| Mary Washington Healthcare Physicians | |
|
405 Chatham Heights Rd Fredericksburg VA 22405-2582 | |
| (540) 300-6182 | |
| Not Available |
| Full Name | Mary Washington Healthcare Physicians |
|---|---|
| Speciality | Family Medicine |
| Location | 405 Chatham Heights Rd, Fredericksburg, Virginia |
| Authorized Official Name and Position | J Michael Mcdermott (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 5407411414 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Washington Healthcare Physicians 2300 Fall Hill Ave Suite 509 Fredericksburg VA 22401-3342 Ph: (540) 741-1821 | Mary Washington Healthcare Physicians 405 Chatham Heights Rd Fredericksburg VA 22405-2582 Ph: (540) 300-6182 |
| NPI Number | 1295999852 |
|---|---|
| Provider Enumeration Date | 07/14/2008 |
| Last Update Date | 11/01/2023 |
| Medicare PECOS PAC ID | 2769546530 |
|---|---|
| Medicare Enrollment ID | O20090123000298 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295999852 | NPI | - | NPPES |
| 1295999852 | Medicaid | VA |
| Provider Name | Rachel A Amidon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497737142 PECOS PAC ID: 6608789243 Enrollment ID: I20031209000346 |
| Provider Name | Scott R Hyldahl |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104808864 PECOS PAC ID: 3779485628 Enrollment ID: I20040122000436 |
| Provider Name | Brian T Mcdermott |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1366489874 PECOS PAC ID: 7416844949 Enrollment ID: I20040301000643 |
| Provider Name | Adriana C Maldonado-brem |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1871589663 PECOS PAC ID: 7416845276 Enrollment ID: I20040304001157 |
| Provider Name | Mansoor A Malik |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164464392 PECOS PAC ID: 2567458797 Enrollment ID: I20040422001569 |
| Provider Name | Timothy D Weber |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205874054 PECOS PAC ID: 8820088305 Enrollment ID: I20040517000257 |
| Provider Name | Rickard K Dalberg |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750329421 PECOS PAC ID: 8527965755 Enrollment ID: I20040517000356 |
| Provider Name | Andrew A Garvie |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770521239 PECOS PAC ID: 2163329301 Enrollment ID: I20040517000435 |
| Provider Name | David M Garth |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538100532 PECOS PAC ID: 8527965763 Enrollment ID: I20040517000463 |
| Provider Name | Christopher T Huesgen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447291448 PECOS PAC ID: 6608773841 Enrollment ID: I20040517000507 |
| Provider Name | Douglas R Johnson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629019625 PECOS PAC ID: 4789581927 Enrollment ID: I20040517000561 |
| Provider Name | Charles Garland Penick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992746994 PECOS PAC ID: 6406753649 Enrollment ID: I20040517000630 |
| Provider Name | Coleen A Rickabaugh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265470934 PECOS PAC ID: 1951208198 Enrollment ID: I20040517000654 |
| Provider Name | Shinichi Sato |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356375117 PECOS PAC ID: 4587561725 Enrollment ID: I20040517000762 |
| Provider Name | Ritu Chahil-miglani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205893054 PECOS PAC ID: 3779565304 Enrollment ID: I20040607000267 |
| Provider Name | Robert E Fines |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912931775 PECOS PAC ID: 3870572944 Enrollment ID: I20040714000650 |
| Provider Name | Brian Scott Wexler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629019187 PECOS PAC ID: 6406837855 Enrollment ID: I20040714000819 |
| Provider Name | Wahid M Baqaie |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1821047366 PECOS PAC ID: 2163401068 Enrollment ID: I20040715000106 |
| Provider Name | Anthony L Anker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861430332 PECOS PAC ID: 3678558566 Enrollment ID: I20040902001192 |
| Provider Name | Matthew D Du Mont |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1215982715 PECOS PAC ID: 4385557685 Enrollment ID: I20040903000180 |
| Provider Name | Lisa Keel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093701757 PECOS PAC ID: 8123088614 Enrollment ID: I20041019000511 |
| Provider Name | Everett Kirk Luder |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629046701 PECOS PAC ID: 1557322765 Enrollment ID: I20041021000308 |
| Provider Name | Ronald M Ramus |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740374586 PECOS PAC ID: 6800858267 Enrollment ID: I20041028000998 |
| Provider Name | Jennifer Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508940214 PECOS PAC ID: 5294797122 Enrollment ID: I20041102000720 |
| Provider Name | Steven Mares |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639144686 PECOS PAC ID: 7214993955 Enrollment ID: I20041206000069 |
| Provider Name | Swarna Reddy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528044583 PECOS PAC ID: 5496711830 Enrollment ID: I20041207000751 |
| Provider Name | William R Gaertner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649267188 PECOS PAC ID: 3971560061 Enrollment ID: I20041209001024 |
| Provider Name | Rosier D Dedwylder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871567073 PECOS PAC ID: 3678530474 Enrollment ID: I20041214000178 |
| Provider Name | Norman D Bernstein |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1194777946 PECOS PAC ID: 3678530417 Enrollment ID: I20041214000420 |
| Provider Name | Peter W Wong |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1922157999 PECOS PAC ID: 9931158359 Enrollment ID: I20050112000967 |
| Provider Name | Daniel William Woodford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790761302 PECOS PAC ID: 1456303452 Enrollment ID: I20050217000966 |
| Provider Name | Mir T Ali |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1275559072 PECOS PAC ID: 3476592643 Enrollment ID: I20050427000619 |
| Provider Name | Ursula Koeze |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023088960 PECOS PAC ID: 2062466436 Enrollment ID: I20050429000889 |
| Provider Name | Amy L Barabasz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285672956 PECOS PAC ID: 6608770169 Enrollment ID: I20050429000957 |
| Provider Name | Joyce A Delneky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386695385 PECOS PAC ID: 3870539042 Enrollment ID: I20050628001459 |
| Provider Name | Frances Lynne Clemo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972504140 PECOS PAC ID: 4082640925 Enrollment ID: I20050712001273 |
| Provider Name | Sridhar Neralla |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1477565174 PECOS PAC ID: 2860429503 Enrollment ID: I20050725000394 |
| Provider Name | Rafael O Hernandez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982667812 PECOS PAC ID: 1355396771 Enrollment ID: I20050726001028 |
| Provider Name | Ekram G Guirguis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083682843 PECOS PAC ID: 6204890395 Enrollment ID: I20060127000088 |
| Provider Name | Tiffany G Simons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578653697 PECOS PAC ID: 4486669835 Enrollment ID: I20060207000484 |
| Provider Name | Peter Steven Pyatak |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144259011 PECOS PAC ID: 3173538618 Enrollment ID: I20060220000514 |
| Provider Name | Julie M Floyd |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679537070 PECOS PAC ID: 6204845233 Enrollment ID: I20060419000286 |
| Provider Name | Kostas J Constantine |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1740227230 PECOS PAC ID: 4789571282 Enrollment ID: I20060509001049 |
| Provider Name | Ali Aziz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619918562 PECOS PAC ID: 9436161395 Enrollment ID: I20060615000233 |
| Provider Name | Ejaz Khan |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1669416160 PECOS PAC ID: 7810991908 Enrollment ID: I20060901000135 |
| Provider Name | Kenneth J Accousti |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1316998586 PECOS PAC ID: 3779589379 Enrollment ID: I20061004000315 |
| Provider Name | Donald Kauder |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437102514 PECOS PAC ID: 6406866920 Enrollment ID: I20061024000353 |
| Provider Name | Jeremy L Hardison |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1073508602 PECOS PAC ID: 6103805650 Enrollment ID: I20061201000196 |
| Provider Name | Michael Czekajlo |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1093726325 PECOS PAC ID: 0648242024 Enrollment ID: I20061202000033 |
| Provider Name | Bhavin S Suthar |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1376574459 PECOS PAC ID: 6002815909 Enrollment ID: I20061204000057 |
| Provider Name | Bradford L King |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1346294378 PECOS PAC ID: 3375542285 Enrollment ID: I20061204000148 |
| Provider Name | Jeffrey E Askew |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1295782746 PECOS PAC ID: 4688673452 Enrollment ID: I20061206000113 |
| Provider Name | Naga S Chigurupati |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1043298805 PECOS PAC ID: 9234109653 Enrollment ID: I20070117000502 |
| Provider Name | Christopher Sonnier |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1598732513 PECOS PAC ID: 6608877634 Enrollment ID: I20070118000169 |
| Provider Name | Thomas Mastri |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1073566642 PECOS PAC ID: 3870695364 Enrollment ID: I20070305000356 |
| Provider Name | Lasandra Denise Jackson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356429674 PECOS PAC ID: 8426040882 Enrollment ID: I20070307000205 |
| Provider Name | Awol Y Ali |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1720165277 PECOS PAC ID: 3173626884 Enrollment ID: I20070319000476 |
| Provider Name | Mark H Dicocco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245299957 PECOS PAC ID: 6406950609 Enrollment ID: I20070328000227 |
| Provider Name | Peter O Carey |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1316994742 PECOS PAC ID: 6507969193 Enrollment ID: I20070420000380 |
| Provider Name | Scott M Sell |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1134176563 PECOS PAC ID: 6608979299 Enrollment ID: I20070420000392 |
