider Name | William G Gensheimer |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1275858656 PECOS PAC ID: 5092930529 Enrollment ID: I20210924000874 |
| Provider Name | Sarah J Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164879243 PECOS PAC ID: 4486051869 Enrollment ID: I20210928001493 |
| Provider Name | Alicia T Dagrosa |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1336671510 PECOS PAC ID: 3870865074 Enrollment ID: I20210928002449 |
| Provider Name | Sara W Mayo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811075047 PECOS PAC ID: 8729059886 Enrollment ID: I20210928002988 |
| Provider Name | Sylvia Christie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114368206 PECOS PAC ID: 3971735077 Enrollment ID: I20210929001523 |
| Provider Name | Grant G Moncrief |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033588512 PECOS PAC ID: 1052718319 Enrollment ID: I20210929001578 |
| Provider Name | Carrie H Russell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730363268 PECOS PAC ID: 2769713783 Enrollment ID: I20210929001860 |
| Provider Name | Lauren E Reck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598343626 PECOS PAC ID: 6204244882 Enrollment ID: I20211001001601 |
| Provider Name | Tracy Ingersoll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629748835 PECOS PAC ID: 6507005162 Enrollment ID: I20211006001389 |
| Provider Name | Sarah J Richardson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811667983 PECOS PAC ID: 2062810856 Enrollment ID: I20211008000693 |
| Provider Name | Charles R Thomas |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1407874167 PECOS PAC ID: 3375549355 Enrollment ID: I20211015001023 |
| Provider Name | Donald S Bae |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1831154111 PECOS PAC ID: 1658341524 Enrollment ID: I20211018001942 |
| Provider Name | Heidi N Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659745263 PECOS PAC ID: 3476857327 Enrollment ID: I20211019001432 |
| Provider Name | Lauren E. Ehrlich |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093202582 PECOS PAC ID: 0244628311 Enrollment ID: I20211021001677 |
| Provider Name | Michael G Danis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881275477 PECOS PAC ID: 1759789316 Enrollment ID: I20211021002555 |
| Provider Name | Brian Ahuja |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740548866 PECOS PAC ID: 0042566465 Enrollment ID: I20211025002585 |
| Provider Name | Jadranka Popovic |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1538100193 PECOS PAC ID: 5991801805 Enrollment ID: I20211101001626 |
| Provider Name | Laura A Forauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184387318 PECOS PAC ID: 2567850076 Enrollment ID: I20211102000873 |
| Provider Name | Scott A Schroeder |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346220654 PECOS PAC ID: 0042230146 Enrollment ID: I20211110000123 |
| Provider Name | Cecelia V Brelsford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073288833 PECOS PAC ID: 0749679975 Enrollment ID: I20211110000163 |
| Provider Name | Maureen G Stannard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376206912 PECOS PAC ID: 4688063837 Enrollment ID: I20211110000977 |
| Provider Name | Thomas Francis Delaney |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1023099249 PECOS PAC ID: 5496730616 Enrollment ID: I20211117001797 |
| Provider Name | James T Craig |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376926485 PECOS PAC ID: 1850667387 Enrollment ID: I20211122000934 |
| Provider Name | Beth Fisher |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1720280134 PECOS PAC ID: 9032279393 Enrollment ID: I20211123003091 |
| Provider Name | Kayla Constantina Gatos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144746306 PECOS PAC ID: 0143653360 Enrollment ID: I20211201001443 |
| Provider Name | Kathleen M Cross |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1225794365 PECOS PAC ID: 6608267224 Enrollment ID: I20211215001411 |
| Provider Name | Aimee Herron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083385942 PECOS PAC ID: 0042601494 Enrollment ID: I20211220001935 |
| Provider Name | Emily M Bearse |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1750700621 PECOS PAC ID: 5991055865 Enrollment ID: I20211227001231 |
| Provider Name | Albana Liti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114581683 PECOS PAC ID: 5597008169 Enrollment ID: I20211228001644 |
| Provider Name | Melissa D Shessler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568057545 PECOS PAC ID: 4880085810 Enrollment ID: I20211229000895 |
| Provider Name | Brooke M Latulippe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588332068 PECOS PAC ID: 5092107011 Enrollment ID: I20220124002241 |
| Provider Name | Holly A Schroeder |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396182440 PECOS PAC ID: 9032338926 Enrollment ID: I20220128000065 |
| Provider Name | Andrew J Smith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356821847 PECOS PAC ID: 1557607835 Enrollment ID: I20220204000292 |
| Provider Name | Emily L Hebert |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1598158198 PECOS PAC ID: 5193037133 Enrollment ID: I20220204001845 |
| Provider Name | Naomi J Badger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770859621 PECOS PAC ID: 9638309073 Enrollment ID: I20220204001905 |
| Provider Name | Elisabeth B Wilson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417973587 PECOS PAC ID: 9032371208 Enrollment ID: I20220217002369 |
| Provider Name | Lisa A Mack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205587896 PECOS PAC ID: 3577957448 Enrollment ID: I20220219000008 |
| Provider Name | Nevan G Baldwin |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1043262363 PECOS PAC ID: 8022901586 Enrollment ID: I20220221000069 |
| Provider Name | Linda T Vahdat |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1871680942 PECOS PAC ID: 9032152178 Enrollment ID: I20220302000183 |
| Provider Name | Connie S Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962485573 PECOS PAC ID: 9537218847 Enrollment ID: I20220309000767 |
| Provider Name | Corrine A Zeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063170850 PECOS PAC ID: 5890180624 Enrollment ID: I20220315000504 |
| Provider Name | Theresa M Caputo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740259886 PECOS PAC ID: 0143219188 Enrollment ID: I20220322001851 |
| Provider Name | Tyler J Curiel |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1184799256 PECOS PAC ID: 9133202724 Enrollment ID: I20220329000185 |
| Provider Name | Alesis Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700435054 PECOS PAC ID: 4880028646 Enrollment ID: I20220331002831 |
| Provider Name | Jill A Begnoche |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346996162 PECOS PAC ID: 1456747096 Enrollment ID: I20220406002752 |
| Provider Name | Shaunda R Neptune |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1457008054 PECOS PAC ID: 7214324441 Enrollment ID: I20220418002313 |
| Provider Name | Lesley P Robie |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1619064466 PECOS PAC ID: 2062809197 Enrollment ID: I20220420001042 |
