| Mayo Clinic Health System-fairmont | |
|
800 Medical Center Dr Fairmont MN 56031-4575 | |
| (507) 238-8100 | |
| Not Available |
| Full Name | Mayo Clinic Health System-fairmont |
|---|---|
| Speciality | Clinic/Center |
| Location | 800 Medical Center Dr, Fairmont, Minnesota |
| Authorized Official Name and Position | Praveen Mekala (CFO) |
| Authorized Official Contact | 5075946449 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mayo Clinic Health System-fairmont 800 Medical Center Dr Fairmont MN 56031-4575 Ph: () - | Mayo Clinic Health System-fairmont 800 Medical Center Dr Fairmont MN 56031-4575 Ph: (507) 238-8100 |
| NPI Number | 1366410862 |
|---|---|
| Provider Enumeration Date | 03/09/2006 |
| Last Update Date | 01/11/2022 |
| Medicare PECOS PAC ID | 4981694981 |
|---|---|
| Medicare Enrollment ID | O20040719000142 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366410862 | NPI | - | NPPES |
| 5T402FA | Other | MN | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Mir Subla |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1871577379 PECOS PAC ID: 7618881251 Enrollment ID: I20031118000084 |
| Provider Name | Michael J Wolf |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649255209 PECOS PAC ID: 4880598861 Enrollment ID: I20031121000220 |
| Provider Name | Philippe Bauer |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1871566166 PECOS PAC ID: 6901700707 Enrollment ID: I20031124000162 |
| Provider Name | Anil N Kurup |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023098332 PECOS PAC ID: 5092619502 Enrollment ID: I20031125000514 |
| Provider Name | Marcia W Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801876594 PECOS PAC ID: 8123922648 Enrollment ID: I20031125000557 |
| Provider Name | Benjamin W Riley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053385419 PECOS PAC ID: 6709781008 Enrollment ID: I20031201000249 |
| Provider Name | Kingsley C Iheasirim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083697684 PECOS PAC ID: 4183520679 Enrollment ID: I20031208000231 |
| Provider Name | Laurel A Littrell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932171808 PECOS PAC ID: 8224934435 Enrollment ID: I20031209000736 |
| Provider Name | Shannon P Sheedy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497720189 PECOS PAC ID: 7113823337 Enrollment ID: I20031209000762 |
| Provider Name | Sorin V Pislaru |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1447238803 PECOS PAC ID: 0547167884 Enrollment ID: I20031216000204 |
| Provider Name | Peter C Gay |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1891765228 PECOS PAC ID: 4486551660 Enrollment ID: I20031216000526 |
| Provider Name | Patrick W Eiken |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245205830 PECOS PAC ID: 2668379751 Enrollment ID: I20031217000184 |
| Provider Name | Timothy J Kaufmann |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417935131 PECOS PAC ID: 2062310766 Enrollment ID: I20031219000269 |
| Provider Name | Frank Cetta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306822549 PECOS PAC ID: 9931008570 Enrollment ID: I20040102000696 |
| Provider Name | David W Johnson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730164070 PECOS PAC ID: 8820999626 Enrollment ID: I20040115000521 |
| Provider Name | Brent Ronald Bullis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831140441 PECOS PAC ID: 8123921715 Enrollment ID: I20040130000405 |
| Provider Name | Roger Click |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1447237029 PECOS PAC ID: 9234032541 Enrollment ID: I20040202000444 |
| Provider Name | Naveen S Murthy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972538064 PECOS PAC ID: 5597668814 Enrollment ID: I20040202000540 |
| Provider Name | John C Mccabe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205812864 PECOS PAC ID: 2365333986 Enrollment ID: I20040323001134 |
| Provider Name | David A Woodrum |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750353298 PECOS PAC ID: 0547255051 Enrollment ID: I20040415000485 |
| Provider Name | Craig Edward Daniels |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1629054069 PECOS PAC ID: 5395730410 Enrollment ID: I20040419000298 |
| Provider Name | Abraham Joseph |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912981200 PECOS PAC ID: 3274520036 Enrollment ID: I20040426001347 |
| Provider Name | Eric E Williamson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881666022 PECOS PAC ID: 9739179912 Enrollment ID: I20040518000796 |
| Provider Name | Eric G Heegaard |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407852197 PECOS PAC ID: 7113900135 Enrollment ID: I20040610001219 |
| Provider Name | Bettina Thompson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497726582 PECOS PAC ID: 0749265049 Enrollment ID: I20040621001808 |
| Provider Name | Darlene R Bannon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033183702 PECOS PAC ID: 4082699111 Enrollment ID: I20040622001039 |
| Provider Name | Alexander Lekah |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891768750 PECOS PAC ID: 9133107113 Enrollment ID: I20040708000265 |
| Provider Name | Laurence J Eckel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740275296 PECOS PAC ID: 8527046101 Enrollment ID: I20040709001203 |
| Provider Name | Felix E Diehn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184604142 PECOS PAC ID: 3274512371 Enrollment ID: I20040714000112 |
| Provider Name | John Mullon |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1841277134 PECOS PAC ID: 0446239420 Enrollment ID: I20040714000783 |
| Provider Name | Amy L Conners |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780657346 PECOS PAC ID: 3072592419 Enrollment ID: I20040719000457 |
| Provider Name | Spencer A Bershow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801850946 PECOS PAC ID: 8426038423 Enrollment ID: I20040721000817 |
| Provider Name | Jory M Burroughs |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134169246 PECOS PAC ID: 9133192859 Enrollment ID: I20040819000409 |
| Provider Name | Robert L Friese |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1114901733 PECOS PAC ID: 6507833738 Enrollment ID: I20040915001180 |
| Provider Name | Eric A Evans |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1932185295 PECOS PAC ID: 0749272466 Enrollment ID: I20040928000280 |
| Provider Name | Rufus R Rodriguez |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649257270 PECOS PAC ID: 8729990924 Enrollment ID: I20041001000720 |
| Provider Name | Guy S Reeder |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467430678 PECOS PAC ID: 9032179577 Enrollment ID: I20041019000169 |
| Provider Name | Jennifer L Tunnell |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1104809821 PECOS PAC ID: 8527029388 Enrollment ID: I20041025000635 |
| Provider Name | Chad L Buhs |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1598757411 PECOS PAC ID: 0244200285 Enrollment ID: I20041028000292 |
| Provider Name | Kevin T Cragun |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1831175751 PECOS PAC ID: 7618939034 Enrollment ID: I20041028000648 |
| Provider Name | Karen A Uecker-bezdicek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588661995 PECOS PAC ID: 0648233171 Enrollment ID: I20041105000741 |
| Provider Name | Durga P Komaragiri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730163460 PECOS PAC ID: 2466416177 Enrollment ID: I20041112000740 |
| Provider Name | Steven E Parnell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124002761 PECOS PAC ID: 2961315635 Enrollment ID: I20041117000638 |
| Provider Name | Jeffrey P Green |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215911904 PECOS PAC ID: 5991760647 Enrollment ID: I20041123000026 |
| Provider Name | Anne L Sheppard |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1073597159 PECOS PAC ID: 4880659549 Enrollment ID: I20041123000052 |
| Provider Name | Annette L Bremer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619952751 PECOS PAC ID: 4880659473 Enrollment ID: I20041123000402 |
| Provider Name | Steve M Kubas |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1093799827 PECOS PAC ID: 1658337381 Enrollment ID: I20041204000294 |
| Provider Name | Kelly R Shantz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477540995 PECOS PAC ID: 2567428204 Enrollment ID: I20041206000084 |
| Provider Name | Dawn E Pedersen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932213147 PECOS PAC ID: 0042277832 Enrollment ID: I20041214000092 |
| Provider Name | Siri C Kabrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669459004 PECOS PAC ID: 3577520972 Enrollment ID: I20041217000085 |
| Provider Name | Grace Lin |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1285608547 PECOS PAC ID: 8426008061 Enrollment ID: I20050131001027 |
| Provider Name | Kara M Schwartz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194799254 PECOS PAC ID: 1951352517 Enrollment ID: I20050201000868 |
| Provider Name | Darci J Wall |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104898303 PECOS PAC ID: 9830140490 Enrollment ID: I20050201000895 |
| Provider Name | Naoki Takahashi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891774261 PECOS PAC ID: 8325091507 Enrollment ID: I20050228000852 |
| Provider Name | Jolanta M Durski |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1407820780 PECOS PAC ID: 5698720472 Enrollment ID: I20050315000151 |
| Provider Name | Chad J Fleming |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841276854 PECOS PAC ID: 9032164587 Enrollment ID: I20050317000154 |
| Provider Name | David A Foley |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1699751610 PECOS PAC ID: 3577502988 Enrollment ID: I20050426000678 |
| Provider Name | Daniel Richard Dockham |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932270758 PECOS PAC ID: 5395632830 Enrollment ID: I20050523000446 |
| Provider Name | Ognjen Gajic |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1194703967 PECOS PAC ID: 0244272060 Enrollment ID: I20050523000686 |
| Provider Name | Minerva Johnson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962473058 PECOS PAC ID: 6406899111 Enrollment ID: I20050603000532 |
| Provider Name | Susan E Pearson |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1821072703 PECOS PAC ID: 8224074844 Enrollment ID: I20050706000236 |
| Provider Name | Carl H Rose |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780662114 PECOS PAC ID: 8628014156 Enrollment ID: I20050706000384 |
| Provider Name | Rowlens M Melduni |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285614362 PECOS PAC ID: 8325074073 Enrollment ID: I20050713000910 |
| Provider Name | Fawad Qureshi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1306829882 PECOS PAC ID: 6103853387 Enrollment ID: I20050719001114 |
| Provider Name | Robert C Albright |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1417934738 PECOS PAC ID: 0749217768 Enrollment ID: I20050721000436 |
| Provider Name | John W Hildebrandt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255305884 PECOS PAC ID: 6608803549 Enrollment ID: I20050721000657 |
| Provider Name | Matthew A Frick |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245203777 PECOS PAC ID: 8921036682 Enrollment ID: I20050803000131 |
| Provider Name | Leonid Skorin |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1710966908 PECOS PAC ID: 0749219392 Enrollment ID: I20050804000602 |
| Provider Name | Adam J Weisbrod |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992785182 PECOS PAC ID: 8527097724 Enrollment ID: I20050808001195 |
| Provider Name | Nandan S Anavekar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1760456453 PECOS PAC ID: 8224067434 Enrollment ID: I20050808001240 |
| Provider Name | Christopher H Hunt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073545117 PECOS PAC ID: 7517997968 Enrollment ID: I20050816000737 |
| Provider Name | Thomas A Foley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447220835 PECOS PAC ID: 3072543370 Enrollment ID: I20050816001163 |
| Provider Name | Richard A Oeckler |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1497733521 PECOS PAC ID: 7719919620 Enrollment ID: I20050831000296 |
| Provider Name | John W Askew |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568436632 PECOS PAC ID: 2567494073 Enrollment ID: I20050906000839 |
| Provider Name | Mithri R Junna |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265405922 PECOS PAC ID: 1951335967 Enrollment ID: I20050920000523 |
| Provider Name | Natalie A Hoppe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295718807 PECOS PAC ID: 4688699846 Enrollment ID: I20051007000130 |
| Provider Name | Crystal R Bonnichsen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1730151259 PECOS PAC ID: 5294750063 Enrollment ID: I20051011000367 |
| Provider Name | Cynthia L Jensen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255301990 PECOS PAC ID: 1355366980 Enrollment ID: I20051012000485 |
| Provider Name | Amy S Ettore |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376521609 PECOS PAC ID: 4082631841 Enrollment ID: I20051031000893 |
| Provider Name | Shellie Lynette Thompson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316034903 PECOS PAC ID: 0547288516 Enrollment ID: I20051108000688 |
| Provider Name | Joerg Herrmann |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1295713253 PECOS PAC ID: 0042232282 Enrollment ID: I20051230000546 |
| Provider Name | Benjamin W Eidem |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306869433 PECOS PAC ID: 5496641052 Enrollment ID: I20060118000983 |