| Provider Name | Daniel M Hoffman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1225085657 PECOS PAC ID: 9335242924 Enrollment ID: I20070420000401 |
| Provider Name | Gregory R Szlyk |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1447205745 PECOS PAC ID: 8325141914 Enrollment ID: I20070420000410 |
| Provider Name | Elmore J Becker |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1396791372 PECOS PAC ID: 0143323733 Enrollment ID: I20070420000420 |
| Provider Name | Reshma S Parab |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1073549325 PECOS PAC ID: 7315044377 Enrollment ID: I20070525000503 |
| Provider Name | Denis J Halmi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710916697 PECOS PAC ID: 3678671559 Enrollment ID: I20070612000817 |
| Provider Name | John T Sherwood |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1780615559 PECOS PAC ID: 5193750800 Enrollment ID: I20070711000855 |
| Provider Name | Edward G Walsh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992853238 PECOS PAC ID: 3870694276 Enrollment ID: I20070730000566 |
| Provider Name | Rod Leon Flynn |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548250319 PECOS PAC ID: 0244211050 Enrollment ID: I20070914000457 |
| Provider Name | Kristin L Esposito |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841401387 PECOS PAC ID: 2860587318 Enrollment ID: I20070928000545 |
| Provider Name | Sandra D Crouse |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164631255 PECOS PAC ID: 7012002876 Enrollment ID: I20071009000376 |
| Provider Name | Maha Alattar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1013089598 PECOS PAC ID: 4183710767 Enrollment ID: I20071011000581 |
| Provider Name | Rashida N Gray |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962568618 PECOS PAC ID: 7315033859 Enrollment ID: I20071015000515 |
| Provider Name | Darlene Kay Blanchard |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1912087347 PECOS PAC ID: 7012938350 Enrollment ID: I20071029000231 |
| Provider Name | Diane Franchi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538159199 PECOS PAC ID: 9931281268 Enrollment ID: I20080125000349 |
| Provider Name | Avnit K Ahuja |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1962616474 PECOS PAC ID: 5092897652 Enrollment ID: I20080205000134 |
| Provider Name | Melissa A Mccormack |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770532202 PECOS PAC ID: 7315022423 Enrollment ID: I20080313000598 |
| Provider Name | Christopher Brown |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124076260 PECOS PAC ID: 3072698083 Enrollment ID: I20080313000659 |
| Provider Name | Carol A Voss |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841250354 PECOS PAC ID: 0840185294 Enrollment ID: I20080320000577 |
| Provider Name | Hammad Qureshy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689749368 PECOS PAC ID: 8123073780 Enrollment ID: I20080325000111 |
| Provider Name | Rebekah Conroy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639173313 PECOS PAC ID: 8325039563 Enrollment ID: I20080408000587 |
| Provider Name | Nicholas Kallay |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1043209596 PECOS PAC ID: 6608953039 Enrollment ID: I20080409000245 |
| Provider Name | Jeffrey R Rehm |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1548259823 PECOS PAC ID: 3072690403 Enrollment ID: I20080409000264 |
| Provider Name | Richard A Fiero |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1083603344 PECOS PAC ID: 8527145952 Enrollment ID: I20080409000277 |
| Provider Name | Steven J Wasilewski |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295922466 PECOS PAC ID: 5991875353 Enrollment ID: I20080528000656 |
| Provider Name | Victoria E Grady |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043275852 PECOS PAC ID: 4082784004 Enrollment ID: I20080603000530 |
| Provider Name | Adam H Sims |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144280223 PECOS PAC ID: 6901977099 Enrollment ID: I20080617000593 |
| Provider Name | Michael D Amesquita |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053571844 PECOS PAC ID: 0749353498 Enrollment ID: I20080714000680 |
| Provider Name | Jill R Eckenberger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790945434 PECOS PAC ID: 1658444237 Enrollment ID: I20080715000370 |
| Provider Name | Dong Heun Lee |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1629048723 PECOS PAC ID: 1850464314 Enrollment ID: I20080717000271 |
| Provider Name | Brian C Hoff |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619164357 PECOS PAC ID: 4688754823 Enrollment ID: I20080725000352 |
| Provider Name | Erik M Krushinski |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1689718132 PECOS PAC ID: 7911070735 Enrollment ID: I20080725000627 |
| Provider Name | Mohammed Alattar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699881680 PECOS PAC ID: 3274556576 Enrollment ID: I20080730000849 |
| Provider Name | David Arman Zijerdi |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1609829969 PECOS PAC ID: 9234152901 Enrollment ID: I20080902000509 |
| Provider Name | Carol A Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053366252 PECOS PAC ID: 5092750521 Enrollment ID: I20080904000659 |
| Provider Name | Kurian C Thott |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508074857 PECOS PAC ID: 4981763604 Enrollment ID: I20081112000753 |
| Provider Name | Anjna Melwani |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073656880 PECOS PAC ID: 0547320210 Enrollment ID: I20081125000724 |
| Provider Name | Tedla T Tessema |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1952573370 PECOS PAC ID: 1951462662 Enrollment ID: I20081212000194 |
| Provider Name | Maria E Darland |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1346421351 PECOS PAC ID: 9234291626 Enrollment ID: I20081218000469 |
| Provider Name | Zakia D Bell |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053339465 PECOS PAC ID: 0648332866 Enrollment ID: I20081223000323 |
| Provider Name | Jennifer L Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558517136 PECOS PAC ID: 9133284847 Enrollment ID: I20090212000545 |
| Provider Name | Stephani C Lowery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003807371 PECOS PAC ID: 5890851430 Enrollment ID: I20090305000198 |
| Provider Name | Elizabeth Wheatley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457591596 PECOS PAC ID: 3072670009 Enrollment ID: I20090319000044 |
| Provider Name | Vicki Wallace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689640195 PECOS PAC ID: 9436129574 Enrollment ID: I20090330000415 |
| Provider Name | Cindy Marie Greenwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134361975 PECOS PAC ID: 0042367427 Enrollment ID: I20090422000444 |
| Provider Name | Donna Carmosky |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851386239 PECOS PAC ID: 3173671278 Enrollment ID: I20090429000383 |
| Provider Name | Charles Beamon |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1194996686 PECOS PAC ID: 6103999453 Enrollment ID: I20090701000454 |
| Provider Name | Mark W Bowyer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1851382105 PECOS PAC ID: 7315098167 Enrollment ID: I20090708000105 |
| Provider Name | Cynthia A Wilkes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881674356 PECOS PAC ID: 2264584044 Enrollment ID: I20090709000540 |
| Provider Name | Scott R Ottolini |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598939704 PECOS PAC ID: 7012069677 Enrollment ID: I20090714000198 |
| Provider Name | Tammy J Leonard |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265542187 PECOS PAC ID: 5193878924 Enrollment ID: I20090727000680 |
| Provider Name | Khalilah L Cox |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801931357 PECOS PAC ID: 4587717707 Enrollment ID: I20090805000090 |
| Provider Name | Mina Kim |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093902777 PECOS PAC ID: 7810041704 Enrollment ID: I20090811000640 |
| Provider Name | Tania White |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942414321 PECOS PAC ID: 6406901354 Enrollment ID: I20090828000549 |
| Provider Name | Katrina Harpe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053408047 PECOS PAC ID: 6709981954 Enrollment ID: I20091008000583 |
| Provider Name | Debra L Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932330339 PECOS PAC ID: 4082750450 Enrollment ID: I20091015000454 |
| Provider Name | Mitra Sahebazamani |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1780814392 PECOS PAC ID: 3476691353 Enrollment ID: I20091113000182 |
| Provider Name | Andrea R Lough |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659354900 PECOS PAC ID: 3577602549 Enrollment ID: I20091203000754 |
| Provider Name | Victoria M Mckay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376795898 PECOS PAC ID: 6507906187 Enrollment ID: I20091211000268 |
| Provider Name | Maurice Stephen Mandell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548252273 PECOS PAC ID: 7012057227 Enrollment ID: I20091221000051 |
| Provider Name | Steven W Mussey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902892078 PECOS PAC ID: 2264572148 Enrollment ID: I20091228000523 |
| Provider Name | Lisa J Sarber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215923586 PECOS PAC ID: 5890835771 Enrollment ID: I20091228000531 |
| Provider Name | Desiree A Warner |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356675383 PECOS PAC ID: 9537202692 Enrollment ID: I20100211000517 |
| Provider Name | Antonio Edgardo Valdes Dapena |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942292511 PECOS PAC ID: 4587791025 Enrollment ID: I20100414000994 |
| Provider Name | Arnold J Aguilera |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396774683 PECOS PAC ID: 1153421581 Enrollment ID: I20100423000203 |
| Provider Name | Richard P Erwin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073545794 PECOS PAC ID: 8426158858 Enrollment ID: I20100423000291 |
| Provider Name | Dale W Pcsolyar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104855485 PECOS PAC ID: 4789784117 Enrollment ID: I20100423000350 |
| Provider Name | Gregory Powell Moore |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881672699 PECOS PAC ID: 4587650460 Enrollment ID: I20100520001055 |