| Provider Name | Elena C Muehter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306396189 PECOS PAC ID: 8729369178 Enrollment ID: I20220426000109 |
| Provider Name | Emily A Donelan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811251739 PECOS PAC ID: 9335443332 Enrollment ID: I20220426001494 |
| Provider Name | Rachel R Soffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790919918 PECOS PAC ID: 5496885816 Enrollment ID: I20220428001721 |
| Provider Name | Erica Riley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437818143 PECOS PAC ID: 4284021890 Enrollment ID: I20220429001279 |
| Provider Name | Alexander P Auchus |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194742734 PECOS PAC ID: 6204821598 Enrollment ID: I20220502001190 |
| Provider Name | Kiah Williams |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1760128920 PECOS PAC ID: 9537547716 Enrollment ID: I20220531000579 |
| Provider Name | Michelle L Rampersad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518154236 PECOS PAC ID: 4688750086 Enrollment ID: I20220616001297 |
| Provider Name | Obaida Dairi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679033815 PECOS PAC ID: 2466787635 Enrollment ID: I20220628003609 |
| Provider Name | Eduardo Andres Calagua Bedoya |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831610625 PECOS PAC ID: 9931447257 Enrollment ID: I20220629002397 |
| Provider Name | William A Galvin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366890279 PECOS PAC ID: 6709171283 Enrollment ID: I20220701001008 |
| Provider Name | Chelsea Nicole Curran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063946606 PECOS PAC ID: 7416226469 Enrollment ID: I20220706001406 |
| Provider Name | Shauna M Mcvorran |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1730564154 PECOS PAC ID: 7214203785 Enrollment ID: I20220708001167 |
| Provider Name | Jessica Abreu-garcia |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720531874 PECOS PAC ID: 4284014101 Enrollment ID: I20220708001799 |
| Provider Name | Jessica Wilson |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1699270520 PECOS PAC ID: 7012269343 Enrollment ID: I20220712002117 |
| Provider Name | Diana Li |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396242871 PECOS PAC ID: 3375896251 Enrollment ID: I20220713001084 |
| Provider Name | Patrick A Ho |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992192850 PECOS PAC ID: 6002114410 Enrollment ID: I20220713001232 |
| Provider Name | Kevin P Williams |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326575093 PECOS PAC ID: 0840693719 Enrollment ID: I20220713001759 |
| Provider Name | Adrian M Ivan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437611951 PECOS PAC ID: 1557693587 Enrollment ID: I20220714003569 |
| Provider Name | Adrienne Michelle Moraff |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1912263583 PECOS PAC ID: 4486981644 Enrollment ID: I20220718001131 |
| Provider Name | Adam Mcsherry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508360496 PECOS PAC ID: 8729481270 Enrollment ID: I20220718002864 |
| Provider Name | Katherine E Lantz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851822472 PECOS PAC ID: 0345511176 Enrollment ID: I20220719002369 |
| Provider Name | Kirby N Gilpin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093275174 PECOS PAC ID: 8123356714 Enrollment ID: I20220720000657 |
| Provider Name | Simrun K Bal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245790393 PECOS PAC ID: 1052646114 Enrollment ID: I20220721001624 |
| Provider Name | Sonia Nagy Chimienti |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1427016054 PECOS PAC ID: 8729979125 Enrollment ID: I20220725000367 |
| Provider Name | Andrew Christopher Harte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679214977 PECOS PAC ID: 1557742442 Enrollment ID: I20220725000778 |
| Provider Name | Vivekanand Tiwari |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1740564475 PECOS PAC ID: 6204069263 Enrollment ID: I20220725001382 |
| Provider Name | Wesley Yang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023578309 PECOS PAC ID: 2668707688 Enrollment ID: I20220726000733 |
| Provider Name | Bethany Feis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790245769 PECOS PAC ID: 3375878481 Enrollment ID: I20220801002277 |
| Provider Name | Emily S Bisson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154566636 PECOS PAC ID: 5395919732 Enrollment ID: I20220805002641 |
| Provider Name | Rachel Black |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518526888 PECOS PAC ID: 4688905730 Enrollment ID: I20220809002857 |
| Provider Name | Adam Rod Bensimhon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326485087 PECOS PAC ID: 1254557762 Enrollment ID: I20220811000935 |
| Provider Name | Rachel M Hansen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407586969 PECOS PAC ID: 4183007909 Enrollment ID: I20220811001726 |
| Provider Name | Cheryl Elizabeth Anderson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831364157 PECOS PAC ID: 1355635848 Enrollment ID: I20220815000673 |
| Provider Name | Daniel Ambrus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730313867 PECOS PAC ID: 5799900353 Enrollment ID: I20220816001725 |
| Provider Name | Karen Greene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528531969 PECOS PAC ID: 3274862537 Enrollment ID: I20220818001443 |
| Provider Name | Shea Kent Taylor |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1407388747 PECOS PAC ID: 0648653808 Enrollment ID: I20220820000346 |
| Provider Name | Jeffrey Ivan Stewart |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1982805735 PECOS PAC ID: 9739320656 Enrollment ID: I20220822000765 |
| Provider Name | Abdulaziz Abdulrahman Alomran |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1588156442 PECOS PAC ID: 4688057896 Enrollment ID: I20220822001842 |
| Provider Name | Rabia Saleem |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1811379357 PECOS PAC ID: 8921306101 Enrollment ID: I20220823000099 |
| Provider Name | Murray A Echt |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1598174641 PECOS PAC ID: 2365844156 Enrollment ID: I20220824000868 |
| Provider Name | Kristen Whyte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912677873 PECOS PAC ID: 2264816206 Enrollment ID: I20220825000994 |
| Provider Name | Sushmitha Pappu Echt |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1841610060 PECOS PAC ID: 3375880313 Enrollment ID: I20220831000109 |
| Provider Name | Stefanie Kiyomi Sueda |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1073045001 PECOS PAC ID: 9032444690 Enrollment ID: I20220831001151 |
| Provider Name | Allison Rose Wilcox |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1912384140 PECOS PAC ID: 1850699695 Enrollment ID: I20220901000909 |
| Provider Name | Caroline Stroup |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396163465 PECOS PAC ID: 1254621667 Enrollment ID: I20220901002695 |
| Provider Name | Eden Naomi Katz |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1346971041 PECOS PAC ID: 2860876299 Enrollment ID: I20220901003047 |