| Provider Name | Robert C Murphy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962482737 PECOS PAC ID: 1850306762 Enrollment ID: I20060214000574 |
| Provider Name | Hector Michelena |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1861469744 PECOS PAC ID: 4688689300 Enrollment ID: I20060215000828 |
| Provider Name | Robert P Hartman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598742785 PECOS PAC ID: 6406865351 Enrollment ID: I20060420000444 |
| Provider Name | Hector Ricardo Villarraga |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1376562546 PECOS PAC ID: 1658260567 Enrollment ID: I20060421000216 |
| Provider Name | James A Boles |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093752412 PECOS PAC ID: 9335151547 Enrollment ID: I20060706000199 |
| Provider Name | Jonathan N Johnson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285648899 PECOS PAC ID: 0446253470 Enrollment ID: I20060814000078 |
| Provider Name | Kara E Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962441477 PECOS PAC ID: 0648273052 Enrollment ID: I20060824000097 |
| Provider Name | Geoffrey B Johnson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346263407 PECOS PAC ID: 8224032669 Enrollment ID: I20060828000148 |
| Provider Name | Katie N Hunt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225051311 PECOS PAC ID: 0547264772 Enrollment ID: I20060831000120 |
| Provider Name | Sunil V Mankad |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1912908401 PECOS PAC ID: 5294739298 Enrollment ID: I20060906000152 |
| Provider Name | Naseema Gangat |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1356350623 PECOS PAC ID: 5799789707 Enrollment ID: I20060906000301 |
| Provider Name | Erica L Berven |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215900477 PECOS PAC ID: 8729082375 Enrollment ID: I20060913000111 |
| Provider Name | Benjamin M Howe |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578675138 PECOS PAC ID: 0547265944 Enrollment ID: I20060918000367 |
| Provider Name | David Lewis Levin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487663761 PECOS PAC ID: 1456356724 Enrollment ID: I20060919000528 |
| Provider Name | Gina M Risty |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679594469 PECOS PAC ID: 0941205629 Enrollment ID: I20061002000597 |
| Provider Name | Teresa Giya Albert |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598776478 PECOS PAC ID: 7214931799 Enrollment ID: I20061025000174 |
| Provider Name | Vivek N Iyer |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1295812808 PECOS PAC ID: 6103824420 Enrollment ID: I20061121000505 |
| Provider Name | Allison K Cabalka |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720065220 PECOS PAC ID: 6800999079 Enrollment ID: I20070307000631 |
| Provider Name | Vuyisile T Nkomo |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205808607 PECOS PAC ID: 9133223670 Enrollment ID: I20070322000540 |
| Provider Name | Bohyun Kim |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235258591 PECOS PAC ID: 3971607599 Enrollment ID: I20070409000236 |
| Provider Name | Martin G Rodriguez-porcel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750356440 PECOS PAC ID: 5294832283 Enrollment ID: I20070529000118 |
| Provider Name | Deann L Klinkner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467594135 PECOS PAC ID: 2860591872 Enrollment ID: I20070615000273 |
| Provider Name | Matthew James Schaefer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649324690 PECOS PAC ID: 5294835963 Enrollment ID: I20070710000804 |
| Provider Name | John H Haley |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1912983834 PECOS PAC ID: 6901906445 Enrollment ID: I20070712000285 |
| Provider Name | Farris K Timimi |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1063483436 PECOS PAC ID: 5698717643 Enrollment ID: I20070717000575 |
| Provider Name | David F Black |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750369526 PECOS PAC ID: 0749381747 Enrollment ID: I20070720000317 |
| Provider Name | Paul G Thacker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982815817 PECOS PAC ID: 8426159260 Enrollment ID: I20070724000603 |
| Provider Name | Nicole R Krueger |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1427161330 PECOS PAC ID: 1759482326 Enrollment ID: I20070726000271 |
| Provider Name | Robert T Fazzio |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811192172 PECOS PAC ID: 4082715487 Enrollment ID: I20070730000638 |
| Provider Name | Larry A Binkovitz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801834775 PECOS PAC ID: 4284725326 Enrollment ID: I20070803000497 |
| Provider Name | Michael W Cullen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568589174 PECOS PAC ID: 2264523075 Enrollment ID: I20070808000755 |
| Provider Name | Vance T Lehman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639371669 PECOS PAC ID: 8921190232 Enrollment ID: I20070816000266 |
| Provider Name | Paul Mckie |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1104945336 PECOS PAC ID: 8820181217 Enrollment ID: I20070830000267 |
| Provider Name | Heidi B Vee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992855043 PECOS PAC ID: 6901999226 Enrollment ID: I20070831000613 |
| Provider Name | Patrick W O'leary |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881672632 PECOS PAC ID: 1254425010 Enrollment ID: I20070924000690 |
| Provider Name | Steven J Engman |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1194944785 PECOS PAC ID: 7113012881 Enrollment ID: I20070926001209 |
| Provider Name | Rekha Mankad |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1306846290 PECOS PAC ID: 5193618478 Enrollment ID: I20071005000399 |
| Provider Name | Shannon N Zingula |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154522423 PECOS PAC ID: 0244326643 Enrollment ID: I20071017000226 |
| Provider Name | Susan J Austin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942289897 PECOS PAC ID: 2860306891 Enrollment ID: I20071018000154 |
| Provider Name | Adam T Froemming |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588869846 PECOS PAC ID: 4587751441 Enrollment ID: I20071025000036 |
| Provider Name | John M Knudsen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780664268 PECOS PAC ID: 2567559297 Enrollment ID: I20071029000120 |
| Provider Name | Erika L Halverson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679768956 PECOS PAC ID: 4082701289 Enrollment ID: I20071106000042 |
| Provider Name | Kileen T Smyth |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265575500 PECOS PAC ID: 6002903119 Enrollment ID: I20071106000216 |
| Provider Name | Gordon F Harms |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982679577 PECOS PAC ID: 9133217011 Enrollment ID: I20071109000261 |
| Provider Name | Thomas D Atwell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205801891 PECOS PAC ID: 2961591615 Enrollment ID: I20071203000356 |
| Provider Name | Peter Kalina |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588644553 PECOS PAC ID: 9032209929 Enrollment ID: I20071215000059 |
| Provider Name | R Scott Wright |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1558333922 PECOS PAC ID: 8325141948 Enrollment ID: I20080109000494 |
| Provider Name | Grant D Schmit |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043282064 PECOS PAC ID: 9335229889 Enrollment ID: I20080109000545 |
| Provider Name | Timothy Morgenthaler |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1043282585 PECOS PAC ID: 3779664420 Enrollment ID: I20080118000490 |
| Provider Name | Kristen B Thomas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063492759 PECOS PAC ID: 9335220946 Enrollment ID: I20080121000105 |
| Provider Name | John A Skinner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437123809 PECOS PAC ID: 0941382741 Enrollment ID: I20080201000306 |
| Provider Name | Patricio Escalante |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1730115239 PECOS PAC ID: 0042394629 Enrollment ID: I20080220000496 |
| Provider Name | Jennifer M Langbehn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184608671 PECOS PAC ID: 3375627276 Enrollment ID: I20080303000295 |
| Provider Name | Andrew Stockland |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336130426 PECOS PAC ID: 4587749205 Enrollment ID: I20080305000481 |
| Provider Name | Ralph Thomas Tilbury |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104804848 PECOS PAC ID: 0749385920 Enrollment ID: I20080306000649 |
| Provider Name | John G Park |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1386618312 PECOS PAC ID: 8325124951 Enrollment ID: I20080324000603 |
| Provider Name | Julie A Pace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588649180 PECOS PAC ID: 4385721042 Enrollment ID: I20080404000293 |
| Provider Name | Amy L Kotsenas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720079809 PECOS PAC ID: 6800973280 Enrollment ID: I20080409000527 |
| Provider Name | Ronald S Kuzo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275524357 PECOS PAC ID: 0244318236 Enrollment ID: I20080416000143 |
| Provider Name | Martha Grogan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932188935 PECOS PAC ID: 8729167630 Enrollment ID: I20080505000083 |
| Provider Name | Susan B Laabs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437291135 PECOS PAC ID: 4082793690 Enrollment ID: I20080508000101 |
| Provider Name | Theodore J Passe |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881673218 PECOS PAC ID: 2769396464 Enrollment ID: I20080530000744 |
| Provider Name | Adria N Whiting |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649458738 PECOS PAC ID: 5991877516 Enrollment ID: I20080626000306 |
| Provider Name | Jonathan Michael Hard |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407906688 PECOS PAC ID: 3274631692 Enrollment ID: I20080702000436 |
| Provider Name | Krishnaswamy Chandrasekaran |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1730169806 PECOS PAC ID: 5193822070 Enrollment ID: I20080722000099 |
| Provider Name | Carrie M Carr |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316125461 PECOS PAC ID: 2668546946 Enrollment ID: I20080805000178 |
| Provider Name | Amy L Brien |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578743266 PECOS PAC ID: 4880768001 Enrollment ID: I20080806000687 |
| Provider Name | Freddy Del-carpio Munoz |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1699938365 PECOS PAC ID: 9133294655 Enrollment ID: I20080819000213 |
| Provider Name | Malini Madhavan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1538280680 PECOS PAC ID: 4587739958 Enrollment ID: I20080819000855 |
| Provider Name | Melissa C Lipford |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760680615 PECOS PAC ID: 3971678038 Enrollment ID: I20080825000316 |
| Provider Name | John J Schmitz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043470776 PECOS PAC ID: 6608941778 Enrollment ID: I20080825000399 |
| Provider Name | Mark E Morrey |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1750585501 PECOS PAC ID: 1153497029 Enrollment ID: I20080829000502 |
| Provider Name | Erik K St Louis |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922090851 PECOS PAC ID: 2264509439 Enrollment ID: I20080930000580 |
| Provider Name | Mark J Austin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225017098 PECOS PAC ID: 7810899549 Enrollment ID: I20081001000564 |
| Provider Name | Amy B Kolbe |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295938009 PECOS PAC ID: 4880752187 Enrollment ID: I20081014000810 |
| Provider Name | Rebecca Johnson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1275794562 PECOS PAC ID: 2062471659 Enrollment ID: I20081023000860 |
| Provider Name | Jeffrey B Geske |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1689878746 PECOS PAC ID: 4789743154 Enrollment ID: I20081030000579 |
| Provider Name | Niti Rai Aggarwal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598962474 PECOS PAC ID: 3375602006 Enrollment ID: I20081110000378 |
| Provider Name | Brian N Bartlett |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790973782 PECOS PAC ID: 7113087438 Enrollment ID: I20081117000526 |
| Provider Name | Ayse Karagulle Kendi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235358615 PECOS PAC ID: 3779644166 Enrollment ID: I20081203000718 |
| Provider Name | Mark S Collins |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922070846 PECOS PAC ID: 9234290644 Enrollment ID: I20081203000921 |
| Provider Name | Omar F Abouezzeddine |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1740480391 PECOS PAC ID: 8123189545 Enrollment ID: I20081204000023 |
| Provider Name | Yvonne M Gratz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881845683 PECOS PAC ID: 2961563978 Enrollment ID: I20081209000828 |
| Provider Name | Robert Wesley Bosse |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114974995 PECOS PAC ID: 8921042201 Enrollment ID: I20090211000477 |
| Provider Name | Robert E Watson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477523231 PECOS PAC ID: 9638234495 Enrollment ID: I20090211000810 |
| Provider Name | Anne-marie G Sykes |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366422263 PECOS PAC ID: 2163588914 Enrollment ID: I20090304000148 |
| Provider Name | Elice K Tiegs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629213616 PECOS PAC ID: 7214093871 Enrollment ID: I20090305000471 |