| Provider Name | Chetan B Pai |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1649488230 PECOS PAC ID: 0840386728 Enrollment ID: I20100709000470 |
| Provider Name | Hong Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528069796 PECOS PAC ID: 3274569116 Enrollment ID: I20100721000588 |
| Provider Name | Jonathan E Gilhooly |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1558333849 PECOS PAC ID: 1052410503 Enrollment ID: I20100727000067 |
| Provider Name | Dana B. Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306809439 PECOS PAC ID: 5698808202 Enrollment ID: I20100803000998 |
| Provider Name | Wilson Cook |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326002775 PECOS PAC ID: 7719932037 Enrollment ID: I20100811000941 |
| Provider Name | Joseph P. Schuette |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053375790 PECOS PAC ID: 2264487586 Enrollment ID: I20100907001042 |
| Provider Name | Anna T Czajka |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285837963 PECOS PAC ID: 3678631405 Enrollment ID: I20100908000968 |
| Provider Name | Samuel J Campbell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538376678 PECOS PAC ID: 7719002567 Enrollment ID: I20100916000508 |
| Provider Name | Eric Tosh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902072416 PECOS PAC ID: 9739204546 Enrollment ID: I20100916001336 |
| Provider Name | Rony J Ramia |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1770775421 PECOS PAC ID: 8628161676 Enrollment ID: I20101102000704 |
| Provider Name | Daniel G. Muldoon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154384089 PECOS PAC ID: 8426244005 Enrollment ID: I20101122000555 |
| Provider Name | Tracy A Perry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861706772 PECOS PAC ID: 3779779871 Enrollment ID: I20101201000977 |
| Provider Name | Ali R Hashemi |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1356593982 PECOS PAC ID: 5698962603 Enrollment ID: I20101202001166 |
| Provider Name | Michael Burbridge |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598718660 PECOS PAC ID: 6305033622 Enrollment ID: I20101211000176 |
| Provider Name | Stephanie R Goldberg |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1841409042 PECOS PAC ID: 7012104144 Enrollment ID: I20101215000113 |
| Provider Name | Theresa Dressler Conologue |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1053407452 PECOS PAC ID: 0042380966 Enrollment ID: I20110105001208 |
| Provider Name | Ashok Joshwa Prasad |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1518270552 PECOS PAC ID: 7810176831 Enrollment ID: I20110128000945 |
| Provider Name | Samantha Franz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093768947 PECOS PAC ID: 8123208972 Enrollment ID: I20110210000750 |
| Provider Name | Deborah Bowers |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871645317 PECOS PAC ID: 5799830899 Enrollment ID: I20110216000164 |
| Provider Name | Candace Nicole Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801105986 PECOS PAC ID: 8729269121 Enrollment ID: I20110217000651 |
| Provider Name | Mahdere Asfaw |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083797047 PECOS PAC ID: 7416956941 Enrollment ID: I20110426000301 |
| Provider Name | Christopher C Harrington |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730178468 PECOS PAC ID: 6103715446 Enrollment ID: I20110503000148 |
| Provider Name | William A Hamilton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265456214 PECOS PAC ID: 3870637507 Enrollment ID: I20110509000513 |
| Provider Name | Rohit Goyal |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1881879724 PECOS PAC ID: 5991984106 Enrollment ID: I20110525000822 |
| Provider Name | Rachel Harris Mccarter |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720075963 PECOS PAC ID: 4789755604 Enrollment ID: I20110610000093 |
| Provider Name | Allyson M Hilliard |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912160359 PECOS PAC ID: 2860679214 Enrollment ID: I20110610000710 |
| Provider Name | Deepa Pai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538378195 PECOS PAC ID: 5991871444 Enrollment ID: I20110616000587 |
| Provider Name | Partam Manalai |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649598244 PECOS PAC ID: 2961680913 Enrollment ID: I20110622000635 |
| Provider Name | Juan Abril |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144421934 PECOS PAC ID: 7012002801 Enrollment ID: I20110815000228 |
| Provider Name | Sherief H El-mallah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689732125 PECOS PAC ID: 7810913787 Enrollment ID: I20110816000862 |
| Provider Name | Tahanie Osman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588869903 PECOS PAC ID: 1658497680 Enrollment ID: I20111005000573 |
| Provider Name | Raushan K Abdula |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1720206212 PECOS PAC ID: 0840486874 Enrollment ID: I20111018000058 |
| Provider Name | Raymond S Kirchmier |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1851378954 PECOS PAC ID: 3375717820 Enrollment ID: I20111117000643 |
| Provider Name | Raymond K Chung |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1609853704 PECOS PAC ID: 7517131071 Enrollment ID: I20111117000702 |
| Provider Name | Jennifer S Grillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023344371 PECOS PAC ID: 4981742715 Enrollment ID: I20111130000303 |
| Provider Name | Sang Na |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255328902 PECOS PAC ID: 4880614916 Enrollment ID: I20111207000177 |
| Provider Name | Carrie Pascoe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427010313 PECOS PAC ID: 2466354683 Enrollment ID: I20120113000766 |
| Provider Name | Charles Ihechukwuturu Okorie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831146786 PECOS PAC ID: 0941477657 Enrollment ID: I20120120000615 |
| Provider Name | Anders C Brandt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487862504 PECOS PAC ID: 8921267386 Enrollment ID: I20120306000000 |
| Provider Name | William Andrew Reese |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1720073547 PECOS PAC ID: 3476596560 Enrollment ID: I20120309000396 |
| Provider Name | Nelson K Henry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740364116 PECOS PAC ID: 4183677107 Enrollment ID: I20120312000211 |
| Provider Name | Nicquia M Spain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235375007 PECOS PAC ID: 8820259880 Enrollment ID: I20120418000494 |
| Provider Name | Jorge Dolojan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1326296336 PECOS PAC ID: 6406011550 Enrollment ID: I20120622000516 |
| Provider Name | Joelle L Mays |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881841989 PECOS PAC ID: 3375715758 Enrollment ID: I20120713000383 |
| Provider Name | Megan Booth |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134403017 PECOS PAC ID: 2769648880 Enrollment ID: I20120718000236 |
| Provider Name | Jessica A Herstek |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033377353 PECOS PAC ID: 5597934661 Enrollment ID: I20120725001117 |
| Provider Name | Sandra Goe |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477710861 PECOS PAC ID: 8426204124 Enrollment ID: I20120813000546 |
| Provider Name | Kiyanda Baldwin |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1548419419 PECOS PAC ID: 1658528450 Enrollment ID: I20120830000204 |
| Provider Name | Gina L Gallizzi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306049705 PECOS PAC ID: 2466578711 Enrollment ID: I20120911000835 |
| Provider Name | Lachelle Campbell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184870271 PECOS PAC ID: 9436321106 Enrollment ID: I20121008000557 |
| Provider Name | Joanne M Kaiman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841235561 PECOS PAC ID: 7315999513 Enrollment ID: I20121023000443 |
| Provider Name | Michelle D Thomas |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1659370039 PECOS PAC ID: 3678614591 Enrollment ID: I20130102000026 |
| Provider Name | John H Seok |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770578973 PECOS PAC ID: 8022275478 Enrollment ID: I20130102000397 |
| Provider Name | Shiv P Someshwar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588788194 PECOS PAC ID: 1456360015 Enrollment ID: I20130211000001 |
| Provider Name | Christopher J Neal |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1447244769 PECOS PAC ID: 6305974270 Enrollment ID: I20130225000206 |
| Provider Name | Stacy L Diamonds |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609014042 PECOS PAC ID: 6608054671 Enrollment ID: I20130320000375 |
| Provider Name | Janet Safo Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598009615 PECOS PAC ID: 2062657828 Enrollment ID: I20130326000628 |
| Provider Name | Narayan Dharel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1942464102 PECOS PAC ID: 2163599101 Enrollment ID: I20130621000139 |
| Provider Name | Subodhkumar Sundaram |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447201751 PECOS PAC ID: 4981504727 Enrollment ID: I20130712000364 |
| Provider Name | Michael S Porrazzo |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1871536557 PECOS PAC ID: 0244426575 Enrollment ID: I20130827000494 |
| Provider Name | Christopher Clark |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588912588 PECOS PAC ID: 7719120567 Enrollment ID: I20130827000775 |
| Provider Name | Lana Ismail |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447576558 PECOS PAC ID: 3577706795 Enrollment ID: I20131011001502 |
| Provider Name | Lynette A Moore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669535951 PECOS PAC ID: 9537306444 Enrollment ID: I20131120001043 |
| Provider Name | Judith L Albert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063849628 PECOS PAC ID: 5890922264 Enrollment ID: I20131210000189 |
| Provider Name | Anson Le Pham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023332707 PECOS PAC ID: 8022246925 Enrollment ID: I20140123001098 |
| Provider Name | Masoud Rezvani |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992964621 PECOS PAC ID: 5799837316 Enrollment ID: I20140207001577 |
| Provider Name | John Cardone |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1619945268 PECOS PAC ID: 6305894817 Enrollment ID: I20140225000843 |