| Provider Name | Philip Wolinsky |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1730179011 PECOS PAC ID: 2466640214 Enrollment ID: I20220907001764 |
| Provider Name | Thomas Burdick |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1003992728 PECOS PAC ID: 0547330425 Enrollment ID: I20220907001995 |
| Provider Name | Anna Caroline Graefe |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801313069 PECOS PAC ID: 4486914900 Enrollment ID: I20220907002242 |
| Provider Name | Krista Gould |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548436876 PECOS PAC ID: 5193860716 Enrollment ID: I20220908002797 |
| Provider Name | Kristin E Reese |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851956304 PECOS PAC ID: 0941535074 Enrollment ID: I20220909000124 |
| Provider Name | Elizabeth H Trevino |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710482476 PECOS PAC ID: 6103173455 Enrollment ID: I20220914002728 |
| Provider Name | Candace Seese Lord |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568767119 PECOS PAC ID: 5092997858 Enrollment ID: I20220915003260 |
| Provider Name | Scott Edward Klass |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1033646591 PECOS PAC ID: 6709150725 Enrollment ID: I20220919000162 |
| Provider Name | Marissa Blair Avolio |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386902724 PECOS PAC ID: 0941537765 Enrollment ID: I20220919002830 |
| Provider Name | Elizabeth Spellman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558866053 PECOS PAC ID: 8527443019 Enrollment ID: I20220920001676 |
| Provider Name | Jaclyn Elly Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801521596 PECOS PAC ID: 9133504517 Enrollment ID: I20220921001853 |
| Provider Name | Rohit K Reddy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427581198 PECOS PAC ID: 1759766074 Enrollment ID: I20220922000316 |
| Provider Name | Lindsey F Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245964055 PECOS PAC ID: 4082099312 Enrollment ID: I20220922000487 |
| Provider Name | Sadhanasree Chandramouli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790938876 PECOS PAC ID: 1153518857 Enrollment ID: I20220926000584 |
| Provider Name | Mary J Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568198836 PECOS PAC ID: 8820474729 Enrollment ID: I20220929002646 |
| Provider Name | Sarah B Krantz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164834875 PECOS PAC ID: 8729334602 Enrollment ID: I20220930002488 |
| Provider Name | Lara Goitein |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1184734568 PECOS PAC ID: 2062550908 Enrollment ID: I20221004000329 |
| Provider Name | Sabrina Gard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477895605 PECOS PAC ID: 1153616271 Enrollment ID: I20221004002031 |
| Provider Name | Herman Cody Meissner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225177736 PECOS PAC ID: 8527099654 Enrollment ID: I20221005000885 |
| Provider Name | Kayleigh A Sullivan |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1427589076 PECOS PAC ID: 4880960038 Enrollment ID: I20221006000401 |
| Provider Name | David Andrei Klibansky |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1972787232 PECOS PAC ID: 6002989431 Enrollment ID: I20221007002676 |
| Provider Name | Lisa Remedios |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821118126 PECOS PAC ID: 9739244740 Enrollment ID: I20221010001132 |
| Provider Name | Kenneth Jason Jackson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174083810 PECOS PAC ID: 1052787389 Enrollment ID: I20221012000270 |
| Provider Name | Kelli Pointer |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1104358852 PECOS PAC ID: 8921355744 Enrollment ID: I20221012001288 |
| Provider Name | Jeremy Andrew Halbe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326339102 PECOS PAC ID: 7810112703 Enrollment ID: I20221013000390 |
| Provider Name | Stephanie Ann Laroza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780319269 PECOS PAC ID: 3971988296 Enrollment ID: I20221013000992 |
| Provider Name | Ernestine Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073694923 PECOS PAC ID: 0941382501 Enrollment ID: I20221018002028 |
| Provider Name | Christina Moore |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205556206 PECOS PAC ID: 6002282753 Enrollment ID: I20221020000956 |
| Provider Name | Brooke T Mclaughlin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689231581 PECOS PAC ID: 9234468240 Enrollment ID: I20221020002294 |
| Provider Name | Eric Paul Roter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780796730 PECOS PAC ID: 0648217000 Enrollment ID: I20221020002694 |
| Provider Name | Megan Berube |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992065676 PECOS PAC ID: 8527292200 Enrollment ID: I20221025001223 |
| Provider Name | Jason Benjamin Smoak |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1184087587 PECOS PAC ID: 3375880636 Enrollment ID: I20221025002631 |
| Provider Name | Erin Rachel Klein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538759733 PECOS PAC ID: 7719393255 Enrollment ID: I20221026001613 |
| Provider Name | Margaret Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427020783 PECOS PAC ID: 7315120854 Enrollment ID: I20221027000442 |
| Provider Name | Juliette C Madan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891750717 PECOS PAC ID: 0244232817 Enrollment ID: I20221028000941 |
| Provider Name | Andrew J Hsu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1003270471 PECOS PAC ID: 0648562876 Enrollment ID: I20221031001184 |
| Provider Name | Rebecca E Scully |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1104260900 PECOS PAC ID: 2769603687 Enrollment ID: I20221101000235 |
| Provider Name | Anne Laure J Dassier |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1801328190 PECOS PAC ID: 1355613548 Enrollment ID: I20221101000582 |
| Provider Name | Jiazuo H Feng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457882896 PECOS PAC ID: 4789955147 Enrollment ID: I20221102001435 |
| Provider Name | Nicole Marie Calvino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811610322 PECOS PAC ID: 0547637670 Enrollment ID: I20221102003202 |
| Provider Name | Megan M Donohue |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245347756 PECOS PAC ID: 3971772971 Enrollment ID: I20221107001718 |
| Provider Name | Katharine Manning |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1184038713 PECOS PAC ID: 0749690287 Enrollment ID: I20221107002231 |
| Provider Name | Kimberly Gayle Ellis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1386094217 PECOS PAC ID: 8921402421 Enrollment ID: I20221108002074 |
| Provider Name | David Byung Min |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205946126 PECOS PAC ID: 0143353318 Enrollment ID: I20221108002559 |
| Provider Name | Ruth Elizabeth Berggren |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1780781237 PECOS PAC ID: 7618979527 Enrollment ID: I20221110001217 |
| Provider Name | Alexa Lyn Mcwhinnie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730624123 PECOS PAC ID: 5991172595 Enrollment ID: I20221111000927 |