| Provider Name | Youssef F Maalouf |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1689649279 PECOS PAC ID: 9032133822 Enrollment ID: I20090317000241 |
| Provider Name | Robert J Houlihan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1922086800 PECOS PAC ID: 5496802092 Enrollment ID: I20090420000131 |
| Provider Name | Tia M Stringer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114167608 PECOS PAC ID: 5294883674 Enrollment ID: I20090423000746 |
| Provider Name | Peter B Ryan Reichert |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104069988 PECOS PAC ID: 7315096740 Enrollment ID: I20090514000260 |
| Provider Name | Angel L Rosado |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407926371 PECOS PAC ID: 3274639570 Enrollment ID: I20090609000670 |
| Provider Name | Jason J Dewitt |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629119771 PECOS PAC ID: 0345395430 Enrollment ID: I20090825000419 |
| Provider Name | Timothy Snelson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912162256 PECOS PAC ID: 5193870848 Enrollment ID: I20090901000334 |
| Provider Name | Meghna P Mansukhani |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1558561506 PECOS PAC ID: 7517012016 Enrollment ID: I20090908000052 |
| Provider Name | Robert F Rea |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1689651689 PECOS PAC ID: 5597869800 Enrollment ID: I20090911000160 |
| Provider Name | April E Poolman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073744934 PECOS PAC ID: 0749336865 Enrollment ID: I20090915000344 |
| Provider Name | Adrianna A Jensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376796763 PECOS PAC ID: 8729143193 Enrollment ID: I20090922000296 |
| Provider Name | Jacob Brent Ekins |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528212420 PECOS PAC ID: 5698812089 Enrollment ID: I20091015000686 |
| Provider Name | Charlotte S Van Dorn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912153040 PECOS PAC ID: 5991842171 Enrollment ID: I20091020000555 |
| Provider Name | Darrell B Newman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366698011 PECOS PAC ID: 6608913850 Enrollment ID: I20091021000358 |
| Provider Name | Timothy J Welch |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750360731 PECOS PAC ID: 5395882492 Enrollment ID: I20091022000039 |
| Provider Name | Michael D Ringler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285751776 PECOS PAC ID: 0345387122 Enrollment ID: I20091027000834 |
| Provider Name | Katherine Y Le |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740445220 PECOS PAC ID: 8325185101 Enrollment ID: I20091027000852 |
| Provider Name | Bhanuprakesh Kolla |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417156597 PECOS PAC ID: 6901943539 Enrollment ID: I20091029000698 |
| Provider Name | Robert J Mc Donald |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184870156 PECOS PAC ID: 7113065517 Enrollment ID: I20091104000667 |
| Provider Name | Phillip M Young |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801879192 PECOS PAC ID: 1456368646 Enrollment ID: I20091105000638 |
| Provider Name | Sara Eckloff |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104907286 PECOS PAC ID: 6507938792 Enrollment ID: I20091109000115 |
| Provider Name | Shailly Dham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134367352 PECOS PAC ID: 0143368209 Enrollment ID: I20091110000333 |
| Provider Name | Carl B Burkland |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740470129 PECOS PAC ID: 4789723461 Enrollment ID: I20091209000660 |
| Provider Name | Robert A Lee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871572818 PECOS PAC ID: 8820138522 Enrollment ID: I20091210000300 |
| Provider Name | Warren Manyara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639330822 PECOS PAC ID: 2466593074 Enrollment ID: I20100105000228 |
| Provider Name | Eric J Storvick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841279833 PECOS PAC ID: 3971415373 Enrollment ID: I20100106000412 |
| Provider Name | Michael H Silber |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194705525 PECOS PAC ID: 0446391460 Enrollment ID: I20100112000589 |
| Provider Name | Brian A Kawecki |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497088967 PECOS PAC ID: 6608918479 Enrollment ID: I20100118000168 |
| Provider Name | Heidi M Connolly |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1689653891 PECOS PAC ID: 7113069683 Enrollment ID: I20100121000377 |
| Provider Name | Norbert G Campeau |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811975121 PECOS PAC ID: 6103968680 Enrollment ID: I20100121000392 |
| Provider Name | Claire E Bender |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992777528 PECOS PAC ID: 1254243744 Enrollment ID: I20100121000678 |
| Provider Name | Robert J Witte |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720067770 PECOS PAC ID: 1456493972 Enrollment ID: I20100121000828 |
| Provider Name | Horng H Chen |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1073599320 PECOS PAC ID: 0941342331 Enrollment ID: I20100122000663 |
| Provider Name | Robert B Mccully |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811969827 PECOS PAC ID: 3577666189 Enrollment ID: I20100125000303 |
| Provider Name | Douglas A Collins |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083689483 PECOS PAC ID: 0244257178 Enrollment ID: I20100125000396 |
| Provider Name | Panithaya Chareonthaitawee |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1730165770 PECOS PAC ID: 6103968474 Enrollment ID: I20100125000504 |
| Provider Name | John Huston |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295711257 PECOS PAC ID: 2769524875 Enrollment ID: I20100127000391 |
| Provider Name | Jon O Ebbert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952388423 PECOS PAC ID: 6406998467 Enrollment ID: I20100128000817 |
| Provider Name | John D Port |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902877657 PECOS PAC ID: 3072656040 Enrollment ID: I20100130000314 |
| Provider Name | Julie R Gilbertson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497733273 PECOS PAC ID: 6103969068 Enrollment ID: I20100201000807 |
| Provider Name | Thomas E Hartman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801873658 PECOS PAC ID: 2264575133 Enrollment ID: I20100202000127 |
| Provider Name | Hon-chi Lee |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1477526101 PECOS PAC ID: 8628088317 Enrollment ID: I20100202000806 |
| Provider Name | Val Lowe |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1730166885 PECOS PAC ID: 8921141763 Enrollment ID: I20100202000819 |
| Provider Name | Kika M Dudiak |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740269240 PECOS PAC ID: 0345383006 Enrollment ID: I20100203000090 |
| Provider Name | Bonnie J Huppert |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538132113 PECOS PAC ID: 8426191198 Enrollment ID: I20100203000205 |
| Provider Name | James F Glockner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861470817 PECOS PAC ID: 3375686041 Enrollment ID: I20100203000256 |
| Provider Name | Donald J Hagler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942206016 PECOS PAC ID: 4587617386 Enrollment ID: I20100203000633 |
| Provider Name | Edward P Lindell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285606285 PECOS PAC ID: 1254474984 Enrollment ID: I20100203000770 |
| Provider Name | Raymond R Auger |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497725519 PECOS PAC ID: 0446265086 Enrollment ID: I20100203000899 |
| Provider Name | Haraldur Bjarnason |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164493540 PECOS PAC ID: 9032252788 Enrollment ID: I20100203000910 |
| Provider Name | Harry J Cloft |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770553992 PECOS PAC ID: 4284777939 Enrollment ID: I20100203000937 |
| Provider Name | Charles Bruce |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811975980 PECOS PAC ID: 0244335537 Enrollment ID: I20100204000898 |
| Provider Name | Mark C Adkins |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659359321 PECOS PAC ID: 3678616851 Enrollment ID: I20100210000514 |
| Provider Name | John J Dillon |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1932186996 PECOS PAC ID: 5799828992 Enrollment ID: I20100210000725 |
| Provider Name | Eric J Olson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1225000722 PECOS PAC ID: 1355485400 Enrollment ID: I20100212000673 |
| Provider Name | Gregory Wiseman |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1205816329 PECOS PAC ID: 9537203534 Enrollment ID: I20100215000107 |
| Provider Name | Darcy L Adamczyk |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679559264 PECOS PAC ID: 0143364141 Enrollment ID: I20100215000147 |
| Provider Name | Patricia A Pellikka |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316926546 PECOS PAC ID: 6204827199 Enrollment ID: I20100216000578 |
| Provider Name | Paul M Huddleston |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1548249493 PECOS PAC ID: 6800930512 Enrollment ID: I20100218000756 |
| Provider Name | Deepi G Goyal |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609853902 PECOS PAC ID: 5890839500 Enrollment ID: I20100218000771 |
| Provider Name | Christine U C Lee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063484095 PECOS PAC ID: 8325182041 Enrollment ID: I20100218000809 |
| Provider Name | Titus C Evans |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1437137213 PECOS PAC ID: 7214071935 Enrollment ID: I20100218000829 |
| Provider Name | John I Lane |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730159955 PECOS PAC ID: 4486629151 Enrollment ID: I20100218000834 |
| Provider Name | Allan Jaffe |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1538146626 PECOS PAC ID: 8426192147 Enrollment ID: I20100218000890 |
| Provider Name | Garvan C Kane |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1346214509 PECOS PAC ID: 0244374965 Enrollment ID: I20100218000892 |
| Provider Name | David M Hough |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982679049 PECOS PAC ID: 3971647603 Enrollment ID: I20100218000894 |
| Provider Name | Sandra Kopp |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1124090147 PECOS PAC ID: 5991849531 Enrollment ID: I20100219000202 |
| Provider Name | Gina K Hesley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598744153 PECOS PAC ID: 3173667722 Enrollment ID: I20100219000316 |
| Provider Name | Mark R Hansen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376529156 PECOS PAC ID: 9931243292 Enrollment ID: I20100224000591 |
| Provider Name | Jarrett W Richardson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104806744 PECOS PAC ID: 1557368792 Enrollment ID: I20100225000974 |
| Provider Name | Allen T Huang |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1083674733 PECOS PAC ID: 1052456126 Enrollment ID: I20100302000110 |
| Provider Name | Charlotte H Rydberg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184604613 PECOS PAC ID: 3971648999 Enrollment ID: I20100302000694 |
| Provider Name | Joel G Fletcher |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912975368 PECOS PAC ID: 6507901527 Enrollment ID: I20100302000714 |
| Provider Name | Miguel E Mulet |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1891755542 PECOS PAC ID: 9234210774 Enrollment ID: I20100304000703 |
| Provider Name | Michael J Osborn |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316927254 PECOS PAC ID: 0749325488 Enrollment ID: I20100304000993 |
| Provider Name | Sean Caples |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1417929449 PECOS PAC ID: 2668517319 Enrollment ID: I20100304001101 |
| Provider Name | Doris Wenger |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033198163 PECOS PAC ID: 5294870945 Enrollment ID: I20100304001104 |
| Provider Name | John T Wald |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346210218 PECOS PAC ID: 3375688021 Enrollment ID: I20100304001114 |
| Provider Name | Sanjay Misra |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427035377 PECOS PAC ID: 3476698085 Enrollment ID: I20100308000431 |
| Provider Name | Lawrence J Sinak |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1346228715 PECOS PAC ID: 2163567603 Enrollment ID: I20100308000792 |
| Provider Name | Mark A Nathan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992783369 PECOS PAC ID: 4688719131 Enrollment ID: I20100308000910 |
| Provider Name | Yongmei Cha |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1811973027 PECOS PAC ID: 5597655738 Enrollment ID: I20100311000090 |
| Provider Name | Bradley J Erickson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265411748 PECOS PAC ID: 1153456496 Enrollment ID: I20100311001058 |
| Provider Name | Matthew R Callstrom |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316925621 PECOS PAC ID: 3870628837 Enrollment ID: I20100316000242 |
| Provider Name | Sheri L Reed |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902870801 PECOS PAC ID: 5294860276 Enrollment ID: I20100316000479 |
| Provider Name | Jae K Oh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366429946 PECOS PAC ID: 7214957315 Enrollment ID: I20100316000956 |
| Provider Name | Kimberly K Amrami |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508836511 PECOS PAC ID: 6002941044 Enrollment ID: I20100316001029 |
| Provider Name | Philip A Araoz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629042866 PECOS PAC ID: 8729113766 Enrollment ID: I20100316001035 |
| Provider Name | Jeff L Fidler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780661702 PECOS PAC ID: 1355476391 Enrollment ID: I20100316001046 |