| Provider Name | Nysa Marinda Paysour |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811124076 PECOS PAC ID: 4486878436 Enrollment ID: I20140612001026 |
| Provider Name | Carlene K Gordon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649529025 PECOS PAC ID: 4284859463 Enrollment ID: I20140701001766 |
| Provider Name | Kia M Williams Eagleton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255392528 PECOS PAC ID: 0143306464 Enrollment ID: I20140821002681 |
| Provider Name | Harold V Lawson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346408200 PECOS PAC ID: 7113089384 Enrollment ID: I20140902001385 |
| Provider Name | Randy S Bell |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1972576387 PECOS PAC ID: 4385777044 Enrollment ID: I20140910002618 |
| Provider Name | Michael Joseph Cirivello |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1942405725 PECOS PAC ID: 8426280892 Enrollment ID: I20140910002718 |
| Provider Name | Douglas R Schulte |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114906617 PECOS PAC ID: 6002041951 Enrollment ID: I20141003001001 |
| Provider Name | Amanda Aldridge-schamp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982012589 PECOS PAC ID: 8325268782 Enrollment ID: I20141007000591 |
| Provider Name | Lin M Riccio |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1942468350 PECOS PAC ID: 3577792381 Enrollment ID: I20141020001427 |
| Provider Name | Muhammad Rahman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487748406 PECOS PAC ID: 6709781289 Enrollment ID: I20141029000876 |
| Provider Name | Kerry Coyle |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497154652 PECOS PAC ID: 8921229212 Enrollment ID: I20141030001624 |
| Provider Name | Vipul Parekh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831416304 PECOS PAC ID: 0547452898 Enrollment ID: I20141121000569 |
| Provider Name | Muna A Jama |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881822989 PECOS PAC ID: 9638325707 Enrollment ID: I20141122000218 |
| Provider Name | Corey Wright |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1437358074 PECOS PAC ID: 2567606601 Enrollment ID: I20141126000692 |
| Provider Name | Hishani Perera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699184283 PECOS PAC ID: 4183946114 Enrollment ID: I20141202002615 |
| Provider Name | Frederick K Goodwin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164536355 PECOS PAC ID: 0547245375 Enrollment ID: I20150114000148 |
| Provider Name | Dorothy Hamory Braun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104223122 PECOS PAC ID: 5193049930 Enrollment ID: I20150126002185 |
| Provider Name | Holly Garrison |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295153161 PECOS PAC ID: 4385961010 Enrollment ID: I20150318000151 |
| Provider Name | Yeganeh Jalaeian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578957726 PECOS PAC ID: 2769701127 Enrollment ID: I20150616000720 |
| Provider Name | Erik C Osborn |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1659471472 PECOS PAC ID: 6305022302 Enrollment ID: I20150623002875 |
| Provider Name | Laurence Davidson |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1194934968 PECOS PAC ID: 9739345513 Enrollment ID: I20150707000874 |
| Provider Name | Annemarie Lynn Utz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154370336 PECOS PAC ID: 3971519836 Enrollment ID: I20150708002836 |
| Provider Name | Adnan Hussain |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1215297429 PECOS PAC ID: 9335451269 Enrollment ID: I20150727000654 |
| Provider Name | Robert J Sonnenberg |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255637013 PECOS PAC ID: 7517134208 Enrollment ID: I20150803000247 |
| Provider Name | Agostino Visioni |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1013031004 PECOS PAC ID: 8729103551 Enrollment ID: I20150814012862 |
| Provider Name | Lucia Mitchell |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1902108137 PECOS PAC ID: 6204147085 Enrollment ID: I20150819008757 |
| Provider Name | Corinnia F Wagner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427444694 PECOS PAC ID: 9133435340 Enrollment ID: I20150902003157 |
| Provider Name | Douglas Sturm |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922395367 PECOS PAC ID: 5395981948 Enrollment ID: I20150920000002 |
| Provider Name | Prithviraj B Rai |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1891863130 PECOS PAC ID: 4082500434 Enrollment ID: I20151103001996 |
| Provider Name | Albert Jesse Schuette |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1558549295 PECOS PAC ID: 6901074111 Enrollment ID: I20151104003043 |
| Provider Name | Xuesheng Feng |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881880987 PECOS PAC ID: 9739275496 Enrollment ID: I20151105000771 |
| Provider Name | Melanie Lyn Wiest |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104108554 PECOS PAC ID: 9032382510 Enrollment ID: I20151207001866 |
| Provider Name | Sarah K Workman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639554710 PECOS PAC ID: 0143521971 Enrollment ID: I20151219000028 |
| Provider Name | Kelley Dawne Clark |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073695045 PECOS PAC ID: 0244254746 Enrollment ID: I20160120002613 |
| Provider Name | Kedest Gebreselassie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265897391 PECOS PAC ID: 0941503932 Enrollment ID: I20160126000557 |
| Provider Name | Abhijeet A Nakave |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366605313 PECOS PAC ID: 3173798501 Enrollment ID: I20160201000662 |
| Provider Name | Paul R Kowalski |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952341067 PECOS PAC ID: 0345220653 Enrollment ID: I20160308001010 |
| Provider Name | Gustava T Zimmer |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1912325333 PECOS PAC ID: 8022335652 Enrollment ID: I20160317001258 |
| Provider Name | Teresa Kerge |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1851617120 PECOS PAC ID: 6406096387 Enrollment ID: I20160328000210 |
| Provider Name | Avinash Narayana |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164668000 PECOS PAC ID: 0749412955 Enrollment ID: I20160330000801 |
| Provider Name | Kussay Nassr |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316942022 PECOS PAC ID: 8820079684 Enrollment ID: I20160714002643 |
| Provider Name | Nicholas A Cook |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1114015989 PECOS PAC ID: 1658386040 Enrollment ID: I20160801000430 |
| Provider Name | Christopher Eric Hayes |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1790805273 PECOS PAC ID: 9234277419 Enrollment ID: I20160815002246 |
| Provider Name | Christele Behalal-bock |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1437387768 PECOS PAC ID: 2062738693 Enrollment ID: I20160823001742 |
| Provider Name | Paige Lynch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306291646 PECOS PAC ID: 4082909387 Enrollment ID: I20160825002117 |
| Provider Name | Jessica Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457404287 PECOS PAC ID: 6204123326 Enrollment ID: I20160916002109 |
| Provider Name | Arun Singh Chhabra |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922398726 PECOS PAC ID: 6507150174 Enrollment ID: I20161003002675 |
| Provider Name | Edward H Springel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265640676 PECOS PAC ID: 1456405380 Enrollment ID: I20161031000066 |
| Provider Name | Erin E Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699221333 PECOS PAC ID: 4385923788 Enrollment ID: I20161107002227 |
| Provider Name | Manan Samir Mehta |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1295862134 PECOS PAC ID: 7810073947 Enrollment ID: I20161121000444 |
| Provider Name | Daniel S Ikeda |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1164751947 PECOS PAC ID: 5395984181 Enrollment ID: I20161201000663 |
| Provider Name | Trisha M Arno |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275897787 PECOS PAC ID: 6709166564 Enrollment ID: I20161213002014 |
| Provider Name | Nebiyu Biru |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1780983320 PECOS PAC ID: 8426274929 Enrollment ID: I20161219001636 |
| Provider Name | Jamie A Robertson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205386729 PECOS PAC ID: 5395026686 Enrollment ID: I20161228001258 |
| Provider Name | Stephanie Jo Megregian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386186492 PECOS PAC ID: 1658652813 Enrollment ID: I20170111001650 |
| Provider Name | Patricia L Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336699800 PECOS PAC ID: 0749562692 Enrollment ID: I20170130000303 |
| Provider Name | Sarah Vitaletti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033577390 PECOS PAC ID: 8325321250 Enrollment ID: I20170220000747 |
| Provider Name | Maitri S Kalia-reynolds |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1063703155 PECOS PAC ID: 7416246541 Enrollment ID: I20170309001882 |
| Provider Name | Kerri Newman-darrow |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497983746 PECOS PAC ID: 4981757473 Enrollment ID: I20170313000654 |
| Provider Name | Christopher Wheatley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063969806 PECOS PAC ID: 8628353851 Enrollment ID: I20170330000230 |
| Provider Name | Vladimir Bakalov |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700025160 PECOS PAC ID: 6406010917 Enrollment ID: I20170425000408 |
| Provider Name | Carlos Alberto Pottinger |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750524690 PECOS PAC ID: 0840322178 Enrollment ID: I20170516001443 |
| Provider Name | Michael Francis Bowen |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1871807248 PECOS PAC ID: 1850532797 Enrollment ID: I20170530001106 |
| Provider Name | Ayinde T Bourne |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1649487893 PECOS PAC ID: 8022201581 Enrollment ID: I20170619001355 |
| Provider Name | Frank C Hill |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1891061198 PECOS PAC ID: 7416227905 Enrollment ID: I20170717000406 |
| Provider Name | Kenneth S Meyers |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1366700684 PECOS PAC ID: 0244473205 Enrollment ID: I20170803001305 |
| Provider Name | Pearl Horng |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992124234 PECOS PAC ID: 8527285709 Enrollment ID: I20170821001354 |