| Provider Name | Rebecca Mary Wood |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1053721340 PECOS PAC ID: 1759689847 Enrollment ID: I20221115000935 |
| Provider Name | Wynn Htun |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1053742452 PECOS PAC ID: 6406147420 Enrollment ID: I20221115002381 |
| Provider Name | Indie Lynn Leclair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992429823 PECOS PAC ID: 2264800671 Enrollment ID: I20221116000491 |
| Provider Name | Dalia Pena-solorzano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750016044 PECOS PAC ID: 8224406392 Enrollment ID: I20221121001831 |
| Provider Name | Syed Fatmi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1154985893 PECOS PAC ID: 7810365913 Enrollment ID: I20221121003092 |
| Provider Name | Patience Toyin-thomas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619359395 PECOS PAC ID: 1759695083 Enrollment ID: I20221206001859 |
| Provider Name | Anne C Miranowski |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1760536031 PECOS PAC ID: 8123041613 Enrollment ID: I20221208000175 |
| Provider Name | Peter Harold Eckberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568564250 PECOS PAC ID: 2860677895 Enrollment ID: I20221208002997 |
| Provider Name | Robert Charles Gensure |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447208558 PECOS PAC ID: 4082601786 Enrollment ID: I20221214001179 |
| Provider Name | Paige Therese Gorecki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275241754 PECOS PAC ID: 1951770791 Enrollment ID: I20221216002244 |
| Provider Name | Amanda Sweet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093436727 PECOS PAC ID: 9335519735 Enrollment ID: I20221229001306 |
| Provider Name | Hannah Bensimhon |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1003227349 PECOS PAC ID: 7315163821 Enrollment ID: I20230103001932 |
| Provider Name | Teresa Shaffner Didehbani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275259012 PECOS PAC ID: 9032589189 Enrollment ID: I20230105002077 |
| Provider Name | Hilary Skarbinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336612175 PECOS PAC ID: 4284065467 Enrollment ID: I20230106000176 |
| Provider Name | Wassim Mosleh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1245619345 PECOS PAC ID: 1557619723 Enrollment ID: I20230110000878 |
| Provider Name | Hattie Hubbard Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275292484 PECOS PAC ID: 5597135392 Enrollment ID: I20230111001822 |
| Provider Name | Sanam Claudia Roder-dewan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376759423 PECOS PAC ID: 7416097985 Enrollment ID: I20230113001706 |
| Provider Name | Anissa Marie Burns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982291118 PECOS PAC ID: 7113398710 Enrollment ID: I20230118001914 |
| Provider Name | Stephanie Piercy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841555802 PECOS PAC ID: 0446498737 Enrollment ID: I20230119001637 |
| Provider Name | Katelyn White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730661521 PECOS PAC ID: 2163773763 Enrollment ID: I20230126000253 |
| Provider Name | Holley Cetrangolo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073235313 PECOS PAC ID: 6204207319 Enrollment ID: I20230128000498 |
| Provider Name | Megan Bradley Callahan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881662864 PECOS PAC ID: 8123021722 Enrollment ID: I20230208003291 |
| Provider Name | William B. Zucconi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013128057 PECOS PAC ID: 3072612944 Enrollment ID: I20230217001463 |
| Provider Name | Robert Lyman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295228856 PECOS PAC ID: 0143576942 Enrollment ID: I20230220002011 |
| Provider Name | Sarah Louise Britton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447538145 PECOS PAC ID: 4880864479 Enrollment ID: I20230221002010 |
| Provider Name | Anna A Thorburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043936743 PECOS PAC ID: 5597138503 Enrollment ID: I20230222000911 |
| Provider Name | Carlo Gennaro Brogna |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1467434241 PECOS PAC ID: 8820279854 Enrollment ID: I20230223002380 |
| Provider Name | Vicki Faucher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295724375 PECOS PAC ID: 2163434978 Enrollment ID: I20230307001665 |
| Provider Name | Tzann T Fang |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1275609349 PECOS PAC ID: 8022101906 Enrollment ID: I20230314001083 |
| Provider Name | Richard Ryan Lique |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952009904 PECOS PAC ID: 5092729368 Enrollment ID: I20230315001746 |
| Provider Name | Dexter Emerson Hazlewood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265524771 PECOS PAC ID: 8820234313 Enrollment ID: I20230322000091 |
| Provider Name | Kayla Behbahani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053730150 PECOS PAC ID: 3779709738 Enrollment ID: I20230322000234 |
| Provider Name | Jean Schwartz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619337854 PECOS PAC ID: 8921305061 Enrollment ID: I20230329001174 |
| Provider Name | Liza Stapleford |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1235316720 PECOS PAC ID: 4880738251 Enrollment ID: I20230410001372 |
| Provider Name | Sarah Lynn Garnaat |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629472519 PECOS PAC ID: 5092016956 Enrollment ID: I20230412003193 |
| Provider Name | Amber Ward |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568845923 PECOS PAC ID: 3678818150 Enrollment ID: I20230413000828 |
| Provider Name | Astrid K Vallens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407556186 PECOS PAC ID: 6608241211 Enrollment ID: I20230413001124 |
| Provider Name | Anjulika Chawla |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619921129 PECOS PAC ID: 9739109760 Enrollment ID: I20230417001442 |
| Provider Name | Ilona Levine |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346558756 PECOS PAC ID: 0345136032 Enrollment ID: I20230417001986 |
| Provider Name | Elise Danielle Mcveigh |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1083063366 PECOS PAC ID: 4688964109 Enrollment ID: I20230418000644 |
| Provider Name | Kimberly Cote |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164740726 PECOS PAC ID: 3274665948 Enrollment ID: I20230427001454 |
| Provider Name | Jorge Edwardo Sanchez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609196401 PECOS PAC ID: 1557524311 Enrollment ID: I20230503001661 |
| Provider Name | May Aldaabil |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1306243910 PECOS PAC ID: 9638476542 Enrollment ID: I20230504000320 |
| Provider Name | David Cockrum |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1043245731 PECOS PAC ID: 5991984718 Enrollment ID: I20230505001771 |
| Provider Name | Karson Scott Melcer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679288245 PECOS PAC ID: 8022473495 Enrollment ID: I20230509000131 |
| Provider Name | Lauryn Taylor Mcnamara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013523786 PECOS PAC ID: 4284099656 Enrollment ID: I20230509000247 |