| Provider Name | Katrina N Glazebrook |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437124872 PECOS PAC ID: 8527193481 Enrollment ID: I20100317000246 |
| Provider Name | John M Barlow |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811960115 PECOS PAC ID: 7618002478 Enrollment ID: I20100318000159 |
| Provider Name | Andrew G Moore |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1770560666 PECOS PAC ID: 1456486182 Enrollment ID: I20100318000984 |
| Provider Name | Grant D Heslep |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1174583827 PECOS PAC ID: 2769517242 Enrollment ID: I20100323000481 |
| Provider Name | Lyle J Olson |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1477525871 PECOS PAC ID: 0244331429 Enrollment ID: I20100324001186 |
| Provider Name | Brian J Bartholmai |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609856830 PECOS PAC ID: 2668508896 Enrollment ID: I20100326000929 |
| Provider Name | Kirk M Welker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497734594 PECOS PAC ID: 6103864590 Enrollment ID: I20100327000163 |
| Provider Name | Eelco Wijdicks |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831177765 PECOS PAC ID: 3779619416 Enrollment ID: I20100331001265 |
| Provider Name | Darla R Theobald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043293657 PECOS PAC ID: 4587791967 Enrollment ID: I20100415000645 |
| Provider Name | Rebecca M Lindell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992778344 PECOS PAC ID: 8527195932 Enrollment ID: I20100415000965 |
| Provider Name | Kyle W Klarich |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497727945 PECOS PAC ID: 4385771385 Enrollment ID: I20100422001125 |
| Provider Name | Patrick Luetmer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316923378 PECOS PAC ID: 4284762865 Enrollment ID: I20100503000861 |
| Provider Name | Warren R Stanchfield |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144204827 PECOS PAC ID: 9931237005 Enrollment ID: I20100511000446 |
| Provider Name | Douglas L Packer |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1194703942 PECOS PAC ID: 1052449949 Enrollment ID: I20100513000860 |
| Provider Name | Christopher P Wood |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366421752 PECOS PAC ID: 7012045917 Enrollment ID: I20100513001029 |
| Provider Name | Rosalie Jb Ivers |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801861695 PECOS PAC ID: 7113056722 Enrollment ID: I20100519000971 |
| Provider Name | Tara L Henrichsen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245216464 PECOS PAC ID: 5799814315 Enrollment ID: I20100520000094 |
| Provider Name | Susan K Haugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609097567 PECOS PAC ID: 5496884710 Enrollment ID: I20100525000947 |
| Provider Name | Thomas G Howell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912925223 PECOS PAC ID: 7315094828 Enrollment ID: I20100602000950 |
| Provider Name | Daniel Borgeson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1033183520 PECOS PAC ID: 7719940477 Enrollment ID: I20100605000186 |
| Provider Name | Norman E Torres |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1356321541 PECOS PAC ID: 1254461031 Enrollment ID: I20100605000203 |
| Provider Name | Maja Tippman-peikert |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497727622 PECOS PAC ID: 4385775212 Enrollment ID: I20100621000924 |
| Provider Name | Sheila E Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265417810 PECOS PAC ID: 5193857225 Enrollment ID: I20100724000164 |
| Provider Name | Brendan P Mcmenomy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326230798 PECOS PAC ID: 6103959754 Enrollment ID: I20100803000335 |
| Provider Name | Jared T Verdoorn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639309727 PECOS PAC ID: 8628101193 Enrollment ID: I20100804000527 |
| Provider Name | Michael L Wells |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013147263 PECOS PAC ID: 4981737459 Enrollment ID: I20100804000545 |
| Provider Name | Andrew J Barkmeier |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1609074236 PECOS PAC ID: 1850424177 Enrollment ID: I20100805001177 |
| Provider Name | Emily C Bendel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144457730 PECOS PAC ID: 9931233012 Enrollment ID: I20100811000190 |
| Provider Name | Ivaylo L Krastev |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205073848 PECOS PAC ID: 9335273465 Enrollment ID: I20100811000807 |
| Provider Name | Matthew G Pollema |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427131895 PECOS PAC ID: 0648320994 Enrollment ID: I20100811000938 |
| Provider Name | John P Bois |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1295966430 PECOS PAC ID: 5597899823 Enrollment ID: I20100823000191 |
| Provider Name | Ashley E Sievers |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699905489 PECOS PAC ID: 1759415086 Enrollment ID: I20100823000213 |
| Provider Name | Tyler J Peterson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1639328784 PECOS PAC ID: 7517081870 Enrollment ID: I20100824000773 |
| Provider Name | David Morgan Penn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982822540 PECOS PAC ID: 6901985753 Enrollment ID: I20100826000242 |
| Provider Name | Adam C Johnson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467683987 PECOS PAC ID: 6305961624 Enrollment ID: I20100909001260 |
| Provider Name | Bryan C Cannon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942380373 PECOS PAC ID: 2163592619 Enrollment ID: I20101013001232 |
| Provider Name | Dante Schiavo |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1962632810 PECOS PAC ID: 6103018718 Enrollment ID: I20101013001260 |
| Provider Name | Gavin A Mckenzie |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922234624 PECOS PAC ID: 7113110594 Enrollment ID: I20101018000921 |
| Provider Name | Katie E Dease |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1417276155 PECOS PAC ID: 6305039280 Enrollment ID: I20101023000222 |
| Provider Name | Stephen Broski |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326282112 PECOS PAC ID: 1658566112 Enrollment ID: I20101109001584 |
| Provider Name | Joseph H Hamm |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568419638 PECOS PAC ID: 5092901660 Enrollment ID: I20101122000407 |
| Provider Name | Kristina J Rauenhorst |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508992629 PECOS PAC ID: 5698962397 Enrollment ID: I20101207000989 |
| Provider Name | Chad H Weaver |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1235367202 PECOS PAC ID: 3375731433 Enrollment ID: I20101216000554 |
| Provider Name | Thomas C Gerber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538156799 PECOS PAC ID: 5698803500 Enrollment ID: I20110114000171 |
| Provider Name | Autumn M Brogan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578729976 PECOS PAC ID: 8527242676 Enrollment ID: I20110413001041 |
| Provider Name | Tara C Krosch |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891920880 PECOS PAC ID: 4789868704 Enrollment ID: I20110414000884 |
| Provider Name | Jonathan Alleckson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346547445 PECOS PAC ID: 8123203106 Enrollment ID: I20110506000696 |
| Provider Name | Lindsey A Janzig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538451398 PECOS PAC ID: 8729264098 Enrollment ID: I20110520000675 |
| Provider Name | Michelle Lynn Thompson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912205576 PECOS PAC ID: 9032395330 Enrollment ID: I20110523000315 |
| Provider Name | Okechukwu N Osuebi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710146287 PECOS PAC ID: 1759568033 Enrollment ID: I20110614000640 |
| Provider Name | Maichel S Abou El Markarim Gharabway |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871735936 PECOS PAC ID: 6103004734 Enrollment ID: I20110629000421 |
| Provider Name | Fadi Yahya |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285813329 PECOS PAC ID: 9638357908 Enrollment ID: I20110711000409 |
| Provider Name | Jeremy Thaden |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1295996296 PECOS PAC ID: 3971771577 Enrollment ID: I20110726000864 |
| Provider Name | Jamil Taji |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1912161084 PECOS PAC ID: 9537338389 Enrollment ID: I20110811000468 |
| Provider Name | Jesse T Young |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558688077 PECOS PAC ID: 1850561101 Enrollment ID: I20110824000762 |
| Provider Name | Mark Smith |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1730490426 PECOS PAC ID: 0547430738 Enrollment ID: I20110825000415 |
| Provider Name | Christin A Tiegs Heiden |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164734000 PECOS PAC ID: 1759551955 Enrollment ID: I20110825000512 |
| Provider Name | Newton B Neidert |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912226440 PECOS PAC ID: 2062683634 Enrollment ID: I20110913000155 |
| Provider Name | Tara L Anderson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871805044 PECOS PAC ID: 0143491688 Enrollment ID: I20110914000281 |
| Provider Name | Christopher Desimone |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1326369935 PECOS PAC ID: 7012189608 Enrollment ID: I20111003000723 |
| Provider Name | Bernardo Selim |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1174501423 PECOS PAC ID: 9739151291 Enrollment ID: I20111004000419 |
| Provider Name | Nila J Akhtar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366611345 PECOS PAC ID: 2961575253 Enrollment ID: I20111004000862 |
| Provider Name | Chi Wan Koo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285898361 PECOS PAC ID: 9234282989 Enrollment ID: I20111012000796 |
| Provider Name | Asha M J Madhar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902052632 PECOS PAC ID: 8527234129 Enrollment ID: I20120103000682 |
| Provider Name | Salvador Cardenas |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255496568 PECOS PAC ID: 1355384710 Enrollment ID: I20120116000172 |
| Provider Name | Bipinchandra Hirisave Krishna |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386854651 PECOS PAC ID: 6608043203 Enrollment ID: I20120123000745 |
| Provider Name | Amrit Singh |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1306173679 PECOS PAC ID: 0547452534 Enrollment ID: I20120127000478 |
| Provider Name | Clinton James Masterson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407067168 PECOS PAC ID: 5294824595 Enrollment ID: I20120216000165 |
| Provider Name | Jodie M Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063797413 PECOS PAC ID: 5890954309 Enrollment ID: I20120301000756 |
| Provider Name | Stephan D Thome |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1023098480 PECOS PAC ID: 4082683545 Enrollment ID: I20120307000255 |
| Provider Name | Sudhakar Venkatesh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679869390 PECOS PAC ID: 0446411771 Enrollment ID: I20120413000424 |
| Provider Name | Katherine M Jacobsen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730452046 PECOS PAC ID: 5698937456 Enrollment ID: I20120424000632 |
| Provider Name | Pamela M Tietz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619032158 PECOS PAC ID: 9638331036 Enrollment ID: I20120501000570 |
| Provider Name | Katie A Lindahl |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679846869 PECOS PAC ID: 3375707839 Enrollment ID: I20120613000083 |
| Provider Name | Joshua P Froman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1326201583 PECOS PAC ID: 0749436913 Enrollment ID: I20120804000058 |
| Provider Name | Siva K Mulpuru |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1770740417 PECOS PAC ID: 4284880352 Enrollment ID: I20120806000050 |
| Provider Name | Nathan Charles Hull |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689936171 PECOS PAC ID: 8022264878 Enrollment ID: I20120809000515 |
| Provider Name | Jason H Anderson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336435270 PECOS PAC ID: 3274789052 Enrollment ID: I20120809000821 |
| Provider Name | Tucker Fulton Johnson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467744706 PECOS PAC ID: 4688820343 Enrollment ID: I20120813000080 |
| Provider Name | Alex A Nagelschneider |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033400031 PECOS PAC ID: 7517114705 Enrollment ID: I20120822000726 |
| Provider Name | Brian T Welch |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740572080 PECOS PAC ID: 0749437531 Enrollment ID: I20120830000109 |
| Provider Name | Waleed Brinjikji |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770879892 PECOS PAC ID: 9931356656 Enrollment ID: I20120830000521 |
| Provider Name | Benjamin D Knutson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114248192 PECOS PAC ID: 3375790827 Enrollment ID: I20120906000047 |
| Provider Name | Julie B.w. Guerin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710270384 PECOS PAC ID: 5991952459 Enrollment ID: I20120906000191 |
| Provider Name | Hayan Jouni |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417278987 PECOS PAC ID: 7911155130 Enrollment ID: I20120913000266 |
| Provider Name | Christopher Joseph Reisenauer |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1811285588 PECOS PAC ID: 7214185230 Enrollment ID: I20120918000082 |
| Provider Name | Megan M Gilmore |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619143005 PECOS PAC ID: 1052589793 Enrollment ID: I20120918000349 |