| Provider Name | Stephen Balleh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174933766 PECOS PAC ID: 9537480140 Enrollment ID: I20170821001667 |
| Provider Name | Patricia J Rodgers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073531604 PECOS PAC ID: 8921370198 Enrollment ID: I20170823000749 |
| Provider Name | Derrick Manzlak |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1235429457 PECOS PAC ID: 5799099651 Enrollment ID: I20170829000432 |
| Provider Name | Hasan Raza Syed |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1013232735 PECOS PAC ID: 3375816408 Enrollment ID: I20170912000135 |
| Provider Name | Wallisa T Vaughn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992990238 PECOS PAC ID: 7618021502 Enrollment ID: I20170918002301 |
| Provider Name | Aaron M Schatz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932529807 PECOS PAC ID: 6204050115 Enrollment ID: I20170920002147 |
| Provider Name | Nikola A Letham |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497048318 PECOS PAC ID: 6406175850 Enrollment ID: I20170928004199 |
| Provider Name | Katherine Perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073060851 PECOS PAC ID: 1658650593 Enrollment ID: I20171004001685 |
| Provider Name | Margaret S Villers |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700071859 PECOS PAC ID: 6406945088 Enrollment ID: I20171004003813 |
| Provider Name | Jason John Madey |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245466937 PECOS PAC ID: 2062791569 Enrollment ID: I20171023000331 |
| Provider Name | Rosemary Iwunze |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1205950284 PECOS PAC ID: 9931296480 Enrollment ID: I20171025003103 |
| Provider Name | Eric Steckler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972503514 PECOS PAC ID: 5698933794 Enrollment ID: I20171030000246 |
| Provider Name | Abraham Ernest Sabersky |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1841563186 PECOS PAC ID: 3476780982 Enrollment ID: I20180102002373 |
| Provider Name | Rochelle Lyn Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376058206 PECOS PAC ID: 2264792183 Enrollment ID: I20180213002979 |
| Provider Name | Kunal Shah |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1518138833 PECOS PAC ID: 1355494659 Enrollment ID: I20180305000652 |
| Provider Name | Bradley Allen Dengler |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1013143627 PECOS PAC ID: 0345530879 Enrollment ID: I20180403002635 |
| Provider Name | Vicki J Colapietro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053384016 PECOS PAC ID: 6406070895 Enrollment ID: I20180717000807 |
| Provider Name | Lauren Fiske |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1952509796 PECOS PAC ID: 8426270018 Enrollment ID: I20180807002841 |
| Provider Name | Barbara Oppong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740660083 PECOS PAC ID: 2163712472 Enrollment ID: I20180814001705 |
| Provider Name | Lindita Shehu |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1528407798 PECOS PAC ID: 7911291380 Enrollment ID: I20180829004455 |
| Provider Name | Nirali D Soni |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1598106726 PECOS PAC ID: 1951657642 Enrollment ID: I20180904000110 |
| Provider Name | Emily Logan Barnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144711441 PECOS PAC ID: 6608127402 Enrollment ID: I20180918001544 |
| Provider Name | Eva A Ballagh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295246270 PECOS PAC ID: 7810248630 Enrollment ID: I20180918002422 |
| Provider Name | Charles Alexander Goodwin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528546710 PECOS PAC ID: 8123379567 Enrollment ID: I20180924001552 |
| Provider Name | Ellen Alice Argo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447238589 PECOS PAC ID: 0547441511 Enrollment ID: I20180926004083 |
| Provider Name | Elvis Xhaferi |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1275850430 PECOS PAC ID: 9739324609 Enrollment ID: I20181004000984 |
| Provider Name | Jennifer Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942794631 PECOS PAC ID: 8527311406 Enrollment ID: I20181023000348 |
| Provider Name | Ahmed M Elhaddad |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1831215581 PECOS PAC ID: 3870655467 Enrollment ID: I20181115002537 |
| Provider Name | Taylor Blattenberger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144701954 PECOS PAC ID: 8123372760 Enrollment ID: I20181116001392 |
| Provider Name | Vinh Son Tran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871989566 PECOS PAC ID: 9638467327 Enrollment ID: I20181206000938 |
| Provider Name | Kristine C Timerson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285127019 PECOS PAC ID: 2365786910 Enrollment ID: I20181207001764 |
| Provider Name | Guillermo Giangreco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255321030 PECOS PAC ID: 7517984503 Enrollment ID: I20190104001095 |
| Provider Name | Melanie Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912479387 PECOS PAC ID: 2769720309 Enrollment ID: I20190206002723 |
| Provider Name | Edjah Nduom |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1285802801 PECOS PAC ID: 3476777673 Enrollment ID: I20190315002103 |
| Provider Name | Mustafa Ahmed Abbasi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316019912 PECOS PAC ID: 9830413756 Enrollment ID: I20190411001827 |
| Provider Name | Akash Vijaykumar Ajmera |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1366747222 PECOS PAC ID: 2961622410 Enrollment ID: I20190423000562 |
| Provider Name | Carl Jay Waldman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750371274 PECOS PAC ID: 1153518683 Enrollment ID: I20190424003264 |
| Provider Name | Morgan Sadler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104395979 PECOS PAC ID: 0749522126 Enrollment ID: I20190506000590 |
| Provider Name | Amir Zahir |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1851633945 PECOS PAC ID: 2668771866 Enrollment ID: I20190508001888 |
| Provider Name | Jennifer Sholtis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285191007 PECOS PAC ID: 1850624099 Enrollment ID: I20190603003143 |
| Provider Name | Jeffrey Jerome Pelton |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1396883930 PECOS PAC ID: 2365435112 Enrollment ID: I20190604002697 |
| Provider Name | Felicia Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730590910 PECOS PAC ID: 6901139716 Enrollment ID: I20190611001340 |
| Provider Name | Janie L Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407328834 PECOS PAC ID: 1850625997 Enrollment ID: I20190625000085 |
| Provider Name | Theodora Claudette Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154884641 PECOS PAC ID: 9032443049 Enrollment ID: I20190625003280 |
| Provider Name | Anh Butz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891181327 PECOS PAC ID: 8325352057 Enrollment ID: I20190723000905 |
| Provider Name | Mohammed Choudhry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588921308 PECOS PAC ID: 9436437027 Enrollment ID: I20190808002003 |
| Provider Name | Trechelle Monique Carson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891181780 PECOS PAC ID: 8325375546 Enrollment ID: I20190812001231 |
| Provider Name | Vaughan Matthew Washco |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1891085171 PECOS PAC ID: 6002132776 Enrollment ID: I20190812002084 |
| Provider Name | Christopher James Richards |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1952734311 PECOS PAC ID: 9638406796 Enrollment ID: I20190812003304 |
| Provider Name | Sonia Ayisi Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205320116 PECOS PAC ID: 3870820947 Enrollment ID: I20190812004014 |
| Provider Name | Timothy Neary |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1558704353 PECOS PAC ID: 8628305661 Enrollment ID: I20190813003026 |
| Provider Name | Benjamin Watkins |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700249232 PECOS PAC ID: 6406141670 Enrollment ID: I20190822001047 |
| Provider Name | Micaela Iantorno |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1558596411 PECOS PAC ID: 3072753342 Enrollment ID: I20190829002502 |
| Provider Name | Christina Ann Ramia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215490792 PECOS PAC ID: 9335478148 Enrollment ID: I20190904000777 |
| Provider Name | Moumita Sarker |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1790174191 PECOS PAC ID: 2264782309 Enrollment ID: I20190909002707 |
| Provider Name | Nareg Sam Churukian |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629456678 PECOS PAC ID: 3779896519 Enrollment ID: I20190910001685 |
| Provider Name | Peggy N Amoakohene |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1346635307 PECOS PAC ID: 6305187337 Enrollment ID: I20190916002447 |
| Provider Name | Kelly Rollins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902458854 PECOS PAC ID: 6002146883 Enrollment ID: I20190920000883 |
| Provider Name | Eleanor Donohue Redmond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669030011 PECOS PAC ID: 0446580146 Enrollment ID: I20190923003108 |
| Provider Name | Ashely Alker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083034987 PECOS PAC ID: 4082944566 Enrollment ID: I20190925003992 |
| Provider Name | Samia A Cheema |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710304233 PECOS PAC ID: 9032421870 Enrollment ID: I20190926002099 |
| Provider Name | Bahram Panbehi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518163609 PECOS PAC ID: 8921324179 Enrollment ID: I20191014002934 |
| Provider Name | Irum Sohail |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801281548 PECOS PAC ID: 6406141985 Enrollment ID: I20191016002625 |
| Provider Name | Erica M.r. Mcbride |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1205272234 PECOS PAC ID: 6103121207 Enrollment ID: I20191025001481 |
| Provider Name | Mario J Cardoso |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1619015104 PECOS PAC ID: 2961786462 Enrollment ID: I20191104000022 |
| Provider Name | Aparna H Kolli |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1780843144 PECOS PAC ID: 6507919370 Enrollment ID: I20191112003203 |
| Provider Name | Benjamin John Brown |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447485172 PECOS PAC ID: 8224277439 Enrollment ID: I20191120002251 |