| Provider Name | Lauren Elizabeth Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184327983 PECOS PAC ID: 0345606711 Enrollment ID: I20230510002532 |
| Provider Name | Victoria Marie Booth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376151902 PECOS PAC ID: 0345660296 Enrollment ID: I20230517003631 |
| Provider Name | Dustin K Smyth |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1457705568 PECOS PAC ID: 5193128957 Enrollment ID: I20230518000526 |
| Provider Name | Xinyue Liu-chen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174502504 PECOS PAC ID: 4385663772 Enrollment ID: I20230525001053 |
| Provider Name | Steven Gary Fein |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1437146552 PECOS PAC ID: 7113963836 Enrollment ID: I20230530002732 |
| Provider Name | Darcel Wendy Saunders-maharaj |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114659968 PECOS PAC ID: 8123413127 Enrollment ID: I20230531002313 |
| Provider Name | Megan Lee O'brien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609020916 PECOS PAC ID: 8426112152 Enrollment ID: I20230602001152 |
| Provider Name | Colleen Yavarow |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1457511883 PECOS PAC ID: 2668521311 Enrollment ID: I20230602002389 |
| Provider Name | Oliver Phillips |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477082022 PECOS PAC ID: 5597034066 Enrollment ID: I20230606002322 |
| Provider Name | Kira Balkcom |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568720183 PECOS PAC ID: 4587807797 Enrollment ID: I20230608002037 |
| Provider Name | Kristen Anne Dahlgren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760179279 PECOS PAC ID: 8224495908 Enrollment ID: I20230612002048 |
| Provider Name | Rose N Laignel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609139997 PECOS PAC ID: 1254633936 Enrollment ID: I20230613001156 |
| Provider Name | Cloe Felicya Shelton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437298445 PECOS PAC ID: 7911176284 Enrollment ID: I20230613002566 |
| Provider Name | Samantha Lynn Bryant |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1346966579 PECOS PAC ID: 0042678344 Enrollment ID: I20230619001604 |
| Provider Name | Nadine B Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114303039 PECOS PAC ID: 8325357379 Enrollment ID: I20230627002116 |
| Provider Name | Maria Abbate |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669683637 PECOS PAC ID: 5395049092 Enrollment ID: I20230629000608 |
| Provider Name | William Hsu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578854725 PECOS PAC ID: 1557583754 Enrollment ID: I20230630000435 |
| Provider Name | Margot Ellard |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1033308523 PECOS PAC ID: 7618955626 Enrollment ID: I20230705002377 |
| Provider Name | Anna A Abbasi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1770039091 PECOS PAC ID: 1052665619 Enrollment ID: I20230706003200 |
| Provider Name | Elaine S Banerjee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497980346 PECOS PAC ID: 8628225091 Enrollment ID: I20230707002065 |
| Provider Name | Erik R Swenson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1689772121 PECOS PAC ID: 4981919958 Enrollment ID: I20230707002987 |
| Provider Name | Lucy Carter |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255968228 PECOS PAC ID: 7416372537 Enrollment ID: I20230711000364 |
| Provider Name | Lucia Joseph |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225666126 PECOS PAC ID: 1658796602 Enrollment ID: I20230713001404 |
| Provider Name | Kushinga Bvute |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679101687 PECOS PAC ID: 1456780931 Enrollment ID: I20230717000869 |
| Provider Name | Natasa Radovanovic |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1942735717 PECOS PAC ID: 9931525045 Enrollment ID: I20230718000059 |
| Provider Name | Myrta Otero |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275520074 PECOS PAC ID: 6002137577 Enrollment ID: I20230719000799 |
| Provider Name | Bruce Chung |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649389677 PECOS PAC ID: 8820301849 Enrollment ID: I20230720000905 |
| Provider Name | Nicholas Hannon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538691241 PECOS PAC ID: 5799055265 Enrollment ID: I20230725003713 |
| Provider Name | Logan Benjamin |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1801570437 PECOS PAC ID: 9537520390 Enrollment ID: I20230727000371 |
| Provider Name | Suzanne E Sklaney |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1477723922 PECOS PAC ID: 6406110782 Enrollment ID: I20230731001868 |
| Provider Name | David Condon |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1780094979 PECOS PAC ID: 5092934521 Enrollment ID: I20230801000312 |
| Provider Name | Alexander Kloman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003820325 PECOS PAC ID: 3274571690 Enrollment ID: I20230801001459 |
| Provider Name | Jamie M Horrigan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528696549 PECOS PAC ID: 2769807965 Enrollment ID: I20230801002077 |
| Provider Name | Brian Christopher Fidali |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336672898 PECOS PAC ID: 2264893619 Enrollment ID: I20230801002487 |
| Provider Name | Amr Elsaman Radwan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1174906010 PECOS PAC ID: 4981995628 Enrollment ID: I20230801003270 |
| Provider Name | Sergio Andres Ramirez Salazar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033632716 PECOS PAC ID: 2264893577 Enrollment ID: I20230803000616 |
| Provider Name | Laura Salama |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1871026583 PECOS PAC ID: 8820365836 Enrollment ID: I20230803002539 |
| Provider Name | Pamela Bertolino |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346360724 PECOS PAC ID: 6002880937 Enrollment ID: I20230809000661 |
| Provider Name | Jocelyn Rinne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104324276 PECOS PAC ID: 1850653403 Enrollment ID: I20230809001238 |
| Provider Name | Tara Higgins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679928980 PECOS PAC ID: 5294027330 Enrollment ID: I20230810003678 |
| Provider Name | Jaisal Pragani |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780976050 PECOS PAC ID: 7618196676 Enrollment ID: I20230817001266 |
| Provider Name | Chelsey Winslow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568044212 PECOS PAC ID: 3375936107 Enrollment ID: I20230818000136 |
| Provider Name | Ryland Lenz Richards |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1942704960 PECOS PAC ID: 5698022986 Enrollment ID: I20230818000970 |
| Provider Name | Sophie Leung |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538695069 PECOS PAC ID: 3274870233 Enrollment ID: I20230821001935 |
| Provider Name | Kathryn E Hardacre |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1023702933 PECOS PAC ID: 1759743891 Enrollment ID: I20230822000085 |
| Provider Name | Casey Ryan Lamb |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801328000 PECOS PAC ID: 1153692975 Enrollment ID: I20230822001973 |