| Provider Name | Ann T. P. Bender |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114214822 PECOS PAC ID: 7517116874 Enrollment ID: I20121001000293 |
| Provider Name | Darin B White |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558617779 PECOS PAC ID: 4284883596 Enrollment ID: I20121002000329 |
| Provider Name | Ammar Killu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1790006658 PECOS PAC ID: 1355590068 Enrollment ID: I20121012000054 |
| Provider Name | Jonathan E Rohde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063768232 PECOS PAC ID: 1355591868 Enrollment ID: I20121018000329 |
| Provider Name | Steven W Jerred |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811976335 PECOS PAC ID: 6002834074 Enrollment ID: I20121018000334 |
| Provider Name | Anita C Bissinger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033439484 PECOS PAC ID: 5193976397 Enrollment ID: I20121116000397 |
| Provider Name | William R Miranda |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255652970 PECOS PAC ID: 5092966960 Enrollment ID: I20121127000585 |
| Provider Name | Katie M Swanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184970477 PECOS PAC ID: 1052563319 Enrollment ID: I20121212000549 |
| Provider Name | Heidi Bednarchuk |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1427394360 PECOS PAC ID: 1355586512 Enrollment ID: I20130319000116 |
| Provider Name | Timothy B Slama |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710299144 PECOS PAC ID: 1254500747 Enrollment ID: I20130510000285 |
| Provider Name | Nicholas G Rhodes |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548466899 PECOS PAC ID: 5496919755 Enrollment ID: I20130604000532 |
| Provider Name | Wisit Cheungpasitporn |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1114248424 PECOS PAC ID: 9032359393 Enrollment ID: I20130709000818 |
| Provider Name | James H Boyum |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083877187 PECOS PAC ID: 1153584503 Enrollment ID: I20130711000346 |
| Provider Name | Tami E Mullenbach |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841530193 PECOS PAC ID: 8729228622 Enrollment ID: I20130716000862 |
| Provider Name | Peter Alexander Noseworthy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1295704245 PECOS PAC ID: 5294732616 Enrollment ID: I20130724000823 |
| Provider Name | Chris Gu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134482581 PECOS PAC ID: 9739327479 Enrollment ID: I20130729001053 |
| Provider Name | Bhavini H Carns |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1811180763 PECOS PAC ID: 6406097724 Enrollment ID: I20130730000431 |
| Provider Name | Tamara J Obrien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619213527 PECOS PAC ID: 8224279260 Enrollment ID: I20130802000341 |
| Provider Name | Luke R Madsen |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1073810479 PECOS PAC ID: 1951542935 Enrollment ID: I20130802000662 |
| Provider Name | Theodore Hanson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417211483 PECOS PAC ID: 1254577240 Enrollment ID: I20130806000839 |
| Provider Name | Lara A Walkoff |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588922231 PECOS PAC ID: 2668614884 Enrollment ID: I20130816000550 |
| Provider Name | Christopher L Welle |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154677375 PECOS PAC ID: 0749423531 Enrollment ID: I20130826001089 |
| Provider Name | Erik Scharrer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245525484 PECOS PAC ID: 5395983175 Enrollment ID: I20131028000275 |
| Provider Name | Katie N Finley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306278668 PECOS PAC ID: 5597990325 Enrollment ID: I20131101000107 |
| Provider Name | Tara L Schroeder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053752220 PECOS PAC ID: 4486889052 Enrollment ID: I20131107000413 |
| Provider Name | Emad F Beshai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528069598 PECOS PAC ID: 3072614833 Enrollment ID: I20131126000188 |
| Provider Name | Kissinger O Anusionwu |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730510629 PECOS PAC ID: 0042443467 Enrollment ID: I20140508001623 |
| Provider Name | Marie L Steffl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427484781 PECOS PAC ID: 3779706494 Enrollment ID: I20140528001085 |
| Provider Name | Abhishek J Deshmukh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1538359906 PECOS PAC ID: 8325262454 Enrollment ID: I20140611002035 |
| Provider Name | Kerry M Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487066304 PECOS PAC ID: 5890910087 Enrollment ID: I20140701002294 |
| Provider Name | Larry Deppe |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1982802815 PECOS PAC ID: 5496822322 Enrollment ID: I20140702001417 |
| Provider Name | Thoyaja Koritala |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528354024 PECOS PAC ID: 4284887613 Enrollment ID: I20140708000935 |
| Provider Name | Michael R Moynagh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164779211 PECOS PAC ID: 0749437689 Enrollment ID: I20140709000236 |
| Provider Name | Philip L Wackel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1982800645 PECOS PAC ID: 0345465183 Enrollment ID: I20140710001224 |
| Provider Name | Sandeep S Khosa |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1639358013 PECOS PAC ID: 6608003991 Enrollment ID: I20140729000859 |
| Provider Name | Katherine J Heise |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508277500 PECOS PAC ID: 9739306465 Enrollment ID: I20140804001482 |
| Provider Name | Nirmala Narasimha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659636330 PECOS PAC ID: 7618194275 Enrollment ID: I20140806000725 |
| Provider Name | Alisa S Eytcheson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427462993 PECOS PAC ID: 8022235514 Enrollment ID: I20140806002001 |
| Provider Name | Cameron Leitch |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710327077 PECOS PAC ID: 5294952180 Enrollment ID: I20140818001105 |
| Provider Name | Michael C Olson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932549458 PECOS PAC ID: 8527286350 Enrollment ID: I20140820000952 |
| Provider Name | Jared G Bird |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467898155 PECOS PAC ID: 9931341534 Enrollment ID: I20140904002002 |
| Provider Name | Daniel A Adamo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184967416 PECOS PAC ID: 0648498642 Enrollment ID: I20140905000059 |
| Provider Name | Jason T Little |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366773087 PECOS PAC ID: 6103044029 Enrollment ID: I20140905001193 |
| Provider Name | Taylor R Beahrs |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1255690996 PECOS PAC ID: 5991947582 Enrollment ID: I20140905001251 |
| Provider Name | Michael S Bold |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003259854 PECOS PAC ID: 2961621875 Enrollment ID: I20140908001855 |
| Provider Name | Greta Beth Liebo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417184326 PECOS PAC ID: 1254550072 Enrollment ID: I20140910000085 |
| Provider Name | Maria Gonzalez Suarez |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1770878688 PECOS PAC ID: 1355560020 Enrollment ID: I20140910001985 |
| Provider Name | Diana M Shewmaker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245672401 PECOS PAC ID: 9739322744 Enrollment ID: I20140912001912 |
| Provider Name | Francis I Baffour |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720427156 PECOS PAC ID: 0042431066 Enrollment ID: I20141016000898 |
| Provider Name | Trinh N Ho |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609154848 PECOS PAC ID: 6709049257 Enrollment ID: I20141017000486 |
| Provider Name | Gokhan Anil |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902928153 PECOS PAC ID: 6305931395 Enrollment ID: I20141027002505 |
| Provider Name | Padraig P Morris |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659355659 PECOS PAC ID: 0749341378 Enrollment ID: I20141028002527 |
| Provider Name | Alexander C Egbe |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104072685 PECOS PAC ID: 3375865405 Enrollment ID: I20141201000876 |
| Provider Name | Edwin Akira Takahashi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346683364 PECOS PAC ID: 7517105216 Enrollment ID: I20141224000896 |
| Provider Name | Sarah Katherine Armour |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1629236476 PECOS PAC ID: 1850535261 Enrollment ID: I20150514002653 |
| Provider Name | Jacob Jentzer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538334628 PECOS PAC ID: 2567782261 Enrollment ID: I20150520001985 |
| Provider Name | Jacqueline Corona |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1497066369 PECOS PAC ID: 1658519376 Enrollment ID: I20150617002041 |
| Provider Name | Heidi Jo Gaston |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649564204 PECOS PAC ID: 1557682911 Enrollment ID: I20150625001997 |
| Provider Name | Chad L Hanson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023216256 PECOS PAC ID: 9133431323 Enrollment ID: I20150630002619 |
| Provider Name | Ajit Goenka |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578844379 PECOS PAC ID: 4688891989 Enrollment ID: I20150702001839 |
| Provider Name | Candice A Bookwalter |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376786798 PECOS PAC ID: 9931322617 Enrollment ID: I20150706001772 |
| Provider Name | Mehdi Dastrange |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982967139 PECOS PAC ID: 4880906734 Enrollment ID: I20150706002597 |
| Provider Name | Benjamin Nordhues |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336555135 PECOS PAC ID: 4082830666 Enrollment ID: I20150727001377 |
| Provider Name | Kevin R Kapoor |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437490760 PECOS PAC ID: 9335362821 Enrollment ID: I20150730012086 |
| Provider Name | David J Gresback |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154689370 PECOS PAC ID: 3870807068 Enrollment ID: I20150731016313 |
| Provider Name | Derek Gearman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1629485214 PECOS PAC ID: 7719104850 Enrollment ID: I20150803002519 |
| Provider Name | Barrett Howell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487073243 PECOS PAC ID: 6709105091 Enrollment ID: I20150804005424 |
| Provider Name | Michael Charles Young |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730595364 PECOS PAC ID: 5799902482 Enrollment ID: I20150805009118 |
| Provider Name | Sushil Luis |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1447691175 PECOS PAC ID: 4789825480 Enrollment ID: I20150807013911 |
| Provider Name | Wendaline M Vanburen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710306683 PECOS PAC ID: 2567687171 Enrollment ID: I20150901002768 |
| Provider Name | Gabriel G Pokhai |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922359173 PECOS PAC ID: 9830406685 Enrollment ID: I20150911000741 |
| Provider Name | Theodora Potretzke |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154551646 PECOS PAC ID: 4183857139 Enrollment ID: I20150916001181 |
| Provider Name | Ryan P Foley |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1508051079 PECOS PAC ID: 5193032274 Enrollment ID: I20150922002750 |
| Provider Name | John D Mack |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619346004 PECOS PAC ID: 8022327527 Enrollment ID: I20151023001424 |
| Provider Name | James Layne Moore |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1730264037 PECOS PAC ID: 5496772352 Enrollment ID: I20151201002180 |
| Provider Name | Andrew Christian Homb |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699806265 PECOS PAC ID: 5991821118 Enrollment ID: I20151224000138 |
| Provider Name | James Milavetz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1154316206 PECOS PAC ID: 2961391644 Enrollment ID: I20160121001583 |
| Provider Name | Kimberly L Edel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366813024 PECOS PAC ID: 8325343551 Enrollment ID: I20160225000501 |
| Provider Name | Peter J Reuter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841659182 PECOS PAC ID: 7012213176 Enrollment ID: I20160316000081 |
| Provider Name | Kendra Elaine Kamlitz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518279223 PECOS PAC ID: 3678722493 Enrollment ID: I20160509001593 |
| Provider Name | Eric Christopher Ehman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497045173 PECOS PAC ID: 5698906220 Enrollment ID: I20160601000040 |
| Provider Name | Ashish Khandelwal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043565765 PECOS PAC ID: 6406094739 Enrollment ID: I20160603001487 |
| Provider Name | Jason Young |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285926410 PECOS PAC ID: 0941590764 Enrollment ID: I20160608000113 |
| Provider Name | Rosalyn O Adigun |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1649616913 PECOS PAC ID: 9830480748 Enrollment ID: I20160624000085 |
| Provider Name | Valery Joseph Andre |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1952634776 PECOS PAC ID: 8426292913 Enrollment ID: I20160630001914 |
| Provider Name | Milan Khealani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952708505 PECOS PAC ID: 8729370051 Enrollment ID: I20160707001015 |
| Provider Name | Trevor T Chan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447698550 PECOS PAC ID: 8123311784 Enrollment ID: I20160720001549 |
| Provider Name | Nathan Eickstaedt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992191894 PECOS PAC ID: 7214220748 Enrollment ID: I20160721000964 |