| Provider Name | Emily Torres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821643081 PECOS PAC ID: 2062844582 Enrollment ID: I20191120003348 |
| Provider Name | Auryana J Malek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962057695 PECOS PAC ID: 4587097522 Enrollment ID: I20191205002693 |
| Provider Name | Amy Thorpe Dahart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558911909 PECOS PAC ID: 4981030269 Enrollment ID: I20200205000031 |
| Provider Name | Leelie M Selassie |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1538369848 PECOS PAC ID: 2860587813 Enrollment ID: I20200219000404 |
| Provider Name | Sreeja Jayakumar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114580164 PECOS PAC ID: 4284061623 Enrollment ID: I20200225002509 |
| Provider Name | Rebecca Chanda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518331347 PECOS PAC ID: 6204139934 Enrollment ID: I20200311002295 |
| Provider Name | Rebecca Shepard |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982243267 PECOS PAC ID: 1951730613 Enrollment ID: I20200331002238 |
| Provider Name | Philicia King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528699675 PECOS PAC ID: 0042649733 Enrollment ID: I20200401000028 |
| Provider Name | Linda Thu Nguyen |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1407104813 PECOS PAC ID: 0547531170 Enrollment ID: I20200407003625 |
| Provider Name | Lalita Chulamokha |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1326201682 PECOS PAC ID: 7012079056 Enrollment ID: I20200424001869 |
| Provider Name | Jeffrey Michael Tomlin |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1366530321 PECOS PAC ID: 0648332247 Enrollment ID: I20200428001375 |
| Provider Name | Joseph Spinelli |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1851653406 PECOS PAC ID: 9830426949 Enrollment ID: I20200429000412 |
| Provider Name | Danika Clemmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902310386 PECOS PAC ID: 4587095716 Enrollment ID: I20200504000708 |
| Provider Name | Karen Straub |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134764616 PECOS PAC ID: 8426479460 Enrollment ID: I20200601000003 |
| Provider Name | Rahil Dharia |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1346656451 PECOS PAC ID: 2668762626 Enrollment ID: I20200630001818 |
| Provider Name | Markia Stewart Dudley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851930838 PECOS PAC ID: 8426471962 Enrollment ID: I20200701000258 |
| Provider Name | Rachel Coggins |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1023471182 PECOS PAC ID: 6305133786 Enrollment ID: I20200720001506 |
| Provider Name | Richard Cheek |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1750680062 PECOS PAC ID: 4880982990 Enrollment ID: I20200723003127 |
| Provider Name | Lisanne Cristin Anders |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1568882207 PECOS PAC ID: 3173824901 Enrollment ID: I20200729000039 |
| Provider Name | Danielle Holmes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154520948 PECOS PAC ID: 3274697305 Enrollment ID: I20200729000633 |
| Provider Name | Rachael Ann Johnson Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992356414 PECOS PAC ID: 6002231651 Enrollment ID: I20200730001114 |
| Provider Name | Jamie Brantley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295361871 PECOS PAC ID: 7416372933 Enrollment ID: I20200731000059 |
| Provider Name | Vickie Rae Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124597083 PECOS PAC ID: 5597180984 Enrollment ID: I20200731002836 |
| Provider Name | Adam J Knudson |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1225455389 PECOS PAC ID: 8123374972 Enrollment ID: I20200810001012 |
| Provider Name | Kari Melendez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639640949 PECOS PAC ID: 1951640101 Enrollment ID: I20200812002356 |
| Provider Name | Amy Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871025171 PECOS PAC ID: 4789954470 Enrollment ID: I20200813000301 |
| Provider Name | Beverly P Chang |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1306166731 PECOS PAC ID: 0042458549 Enrollment ID: I20200824001614 |
| Provider Name | Samuel J Potolicchio |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114993367 PECOS PAC ID: 1557408846 Enrollment ID: I20200825002336 |
| Provider Name | Rupa N Shah |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1740209147 PECOS PAC ID: 9234160466 Enrollment ID: I20200828002516 |
| Provider Name | Amandeep Singh Kalra |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1043463185 PECOS PAC ID: 8022294354 Enrollment ID: I20200923002371 |
| Provider Name | Neal Maru |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1881890648 PECOS PAC ID: 0143463208 Enrollment ID: I20200924001522 |
| Provider Name | Richard James Kirchgessner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285244632 PECOS PAC ID: 2769801786 Enrollment ID: I20200924001914 |
| Provider Name | Terry Langfitt |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1790148120 PECOS PAC ID: 2668749698 Enrollment ID: I20200928000402 |
| Provider Name | Crystal Holt Hargrave |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154930170 PECOS PAC ID: 5294154837 Enrollment ID: I20200930002363 |
| Provider Name | Diana Maria Frank |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013437060 PECOS PAC ID: 4183998073 Enrollment ID: I20201002002777 |
| Provider Name | Daniel P Geisler |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1467488585 PECOS PAC ID: 9537199245 Enrollment ID: I20201007002713 |
| Provider Name | Karen Mary Dietz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477908382 PECOS PAC ID: 6608161385 Enrollment ID: I20201012000069 |
| Provider Name | Christine Ajjan Laky |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164495925 PECOS PAC ID: 4385797562 Enrollment ID: I20201020000017 |
| Provider Name | Adam Lewis |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891134219 PECOS PAC ID: 0042581936 Enrollment ID: I20201112002729 |
| Provider Name | Lydia M Harshbarger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811539067 PECOS PAC ID: 4587075650 Enrollment ID: I20201120000683 |
| Provider Name | Anusha Manje Gowda |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1114301561 PECOS PAC ID: 1658788344 Enrollment ID: I20210324002611 |
| Provider Name | John Jeffrey Cortina |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1194834275 PECOS PAC ID: 0042280539 Enrollment ID: I20210401001794 |
| Provider Name | Philip H Brandt |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1578949681 PECOS PAC ID: 0840593034 Enrollment ID: I20210412002074 |
| Provider Name | Hiba Ezzeddine |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1770132409 PECOS PAC ID: 2264840651 Enrollment ID: I20210423002079 |
| Provider Name | Jacqueline Marie Dahl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245833540 PECOS PAC ID: 9234538067 Enrollment ID: I20210528000074 |
| Provider Name | Alyssa Amber Revell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043899438 PECOS PAC ID: 8123428018 Enrollment ID: I20210615000820 |
| Provider Name | Audry Lynn Scheible |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306425012 PECOS PAC ID: 2769884360 Enrollment ID: I20210706000223 |
| Provider Name | Jordan Kuhn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841721354 PECOS PAC ID: 6002189412 Enrollment ID: I20210706000828 |
| Provider Name | Sujarani Antochen Koolipurackal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386226793 PECOS PAC ID: 3173925526 Enrollment ID: I20210708001216 |
| Provider Name | Allison Foroobar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457770299 PECOS PAC ID: 4981006244 Enrollment ID: I20210708001792 |
| Provider Name | Matthew Lynch |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578774873 PECOS PAC ID: 8820114861 Enrollment ID: I20210715000497 |
| Provider Name | Nathan Todd Schwartz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518533322 PECOS PAC ID: 6507269172 Enrollment ID: I20210721000406 |
| Provider Name | Angela Rose Friend |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295302602 PECOS PAC ID: 5193128601 Enrollment ID: I20210721002507 |
| Provider Name | Jonathan Lowe Forbes |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1174943153 PECOS PAC ID: 7113141995 Enrollment ID: I20210722001489 |
| Provider Name | Brinda Manchireddy |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1447606488 PECOS PAC ID: 6608101688 Enrollment ID: I20210728000350 |
| Provider Name | Kehinde Folawewo |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1710332267 PECOS PAC ID: 2062828676 Enrollment ID: I20210804002595 |
| Provider Name | Sara Jane Forbes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366938631 PECOS PAC ID: 4486903218 Enrollment ID: I20210805000296 |
| Provider Name | Madison Townsend |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457921850 PECOS PAC ID: 2769887363 Enrollment ID: I20210819002826 |
| Provider Name | Maria Espiridion |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194256693 PECOS PAC ID: 6204173651 Enrollment ID: I20210819003325 |
| Provider Name | Rachel Butler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255524831 PECOS PAC ID: 2466606702 Enrollment ID: I20210826000086 |
| Provider Name | Ali Hafiz |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1417361452 PECOS PAC ID: 3577818145 Enrollment ID: I20210908004076 |
| Provider Name | Mariah Mary Earlene Battle |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1851067854 PECOS PAC ID: 9032515465 Enrollment ID: I20210909001617 |
| Provider Name | Christopher Robert Lowe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982274379 PECOS PAC ID: 2062819618 Enrollment ID: I20210923002210 |
| Provider Name | Comfort Nkagbor Laari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396326260 PECOS PAC ID: 8729486501 Enrollment ID: I20211008000176 |
| Provider Name | Karanpreet Kaur Khahera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053808972 PECOS PAC ID: 8224436050 Enrollment ID: I20211018001311 |
| Provider Name | Erika Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245823129 PECOS PAC ID: 6800284449 Enrollment ID: I20211101000680 |