| Provider Name | Jacy Villa |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1811995434 PECOS PAC ID: 8729170519 Enrollment ID: I20230822003448 |
| Provider Name | Ryan Kipp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548886245 PECOS PAC ID: 4486077021 Enrollment ID: I20230822004306 |
| Provider Name | Joshua Anthony Stramiello |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1922453901 PECOS PAC ID: 4385938687 Enrollment ID: I20230823000546 |
| Provider Name | Frank Masige Willy Kussaga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518520956 PECOS PAC ID: 1052774106 Enrollment ID: I20230823001087 |
| Provider Name | Tammy Marie Higgins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629097431 PECOS PAC ID: 9032185558 Enrollment ID: I20230823001319 |
| Provider Name | Kimberly Mae Molina |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053494963 PECOS PAC ID: 6709919053 Enrollment ID: I20230824000548 |
| Provider Name | Walter Ryan |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1073503843 PECOS PAC ID: 8729177043 Enrollment ID: I20230828000909 |
| Provider Name | Manisha Apte |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1851745129 PECOS PAC ID: 9133414402 Enrollment ID: I20230828001765 |
| Provider Name | Alexandra Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609441096 PECOS PAC ID: 4183025034 Enrollment ID: I20230828002245 |
| Provider Name | Heather Wright |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1306231592 PECOS PAC ID: 3375843998 Enrollment ID: I20230829000524 |
| Provider Name | Julie L Nowak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326641192 PECOS PAC ID: 6709249089 Enrollment ID: I20230905001456 |
| Provider Name | Lindsay M Drew |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609336817 PECOS PAC ID: 4183952500 Enrollment ID: I20230905001761 |
| Provider Name | Kimberly A Burns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720344294 PECOS PAC ID: 6305094855 Enrollment ID: I20230905002101 |
| Provider Name | Samantha White |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689237463 PECOS PAC ID: 6901133610 Enrollment ID: I20230905003145 |
| Provider Name | Astrid A Gleaton |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063943389 PECOS PAC ID: 0749553444 Enrollment ID: I20230907001351 |
| Provider Name | Katherine Himes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841247285 PECOS PAC ID: 9436161411 Enrollment ID: I20230908001024 |
| Provider Name | Jenna Binkhorst |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649776071 PECOS PAC ID: 3971851650 Enrollment ID: I20230908002593 |
| Provider Name | Maris K Toland |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184184442 PECOS PAC ID: 7214262385 Enrollment ID: I20230908002924 |
| Provider Name | Taylor Schwab |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265110803 PECOS PAC ID: 4486018421 Enrollment ID: I20230911000745 |
| Provider Name | Rebecca L Sacks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851871685 PECOS PAC ID: 8022472075 Enrollment ID: I20230911001169 |
| Provider Name | Laurent Officer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356839278 PECOS PAC ID: 6002166295 Enrollment ID: I20230911002837 |
| Provider Name | Xiaoli Dong |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1871880922 PECOS PAC ID: 0042452419 Enrollment ID: I20230912000840 |
| Provider Name | Julia Solomon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104484351 PECOS PAC ID: 2567826407 Enrollment ID: I20230912001159 |
| Provider Name | Aakanksha Khanna |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1316443682 PECOS PAC ID: 7315284882 Enrollment ID: I20230912001254 |
| Provider Name | Zhihang Zhang |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1659805125 PECOS PAC ID: 3173987716 Enrollment ID: I20230914001859 |
| Provider Name | Andrew Lee-wah Koo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730281668 PECOS PAC ID: 5496870941 Enrollment ID: I20230915000518 |
| Provider Name | Alexandra Perreault |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336705433 PECOS PAC ID: 3779816491 Enrollment ID: I20230919002140 |
| Provider Name | Jennifer Maki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891087284 PECOS PAC ID: 3577735950 Enrollment ID: I20230919003167 |
| Provider Name | Jack Edward Graham |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306406863 PECOS PAC ID: 7012339559 Enrollment ID: I20230922001122 |
| Provider Name | Seppo Rinne |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1619151503 PECOS PAC ID: 5092908244 Enrollment ID: I20230922002096 |
| Provider Name | Stephanie Kristine Ackerson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477083038 PECOS PAC ID: 5294189288 Enrollment ID: I20230925002408 |
| Provider Name | Nadine Sauer Santacruz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053631952 PECOS PAC ID: 0749423218 Enrollment ID: I20230927003822 |
| Provider Name | Victoria Oliver Emery |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336833136 PECOS PAC ID: 5294189841 Enrollment ID: I20230929002577 |
| Provider Name | Ariel Kredentser |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194188805 PECOS PAC ID: 2567708423 Enrollment ID: I20231002002081 |
| Provider Name | Andrew Ryan Kutzner |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1891280087 PECOS PAC ID: 7012251614 Enrollment ID: I20231004004205 |
| Provider Name | Ana Quintero-del-rio |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1750312229 PECOS PAC ID: 7113251935 Enrollment ID: I20231007000134 |
| Provider Name | Kelsey Kredentser |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003279712 PECOS PAC ID: 9234475021 Enrollment ID: I20231007000172 |
| Provider Name | Margaret Curtis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619296837 PECOS PAC ID: 0941444822 Enrollment ID: I20231009002456 |
| Provider Name | Ravinder Kang |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1306266887 PECOS PAC ID: 9830489103 Enrollment ID: I20231009003479 |
| Provider Name | Melissa Dora Curran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780364596 PECOS PAC ID: 8628423795 Enrollment ID: I20231010000116 |
| Provider Name | Vincent Falanga |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1376501825 PECOS PAC ID: 8426096967 Enrollment ID: I20231010001838 |
| Provider Name | Katherine Ann Su |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1689063919 PECOS PAC ID: 0941536197 Enrollment ID: I20231010002233 |
| Provider Name | Xavier Lionel Ruiz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154959807 PECOS PAC ID: 5395155832 Enrollment ID: I20231010002697 |
| Provider Name | David K Kung |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1114134921 PECOS PAC ID: 3870740459 Enrollment ID: I20231011000991 |
| Provider Name | Ji-suk K Yoo |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1275890964 PECOS PAC ID: 8729359658 Enrollment ID: I20231011003981 |
| Provider Name | Courtney Gibson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689236077 PECOS PAC ID: 1658607395 Enrollment ID: I20231012001802 |