| Provider Name | Ingrid Y Chan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467890574 PECOS PAC ID: 3476846874 Enrollment ID: I20160722000575 |
| Provider Name | Zachary Kelm |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568841443 PECOS PAC ID: 1254642812 Enrollment ID: I20160725001075 |
| Provider Name | Ian Taylor Mark |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760860084 PECOS PAC ID: 8628381290 Enrollment ID: I20160725001325 |
| Provider Name | Brendan W Lunn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083092266 PECOS PAC ID: 4880987189 Enrollment ID: I20160725001536 |
| Provider Name | Kathleen A Young |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1184003089 PECOS PAC ID: 0042521700 Enrollment ID: I20160726000406 |
| Provider Name | Benjamin J Dewey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326425174 PECOS PAC ID: 6204149529 Enrollment ID: I20160726000648 |
| Provider Name | Garret M Powell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962897298 PECOS PAC ID: 5294028478 Enrollment ID: I20160726001069 |
| Provider Name | Nicholas Tan |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1770962029 PECOS PAC ID: 0143531806 Enrollment ID: I20160726001701 |
| Provider Name | Aaron A Juliar |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770866915 PECOS PAC ID: 8628241965 Enrollment ID: I20160726002099 |
| Provider Name | Alan Michael Sugrue |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1154737690 PECOS PAC ID: 2062638281 Enrollment ID: I20160802000611 |
| Provider Name | Corrie R Bach |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023403672 PECOS PAC ID: 7719292093 Enrollment ID: I20160802002472 |
| Provider Name | Brett D Tanning |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144669755 PECOS PAC ID: 9133445323 Enrollment ID: I20160810001749 |
| Provider Name | Stephen Nogel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548643315 PECOS PAC ID: 4587959309 Enrollment ID: I20160818000790 |
| Provider Name | Kelsey Kae Schuder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982157822 PECOS PAC ID: 9133414501 Enrollment ID: I20160824001281 |
| Provider Name | Andrea N Moldstad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487005229 PECOS PAC ID: 5799071551 Enrollment ID: I20160906000897 |
| Provider Name | Megan Griffith |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1962793182 PECOS PAC ID: 9436453404 Enrollment ID: I20160913000077 |
| Provider Name | Usman Anwer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316266562 PECOS PAC ID: 7618280066 Enrollment ID: I20160914002774 |
| Provider Name | David Keith Stinson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609814938 PECOS PAC ID: 5193613214 Enrollment ID: I20160916000016 |
| Provider Name | Kay W Ribbel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871943365 PECOS PAC ID: 7315235900 Enrollment ID: I20161014000281 |
| Provider Name | Lisa Burke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346798832 PECOS PAC ID: 3779871249 Enrollment ID: I20161017001013 |
| Provider Name | Tarek Z Khalife |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437388584 PECOS PAC ID: 0143464719 Enrollment ID: I20161102001622 |
| Provider Name | Sarah N Rice |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326212085 PECOS PAC ID: 7416135397 Enrollment ID: I20161114001892 |
| Provider Name | Gretchen L Fischer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558810705 PECOS PAC ID: 6002196532 Enrollment ID: I20161129001674 |
| Provider Name | Sumit Bhandari |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336452572 PECOS PAC ID: 2264627553 Enrollment ID: I20161208002529 |
| Provider Name | Mackenzie M Renneke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700320967 PECOS PAC ID: 1557643723 Enrollment ID: I20170123003011 |
| Provider Name | Kyle Elliott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023478146 PECOS PAC ID: 1951685395 Enrollment ID: I20170301002718 |
| Provider Name | Bongi A Rudder |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1255531430 PECOS PAC ID: 8820230089 Enrollment ID: I20170315001063 |
| Provider Name | Miriam Mowfaq Rassam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720527088 PECOS PAC ID: 2365727245 Enrollment ID: I20170315001423 |
| Provider Name | Ratnasari Padang |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1548642077 PECOS PAC ID: 2668784398 Enrollment ID: I20170420000535 |
| Provider Name | Ram Jagannathan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1235573775 PECOS PAC ID: 9032409131 Enrollment ID: I20170509002318 |
| Provider Name | Paul D Williams |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316365281 PECOS PAC ID: 8123320926 Enrollment ID: I20170522002897 |
| Provider Name | Eric Christian Busse |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1861780942 PECOS PAC ID: 1850522533 Enrollment ID: I20170531001443 |
| Provider Name | Dong Kun Kim |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265789457 PECOS PAC ID: 7719254390 Enrollment ID: I20170602000633 |
| Provider Name | Allan M Bates |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285041640 PECOS PAC ID: 0840411278 Enrollment ID: I20170607001770 |
| Provider Name | Jason H Planas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497175772 PECOS PAC ID: 6608174289 Enrollment ID: I20170608001303 |
| Provider Name | Don B Stott |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275821449 PECOS PAC ID: 2769787829 Enrollment ID: I20170612002973 |
| Provider Name | Rachel M Ziegler |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1083906150 PECOS PAC ID: 5597066720 Enrollment ID: I20170628001188 |
| Provider Name | Aaron Bradley Klassen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750745428 PECOS PAC ID: 9638461163 Enrollment ID: I20170801000571 |
| Provider Name | David Bartlett |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508216409 PECOS PAC ID: 2961794730 Enrollment ID: I20170801002010 |
| Provider Name | Talha Niaz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235513284 PECOS PAC ID: 4587971627 Enrollment ID: I20170801002116 |
| Provider Name | Alicia Grace Floyd |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033408505 PECOS PAC ID: 2567680713 Enrollment ID: I20170814001669 |
| Provider Name | Rajasekhar R Madathala |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932477536 PECOS PAC ID: 6901021583 Enrollment ID: I20170814002031 |
| Provider Name | Vamshi Mugu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215391842 PECOS PAC ID: 8527350693 Enrollment ID: I20170814003330 |
| Provider Name | Barrett Richard Park |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770993800 PECOS PAC ID: 3072733625 Enrollment ID: I20170815002814 |
| Provider Name | Mackenzie Glee Kalis Quale |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1346696077 PECOS PAC ID: 8729371083 Enrollment ID: I20170816002927 |
| Provider Name | Sebastian Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902326994 PECOS PAC ID: 2466725221 Enrollment ID: I20170830002664 |
| Provider Name | Brian Burkett |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811344740 PECOS PAC ID: 7517230857 Enrollment ID: I20170907001933 |
| Provider Name | Jacob D Ziegler |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1760772099 PECOS PAC ID: 7416251236 Enrollment ID: I20170913001201 |
| Provider Name | Laura R Struck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912427303 PECOS PAC ID: 0648544106 Enrollment ID: I20170921001681 |
| Provider Name | Sharon J Dexheimer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407372865 PECOS PAC ID: 4486928538 Enrollment ID: I20170928000112 |
| Provider Name | Opeyemi Agboola |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558775429 PECOS PAC ID: 0648544726 Enrollment ID: I20170928001695 |
| Provider Name | Douglas Sommers |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699204917 PECOS PAC ID: 9234404708 Enrollment ID: I20171010000085 |
| Provider Name | Alexander Neal Kurjatko |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811277890 PECOS PAC ID: 2264708866 Enrollment ID: I20171026001894 |
| Provider Name | Tristan N Covington |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124482765 PECOS PAC ID: 2466740774 Enrollment ID: I20171031000045 |
| Provider Name | David R. Dare |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659710291 PECOS PAC ID: 8022375443 Enrollment ID: I20171120002061 |
| Provider Name | Andrew K Brevik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376513903 PECOS PAC ID: 7911035738 Enrollment ID: I20171129001601 |
| Provider Name | Joshua M Baruth |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1588028161 PECOS PAC ID: 1951693183 Enrollment ID: I20171211000652 |
| Provider Name | David J Rea |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245218692 PECOS PAC ID: 8921150665 Enrollment ID: I20171229002076 |
| Provider Name | Thomas Francis Murphy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811973613 PECOS PAC ID: 7719943281 Enrollment ID: I20180104000851 |
| Provider Name | Aditya S Shah |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1740697598 PECOS PAC ID: 2567772643 Enrollment ID: I20180118000962 |
| Provider Name | Susan Lea Andersen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689188351 PECOS PAC ID: 0345509253 Enrollment ID: I20180123001995 |
| Provider Name | Kathryn Louise Poppe |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154835098 PECOS PAC ID: 7618237793 Enrollment ID: I20180209001829 |
| Provider Name | Jay P Heiken |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942392444 PECOS PAC ID: 8729127188 Enrollment ID: I20180215000537 |
| Provider Name | Ana Dahl |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639683691 PECOS PAC ID: 5496016545 Enrollment ID: I20180306001250 |
| Provider Name | Ashley A Anderson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063707461 PECOS PAC ID: 7719106087 Enrollment ID: I20180314001930 |
| Provider Name | Abigail A Bartz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962919365 PECOS PAC ID: 0446575336 Enrollment ID: I20180320000412 |
| Provider Name | Frank D Rossi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1801828769 PECOS PAC ID: 6901879279 Enrollment ID: I20180426001581 |
| Provider Name | John C Benson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134462963 PECOS PAC ID: 8426353541 Enrollment ID: I20180531002876 |
| Provider Name | Petrice Mostardi Cogswell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487997557 PECOS PAC ID: 4385947894 Enrollment ID: I20180606001437 |
| Provider Name | Veronica E Radigan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740643105 PECOS PAC ID: 2264724715 Enrollment ID: I20180611001459 |
| Provider Name | Richard G Frimpong |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1619310612 PECOS PAC ID: 0244458768 Enrollment ID: I20180614002492 |
| Provider Name | Andrew Zenhong Chow |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700178159 PECOS PAC ID: 1456646314 Enrollment ID: I20180614002946 |
| Provider Name | Megan A Brandeland |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720466188 PECOS PAC ID: 2264738889 Enrollment ID: I20180616000025 |
| Provider Name | Steven A Messina |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477642536 PECOS PAC ID: 5597920132 Enrollment ID: I20180619002550 |
| Provider Name | Hanyin Wang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174905939 PECOS PAC ID: 9739478322 Enrollment ID: I20180709003077 |
| Provider Name | Michelle Lorenz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427549021 PECOS PAC ID: 5193071819 Enrollment ID: I20180710002569 |
| Provider Name | Timothy Sheneman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841555984 PECOS PAC ID: 1850606633 Enrollment ID: I20180719000802 |
| Provider Name | Sadik Abdikadir Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811377229 PECOS PAC ID: 6305193996 Enrollment ID: I20180730000213 |
| Provider Name | Nam Ju Lee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659688679 PECOS PAC ID: 2567697345 Enrollment ID: I20180731002844 |
| Provider Name | Adam Sharp Cole |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285999557 PECOS PAC ID: 3971735226 Enrollment ID: I20180802000478 |
| Provider Name | Brandon Robert Bukowski |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1770012882 PECOS PAC ID: 4688946304 Enrollment ID: I20180802000689 |
| Provider Name | Ruth S Mule |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104319839 PECOS PAC ID: 2365790672 Enrollment ID: I20180802002334 |
| Provider Name | Amy Petersen |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1346682267 PECOS PAC ID: 0345568051 Enrollment ID: I20180809000227 |
| Provider Name | Sarah J Chalmers |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1740612241 PECOS PAC ID: 8426379355 Enrollment ID: I20180815000258 |
| Provider Name | Sara Suleman |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1609215607 PECOS PAC ID: 7719236207 Enrollment ID: I20180816000713 |
| Provider Name | Melissa Georgette Mauro |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235577206 PECOS PAC ID: 0840585733 Enrollment ID: I20180906000010 |
| Provider Name | Chad Richard Ellis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275026676 PECOS PAC ID: 7113277294 Enrollment ID: I20180911002703 |
| Provider Name | Stacy Marie Blank |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295213650 PECOS PAC ID: 8527318609 Enrollment ID: I20180911002881 |