| Provider Name | Nora Hassan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306336151 PECOS PAC ID: 4082002654 Enrollment ID: I20211101002031 |
| Provider Name | Michael Summers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891719324 PECOS PAC ID: 3476442302 Enrollment ID: I20211110002052 |
| Provider Name | Gabrielle Marie Karlsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437826641 PECOS PAC ID: 3971992546 Enrollment ID: I20211120000004 |
| Provider Name | Raymond Landrum |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649935172 PECOS PAC ID: 8123417706 Enrollment ID: I20211120000224 |
| Provider Name | Michelle Wheat Marx |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518515667 PECOS PAC ID: 7911398409 Enrollment ID: I20211216001543 |
| Provider Name | Precious Dionne Kilpatrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538769971 PECOS PAC ID: 1557752839 Enrollment ID: I20211221000560 |
| Provider Name | Brice Goode |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275104036 PECOS PAC ID: 0244636256 Enrollment ID: I20220104001515 |
| Provider Name | Sherrie B Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417625351 PECOS PAC ID: 5991198525 Enrollment ID: I20220203001141 |
| Provider Name | Patrick Stone |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1447674395 PECOS PAC ID: 2466762463 Enrollment ID: I20220216002956 |
| Provider Name | Angele Francine Omadjela |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801430657 PECOS PAC ID: 1052705837 Enrollment ID: I20220222000289 |
| Provider Name | Davis Gates Taylor |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1770902728 PECOS PAC ID: 3274752191 Enrollment ID: I20220308000240 |
| Provider Name | Adrienne Stevenson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497020697 PECOS PAC ID: 8426346958 Enrollment ID: I20220312000199 |
| Provider Name | Victoria Gelb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366016701 PECOS PAC ID: 8224423843 Enrollment ID: I20220317002382 |
| Provider Name | Johnathon C O'hagan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972899086 PECOS PAC ID: 5799171815 Enrollment ID: I20220329002334 |
| Provider Name | Katy M Deljoui Young |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1700012143 PECOS PAC ID: 0446497911 Enrollment ID: I20220401000625 |
| Provider Name | Gilda Bobele |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1437598430 PECOS PAC ID: 6305137548 Enrollment ID: I20220404002120 |
| Provider Name | Maithreyi Sarma |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1831631647 PECOS PAC ID: 9133515950 Enrollment ID: I20220404002573 |
| Provider Name | Laura Helmly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376939207 PECOS PAC ID: 2466742523 Enrollment ID: I20220412002824 |
| Provider Name | Ali Khalofa |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1821484767 PECOS PAC ID: 5991007585 Enrollment ID: I20220415000067 |
| Provider Name | Amber David |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376299602 PECOS PAC ID: 5799172664 Enrollment ID: I20220422001263 |
| Provider Name | Ellen J Scarlett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164019352 PECOS PAC ID: 5193102077 Enrollment ID: I20220514000208 |
| Provider Name | Michael Alan Schwartz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306884549 PECOS PAC ID: 3577941103 Enrollment ID: I20220609001708 |
| Provider Name | Allison St. Cyr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720726151 PECOS PAC ID: 6103205687 Enrollment ID: I20220614002879 |
| Provider Name | Mary Boggs |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1033389218 PECOS PAC ID: 4284770025 Enrollment ID: I20220618000280 |
| Provider Name | Michelle Susann Shegogue |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366658338 PECOS PAC ID: 2668851759 Enrollment ID: I20220621000474 |
| Provider Name | Josette Jacobs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538809926 PECOS PAC ID: 5890174635 Enrollment ID: I20220624000345 |
| Provider Name | Zakaria Hindi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972957983 PECOS PAC ID: 2365737467 Enrollment ID: I20220630003086 |
| Provider Name | Gretchen Carter Bronson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467192682 PECOS PAC ID: 5092195743 Enrollment ID: I20220712001363 |
| Provider Name | Vyacheslav I Makler |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1164472841 PECOS PAC ID: 5193770147 Enrollment ID: I20220725001394 |
| Provider Name | Jamie Lynn Holder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447905856 PECOS PAC ID: 8628459435 Enrollment ID: I20220725001878 |
| Provider Name | Anne Wagstaff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942707435 PECOS PAC ID: 8325393309 Enrollment ID: I20220727003112 |
| Provider Name | Nicole L Wells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598419368 PECOS PAC ID: 1850773144 Enrollment ID: I20220803001160 |
| Provider Name | Amber Barron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124535596 PECOS PAC ID: 5496018905 Enrollment ID: I20220809000164 |
| Provider Name | Angela Dunsmore Lampani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073279972 PECOS PAC ID: 9234512880 Enrollment ID: I20220816000336 |
| Provider Name | Lesley Grzybowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184375164 PECOS PAC ID: 9537542048 Enrollment ID: I20220816003435 |
| Provider Name | Grace M Duplantier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033845748 PECOS PAC ID: 9638553456 Enrollment ID: I20220829001083 |
| Provider Name | Maggie L Garner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063930212 PECOS PAC ID: 7416215520 Enrollment ID: I20220909000491 |
| Provider Name | Timothy Withers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518351386 PECOS PAC ID: 9133439078 Enrollment ID: I20220912003888 |
| Provider Name | Charles Andrew Miller |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1770902603 PECOS PAC ID: 5294130647 Enrollment ID: I20220926000350 |
| Provider Name | Patrick Walker |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1124448162 PECOS PAC ID: 0941591945 Enrollment ID: I20221006003348 |
| Provider Name | Meghan Nicole Bynum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699407080 PECOS PAC ID: 8729464045 Enrollment ID: I20221010001921 |
| Provider Name | Zina Byrd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649708322 PECOS PAC ID: 4385919471 Enrollment ID: I20221020000483 |
| Provider Name | Laura Enk |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326767427 PECOS PAC ID: 6800262213 Enrollment ID: I20221026000093 |
| Provider Name | Charles Gunter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487378873 PECOS PAC ID: 8325415318 Enrollment ID: I20221103002711 |
| Provider Name | Naveen Nandanan |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1861769010 PECOS PAC ID: 7719271295 Enrollment ID: I20221110001251 |
| Provider Name | John J Delaney |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1447647847 PECOS PAC ID: 9133596679 Enrollment ID: I20221114000225 |
| Provider Name | Christa Lynn Jillard Ilic |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811125966 PECOS PAC ID: 4082831912 Enrollment ID: I20221122001312 |
| Provider Name | Pawan Barot |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1629420138 PECOS PAC ID: 8123311511 Enrollment ID: I20221122003670 |
| Provider Name | Elmyra V Encarnacion |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093762270 PECOS PAC ID: 0547173494 Enrollment ID: I20221201000369 |
| Provider Name | Cody Skrabak |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295347540 PECOS PAC ID: 9931527975 Enrollment ID: I20221201002170 |
| Provider Name | Stephanie Anderson |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1881126845 PECOS PAC ID: 8820361207 Enrollment ID: I20221205001622 |
| Provider Name | Romy Abou Mrad |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1851655518 PECOS PAC ID: 8022379924 Enrollment ID: I20221212002845 |
| Provider Name | Brian Sullivan |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1013915883 PECOS PAC ID: 2769478791 Enrollment ID: I20221214000543 |
| Provider Name | Ashleigh Marie Keator |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750810503 PECOS PAC ID: 5597035436 Enrollment ID: I20221227000562 |
| Provider Name | Sarmi C Pillai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235859604 PECOS PAC ID: 9436528395 Enrollment ID: I20230103000465 |
| Provider Name | Jade Denise Haskins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568172831 PECOS PAC ID: 3779954011 Enrollment ID: I20230124000840 |
| Provider Name | Maurice Oliver |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427555945 PECOS PAC ID: 8123354701 Enrollment ID: I20230220001812 |
| Provider Name | Keith Gonzalez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518981281 PECOS PAC ID: 9739183161 Enrollment ID: I20230223002245 |
| Provider Name | Heather Kellam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336868603 PECOS PAC ID: 1557734381 Enrollment ID: I20230227001210 |
| Provider Name | Brian Curry |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1598180564 PECOS PAC ID: 5799736211 Enrollment ID: I20230303000240 |
| Provider Name | Natalie Marie Root |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942908348 PECOS PAC ID: 4385017730 Enrollment ID: I20230306000869 |
| Provider Name | Tailor Rowe |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457023509 PECOS PAC ID: 2769871219 Enrollment ID: I20230308000424 |
| Provider Name | Carrie L Sun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184659674 PECOS PAC ID: 4587689278 Enrollment ID: I20230309000512 |
| Provider Name | Michelle Outeiral |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750034757 PECOS PAC ID: 8820471774 Enrollment ID: I20230310001878 |
| Provider Name | Kenneth Riley Dalton |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417443946 PECOS PAC ID: 0941685705 Enrollment ID: I20230322000336 |
| Provider Name | Michael David Smith |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982138707 PECOS PAC ID: 0042638066 Enrollment ID: I20230331002586 |
| Provider Name | Ashley Currier |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740643402 PECOS PAC ID: 1658746615 Enrollment ID: I20230405002690 |