| Provider Name | Luna Wahab |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598382293 PECOS PAC ID: 2163840869 Enrollment ID: I20231016002543 |
| Provider Name | Katherine Wang Han |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144714163 PECOS PAC ID: 4183976608 Enrollment ID: I20231017000841 |
| Provider Name | Rebecca John |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447748777 PECOS PAC ID: 3779986773 Enrollment ID: I20231017001501 |
| Provider Name | Nooshin Karamzadeh Dashti |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1609212273 PECOS PAC ID: 3173764792 Enrollment ID: I20231017001979 |
| Provider Name | Abbey Kaye Ritter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407634371 PECOS PAC ID: 6901251586 Enrollment ID: I20231017003200 |
| Provider Name | Loring I Perry |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1205057072 PECOS PAC ID: 6204068851 Enrollment ID: I20231019001710 |
| Provider Name | Deborah Rukin Gold |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922021971 PECOS PAC ID: 0042231425 Enrollment ID: I20231019002189 |
| Provider Name | Robert Cuddihy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912977844 PECOS PAC ID: 1759387905 Enrollment ID: I20231021000173 |
| Provider Name | Sara Straus Tannenbaum |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558821132 PECOS PAC ID: 9234585530 Enrollment ID: I20231023002557 |
| Provider Name | Liang Lu |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1679059661 PECOS PAC ID: 1355671686 Enrollment ID: I20231026003597 |
| Provider Name | Gabrielle Duprat |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1659834760 PECOS PAC ID: 6103159058 Enrollment ID: I20231030001349 |
| Provider Name | Jenny C Bello Ramos |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1508351073 PECOS PAC ID: 3577810670 Enrollment ID: I20231101000789 |
| Provider Name | Mae F Hickory |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750834651 PECOS PAC ID: 9133416076 Enrollment ID: I20231103002264 |
| Provider Name | David Joseph Harrison |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073043808 PECOS PAC ID: 9931501376 Enrollment ID: I20231106000440 |
| Provider Name | Hetain N Patel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1710227954 PECOS PAC ID: 2365735602 Enrollment ID: I20231109002323 |
| Provider Name | Lakshman Subrahmanyan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316100498 PECOS PAC ID: 3870712979 Enrollment ID: I20231110002458 |
| Provider Name | Reanna Cirnigliaro Fishwick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609596659 PECOS PAC ID: 1254788359 Enrollment ID: I20231110002755 |
| Provider Name | Melissa Paige Hayes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821476870 PECOS PAC ID: 0749637734 Enrollment ID: I20231113003216 |
| Provider Name | Emad Mogadam |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1639520133 PECOS PAC ID: 2769877307 Enrollment ID: I20231115001672 |
| Provider Name | Krystal Elizabeth Badillo Regan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568243244 PECOS PAC ID: 8224486022 Enrollment ID: I20231204002034 |
| Provider Name | Stephen Lammers |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093278285 PECOS PAC ID: 3375904303 Enrollment ID: I20231206001610 |
| Provider Name | Katrina Stephanie Hacker |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1104604495 PECOS PAC ID: 6507215225 Enrollment ID: I20231206004062 |
| Provider Name | Kai Wei Chang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164954780 PECOS PAC ID: 3779851720 Enrollment ID: I20231209000100 |
| Provider Name | Corie Ellen Crane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194132522 PECOS PAC ID: 4688023039 Enrollment ID: I20231211000612 |
| Provider Name | Jaclyn Fennell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770191959 PECOS PAC ID: 3375954142 Enrollment ID: I20231211002710 |
| Provider Name | Jason Randelle Blizzard |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245877802 PECOS PAC ID: 9436508447 Enrollment ID: I20231214003537 |
| Provider Name | Glaucia Passos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548032881 PECOS PAC ID: 8123477056 Enrollment ID: I20231218001190 |
| Provider Name | Marisa Salgueiro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437835865 PECOS PAC ID: 6800247743 Enrollment ID: I20240104004258 |
| Provider Name | Jacob Elliot Champney |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730242876 PECOS PAC ID: 1254782030 Enrollment ID: I20240105000880 |
| Provider Name | Chasity Lynn Trybulski |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376670422 PECOS PAC ID: 6507217395 Enrollment ID: I20240105001413 |
| Provider Name | Nancy Mclaughlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972584324 PECOS PAC ID: 0840182911 Enrollment ID: I20240105003121 |
| Provider Name | Nathan Goldstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083681761 PECOS PAC ID: 7517940158 Enrollment ID: I20240111001490 |
| Provider Name | Courtney Knill |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316442080 PECOS PAC ID: 4284981689 Enrollment ID: I20240111001806 |
| Provider Name | Kathleen Creed Barros |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326811837 PECOS PAC ID: 9931551652 Enrollment ID: I20240118002128 |
| Provider Name | Lindsay Pullen |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1700561057 PECOS PAC ID: 6800258559 Enrollment ID: I20240123001854 |
| Provider Name | Rochelle Heit |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194789701 PECOS PAC ID: 9931552130 Enrollment ID: I20240124001221 |
| Provider Name | Mary Shupe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487830295 PECOS PAC ID: 7416300579 Enrollment ID: I20240125001816 |
| Provider Name | Ian Porter |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1477973071 PECOS PAC ID: 9335592013 Enrollment ID: I20240130000316 |
| Provider Name | Martin Schwartzberg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558323071 PECOS PAC ID: 9537512165 Enrollment ID: I20240130001966 |
| Provider Name | Dimple Jaswal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073261905 PECOS PAC ID: 3971956475 Enrollment ID: I20240131004427 |
| Provider Name | Matthew J Alef |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1639371610 PECOS PAC ID: 5991921249 Enrollment ID: I20240202002358 |
| Provider Name | Nathaniel S Treister |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1306819388 PECOS PAC ID: 2567406135 Enrollment ID: I20240205001405 |
| Provider Name | Augustin J Delago |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922597343 PECOS PAC ID: 7113320185 Enrollment ID: I20240215004084 |
| Provider Name | Casey Taylor Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760243893 PECOS PAC ID: 4385088046 Enrollment ID: I20240221001541 |
| Provider Name | Melissa Katherine Worth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114799525 PECOS PAC ID: 2860836434 Enrollment ID: I20240222001214 |
| Provider Name | Sharon Della Grotta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619931235 PECOS PAC ID: 7517302979 Enrollment ID: I20240226002516 |