| Provider Name | Kyle Mark Levi Unsdorfer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285165183 PECOS PAC ID: 1557633930 Enrollment ID: I20180914001110 |
| Provider Name | Sarah Baumgarten |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255861035 PECOS PAC ID: 1456624709 Enrollment ID: I20180925001292 |
| Provider Name | Jeremy Douglas Collins |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922121243 PECOS PAC ID: 1850569104 Enrollment ID: I20181001000473 |
| Provider Name | Daniel Chiang |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336676279 PECOS PAC ID: 6103198627 Enrollment ID: I20181002000517 |
| Provider Name | Kathryn Ann Robinson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780600254 PECOS PAC ID: 9537163274 Enrollment ID: I20181009003533 |
| Provider Name | Sara Lorraine Snyder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972087849 PECOS PAC ID: 3870845282 Enrollment ID: I20181012002349 |
| Provider Name | Rebecca Ann Thorston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457835043 PECOS PAC ID: 2264785666 Enrollment ID: I20181101002195 |
| Provider Name | Hari Prasad Reddy Korsapati |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639563265 PECOS PAC ID: 2264785435 Enrollment ID: I20181106000499 |
| Provider Name | Mark A Wikenheiser |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1629161757 PECOS PAC ID: 4082745146 Enrollment ID: I20181218003450 |
| Provider Name | Gina Ann Suh |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1609075977 PECOS PAC ID: 4789778507 Enrollment ID: I20181228000016 |
| Provider Name | Victoria M Silvera |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467539908 PECOS PAC ID: 7911966916 Enrollment ID: I20190201001908 |
| Provider Name | Jodi Marie Ndemo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265998140 PECOS PAC ID: 2769722263 Enrollment ID: I20190320000888 |
| Provider Name | James Michael Bisanti |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063850980 PECOS PAC ID: 4688818297 Enrollment ID: I20190523000371 |
| Provider Name | Darya P Shlapak |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760892624 PECOS PAC ID: 9335420496 Enrollment ID: I20190604002997 |
| Provider Name | Jing Miao |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1063860559 PECOS PAC ID: 6608115696 Enrollment ID: I20190605002133 |
| Provider Name | Avinash Nehra |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952780199 PECOS PAC ID: 8628389368 Enrollment ID: I20190612000983 |
| Provider Name | Mohamed Yousuf Warsame |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962865527 PECOS PAC ID: 3678865482 Enrollment ID: I20190612001489 |
| Provider Name | Cristina Gabriela Corsini Campioli |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1912359159 PECOS PAC ID: 7911230545 Enrollment ID: I20190613000000 |
| Provider Name | Narayan Gurukrip Kowlgi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1891044400 PECOS PAC ID: 4880913102 Enrollment ID: I20190625000980 |
| Provider Name | Matthew Patrick Thorpe |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215372081 PECOS PAC ID: 2567797384 Enrollment ID: I20190716000802 |
| Provider Name | Philip Zorn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447600556 PECOS PAC ID: 0345534178 Enrollment ID: I20190722001396 |
| Provider Name | Alexander Kellington Bratt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265876445 PECOS PAC ID: 2961767181 Enrollment ID: I20190730002779 |
| Provider Name | Nathan Konrad Silva |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063927473 PECOS PAC ID: 6305105677 Enrollment ID: I20190731000647 |
| Provider Name | Livia Maria Frota Lima |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215460415 PECOS PAC ID: 8224386057 Enrollment ID: I20190801000594 |
| Provider Name | Tomas Carvajal Carvajal |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1104260025 PECOS PAC ID: 7315170354 Enrollment ID: I20190802000817 |
| Provider Name | Won S Song |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144201930 PECOS PAC ID: 4183796204 Enrollment ID: I20190805000698 |
| Provider Name | Omar G Ferrer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013576594 PECOS PAC ID: 9335201599 Enrollment ID: I20190806003206 |
| Provider Name | Daniel Montville |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952806093 PECOS PAC ID: 9830446756 Enrollment ID: I20190807000464 |
| Provider Name | Patrick Navin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427570852 PECOS PAC ID: 8426320797 Enrollment ID: I20190813001501 |
| Provider Name | Jeffrey W Wilder |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164490611 PECOS PAC ID: 8224010905 Enrollment ID: I20190813003178 |
| Provider Name | Brady Pennig |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720466055 PECOS PAC ID: 0244575207 Enrollment ID: I20190820002612 |
| Provider Name | Bradley Phillip Deleu |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053756221 PECOS PAC ID: 7012237076 Enrollment ID: I20190820003283 |
| Provider Name | Sandy Kay Clayton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578827465 PECOS PAC ID: 4082852751 Enrollment ID: I20190827000167 |
| Provider Name | Affan Irfan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1942588066 PECOS PAC ID: 4789958893 Enrollment ID: I20190909003725 |
| Provider Name | Prabhakar Rajiah |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033230701 PECOS PAC ID: 2961509427 Enrollment ID: I20190912003030 |
| Provider Name | Maria Angela Doran-threat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689220733 PECOS PAC ID: 9537499611 Enrollment ID: I20191003000494 |
| Provider Name | Elizabeth Xiques Bolint |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801831813 PECOS PAC ID: 2769499037 Enrollment ID: I20191010002953 |
| Provider Name | Yasmeen Tandon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992021067 PECOS PAC ID: 3476796327 Enrollment ID: I20191014003281 |
| Provider Name | Linda Sara Russo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174939904 PECOS PAC ID: 2668704370 Enrollment ID: I20191030001511 |
| Provider Name | James M Glogowski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1619528734 PECOS PAC ID: 4789016841 Enrollment ID: I20191112002031 |
| Provider Name | Alicia Marie Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245875111 PECOS PAC ID: 8325473838 Enrollment ID: I20200110000316 |
| Provider Name | Adekunle Odubeko |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588200968 PECOS PAC ID: 9032545538 Enrollment ID: I20200131001198 |
| Provider Name | Randa R Soubra |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083247910 PECOS PAC ID: 6305274630 Enrollment ID: I20200319000727 |
| Provider Name | Elizabeth Marie Bertrand |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1295355022 PECOS PAC ID: 7719318906 Enrollment ID: I20200501001548 |
| Provider Name | Mark T Lee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245625003 PECOS PAC ID: 9739484874 Enrollment ID: I20200502000009 |
| Provider Name | Charles Lewis Kieffer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053842831 PECOS PAC ID: 1658629738 Enrollment ID: I20200519001886 |
| Provider Name | Kristina T Flicek |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568872364 PECOS PAC ID: 1456678986 Enrollment ID: I20200523000033 |
| Provider Name | Adjoa Denyo Zakhia |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1093096471 PECOS PAC ID: 4880826346 Enrollment ID: I20200526001847 |
| Provider Name | Jidi Gao |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1710364906 PECOS PAC ID: 1759677529 Enrollment ID: I20200602000571 |
| Provider Name | Christopher Jean-pierre Francois |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902938467 PECOS PAC ID: 7315048139 Enrollment ID: I20200622002710 |
| Provider Name | Tuoyo Mene-afejuku |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184076853 PECOS PAC ID: 3072848209 Enrollment ID: I20200630002627 |
| Provider Name | Emily Behrend |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1174147110 PECOS PAC ID: 4284058728 Enrollment ID: I20200716003718 |
| Provider Name | Mohamed A Hassan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578091690 PECOS PAC ID: 9335413749 Enrollment ID: I20200904000068 |
| Provider Name | Michael Cole |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518300870 PECOS PAC ID: 1052638608 Enrollment ID: I20200914000766 |
| Provider Name | Oluwafunmilayo O Oyatogun |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932550415 PECOS PAC ID: 3173817939 Enrollment ID: I20200924000777 |
| Provider Name | Alexander Covington |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730422429 PECOS PAC ID: 8820335896 Enrollment ID: I20201001000071 |
| Provider Name | Guleid Hussein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669993739 PECOS PAC ID: 7214207869 Enrollment ID: I20201104000997 |
| Provider Name | Peter Andrew Lowry |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316108731 PECOS PAC ID: 3971746520 Enrollment ID: I20210219002471 |
| Provider Name | Amy Kristine Maloney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609464759 PECOS PAC ID: 8426463498 Enrollment ID: I20210225001063 |
| Provider Name | Jacob C. Raimann |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740872118 PECOS PAC ID: 5496161416 Enrollment ID: I20210316002993 |
| Provider Name | John V Thomas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790871796 PECOS PAC ID: 8921155045 Enrollment ID: I20210427001322 |
| Provider Name | Vinayak Nagaraja |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1174185607 PECOS PAC ID: 0446588149 Enrollment ID: I20210430001464 |
| Provider Name | Kirsty J Nomch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376129767 PECOS PAC ID: 6901215698 Enrollment ID: I20210510002104 |
| Provider Name | Bolun Liu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861988511 PECOS PAC ID: 0547514473 Enrollment ID: I20210518000328 |
| Provider Name | Qiping Xu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245726686 PECOS PAC ID: 5395095392 Enrollment ID: I20210518001430 |
| Provider Name | Broc Schindler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255825535 PECOS PAC ID: 0547517195 Enrollment ID: I20210519001126 |
| Provider Name | Abdelrahman Aly |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1295001196 PECOS PAC ID: 6709188048 Enrollment ID: I20210519002987 |
| Provider Name | Caleb Mawulikofi Tsetse |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285013813 PECOS PAC ID: 7315284924 Enrollment ID: I20210526001126 |
| Provider Name | Katie Marie Pace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215516141 PECOS PAC ID: 1254730799 Enrollment ID: I20210603000302 |
| Provider Name | Xia Zhou |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1871099515 PECOS PAC ID: 3375891872 Enrollment ID: I20210604000101 |
| Provider Name | Sumeet K Yadav |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508358656 PECOS PAC ID: 6103166707 Enrollment ID: I20210607001075 |
| Provider Name | Dana Brenhaug |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386233971 PECOS PAC ID: 0345640751 Enrollment ID: I20210607001080 |
| Provider Name | Abdul Wahab |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649622242 PECOS PAC ID: 8426344730 Enrollment ID: I20210607002662 |
| Provider Name | Paul J Farnsworth |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407207236 PECOS PAC ID: 1153721311 Enrollment ID: I20210610000980 |
| Provider Name | Jennifer Ann Braaten Winch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780258715 PECOS PAC ID: 2062812811 Enrollment ID: I20210615003339 |
| Provider Name | Vikas Le-kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487159000 PECOS PAC ID: 7315291606 Enrollment ID: I20210618000883 |
| Provider Name | Akriti Khanna |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669883062 PECOS PAC ID: 6305060021 Enrollment ID: I20210622000613 |
| Provider Name | Richard Ogunti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992236046 PECOS PAC ID: 8820374663 Enrollment ID: I20210811000019 |
| Provider Name | Kaci L Paradis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740814250 PECOS PAC ID: 1052716214 Enrollment ID: I20210826000174 |
| Provider Name | Paige Lynne Meyers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396312609 PECOS PAC ID: 5294138814 Enrollment ID: I20210827000576 |
| Provider Name | Alex Chan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942620968 PECOS PAC ID: 4082834254 Enrollment ID: I20210831003219 |
| Provider Name | Brian L Straub |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235282427 PECOS PAC ID: 0749687812 Enrollment ID: I20210916002670 |
| Provider Name | Hanxiang Alex Wang |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245736982 PECOS PAC ID: 8022366194 Enrollment ID: I20210921003781 |
| Provider Name | Tucker John Carlson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083110738 PECOS PAC ID: 9234537192 Enrollment ID: I20211006002138 |
| Provider Name | Donnell Philippe Octavio Lazaro-paulina |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922627462 PECOS PAC ID: 5890111074 Enrollment ID: I20211020001066 |
| Provider Name | Alexis May Pavey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225634389 PECOS PAC ID: 0143618124 Enrollment ID: I20211025000526 |