| Provider Name | Ayana Greaves |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1720221815 PECOS PAC ID: 9931495207 Enrollment ID: I20230408000124 |
| Provider Name | Raven Amber Morton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982366365 PECOS PAC ID: 6204201619 Enrollment ID: I20230417000526 |
| Provider Name | Chioma Iroegbu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518678390 PECOS PAC ID: 0446615918 Enrollment ID: I20230505001397 |
| Provider Name | Catherine Michelle Carpenter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003517186 PECOS PAC ID: 3476919879 Enrollment ID: I20230509002243 |
| Provider Name | Dongjin Shin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679273650 PECOS PAC ID: 9739545047 Enrollment ID: I20230511001118 |
| Provider Name | Nikunjkumar Rabadiya |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669602512 PECOS PAC ID: 7416109137 Enrollment ID: I20230523003022 |
| Provider Name | Ana Inashvili |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568710911 PECOS PAC ID: 1052532959 Enrollment ID: I20230530003086 |
| Provider Name | Bonnie Elizabeth Hawkins |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144840141 PECOS PAC ID: 9133586357 Enrollment ID: I20230602002087 |
| Provider Name | Evann Slaughter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114683117 PECOS PAC ID: 5991162018 Enrollment ID: I20230606000946 |
| Provider Name | Christopher Schubert |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326400813 PECOS PAC ID: 0042582272 Enrollment ID: I20230614002296 |
| Provider Name | Zachary Davey |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669839429 PECOS PAC ID: 1951677764 Enrollment ID: I20230620001050 |
| Provider Name | Erin Margaret Ford |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1982339263 PECOS PAC ID: 9830557701 Enrollment ID: I20230626000333 |
| Provider Name | Amy Law |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043779820 PECOS PAC ID: 9335527340 Enrollment ID: I20230630002959 |
| Provider Name | Stephen Ranjit Masillamoni |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730567850 PECOS PAC ID: 3375978166 Enrollment ID: I20230712003473 |
| Provider Name | John Milton Idso |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437619087 PECOS PAC ID: 0648630384 Enrollment ID: I20230713001415 |
| Provider Name | Katrina Stumbras |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578023610 PECOS PAC ID: 4486033990 Enrollment ID: I20230724003532 |
| Provider Name | Janie Katherine Lozovski |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649768227 PECOS PAC ID: 2466703194 Enrollment ID: I20230727000419 |
| Provider Name | Michelle Marie Rogers |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1619570611 PECOS PAC ID: 5698136463 Enrollment ID: I20230727000567 |
| Provider Name | Kaylee Joanne Roebuck |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538830997 PECOS PAC ID: 1456712041 Enrollment ID: I20230728002609 |
| Provider Name | Braden Cook |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033818190 PECOS PAC ID: 9830550466 Enrollment ID: I20230731000742 |
| Provider Name | Grace Razavian |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1417481631 PECOS PAC ID: 6709156581 Enrollment ID: I20230731001502 |
| Provider Name | Omar Saeed |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477059756 PECOS PAC ID: 7719234335 Enrollment ID: I20230804000737 |
| Provider Name | Chinonso Okoro |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568973378 PECOS PAC ID: 3173889003 Enrollment ID: I20230818000071 |
| Provider Name | Sanu Rajendraprasad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518306901 PECOS PAC ID: 4587942495 Enrollment ID: I20230821001247 |
| Provider Name | Kirk Schlafer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003919432 PECOS PAC ID: 8325130107 Enrollment ID: I20230828000769 |
| Provider Name | Harry G Oldland |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023633088 PECOS PAC ID: 8921405481 Enrollment ID: I20230828000781 |
| Provider Name | Aniefiok Isen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578725933 PECOS PAC ID: 1557437464 Enrollment ID: I20230901003553 |
| Provider Name | Matthew Yanoff |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649711920 PECOS PAC ID: 1153707419 Enrollment ID: I20230905002562 |
| Provider Name | Sandra Onyeagoro |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104053362 PECOS PAC ID: 8921237256 Enrollment ID: I20230914001605 |
| Provider Name | Taskeen Raza Kazmi |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1255822714 PECOS PAC ID: 7315299229 Enrollment ID: I20230918000074 |
| Provider Name | Melissa Carroll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063295160 PECOS PAC ID: 6608220769 Enrollment ID: I20230925000678 |
| Provider Name | Kafayat Iyanda |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821606005 PECOS PAC ID: 8729446083 Enrollment ID: I20230926002384 |
| Provider Name | Elizabeth Calloway Yanoff |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1639610033 PECOS PAC ID: 7517290968 Enrollment ID: I20230927000004 |
| Provider Name | Tayler Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942820634 PECOS PAC ID: 2365863347 Enrollment ID: I20230927002676 |
| Provider Name | Jordan Knowlton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770997306 PECOS PAC ID: 7810115391 Enrollment ID: I20231013000921 |
| Provider Name | Adam James Fabricius |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114606191 PECOS PAC ID: 1153777487 Enrollment ID: I20231024000163 |
| Provider Name | Morgan Mrowka |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457021479 PECOS PAC ID: 0244629590 Enrollment ID: I20231107000990 |
| Provider Name | Vanessa Jessica Martinek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972386829 PECOS PAC ID: 7416304753 Enrollment ID: I20231108002741 |
| Provider Name | Le-ann Mancio |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942647300 PECOS PAC ID: 9830323260 Enrollment ID: I20231110002195 |
| Provider Name | Maninder Bhutani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265876833 PECOS PAC ID: 6204261803 Enrollment ID: I20231204003197 |
| Provider Name | Virginia Baker |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972954402 PECOS PAC ID: 2466801162 Enrollment ID: I20231206002651 |
| Provider Name | Marisa Checca |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083065254 PECOS PAC ID: 0143641662 Enrollment ID: I20231211000049 |
| Provider Name | Borislav Nikolov |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1588765317 PECOS PAC ID: 8426044975 Enrollment ID: I20231213001628 |
| Provider Name | Shaad Essa Abedin |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1669676250 PECOS PAC ID: 4789822859 Enrollment ID: I20231219001058 |
| Provider Name | Ryen Lynn Butler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346013075 PECOS PAC ID: 7719337260 Enrollment ID: I20231222002557 |
| Provider Name | David Markowitz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457430571 PECOS PAC ID: 1759603533 Enrollment ID: I20231223000016 |
| Provider Name | Christina Lenk |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225197957 PECOS PAC ID: 2163587817 Enrollment ID: I20231227001341 |
| Provider Name | Conor Walsh |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285391599 PECOS PAC ID: 7315337334 Enrollment ID: I20240110001145 |
| Provider Name | Patricia Harrison |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922086867 PECOS PAC ID: 6901098078 Enrollment ID: I20240118003464 |
| Provider Name | Angela Marie Middleton |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1982289765 PECOS PAC ID: 8022461953 Enrollment ID: I20240126003923 |
| Provider Name | Nicolette B Thorkildsen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235837808 PECOS PAC ID: 2668847302 Enrollment ID: I20240321001373 |
| Provider Name | Katelyn Perepiczka |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164208070 PECOS PAC ID: 3779920590 Enrollment ID: I20240328000493 |
| Provider Name | Renna Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992428361 PECOS PAC ID: 2961840129 Enrollment ID: I20240405003820 |
| Provider Name | Andrew Mueller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356040083 PECOS PAC ID: 1355715889 Enrollment ID: I20240416000353 |
| Provider Name | Jason Lambert |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376081141 PECOS PAC ID: 7618315185 Enrollment ID: I20240417001122 |
| Provider Name | Meagan Irick |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033961222 PECOS PAC ID: 1658710082 Enrollment ID: I20240418002363 |
| Provider Name | Alan Joseph Rosenbaum |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548680994 PECOS PAC ID: 4183933096 Enrollment ID: I20240430002925 |
| Provider Name | Devon Lefever |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1205299310 PECOS PAC ID: 7416242334 Enrollment ID: I20240509003431 |
| Provider Name | Suzanne Goodnight Hanville |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477316891 PECOS PAC ID: 5890136667 Enrollment ID: I20240510000300 |
Mary Washington Internal Medicine Residency Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1001 Sam Perry Blvd, Fredericksburg, VA 22401 Phone: 540-741-1041 Fax: 540-741-1408 | |
Lloyd F. Moss Free Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1301 Sam Perry Blvd, Suite 100, Fredericksburg, VA 22401 Phone: 540-741-1055 Fax: 540-741-3103 | |
Primary And Urgent Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10009 South Point Parkway, Suite # 200, Fredericksburg, VA 22407 Phone: 540-785-9900 | |
Mount Arvon Inpatient Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4600 Spotsylvania Pkwy, Fredericksburg, VA 22408 Phone: 540-862-6011 | |
Fredericksburg Geriatric Medicine, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 46 Townes Pl, Fredericksburg, VA 22405 Phone: 800-832-9258 | |
Jay David Brock, Md, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4304 Lafayette Blvd, Fredericksburg, VA 22408 Phone: 540-891-5600 Fax: 540-891-9034 | |
Medidoctors Primary Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 Sam Perry Blvd, Fredericksburg, VA 22401 Phone: 540-741-1428 Fax: 540-741-1420 |