| Provider Name | Colleen Megan Levasseur |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1437935038 PECOS PAC ID: 8022453372 Enrollment ID: I20240227002031 |
| Provider Name | Catherine Leighton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376507947 PECOS PAC ID: 6305281130 Enrollment ID: I20240301003164 |
| Provider Name | Lee Kaplan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255322475 PECOS PAC ID: 4284681305 Enrollment ID: I20240305003510 |
| Provider Name | Daniel Joseph Zinn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174753578 PECOS PAC ID: 8628328044 Enrollment ID: I20240305004031 |
| Provider Name | Mehmet Emin Dokucu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285650408 PECOS PAC ID: 2961448022 Enrollment ID: I20240307003465 |
| Provider Name | Gretchen Stuart |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801904248 PECOS PAC ID: 2860499928 Enrollment ID: I20240314000876 |
| Provider Name | Kathleen Neilan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316704620 PECOS PAC ID: 9931546561 Enrollment ID: I20240319001521 |
| Provider Name | Patrick Schofield |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1700297934 PECOS PAC ID: 2264747120 Enrollment ID: I20240320001228 |
| Provider Name | Emily Y Campbell |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598392748 PECOS PAC ID: 6608293139 Enrollment ID: I20240321003178 |
| Provider Name | Laura Gadzala |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1386964104 PECOS PAC ID: 0244475952 Enrollment ID: I20240322001765 |
| Provider Name | Jennifer Tonneson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1144512526 PECOS PAC ID: 0547560476 Enrollment ID: I20240325001554 |
| Provider Name | Sophie E Tell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154496446 PECOS PAC ID: 9638516750 Enrollment ID: I20240326000674 |
| Provider Name | Adina Faye Tucker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649033614 PECOS PAC ID: 7517304348 Enrollment ID: I20240328000783 |
| Provider Name | Patience Gallagher |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275067217 PECOS PAC ID: 0244509768 Enrollment ID: I20240328001408 |
| Provider Name | Nayana Ramachandra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972130052 PECOS PAC ID: 5991187668 Enrollment ID: I20240329000144 |
| Provider Name | Kimberly J Manzella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689450074 PECOS PAC ID: 8022368398 Enrollment ID: I20240401000643 |
| Provider Name | Amandeep Kalra |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659546240 PECOS PAC ID: 8921163569 Enrollment ID: I20240409001270 |
| Provider Name | Marsha Davidson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265292957 PECOS PAC ID: 4082053871 Enrollment ID: I20240412001014 |
| Provider Name | Jian Wilson Dong |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1174977904 PECOS PAC ID: 7416228887 Enrollment ID: I20240413000137 |
| Provider Name | James Christopher Mendez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578051447 PECOS PAC ID: 4688057599 Enrollment ID: I20240416001684 |
| Provider Name | Suzanne Marie Michalak |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1366972945 PECOS PAC ID: 9638570435 Enrollment ID: I20240422001475 |
| Provider Name | Julie Anne Vincent |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538184288 PECOS PAC ID: 4688625445 Enrollment ID: I20240423000117 |
| Provider Name | Anusha K Battula |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255893749 PECOS PAC ID: 9931575636 Enrollment ID: I20240423000271 |
| Provider Name | Ann Marie Lalor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437930328 PECOS PAC ID: 4385084367 Enrollment ID: I20240425000600 |
| Provider Name | Jennifer Lynn Benusis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902665607 PECOS PAC ID: 0941640890 Enrollment ID: I20240425003433 |
| Provider Name | Max J Biondi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467017988 PECOS PAC ID: 0446585269 Enrollment ID: I20240430000305 |
| Provider Name | Eman M Shaban |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1922396969 PECOS PAC ID: 6406085166 Enrollment ID: I20240506000028 |
| Provider Name | Lorrie Callaghan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497526495 PECOS PAC ID: 7719327998 Enrollment ID: I20240506000484 |
| Provider Name | Kaylie Barbara Grella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982462933 PECOS PAC ID: 9032550116 Enrollment ID: I20240508000430 |
| Provider Name | Gwendolyn Durgin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013958883 PECOS PAC ID: 4688648801 Enrollment ID: I20240510003007 |
| Provider Name | Rachel E Mitchell |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1760725451 PECOS PAC ID: 9335580653 Enrollment ID: I20240516002952 |
| Provider Name | Kaylea Masters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730649369 PECOS PAC ID: 0143562744 Enrollment ID: I20240520001866 |
| Provider Name | Tulika Ranjan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780913707 PECOS PAC ID: 0042345415 Enrollment ID: I20240520001999 |
| Provider Name | Carlyn Rodriguez Nazario |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215216346 PECOS PAC ID: 9335409945 Enrollment ID: I20240520002888 |
| Provider Name | Jose J Fernandez |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1003894726 PECOS PAC ID: 6800895483 Enrollment ID: I20240522003302 |
| Provider Name | Benjamin P Schwartz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568025377 PECOS PAC ID: 9133501125 Enrollment ID: I20240523001423 |
| Provider Name | Julia K. Barry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750142923 PECOS PAC ID: 3375985153 Enrollment ID: I20240524000577 |
| Provider Name | Caroline Jane Christie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679890453 PECOS PAC ID: 2365984440 Enrollment ID: I20240604002705 |
| Provider Name | Alexandria Jarvis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922848290 PECOS PAC ID: 8123560232 Enrollment ID: I20240604004166 |
| Provider Name | Lisa Rachel Rubenstein |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114250990 PECOS PAC ID: 1557589975 Enrollment ID: I20240605000921 |
Physician Practices At Alice Peck Day Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 Alice Peck Day Dr, Lebanon, NH 03766 Phone: 603-448-3122 Fax: 603-448-7491 | |
Deborah A. Glazer, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 127 Mascoma St, Lebanon, NH 03766 Phone: 603-448-5886 Fax: 603-448-3723 | |
Emergency Services At Alice Peck Day Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 Alice Peck Day Dr, Lebanon, NH 03766 Phone: 603-448-7448 Fax: 603-443-9516 | |
Family Health Center, P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 252 Mechanic St, Lebanon, NH 03766 Phone: 603-448-1941 Fax: 603-448-6059 | |
Mhmh Regional Services Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1 Medical Center Dr, Lebanon, NH 03756 Phone: 603-650-5000 | |
Affirm Medical Group Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 20 W Park St Ste 421, Lebanon, NH 03766 Phone: 603-276-0024 |