| Provider Name | Luke A. Hunter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891145983 PECOS PAC ID: 8527484203 Enrollment ID: I20211130001790 |
| Provider Name | Clinton John Prasnicki |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831697069 PECOS PAC ID: 6002177870 Enrollment ID: I20211213000242 |
| Provider Name | Ashley Meredith Olson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508399304 PECOS PAC ID: 1153691787 Enrollment ID: I20211213001027 |
| Provider Name | Julie Beehler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700060720 PECOS PAC ID: 5496831471 Enrollment ID: I20220107000347 |
| Provider Name | Siaka Sanneh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073009981 PECOS PAC ID: 2769732825 Enrollment ID: I20220321002144 |
| Provider Name | Madison N. Green |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1306591060 PECOS PAC ID: 6608261045 Enrollment ID: I20220321002353 |
| Provider Name | Lorenza Saldivar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912666579 PECOS PAC ID: 9931594348 Enrollment ID: I20220322002300 |
| Provider Name | Kortnie S Avedisian |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1205589447 PECOS PAC ID: 3375939788 Enrollment ID: I20220412002843 |
| Provider Name | Bradley M Burger |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821389172 PECOS PAC ID: 1557674199 Enrollment ID: I20220412002894 |
| Provider Name | Ammar Alam |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487175071 PECOS PAC ID: 2264831320 Enrollment ID: I20220517002773 |
| Provider Name | Bayan Moustafa |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720441967 PECOS PAC ID: 1153617352 Enrollment ID: I20220519000461 |
| Provider Name | Sheena M Buchholtz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427663970 PECOS PAC ID: 1153708797 Enrollment ID: I20220519001761 |
| Provider Name | Michelle Moran Mcdonough |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285254557 PECOS PAC ID: 2466873021 Enrollment ID: I20220523001155 |
| Provider Name | Joshua Brunton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750886198 PECOS PAC ID: 0840553012 Enrollment ID: I20220629002224 |
| Provider Name | Danielle N Westenberg |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215427505 PECOS PAC ID: 3678821675 Enrollment ID: I20220701001068 |
| Provider Name | Amir Yosef |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1801258553 PECOS PAC ID: 0143515320 Enrollment ID: I20220707002219 |
| Provider Name | Karan Seegobin |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1225482888 PECOS PAC ID: 9335434133 Enrollment ID: I20220719003616 |
| Provider Name | Girish Bathla |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760737738 PECOS PAC ID: 2769621093 Enrollment ID: I20220720003101 |
| Provider Name | Saad Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487206488 PECOS PAC ID: 4789018177 Enrollment ID: I20220721000609 |
| Provider Name | Tyler J Koonst |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114580149 PECOS PAC ID: 5294116075 Enrollment ID: I20220726001092 |
| Provider Name | Joseph T Malicki |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295391753 PECOS PAC ID: 3971833393 Enrollment ID: I20220729001104 |
| Provider Name | Katherine Mia Choi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104320415 PECOS PAC ID: 5890177349 Enrollment ID: I20220801001932 |
| Provider Name | Jawaad Hassan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053763243 PECOS PAC ID: 9931494812 Enrollment ID: I20220802002424 |
| Provider Name | Dorissa Lahner Gursahaney |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467815381 PECOS PAC ID: 3870870934 Enrollment ID: I20220802004056 |
| Provider Name | Kevin L Denton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518304930 PECOS PAC ID: 0840597829 Enrollment ID: I20220805003031 |
| Provider Name | Hussen Amir Ahmed Mansai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790335446 PECOS PAC ID: 9234511189 Enrollment ID: I20220809002201 |
| Provider Name | Meganne Bartsch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477291391 PECOS PAC ID: 6103209804 Enrollment ID: I20220812001515 |
| Provider Name | Shire Jama |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033773007 PECOS PAC ID: 3274916887 Enrollment ID: I20220815002407 |
| Provider Name | Jay J Pillai |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972603439 PECOS PAC ID: 9234130493 Enrollment ID: I20220822001138 |
| Provider Name | Katie Ann Casper |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750888947 PECOS PAC ID: 5395129118 Enrollment ID: I20220829000985 |
| Provider Name | Mohamad El Labban |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821608159 PECOS PAC ID: 4183040736 Enrollment ID: I20220829001583 |
| Provider Name | Christopher J Sigakis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629364310 PECOS PAC ID: 2466751979 Enrollment ID: I20220912002808 |
| Provider Name | Erik D Burnison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255992269 PECOS PAC ID: 6709110208 Enrollment ID: I20220929003254 |
| Provider Name | Tri Quoc Pham |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205283710 PECOS PAC ID: 6608163787 Enrollment ID: I20221004000265 |
| Provider Name | Tiffany M Gullord |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881313526 PECOS PAC ID: 9931585387 Enrollment ID: I20221007001990 |
| Provider Name | Billie Jean Sweeney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841814753 PECOS PAC ID: 0244641645 Enrollment ID: I20221007002774 |
| Provider Name | Gbemisola Tolulope Olorode |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629311220 PECOS PAC ID: 1658663877 Enrollment ID: I20221013001884 |
| Provider Name | Robert J Freedland |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1376534958 PECOS PAC ID: 3779777859 Enrollment ID: I20221014002628 |
| Provider Name | Alyson L. Jasper |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023600335 PECOS PAC ID: 1557769247 Enrollment ID: I20221018001295 |
| Provider Name | Ajay Singh Sekhon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306125109 PECOS PAC ID: 2264808013 Enrollment ID: I20221019000397 |
| Provider Name | Brian David Hesler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699949370 PECOS PAC ID: 6709178932 Enrollment ID: I20221019002444 |
| Provider Name | Krzysztof Laudanski |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1760579643 PECOS PAC ID: 0143414938 Enrollment ID: I20221027000521 |
| Provider Name | Tabita Amoatemaa Darkwah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164156535 PECOS PAC ID: 8628444395 Enrollment ID: I20221101001313 |
| Provider Name | Kimberly M Staebell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083284277 PECOS PAC ID: 5092182139 Enrollment ID: I20221103000146 |
| Provider Name | Alan Howard Stolpen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760470629 PECOS PAC ID: 2062554702 Enrollment ID: I20221206000869 |
| Provider Name | Kara Elizabeth Kubista |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952022428 PECOS PAC ID: 4284004987 Enrollment ID: I20221221000391 |
| Provider Name | Sherronda Jean Bowden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750091799 PECOS PAC ID: 4981074531 Enrollment ID: I20221223001091 |
| Provider Name | Anne Beschorner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801210471 PECOS PAC ID: 9335363688 Enrollment ID: I20221228000813 |
| Provider Name | Alix Hopp |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154770774 PECOS PAC ID: 8729356829 Enrollment ID: I20230124000053 |
| Provider Name | Dean F Leslie |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619926664 PECOS PAC ID: 6305857749 Enrollment ID: I20230203000396 |
| Provider Name | Jaime Marie Leimer Decker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063759264 PECOS PAC ID: 5193198091 Enrollment ID: I20230223001286 |
| Provider Name | Jenna Marie Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942917265 PECOS PAC ID: 8628441474 Enrollment ID: I20230227002147 |
| Provider Name | Joanna Kusmirek |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538336706 PECOS PAC ID: 7810205911 Enrollment ID: I20230308002937 |
| Provider Name | Erin Elaine Wenzel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336521335 PECOS PAC ID: 6608177027 Enrollment ID: I20230322002409 |
| Provider Name | Corrinna Kathryn Lenort |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1225459621 PECOS PAC ID: 7416321997 Enrollment ID: I20230323003028 |
| Provider Name | John Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891451365 PECOS PAC ID: 1254705460 Enrollment ID: I20230329001229 |
| Provider Name | Jesse M Reiter |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992202709 PECOS PAC ID: 5799034021 Enrollment ID: I20230331001324 |
| Provider Name | David M Kushner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922009224 PECOS PAC ID: 7315931292 Enrollment ID: I20230411002286 |
| Provider Name | Christopher D Byers |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891227252 PECOS PAC ID: 2961756051 Enrollment ID: I20230412000664 |
| Provider Name | David F Slat |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528223807 PECOS PAC ID: 9436297447 Enrollment ID: I20230424000112 |
| Provider Name | Gabriella Avitia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497421366 PECOS PAC ID: 2769880624 Enrollment ID: I20230427000997 |
| Provider Name | Larissa K Halvorson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861193930 PECOS PAC ID: 7810353018 Enrollment ID: I20230512002037 |
| Provider Name | Cameron M Koch |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1134658743 PECOS PAC ID: 3971872003 Enrollment ID: I20230622003335 |
| Provider Name | Aswin Kumar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629469382 PECOS PAC ID: 5799184628 Enrollment ID: I20230703000514 |
| Provider Name | Nicole Christine Sztuk |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932631504 PECOS PAC ID: 7618240144 Enrollment ID: I20230725003096 |
| Provider Name | Thomas Everett Chambers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629776380 PECOS PAC ID: 4183087349 Enrollment ID: I20230906000664 |
| Provider Name | Laura E Grigereit |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1952821530 PECOS PAC ID: 6002188323 Enrollment ID: I20230919003106 |
| Provider Name | Joyce D Schroeder |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1295834067 PECOS PAC ID: 0749287217 Enrollment ID: I20231003003268 |
| Provider Name | Pamela I Causa Andrieu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437702727 PECOS PAC ID: 9335551738 Enrollment ID: I20231005001200 |
| Provider Name | Kristin Marie Clifford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003508318 PECOS PAC ID: 5092160325 Enrollment ID: I20231006000684 |
| Provider Name | Krina Bhimjibhai Viroliya |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396373676 PECOS PAC ID: 8224469515 Enrollment ID: I20231009000116 |
| Provider Name | Sabarish Narayanasamy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376039669 PECOS PAC ID: 6103173851 Enrollment ID: I20231018001430 |
| Provider Name | Kelly Sue Goszkowicz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346906823 PECOS PAC ID: 7113372657 Enrollment ID: I20231018001817 |
| Provider Name | Stuart Alan Ostby |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043743487 PECOS PAC ID: 6204112428 Enrollment ID: I20231110002256 |
| Provider Name | Shay Le Gruber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346921780 PECOS PAC ID: 6800231481 Enrollment ID: I20240305003714 |
| Provider Name | Albert C Wu |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982050852 PECOS PAC ID: 3870889280 Enrollment ID: I20240320000628 |
| Provider Name | Ashlee M Pippin |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1770239923 PECOS PAC ID: 9830577246 Enrollment ID: I20240325002551 |
| Provider Name | Angel L Dominguez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891579827 PECOS PAC ID: 7113365818 Enrollment ID: I20240401001012 |
| Provider Name | Matthew J Klumpp |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790217305 PECOS PAC ID: 3779829387 Enrollment ID: I20240409001811 |
| Provider Name | Benjamin D Bogle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790137354 PECOS PAC ID: 4880989441 Enrollment ID: I20240417001725 |
| Provider Name | Logan Darwood Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154174886 PECOS PAC ID: 6901248970 Enrollment ID: I20240522000832 |
| Provider Name | Mary S Brandt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669799102 PECOS PAC ID: 7517109788 Enrollment ID: I20240522000917 |
Manna Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 S State St Ste 55, Fairmont, MN 56031 Phone: 507-238-4844 Fax: 507-235-5542 | |
Uhd - Fairmont Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 221 E 1st St, Fairmont, MN 56031 Phone: 507-238-1287 Fax: 507-238-9070 | |
Center For Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 717 S State St, Suite 800, Fairmont, MN 56031 Phone: 507-238-9533 Fax: 507-235-8561 | |
Smart Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 322 S State St, 5 Lake Center Drive, Fairmont, MN 56031 Phone: 507-236-2880 | |
Integrity Medical Center, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 717 S State St Ste 600, Fairmont, MN 56031 Phone: 507-235-2924 Fax: 507-235-2923 | |
Mayo Clinic Health System-fairmont Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 Medical Center Dr, Fairmont, MN 56031 Phone: 507-238-8100 |